Circuit Mechanisms of a Retinal Ganglion Cell with Stimulus-Dependent Response Latency and Activation Beyond Its Dendrites
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Contrast Sensitivity and Visual Acuity Among the Elderly
Contrast Sensitivity and Visual Acuity among the Elderly THESIS Presented in Partial Fulfillment of the Requirements for the Degree Master of Science in the Graduate School of The Ohio State University By Mawada Osman Graduate Program in Vision Science The Ohio State University 2020 Master's Examination Committee: Angela M. Brown, PhD, Advisor Bradley E. Dougherty, OD, PhD Heidi A. Wagner, OD, MPH Copyright by Mawada Osman 2020 Abstract Purpose: To establish the clinical utility and strengthen the validity of the Ohio Contrast Cards (OCC), expand the use of the OCC in a healthy elderly population, and form a baseline dataset of patients to be compared to patients with dementia. Method: Participants ages 65 and over (N = 51) were recruited from the Ohio State University Primary Vision Care (PVC). We assessed the visual function of each patient using four visual tests which include: OCC, Pelli-Robson Chart (PR), Teller Acuity Cards (TAC) and Clear Chart. The contrast sensitivity tests (OCC and PR) were assessed twice, once by each tester. The PR contrast levels were also evaluated at two different distances 1 meter and 3 meters (0.50 meter if visual acuity worse than 6.0 cy/cm). Cognitive abilities were evaluated using the 6-Item Cognitive Impairment Test (6-CIT). Results: A significant effect of test was revealed (p < 0.005), in favor of OCC, yielding consistently higher average LogCS scores than PR, average difference of 0.412 LogCS. The PR and OCC revealed similar repeatability with 95% LoA of ± 0.28 log units and 95% LoA of ± 0.27 log units, respectively. -
Visual Performance of Scleral Lenses and Their Impact on Quality of Life In
A RQUIVOS B RASILEIROS DE ORIGINAL ARTICLE Visual performance of scleral lenses and their impact on quality of life in patients with irregular corneas Desempenho visual das lentes esclerais e seu impacto na qualidade de vida de pacientes com córneas irregulares Dilay Ozek1, Ozlem Evren Kemer1, Pinar Altiaylik2 1. Department of Ophthalmology, Ankara Numune Education and Research Hospital, Ankara, Turkey. 2. Department of Ophthalmology, Ufuk University Faculty of Medicine, Ankara, Turkey. ABSTRACT | Purpose: We aimed to evaluate the visual quality CCS with scleral contact lenses were 0.97 ± 0.12 (0.30-1.65), 1.16 performance of scleral contact lenses in patients with kerato- ± 0.51 (0.30-1.80), and 1.51 ± 0.25 (0.90-1.80), respectively. conus, pellucid marginal degeneration, and post-keratoplasty Significantly higher contrast sensitivity levels were recorded astigmatism, and their impact on quality of life. Methods: with scleral contact lenses compared with those recorded with We included 40 patients (58 eyes) with keratoconus, pellucid uncorrected contrast sensitivity and spectacle-corrected contrast marginal degeneration, and post-keratoplasty astigmatism who sensitivity (p<0.05). We found the National Eye Institute Visual were examined between October 2014 and June 2017 and Functioning Questionnaire overall score for patients with scleral fitted with scleral contact lenses in this study. Before fitting contact lens treatment to be significantly higher compared with scleral contact lenses, we noted refraction, uncorrected dis- that for patients with uncorrected sight (p<0.05). Conclusion: tance visual acuity, spectacle-corrected distance visual acuity, Scleral contact lenses are an effective alternative visual correction uncorrected contrast sensitivity, and spectacle-corrected contrast method for keratoconus, pellucid marginal degeneration, and sensitivity. -
Higher-Order Wavefront Aberration and Letter-Contrast Sensitivity In
Eye (2008) 22, 1488–1492 & 2008 Macmillan Publishers Limited All rights reserved 0950-222X/08 $32.00 www.nature.com/eye 1 1 2 2 CLINICAL STUDY Higher-order C Okamoto , F Okamoto , T Samejima , K Miyata and T Oshika1 wavefront aberration and letter-contrast sensitivity in keratoconus Abstract Keywords: keratoconus; wavefront aberration; higher-order aberration; contrast sensitivity; Aims To evaluate the relation between letter-contrast sensitivity higher-order aberration of the eye and contrast sensitivity function in eyes with keratoconus. Methods In 22 eyes of 14 patients with Introduction keratoconus (age 30.578.4 years, means7SD) and 26 eyes of 13 normal controls (age Keratoconus is a chronic, non-inflammatory 29.276.7 years), ocular higher-order wavefront disease of the cornea associated with aberration for a 6-mm pupil was measured progressive thinning and anterior protrusion of with the Hartmann-Schack aberrometer the central cornea.1,2 Irregular astigmatism is (KR-9000 PW, Topcon). The root mean square often the first and most apparent clinical finding (RMS) of third- and fourth-order Zernike in keratoconus, and this is evidenced by a coefficients was used to represent higher-order distortion of the corneal image as noted with aberrations. The letter-contrast sensitivity was the placido disc, retinoscope, keratometer, examined using the CSV-1000LV contrast chart keratoscope, and computerized (Vector Vision). videokeratograph. Previous studies using Results In the keratoconus group, the videokeratography have quantitatively 1 Department of letter-contrast sensitivity showed significant demonstrated that corneal irregular Ophthalmology, Institute of correlation with third-order (Spearman’s astigmatism is significantly greater in eyes with Clinical Medicine, University correlation coefficient ¼À0.736, 0.001) 3–6 of Tsukuba, Ibaraki, Japan r Po keratoconus than in normal eyes. -
Retinal Ganglion Cell Loss Is Size Dependent in Experimental Glaucoma
Investigative Ophthalmology & Visual Science, Vol. 32, No. 3, March 1991 Copyright © Association for Research in Vision and Ophthalmology Retinal Ganglion Cell Loss Is Size Dependent in Experimental Glaucoma Yoseph Glovinsky,* Harry A. Quigley,f and Gregory R. Dunkelbergerf Thirty-two areas located in the temporal midperipheral retina were evaluated in whole-mount prepara- tions from four monkeys with monocular experimental glaucoma. Diameter frequency distributions of remaining ganglion cells in the glaucomatous eye were compared with corresponding areas in the normal fellow eye. Large cells were significantly more vulnerable at each stage of cell damage as determined by linear-regression analysis. The magnitude of size-dependent loss was moderate at an early stage (20% loss), peaked at 50% total cell loss, and decreased in advanced damage (70% loss). In glaucomatous eyes, the lower retina had significantly more large cell loss than the corresponding areas of the upper retina. In optic nerve zones that matched the retinal areas studied, large axons selectively were damaged first. Psychophysical testing aimed at functions subserved by larger ganglion cells is recommended for detection and follow-up of early glaucoma; however, assessment of functions unique to small cells is more appropriate for detecting change in advanced glaucoma. Invest Ophthalmol Vis Sci 32:484-491, 1991 Current psychophysical tests do not detect glau- tage of ideal cellular preservation. Eyes with mild, comatous damage until a substantial minority of reti- moderate, and late damage were evaluated. In addi- nal ganglion cells have died.1'2 To develop more sen- tion, we correlated the damage patterns in the retinas sitive tests, a comprehensive understanding of the and optic nerves of the glaucomatous eyes. -
Contrast Sensitivity and Visual Acuity in Low-Vision Students Thesis
Contrast Sensitivity and Visual Acuity in Low-Vision Students Thesis Presented in Partial Fulfillment of the Requirements for the Degree Master of Science in the Graduate School of The Ohio State University By Steve Murimi Mathenge Njeru, BS Graduate Program in Vision Science The Ohio State University 2020 Thesis Committee Angela M. Brown, PhD, Advisor Bradley E. Dougherty, OD, PhD Deyue Yu, PhD Copyrighted by Steve Murimi Mathenge Njeru 2020 Abstract Purpose: This study primarily compared the test-retest reliability of the Pelli-Robson chart (PR) and Ohio Contrast Cards (OCC) amongst testers. The secondary goal of this study was to examine the impact on contrast sensitivity if the testing distance for the Pelli-Robson chart were to be changed. An additional goal was to evaluate the relationship between visual acuity (VA) and contrast sensitivity (CS) when using letter-based charts and grating cards. Methods: Thirty low-vision students were tested, ranging from 7-20 years old. Each student was tested with both VA and CS tests in randomized order, which included: the Bailey- Lovie chart (BL), Pelli-Robson chart, Teller Acuity Cards (TAC), and Ohio Contrast Cards. Each student repeated both the PR chart and OCC in separate rooms, but neither the BL chart nor TAC was repeated. The PR chart was also tested at closer testing distance, based on the student’s logMAR acuity from the BL chart. For the letter charts, a letter-by-letter scoring method was used. For grating cards, these were both scored as preferential looking tests. Results: The Limits of Agreement for the OCC and PR chart were +/- 0.451 and +/- 0.536, respectively. -
Contrast Gain in the Brain After (Green) Adapting to High Contrasts
Neuron 476 Rozin, P. (1982). Percept. Psychophys. 31, 397–401. Small, D.M., Voss, J., Mak, Y.E., Simmons, K.B., Parrish, T., and Gitelman, D. (2004). J. Neurophysiol. 92, 1892–1903. Small, D.M., Gerber, J.C., Mak, Y.E., and Hummel, T. (2005). Neuron 47, this issue, 593–605. von Békésy, G. (1964). J. Appl. Physiol. 19, 369–373. Wilson, D.A. (1997). J. Neurophysiol. 78, 160–169. Wilson, D.A., and Sullivan, R.M. (1999). Physiol. Behav. 66, 41–44. DOI 10.1016/j.neuron.2005.08.002 Figure 1. Example Contrast Response Functions Before (Blue) and Contrast Gain in the Brain After (Green) Adapting to High Contrasts Human sensory systems have the remarkable ability in the human visual system by using a clever method of adjusting sensitivity to the surrounding environ- that measured both increases and decreases in fMRI ment. In this issue of Neuron, Gardner and colleagues responses around a mean level of contrast. They used fMRI to show how the visual system shifts its showed that, after prolonged exposure to high con- sensitivity to contrast. This process may be helpful trasts, the “dynamic range” of the contrast response for keeping the appearance of contrast constant function in early cortical visual areas shifted from across a range of spatial frequencies. something like the blue curve in Figure 1 rightward to the green curve. This process of “contrast gain” was We’ve all had the experience of being temporarily originally found in electrophysiological studies in cats blinded when walking out of a movie theater into bright (Ohzawa et al., 1985), but this is the first evidence of it sunlight. -
Contrast Sensitivity and Acuity Relationship in Strabismic and Anisometropic Amblyopia
Br J Ophthalmol: first published as 10.1136/bjo.72.1.44 on 1 January 1988. Downloaded from British Journal of Ophthalmology, 1988, 72, 44-49 Contrast sensitivity and acuity relationship in strabismic and anisometropic amblyopia M ABRAHAMSSON AND J SJOSTRAND From the Department of Ophthalmology, University of Goteborg, Sahlgren's Hospital S-413 45 Goteborg, Sweden SUMMARY The contrast sensitivity function (CSF) and visual acuity were determined in children and adults with unilateral amblyopia due to strabismus or anisometropia with central fixation. The preschool children were examined repeatedly during occlusion treatment. All amblyopes had CSF deficits. The CSF was characterised by its peak value (the maximal sensitivity, Smax, and the spatial frequency at which Smax occurs, Frmax) calculated by a single peak least-square regression method. The two amblyopic groups showed discrepancies in relationship of both Smax and Frmax versus visual acuity both initially and during treatment. The strabismic cases had a more marked visual acuity deficit in relation to the contrast sensitivity losses, whereas these parameters are affected similarly in anisometropic amblyopes. The relationship between recovery of visual acuity and CSF during the initial month of occlusion treatment was of prognostic significance for the outcome of visual acuity improvement. copyright. Amblyopia is defined as an optically uncorrectable receives an input with deprived form and contour. loss of vision, usually monocular, without demon- There is no evidence that a strabismic eye receives a strable pathology in the posterior pole of the eye. blurred image, whereas several studies indicate that This condition develops in early childhood and it abnormal binocular interaction is present in http://bjo.bmj.com/ affects up to 5% of the population. -
The Effect of Retinal Ganglion Cell Injury on Light-Induced Photoreceptor Degeneration
The Effect of Retinal Ganglion Cell Injury on Light-Induced Photoreceptor Degeneration Robert J. Casson,1 Glyn Chidlow,1 John P. M. Wood,1 Manuel Vidal-Sanz,2 and Neville N. Osborne1 PURPOSE. To determine the effect of optic nerve transection photoreceptors against light-induced injury. An unusual aspect (ONT) and excitotoxic retinal ganglion cell (RGC) injury on of the ONT-induced photoreceptor protection is that it specif- light-induced photoreceptor degeneration. ically affects the retinal ganglion cells (RGCs), yet subsequently METHODS. Age- and sex-matched rats underwent unilateral ONT protects the outer retina. This phenomenon implies the exis- D tence of retrograde communication systems within the retina, or received intravitreal injections of N-methyl- -aspartate 5,6 (NMDA). The fellow eye received sham treatment, and 7 or 21 possibly involving Mu¨ller cells and FGF-2, but does not days later each eye was subjected to an intense photic injury. exclude the possibility that the effect is specific to ONT. A Maximum a- and b-wave amplitudes of the flash electroretino- nonspecific effect would suggest that similar responses might gram (ERG) were measured at baseline, after the RGC insult, be occurring in a wide range of optic neuropathies. We hy- and 5 days after the photic injury. Semiquantitative reverse pothesized that the protective effect of ONT may be a gener- transcription-polymerase chain reaction analysis and immuno- alizable effect and that other forms of inner retinal injury such blot analysis were used to assess rod opsin mRNA and rhodop- as excitotoxic injury may also protect against LIPD. Further- sin kinase protein levels and to measure defined trophic factors more, although FGF-2 has been implicated as the agent respon- 7 or 21 days after ONT or injection of NMDA. -
Anatomy and Physiology of the Afferent Visual System
Handbook of Clinical Neurology, Vol. 102 (3rd series) Neuro-ophthalmology C. Kennard and R.J. Leigh, Editors # 2011 Elsevier B.V. All rights reserved Chapter 1 Anatomy and physiology of the afferent visual system SASHANK PRASAD 1* AND STEVEN L. GALETTA 2 1Division of Neuro-ophthalmology, Department of Neurology, Brigham and Womens Hospital, Harvard Medical School, Boston, MA, USA 2Neuro-ophthalmology Division, Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA INTRODUCTION light without distortion (Maurice, 1970). The tear–air interface and cornea contribute more to the focusing Visual processing poses an enormous computational of light than the lens does; unlike the lens, however, the challenge for the brain, which has evolved highly focusing power of the cornea is fixed. The ciliary mus- organized and efficient neural systems to meet these cles dynamically adjust the shape of the lens in order demands. In primates, approximately 55% of the cortex to focus light optimally from varying distances upon is specialized for visual processing (compared to 3% for the retina (accommodation). The total amount of light auditory processing and 11% for somatosensory pro- reaching the retina is controlled by regulation of the cessing) (Felleman and Van Essen, 1991). Over the past pupil aperture. Ultimately, the visual image becomes several decades there has been an explosion in scientific projected upside-down and backwards on to the retina understanding of these complex pathways and net- (Fishman, 1973). works. Detailed knowledge of the anatomy of the visual The majority of the blood supply to structures of the system, in combination with skilled examination, allows eye arrives via the ophthalmic artery, which is the first precise localization of neuropathological processes. -
Color Blindness
. assessment report Color Blindness .......... Betsy J. Case, Ph.D. February 2003 (Revision 2, November 2003) Copyright © 2003 by Pearson Education, Inc. or its affiliate(s). All rights reserved. Pearson and the Pearson logo are trademarks of Pearson Education, Inc. or its affiliate(s). ASSESSMENT REPORT . Color Blindness . Color Blindness Acknowledgements Pearson Inc. (Pearson) gratefully acknowledges the following individuals for providing expertise and references to empirical research on this topic. Furthermore, several of these individuals reviewed all Stanford Achievement Test Series, Tenth Edition (Stanford 10) materials to ensure that the color choices provided effective color contrast for students with color blindness. Dr. Carol Allman, formerly with the Florida Department of Education, currently with the American Printing House for the Blind, Inc., Louisville, KY. Multiple personal contacts from 1997 – present. Dawn Dunleavy, The Psychological Corporation. Barbara Henderson, Research Group, American Printing House for the Blind, Inc., Louisville, KY. Multiple personal contacts from 2001 – present. Diane Spence, Director, Braille Services Unit, Region IV Education Service Cooperative, Houston, Texas. Multiple personal contacts from 1997 – present. Dr. Sandra Thompson, Senior Researcher, National Center on Educational Outcomes, University of Minnesota, Minneapolis. Critical nexus with the Minnesota Laboratory for Low-Vision Research by Gordon E. Legge. Multiple personal contacts from 1993 – present. Debra Willis, American Printing House for the Blind, Inc. Personal communications from 1996 – present. Color Vision Color vision is determined by the discrimination of three qualities of color: hue (such as red vs. green), saturation (that is, pure vs. blended colors), and brightness (that is, vibrant vs. dull reflection of light) (Arditi, 1999a). The essential difference between the color blind and most people is that hues that appear different to most people look the same to a color blind person. -
Factors Influencing Contrast Sensitivity Function in Eyes With
Journal of Clinical Medicine Article Factors Influencing Contrast Sensitivity Function in Eyes with Mild Cataract Kazutaka Kamiya 1,*, Fusako Fujimura 1, Takushi Kawamorita 1, Wakako Ando 2, Yoshihiko Iida 2 and Nobuyuki Shoji 2 1 Visual Physiology, School of Allied Health Sciences, Kitasato University, Kanagawa 2520373, Japan; [email protected] (F.F.); [email protected] (T.K.) 2 Department of Ophthalmology, School of Medicine, Kitasato University, Kanagawa 2520374, Japan; [email protected] (W.A.); [email protected] (Y.I.); [email protected] (N.S.) * Correspondence: [email protected]; Tel.: +81-42-778-8464; Fax: +81-42-778-2357 Abstract: This study was aimed to evaluate the relationship between the area under the log contrast sensitivity function (AULCSF) and several optical factors in eyes suffering mild cataract. We enrolled 71 eyes of 71 patients (mean age, 71.4 ± 10.7 (standard deviation) years) with cataract formation who were under surgical consultation. We determined the area under the log contrast sensitivity function (AULCSF) using a contrast sensitivity unit (VCTS-6500, Vistech). We utilized single and multiple regression analyses to investigate the relevant factors in such eyes. The mean AULSCF was 1.06 ± 0.16 (0.62 to 1.38). Explanatory variables relevant to the AULCSF were, in order of influence, logMAR best spectacle-corrected visual acuity (BSCVA) (p < 0.001, partial regression coefficient B = −0.372), and log(s) (p = 0.023, B = −0.032) (adjusted R2 = 0.402). We found no significant association with other variables such as age, gender, uncorrected visual acuity, nuclear sclerosis grade, or ocular HOAs. -
Imaging and Quantifying Ganglion Cells and Other Transparent Neurons in the Living Human Retina
Imaging and quantifying ganglion cells and other transparent neurons in the living human retina Zhuolin Liua,1, Kazuhiro Kurokawaa, Furu Zhanga, John J. Leeb, and Donald T. Millera aSchool of Optometry, Indiana University, Bloomington, IN 47405; and bPurdue School of Engineering and Technology, Indiana University–Purdue University Indianapolis, Indianapolis, IN 46202 Edited by David R. Williams, University of Rochester, Rochester, NY, and approved October 18, 2017 (received for review June 30, 2017) Ganglion cells (GCs) are fundamental to retinal neural circuitry, apoptotic GCs tagged with an intravenously administered fluores- processing photoreceptor signals for transmission to the brain via cent marker (14), thus providing direct monitoring of GC loss. The their axons. However, much remains unknown about their role in second incorporated adaptive optics (AO)—which corrects ocular vision and their vulnerability to disease leading to blindness. A aberrations—into SLO sensitive to multiply-scattered light (12). major bottleneck has been our inability to observe GCs and their This clever combination permitted imaging of a monolayer of GC degeneration in the living human eye. Despite two decades of layer (GCL) somas in areas with little or no overlying nerve fiber development of optical technologies to image cells in the living layer (NFL) (see figure 5, human result of Rossi et al.; ref. 12). By human retina, GCs remain elusive due to their high optical trans- contrast, our approach uses singly scattered light and produces lucency. Failure of conventional imaging—using predominately sin- images of unprecedented clarity of translucent retinal tissue. This gly scattered light—to reveal GCs has led to a focus on multiply- permits morphometry of GCL somas across the living human ret- scattered, fluorescence, two-photon, and phase imaging techniques ina.