Visual Acuity and Hyperacuity
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Visual Acuity Assessment
VISUAL ACUITY ASSESSMENT J. R. WEATHERILL Bradford Tests of visual function in cataract patients are performed recognised that patients with macular dysfunction have in order to answer two questions: (I) To what extent is the difficulty in reading out of proportion to their Snellen cataract responsible for the patient's symptoms? (2) Will acuity. This difficultyis probably due to parafoveal scoto removal of the cataract improve the patient's sight? To mas which prevent the whole word being seen at the same answer the firstquestion the optical qualities of the eye are time. If a patient reports that the main problem is with assessed, and to answer the second tests are employed reading, it is helpful to observe whether the patient holds which assess retinal and neural function and which are the page steadily or keeps moving it to avoid scotomas. relatively unaffected by the optical degradation caused by With current reading tests patients with poor macular opacities in the media. At Bradford we employ the tests function can read small print for brief periods, particularly listed in Table I. if they are used to reading and recognise the overall shape of the words. A Logmar equivalent for near vision com Snellen Acuity prising random words of equal length and composed of Although the Snellen acuity test measures the function of letters without either ascenders or descenders, read under only the central 1_20 in monochrome at 100% contrast, it controlled conditions of illumination and at a standard dis is nonetheless the 'gold standard' by which ophthal tance, would provide a more accurate measure of macular mologists judge and are judged. -
GUIDE for the Evaluation of VISUAL Impairment
International Society for Low vision Research and Rehabilitation GUIDE for the Evaluation of VISUAL Impairment Published through the Pacific Vision Foundation, San Francisco for presentation at the International Low Vision Conference VISION-99. TABLE of CONTENTS INTRODUCTION 1 PART 1 – OVERVIEW 3 Aspects of Vision Loss 3 Visual Functions 4 Functional Vision 4 Use of Scales 5 Ability Profiles 5 PART 2 – ASSESSMENT OF VISUAL FUNCTIONS 6 Visual Acuity Assessment 6 In the Normal and Near-normal range 6 In the Low Vision range 8 Reading Acuity vs. Letter Chart Acuity 10 Visual Field Assessment 11 Monocular vs. Binocular Fields 12 PART 3 – ESTIMATING FUNCTIONAL VISION 13 A General Ability Scale 13 Visual Acuity Scores, Visual Field Scores 15 Calculation Rules 18 Functional Vision Score, Adjustments 20 Examples 22 PART 4 – DIRECT ASSESSMENT OF FUNCTIONAL VISION 24 Vision-related Activities 24 Creating an Activity Profile 25 Participation 27 PART 5 – DISCUSSION AND BACKGROUND 28 Comparison to AMA scales 28 Statistical Use of the Visual Acuity Score 30 Comparison to ICIDH-2 31 Bibliography 31 © Copyright 1999 by August Colenbrander, M.D. All rights reserved. GUIDE for the Evaluation of VISUAL Impairment Summer 1999 INTRODUCTION OBJECTIVE Measurement Guidelines for Collaborative Studies of the National Eye Institute (NEI), This GUIDE presents a coordinated system for the Bethesda, MD evaluation of the functional aspects of vision. It has been prepared on behalf of the International WORK GROUP Society for Low Vision Research and Rehabilitation (ISLRR) for presentation at The GUIDE was approved by a Work Group VISION-99, the fifth International Low Vision including the following members: conference. -
Diffraction Interference Induced Superfocusing in Nonlinear Talbot Effect24,25, to Achieve Subdiffraction by Exploiting the Phases of The
OPEN Diffraction Interference Induced SUBJECT AREAS: Superfocusing in Nonlinear Talbot Effect NONLINEAR OPTICS Dongmei Liu1, Yong Zhang1, Jianming Wen2, Zhenhua Chen1, Dunzhao Wei1, Xiaopeng Hu1, Gang Zhao1, SUB-WAVELENGTH OPTICS S. N. Zhu1 & Min Xiao1,3 Received 1National Laboratory of Solid State Microstructures, College of Engineering and Applied Sciences, School of Physics, Nanjing 12 May 2014 University, Nanjing 210093, China, 2Department of Applied Physics, Yale University, New Haven, Connecticut 06511, USA, 3Department of Physics, University of Arkansas, Fayetteville, Arkansas 72701, USA. Accepted 24 July 2014 We report a simple, novel subdiffraction method, i.e. diffraction interference induced superfocusing in Published second-harmonic (SH) Talbot effect, to achieve focusing size of less than lSH/4 (or lpump/8) without 20 August 2014 involving evanescent waves or subwavelength apertures. By tailoring point spread functions with Fresnel diffraction interference, we observe periodic SH subdiffracted spots over a hundred of micrometers away from the sample. Our demonstration is the first experimental realization of the Toraldo di Francia’s proposal pioneered 62 years ago for superresolution imaging. Correspondence and requests for materials should be addressed to ocusing of a light beam into an extremely small spot with a high energy density plays an important role in key technologies for miniaturized structures, such as lithography, optical data storage, laser material nanopro- Y.Z. (zhangyong@nju. cessing and nanophotonics in confocal microscopy and superresolution imaging. Because of the wave edu.cn); J.W. F 1 nature of light, however, Abbe discovered at the end of 19th century that diffraction prohibits the visualization (jianming.wen@yale. of features smaller than half of the wavelength of light (also known as the Rayleigh diffraction limit) with optical edu) or M.X. -
Introduction to Optics Part I
Introduction to Optics part I Overview Lecture Space Systems Engineering presented by: Prof. David Miller prepared by: Olivier de Weck Revised and augmented by: Soon-Jo Chung Chart: 1 16.684 Space Systems Product Development MIT Space Systems Laboratory February 13, 2001 Outline Goal: Give necessary optics background to tackle a space mission, which includes an optical payload •Light •Interaction of Light w/ environment •Optical design fundamentals •Optical performance considerations •Telescope types and CCD design •Interferometer types •Sparse aperture array •Beam combining and Control Chart: 2 16.684 Space Systems Product Development MIT Space Systems Laboratory February 13, 2001 Examples - Motivation Spaceborne Astronomy Planetary nebulae NGC 6543 September 18, 1994 Hubble Space Telescope Chart: 3 16.684 Space Systems Product Development MIT Space Systems Laboratory February 13, 2001 Properties of Light Wave Nature Duality Particle Nature HP w2 E 2 E 0 Energy of Detector c2 wt 2 a photon Q=hQ Solution: Photons are EAeikr( ZtI ) “packets of energy” E: Electric field vector c H: Magnetic field vector Poynting Vector: S E u H 4S 2S Spectral Bands (wavelength O): Wavelength: O Q QT Ultraviolet (UV) 300 Å -300 nm Z Visible Light 400 nm - 700 nm 2S Near IR (NIR) 700 nm - 2.5 Pm Wave Number: k O Chart: 4 16.684 Space Systems Product Development MIT Space Systems Laboratory February 13, 2001 Reflection-Mirrors Mirrors (Reflective Devices) and Lenses (Refractive Devices) are both “Apertures” and are similar to each other. Law of reflection: Mirror Geometry given as Ti Ti=To a conic section rot surface: T 1 2 2 o z()U r r k 1 U Reflected wave is also k 1 in the plane of incidence Specular Circle: k=0 Ellipse -1<k<0 Reflection Parabola: k=-1 Hyperbola: k<-1 sun mirror Detectors resolve Images produced by (solar) energy reflected from detector a target scene* in Visual and NIR. -
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. -
Sub-Airy Disk Angular Resolution with High Dynamic Range in the Near-Infrared A
EPJ Web of Conferences 16, 03002 (2011) DOI: 10.1051/epjconf/20111603002 C Owned by the authors, published by EDP Sciences, 2011 Sub-Airy disk angular resolution with high dynamic range in the near-infrared A. Richichi European Southern Observatory,Karl-Schwarzschildstr. 2, 85748 Garching, Germany Abstract. Lunar occultations (LO) are a simple and effective high angular resolution method, with minimum requirements in instrumentation and telescope time. They rely on the analysis of the diffraction fringes created by the lunar limb. The diffraction phenomen occurs in space, and as a result LO are highly insensitive to most of the degrading effects that limit the performance of traditional single telescope and long-baseline interferometric techniques used for direct detection of faint, close companions to bright stars. We present very recent results obtained with the technique of lunar occultations in the near-IR, showing the detection of companions with very high dynamic range as close as few milliarcseconds to the primary star. We discuss the potential improvements that could be made, to increase further the current performance. Of course, LO are fixed-time events applicable only to sources which happen to lie on the Moon’s apparent orbit. However, with the continuously increasing numbers of potential exoplanets and brown dwarfs beign discovered, the frequency of such events is not negligible. I will list some of the most favorable potential LO in the near future, to be observed from major observatories. 1. THE METHOD The geometry of a lunar occultation (LO) event is sketched in Figure 1. The lunar limb acts as a straight diffracting edge, moving across the source with an angular speed that is the product of the lunar motion vector VM and the cosine of the contact angle CA. -
The Most Important Equation in Astronomy! 50
The Most Important Equation in Astronomy! 50 There are many equations that astronomers use L to describe the physical world, but none is more R 1.22 important and fundamental to the research that we = conduct than the one to the left! You cannot design a D telescope, or a satellite sensor, without paying attention to the relationship that it describes. In optics, the best focused spot of light that a perfect lens with a circular aperture can make, limited by the diffraction of light. The diffraction pattern has a bright region in the center called the Airy Disk. The diameter of the Airy Disk is related to the wavelength of the illuminating light, L, and the size of the circular aperture (mirror, lens), given by D. When L and D are expressed in the same units (e.g. centimeters, meters), R will be in units of angular measure called radians ( 1 radian = 57.3 degrees). You cannot see details with your eye, with a camera, or with a telescope, that are smaller than the Airy Disk size for your particular optical system. The formula also says that larger telescopes (making D bigger) allow you to see much finer details. For example, compare the top image of the Apollo-15 landing area taken by the Japanese Kaguya Satellite (10 meters/pixel at 100 km orbit elevation: aperture = about 15cm ) with the lower image taken by the LRO satellite (0.5 meters/pixel at a 50km orbit elevation: aperture = ). The Apollo-15 Lunar Module (LM) can be seen by its 'horizontal shadow' near the center of the image. -
Simple and Robust Method for Determination of Laser Fluence
Open Research Europe Open Research Europe 2021, 1:7 Last updated: 30 JUN 2021 METHOD ARTICLE Simple and robust method for determination of laser fluence thresholds for material modifications: an extension of Liu’s approach to imperfect beams [version 1; peer review: 1 approved, 2 approved with reservations] Mario Garcia-Lechuga 1,2, David Grojo 1 1Aix Marseille Université, CNRS, LP3, UMR7341, Marseille, 13288, France 2Departamento de Física Aplicada, Universidad Autónoma de Madrid, Madrid, 28049, Spain v1 First published: 24 Mar 2021, 1:7 Open Peer Review https://doi.org/10.12688/openreseurope.13073.1 Latest published: 25 Jun 2021, 1:7 https://doi.org/10.12688/openreseurope.13073.2 Reviewer Status Invited Reviewers Abstract The so-called D-squared or Liu’s method is an extensively applied 1 2 3 approach to determine the irradiation fluence thresholds for laser- induced damage or modification of materials. However, one of the version 2 assumptions behind the method is the use of an ideal Gaussian profile (revision) report that can lead in practice to significant errors depending on beam 25 Jun 2021 imperfections. In this work, we rigorously calculate the bias corrections required when applying the same method to Airy-disk like version 1 profiles. Those profiles are readily produced from any beam by 24 Mar 2021 report report report insertion of an aperture in the optical path. Thus, the correction method gives a robust solution for exact threshold determination without any added technical complications as for instance advanced 1. Laurent Lamaignere , CEA-CESTA, Le control or metrology of the beam. Illustrated by two case-studies, the Barp, France approach holds potential to solve the strong discrepancies existing between the laser-induced damage thresholds reported in the 2. -
Bass – Glaucomatous-Type Field Loss Not Due to Glaucoma
Glaucoma on the Brain! Glaucomatous-Type Yes, we see lots of glaucoma Field Loss Not Due to Not every field that looks like glaucoma is due to glaucoma! Glaucoma If you misdiagnose glaucoma, you could miss other sight-threatening and life-threatening Sherry J. Bass, OD, FAAO disorders SUNY College of Optometry New York, NY Types of Glaucomatous Visual Field Defects Paracentral Defects Nasal Step Defects Arcuate and Bjerrum Defects Altitudinal Defects Peripheral Field Constriction to Tunnel Fields 1 Visual Field Defects in Very Early Glaucoma Paracentral loss Early superior/inferior temporal RNFL and rim loss: short axons Arcuate defects above or below the papillomacular bundle Arcuate field loss in the nasal field close to fixation Superotemporal notch Visual Field Defects in Early Glaucoma Nasal step More widespread RNFL loss and rim loss in the inferior or superior temporal rim tissue : longer axons Loss stops abruptly at the horizontal raphae “Step” pattern 2 Visual Field Defects in Moderate Glaucoma Arcuate scotoma- Bjerrum scotoma Focal notches in the inferior and/or superior rim tissue that reach the edge of the disc Denser field defects Follow an arcuate pattern connected to the blind spot 3 Visual Field Defects in Advanced Glaucoma End-Stage Glaucoma Dense Altitudinal Loss Progressive loss of superior or inferior rim tissue Non-Glaucomatous Etiology of End-Stage Glaucoma Paracentral Field Loss Peripheral constriction Hereditary macular Loss of temporal rim tissue diseases Temporal “islands” Stargardt’s macular due -
Ophthalmology Abbreviations Alphabetical
COMMON OPHTHALMOLOGY ABBREVIATIONS Listed as one of America’s Illinois Eye and Ear Infi rmary Best Hospitals for Ophthalmology UIC Department of Ophthalmology & Visual Sciences by U.S.News & World Report Commonly Used Ophthalmology Abbreviations Alphabetical A POCKET GUIDE FOR RESIDENTS Compiled by: Bryan Kim, MD COMMON OPHTHALMOLOGY ABBREVIATIONS A/C or AC anterior chamber Anterior chamber Dilators (red top); A1% atropine 1% education The Department of Ophthalmology accepts six residents Drops/Meds to its program each year, making it one of nation’s largest programs. We are anterior cortical changes/ ACC Lens: Diagnoses/findings also one of the most competitive with well over 600 applicants annually, of cataract whom 84 are granted interviews. Our selection standards are among the Glaucoma: Diagnoses/ highest. Our incoming residents graduated from prestigious medical schools ACG angle closure glaucoma including Brown, Northwestern, MIT, Cornell, University of Michigan, and findings University of Southern California. GPA’s are typically 4.0 and board scores anterior chamber intraocular ACIOL Lens are rarely lower than the 95th percentile. Most applicants have research lens experience. In recent years our residents have gone on to prestigious fellowships at UC Davis, University of Chicago, Northwestern, University amount of plus reading of Iowa, Oregon Health Sciences University, Bascom Palmer, Duke, UCSF, Add power (for bifocal/progres- Refraction Emory, Wilmer Eye Institute, and UCLA. Our tradition of excellence in sives) ophthalmologic education is reflected in the leadership positions held by anterior ischemic optic Nerve/Neuro: Diagno- AION our alumni, who serve as chairs of ophthalmology departments, the dean neuropathy ses/findings of a leading medical school, and the director of the National Eye Institute. -
Visual Optics
Visual Optics Jim Schwiegerling, PhD Ophthalmology & Optical Sciences University of Arizona Visual Optics - Introduction • In this course, the optical principals behind the workings of the eye and visual system will be explained. • Furthermore, descriptions of different devices used to measure the properties and functioning of the eye will be described. • Goals are a general understanding of how the visual system works and exposure to an array of different optical instrumentation. 1 What is Vision? • Three pieces are needed for a visual system – Eye needs to form an “Image”. Image is loosely defined because it can be severely degraded and still provide information. – Image needs to be converted to a neural signal and sent to the brain. – Brain needs to interpret and process the image. Analogous Vision System Feedback Video Computer Camera Analysis Display Conversion & Image To Signal Interpretation Formation 2 Engineering Analysis • Optics – Aberrations and raytracing are used to determine the optical properties of the eye. Note that the eye is non- rotationally symmetric, so analysis is more complex than systems normally discussed in lens design. Fourier theory can also be used to determine retinal image with the point spread function and optical transfer function. •Neural– Sampling occurs by the photoreceptors (both spatial and quantification), noise reduction, edge filtering, color separation and image compression all occur in this stage. •Brain– Motion analysis, pattern recognition, object recognition and other processing occur in the brain. Anatomy of the Eye Anterior Chamber –front portion of the eye Cornea –Clear membrane on the front of the eye. Aqueous – water-like fluid behind cornea. Iris – colored diaphragm that acts as the aperture stop of the eye. -
Scleral Lenses in the Management of Keratoconus
ARTICLE Scleral Lenses in the Management of Keratoconus Muriel M. Schornack, O.D., and Sanjay V. Patel, M.D. Management of patients with keratoconus consists primarily of Purpose: To describe the use of Jupiter scleral lenses (Medlens Innova- providing optical correction to maximize visual function. In very tions, Front Royal, VA; and Essilor Contact Lenses, Inc., Dallas, TX) in the management of keratoconus. mild or early disease, spectacle correction or standard hydrogel or Methods: We performed a single-center retrospective chart review of our silicone hydrogel lenses may provide adequate vision. However, initial 32 patients with keratoconus evaluated for scleral lens wear. All disease progression results in increasing ectasia, which gives rise patients were referred for scleral lens evaluation after exhausting other to complex optical aberrations. Rigid gas-permeable contact lenses nonsurgical options for visual correction. Diagnostic lenses were used in mask these aberrations by allowing a tear lens to form between the the initial fitting process. If adequate fit could not be achieved with contact lens and the irregular corneal surface. Zadnik et al. found standard lenses, custom lenses were designed in consultation with the that 65% of patients who enrolled in the Collaborative Longitudi- manufacturers’ specialists. The following measures were evaluated for nal Evaluation of Keratoconus study were wearing rigid gas- each patient: ability to tolerate and handle lenses, visual acuity with scleral permeable lenses in one or both eyes at the time of enrollment.4 lenses, number of lenses, and visits needed to complete the fitting process. Despite their optical benefit, corneal rigid gas-permeable lenses Results: Fifty-two eyes of 32 patients were evaluated for scleral lens may not be appropriate for all patients with keratoconus.