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Management of Microtropia
Br J Ophthalmol: first published as 10.1136/bjo.58.3.281 on 1 March 1974. Downloaded from Brit. J. Ophthal. (I974) 58, 28 I Management of microtropia J. LANG Zirich, Switzerland Microtropia or microstrabismus may be briefly described as a manifest strabismus of less than 50 with harmonious anomalous correspondence. Three forms can be distinguished: primary constant, primary decompensating, and secondary. There are three situations in which the ophthalmologist may be confronted with micro- tropia: (i) Amblyopia without strabismus; (2) Hereditary and familial strabismus; (3) Residual strabismus after surgery. This may be called secondary microtropia, for everyone will admit that in most cases of convergent strabismus perfect parallelism and bifoveal fixation are not achieved even after expert treatment. Microtropia and similar conditions were not mentioned by such well-known early copyright. practitioners as Javal, Worth, Duane, and Bielschowsky. The views of Maddox (i898), that very small angles were extremely rare, and that the natural tendency to fusion was much too strong to allow small angles to exist, appear to be typical. The first to mention small residual angles was Pugh (I936), who wrote: "A patient with monocular squint who has been trained to have equal vision in each eye and full stereoscopic vision with good amplitude of fusion may in 3 months relapse into a slight deviation http://bjo.bmj.com/ in the weaker eye and the vision retrogresses". Similar observations of small residual angles have been made by Swan, Kirschberg, Jampolsky, Gittoes-Davis, Cashell, Lyle, Broadman, and Gortz. There has been much discussion in both the British Orthoptic Journal and the American Orthoptic journal on the cause of this condition and ways of avoiding it. -
Pupil Responses Associated with Coloured Afterimages Are Mediated by the Magno-Cellular Pathway
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Aston Publications Explorer Vision Research 43 (2003) 1423–1432 www.elsevier.com/locate/visres Pupil responses associated with coloured afterimages are mediated by the magno-cellular pathway S. Tsujimura *, J.S. Wolffsohn, B. Gilmartin Neurosciences Research Institute, Aston University, Aston Triangle, Birmingham B4 7ET, UK Received 14 August 2002; received in revised form 27 January 2003 Abstract Sustained fixation of a bright coloured stimulus will, on extinction of the stimulus and continued steady fixation, induce an afterimage whose colour is complementary to that of the initial stimulus; an effect thought to be caused by fatigue of cones and/or of cone-opponent processes to different colours. However, to date, very little is known about the specific pathway that causes the coloured afterimage. Using isoluminant coloured stimuli recent studies have shown that pupil constriction is induced by onset and offset of the stimulus, the latter being attributed specifically to the subsequent emergence of the coloured afterimage. The aim of the study was to investigate how the offset pupillary constriction is generated in terms of input signals from discrete functional elements of the magno- and/or parvo-cellular pathways, which are known principally to convey, respectively, luminance and colour signals. Changes in pupil size were monitored continuously by digital analysis of an infra-red image of the pupil while observers viewed isoluminant green pulsed, ramped or luminance masked stimuli presented on a computer monitor. It was found that the amplitude of the offset pupillary constriction decreases when a pulsed stimulus is replaced by a temporally ramped stimulus and is eliminated by a luminance mask. -
Routine Eye Examination
CET Continuing education Routine eye examination Part 3 – Binocular assessment In the third part of our series on the eye examination, Andrew Franklin and Bill Harvey look at the assessment and interpretation of binocular status. Module C8290, one general CET point, suitable for optometrists and DOs he assessment of binocular previous question. Leading questions function is often one of the should be avoided, especially when weaker areas of a routine, dealing with children. If they are out if observation of candidates of line ask the patient ‘Which one is out in the professional qualifica- of line with the X?’ Ttions examination is any guide. Tests are You should know before you start the done for no clearly logical reason, often test which line is seen by which eye. because they always have been, and in If you cannot remember it from last an order which defeats the object of the time, simply look at the target through testing. Binocular vision seems to be one the visor yourself (Figure 1). Even if of those areas that practitioners shy away you think you can remember, check from, and students often take an instant anyway, as it is possible for the polarisa- dislike to. Many retests and subsequent tion of the visor not to match that of the remakes of spectacles are the result of a Mallett Unit at distance or near or both, practitioner overlooking the effects of a Figure 1 A distance fixation disparity target especially if the visor is a replacement. change of prescription on the binocular If both eyes can see both bars, nobody status of the patient. -
Real Time Measurement and Processing of Pupillary Light Reflex for Early Detection of Disease
Journal of Computers Real Time Measurement and Processing of Pupillary Light Reflex for Early Detection of Disease Ippei Torii*, Takahito Niwa Aichi Institute of Technology, Dept. of Information Science, 1247 Yachigusa, Yakusa-cho, Toyota, Aichi, Japan. * Corresponding author. Tel.: 81-565-48-8121; email: mac[aitech.ac.jp Manuscript submitted January 10, 2019; accepted March 8, 2019. doi: 10.17706/jcp.14.3.161-169 Abstract: Recently, pupillary measurements have begun to be considered effective in the diagnosis of various physical conditions. Apart from optic neuropathy and retinal disorders, which are ocular diseases, diversions can be expected in the diagnosis of autonomic disturbance due to sympathetic and parasympathetic nerve disorders, cranial nerve disorders, cerebral infarction, depression, and diabetes. In this study, we have developed a real-time pupil diameter measuring system that is inexpensive and does not require a complicated device. When strong light is projected onto the eyeball, this system can measure the reaction time until the start of miosis, the time to achieve maximal miosis, and the difference in reaction speed of the left and right eyes. With this system, the status of a disease can be judged based on the distance from the threshold value. Key words: Real time measurement, eye movement, early detection of disease, image processing. 1. Introduction There are approximately one hundred million photoreceptor cells in the retina of human eyes. Light that shines on those cells is converted to nerve signals, which transmit the information to the brain, resulting in the visual recognition of objects. When light is radiated onto the eye, the pupillary light reflex is triggered, causing the pupillary diameter to decrease with a time delay of less than 1 sec. -
Subliminal Afterimages Via Ocular Delayed Luminescence: Transsaccade Stability of the Visual Perception and Color Illusion
ACTIVITAS NERVOSA SUPERIOR Activitas Nervosa Superior 2012, 54, No. 1-2 REVIEW ARTICLE SUBLIMINAL AFTERIMAGES VIA OCULAR DELAYED LUMINESCENCE: TRANSSACCADE STABILITY OF THE VISUAL PERCEPTION AND COLOR ILLUSION István Bókkon1,2 & Ram L.P. Vimal2 1Doctoral School of Pharmaceutical and Pharmacological Sciences, Semmelweis University, Budapest, Hungary 2Vision Research Institute, Lowell, MA, USA Abstract Here, we suggest the existence and possible roles of evanescent nonconscious afterimages in visual saccades and color illusions during normal vision. These suggested functions of subliminal afterimages are based on our previous papers (i) (Bókkon, Vimal et al. 2011, J. Photochem. Photobiol. B) related to visible light induced ocular delayed bioluminescence as a possible origin of negative afterimage and (ii) Wang, Bókkon et al. (Brain Res. 2011)’s experiments that proved the existence of spontaneous and visible light induced delayed ultraweak photon emission from in vitro freshly isolated rat’s whole eye, lens, vitreous humor and retina. We also argue about the existence of rich detailed, subliminal visual short-term memory across saccades in early retinotopic areas. We conclude that if we want to understand the complex visual processes, mere electrical processes are hardly enough for explanations; for that we have to consider the natural photobiophysical processes as elaborated in this article. Key words: Saccades Nonconscious afterimages Ocular delayed bioluminescence Color illusion 1. INTRODUCTION Previously, we presented a common photobiophysical basis for various visual related phenomena such as discrete retinal noise, retinal phosphenes, as well as negative afterimages. These new concepts have been supported by experiments (Wang, Bókkon et al., 2011). They performed the first experimental proof of spontaneous ultraweak biophoton emission and visible light induced delayed ultraweak photon emission from in vitro freshly isolated rat’s whole eye, lens, vitreous humor, and retina. -
Conjunctive and Disjunctive Eye Movements an Pupillary Response Performance for Objective Metrics in Acute Mtbi
Conjunctive and Disjunctive Eye Movements an Pupillary Response Performance for Objective Metrics in Acute mTBI Carey Balaban, PhD1 Michael Hoffer, MD2 Mikaylo Sczczupak MD2 Alex Kiderman, PhD3 1University of Pittsburgh, 2 University of Miami, 3Neuro Kinetics, Inc. Disclosures • Michael E. Hoffer and Carey D. Balaban have no conflicts of interest or financial interests to report • Alexander Kiderman is an employee and shareholder of Neuro Kinetics, Inc. • The views expressed in this talk are those of the author(s) and do not necessarily reflect the official policy or position of the University of Pittsburgh, University of Miami, Department of the Navy, Department of Defense, or the U.S. Government. 2 Why is mTBI a Topic for Otolaryngology? • Balance disorders often present • Co-morbidities similar to balance-migraine- anxiety • Vestibular, oculomotor and reaction time tests provide objective metrics for acute mTBI Precision Medicine • Current clinical nosology as a clinical descriptive template – Symptoms – Signs – “Biomarkers” • Establish etiologic nosology – Identify acute response processes – Identify longitudinal processes – Plan interventions appropriate to patients’ clinical trajectories ‘Plain Language’ mTBI Definition • Documented traumatic event • ‘Not Quite Right’ (‘NQR’ criterion) • How does one quantify ‘NQR’? 5 Conjunctive Eye Movements as Objective mTBI Metrics: Up to 2 Weeks Post-Injury Conjuctive (Conjugate) Eye Movements for mTBI Diagnosis • High Frequency Horizontal Vestibulo-ocular Reflex – Computer-controlled Head Impulse Test (crHIT) • Saccades – Antisaccade Task – Predictive Saccade Task • Optokinetic Response • Smooth Pursuit Key Measure Changes Across Sessions Key Measure Changes Across Sessions Background • Disconjugate eye movements (convergence and divergence) track objects that vary in depth over the binocular visual field. These eye movements can be measured objectively and are commonly affected following mTBI. -
The Effect of the Fixation Disparity on Photogrammetric Processes
The Effect of the Fixation Disparity on Photogrammetric Processes SANDOR A. VERES, Asst. Proj., Surveying and Mapping, Purdue University ABSTRACT: This paper reviews the function oj the human eyes in photogram metry, and discusses its limitations. The correction of the observation error is presented by mathematical derivations and practical examples. The paper points out the need for continued development of techniques in view of con stantly increasing requirements. INTRODUCTION study of coincidence is most important from the photogrammetric point of view. For a HOTOGRAMMETRIC instrumentation has undergone a revolutionary development study of this kind an instrument called a P horopter has been used. since the second World War. A precision photogrammetric instrument today is able to The horopter designed by Tschermak con provide measurement to within a precision of sists of thirteen steel channels mounted so as ± 3 microns. By using these precision in to converge to the midpoint of the inter struments the compensation of errors in pupillary base line of the two eyes of an volved in the measurements becomes of pri observer. The central channel lies in a median mary importance. The compensation of errors plane, perpendicular to the eyebase of the is based upon the geometrical knowledge of observer, and the others make angles of 1, 2. the source of errors. The human eye is in 4, 8, 12, and 16 degrees on each side of the volved in every photogrammetric measure central channel. A small vertical steel rod can ment; consequently the geometrical knowl slide smoothly in each channel and the rods edge of the errors due to the limi tation of the are mounted for use at visual distances of 20, human eye is very important. -
The Nature, Testing, and Variables Influencing
THE NATURE, TESTING, AND VARIABLES INFLUENCING FIXATION DISPARITY; ROLE OF THE FUSION LOCK 1 by Leland W. Carr with Dr. James J. Saladin I ... *I Tl.e N.-1• .._1 Tufi"), A.l IJ.,.;.,l/.s I.{l..•• :? F1*'/:·.., /);,,_,. ; ~ R.lc. OF 'Tlc. ~="••1•.. C. •• l( I Introduction A fixation disparity is a small angular measurement of the mis alignment of the two eyes which can occur while still permitting single, fused binocular vision. It represents a small error in the aiming of the eyes which occurs without diplopia being detected. Fixation disparity is allowed because of the slight "slippage" pro vided to the fusional system through the existence of Panum's fusional areas. So long as binocular alignment is precise enough to place the two retinal images of a single object within corre sponding Panum's areas, the final perception is likely to be single and fused. Sensory fusion thus occurs in spite of a small error in motor fusion. A slight muscle imbalance is the rule, rather than the excep tion in individuals even with normal assymptomatic binocular systems. It is rare that all twelve extraocular muscles are precisely bal anced in their agonist-antagonist relationships, and thus the inate drive to achieve single vision requires a fusional effort to over come existing imbalance. When binocularity is dissociated (as with a covertest) the fusional drive is interrupted and the eyes deviate out of alignment under the influence of the muscle imbalance. This deviation under dissociation is referred to as the heterophoria. When both eyes are permitted to view without dissociative conditions the fusional drive to achieve single binocular vision pulls the eyes toward alignment in opposition to the phoric "stress" operating to deviate the alignment. -
427663 1 En Bookbackmatter 215..297
Conclusion The intention of this book was to test the interdependence between medieval theories of optics and the practice of perspective. More particularly we chose to examine the question of physiological optics, because the proof of a connection between optics and perspective would be less probative if it took geometric optics as its starting point (for example, it is not possible to separate the respective influences of optics and geometry in the use of similar triangles, a method shared by the two sciences). In contrast, the theory of binocular vision is critically dependent on the particular way in which optics was addressed in the Middle Ages, combining as it did geometric and physical optics with anatomy and ocular physiology. It is within this framework that the differing interpretations of “axial perspective” and “two-point perspective” were examined here. As has been seen, these forms of representations do not correspond to any type of parallel projection that places the spectator at infinity, therefore excluding the possibility that they might constitute axonometric (isometric, dimetric, trimetric) or oblique (cavalier and military) pro- jections. One could go even further in the critical analysis of the two-point system of representation: 1. Two-point perspective is not a linear perspective, because the two vanishing points are separated by distances that are many times greater than the maximal metric error. 2. Two-point perspective bears no relationship to bifocal perspective (Parronchi’s hypothesis). 3. Two-point perspective cannot be considered a form of trifocal perspective, whose object verticals are always represented by parallel lines. 4. The two vanishing points are not the result of an absence of parallelism in the side walls nor of an alteration in the parallelism intended to highlight the subject of the scene. -
Care of the Patient with Accommodative and Vergence Dysfunction
OPTOMETRIC CLINICAL PRACTICE GUIDELINE Care of the Patient with Accommodative and Vergence Dysfunction OPTOMETRY: THE PRIMARY EYE CARE PROFESSION Doctors of optometry are independent primary health care providers who examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions. Optometrists provide more than two-thirds of the primary eye care services in the United States. They are more widely distributed geographically than other eye care providers and are readily accessible for the delivery of eye and vision care services. There are approximately 36,000 full-time-equivalent doctors of optometry currently in practice in the United States. Optometrists practice in more than 6,500 communities across the United States, serving as the sole primary eye care providers in more than 3,500 communities. The mission of the profession of optometry is to fulfill the vision and eye care needs of the public through clinical care, research, and education, all of which enhance the quality of life. OPTOMETRIC CLINICAL PRACTICE GUIDELINE CARE OF THE PATIENT WITH ACCOMMODATIVE AND VERGENCE DYSFUNCTION Reference Guide for Clinicians Prepared by the American Optometric Association Consensus Panel on Care of the Patient with Accommodative and Vergence Dysfunction: Jeffrey S. Cooper, M.S., O.D., Principal Author Carole R. Burns, O.D. Susan A. Cotter, O.D. Kent M. Daum, O.D., Ph.D. John R. Griffin, M.S., O.D. Mitchell M. Scheiman, O.D. Revised by: Jeffrey S. Cooper, M.S., O.D. December 2010 Reviewed by the AOA Clinical Guidelines Coordinating Committee: David A. -
A Single Coordinate Framework for Optic Flow and Binocular Disparity
A coordinate framework for optic flow and disparity Glennerster and Read A single coordinate framework for optic flow and binocular disparity 1¶* 2¶ Andrew Glennerster and Jenny C.A. Read 1 School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6AL 2 Institute of Neuroscience, Newcastle University, NE2 4HH ¶ These authors contributed equally to this work. * Corresponding author. Email [email protected] (AG) A coordinate framework for optic flow and disparity Glennerster and Read Abstract Optic flow is two dimensional, but no special qualities are attached to one or other of these dimensions. For binocular disparity, on the other hand, the terms 'horizontal' and 'vertical' disparities are commonly used. This is odd, since binocular disparity and optic flow describe essentially the same thing. The difference is that, generally, people tend to fixate relatively close to the direction of heading as they move, meaning that fixation is close to the optic flow epipole, whereas, for binocular vision, fixation is close to the head-centric midline, i.e. approximately 90 degrees from the binocular epipole. For fixating animals, some separations of flow may lead to simple algorithms for the judgement of surface structure and the control of action. We consider the following canonical flow patterns that sum to produce overall flow: (i) ‘towards’ flow, the component of translational flow produced by approaching (or retreating from) the fixated object, which produces pure radial flow on the retina; (ii) ‘sideways’ flow, the remaining component of translational flow, which is produced by translation of the optic centre orthogonal to the cyclopean line of sight and (iii) ‘vergence’ flow, rotational flow produced by a counter-rotation of the eye in order to maintain fixation. -
Handbook of EEG INTERPRETATION This Page Intentionally Left Blank Handbook of EEG INTERPRETATION
Handbook of EEG INTERPRETATION This page intentionally left blank Handbook of EEG INTERPRETATION William O. Tatum, IV, DO Section Chief, Department of Neurology, Tampa General Hospital Clinical Professor, Department of Neurology, University of South Florida Tampa, Florida Aatif M. Husain, MD Associate Professor, Department of Medicine (Neurology), Duke University Medical Center Director, Neurodiagnostic Center, Veterans Affairs Medical Center Durham, North Carolina Selim R. Benbadis, MD Director, Comprehensive Epilepsy Program, Tampa General Hospital Professor, Departments of Neurology and Neurosurgery, University of South Florida Tampa, Florida Peter W. Kaplan, MB, FRCP Director, Epilepsy and EEG, Johns Hopkins Bayview Medical Center Professor, Department of Neurology, Johns Hopkins University School of Medicine Baltimore, Maryland Acquisitions Editor: R. Craig Percy Developmental Editor: Richard Johnson Cover Designer: Steve Pisano Indexer: Joann Woy Compositor: Patricia Wallenburg Printer: Victor Graphics Visit our website at www.demosmedpub.com © 2008 Demos Medical Publishing, LLC. All rights reserved. This book is pro- tected by copyright. No part of it may be reproduced, stored in a retrieval sys- tem, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. Library of Congress Cataloging-in-Publication Data Handbook of EEG interpretation / William O. Tatum IV ... [et al.]. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-1-933864-11-2 (pbk. : alk. paper) ISBN-10: 1-933864-11-7 (pbk. : alk. paper) 1. Electroencephalography—Handbooks, manuals, etc. I. Tatum, William O. [DNLM: 1. Electroencephalography—methods—Handbooks. WL 39 H23657 2007] RC386.6.E43H36 2007 616.8'047547—dc22 2007022376 Medicine is an ever-changing science undergoing continual development.