American journal of optometry and physiological optics最新文献

The potential psychological impact of switching from glasses to contact lenses was investigated within a controlled quasi-experimental design. Contrary to anecdotal reports and some previous investigations, the hypothesis that a switch from glasses to contact lenses leads to psychological benefits was not supported.

The paranasal sinuses surround the orbit on three sides. The thin bony walls of the sinuses are an ineffective barrier to the spread of infection to either the orbit or the intracranial cavity. In this report a case of compressive optic neuropathy secondary to chronic sinusitis is presented. The anatomical and physiologic relation between the sinuses and the orbit are reviewed and sinusitis is discussed.

The purpose of this investigation was to determine the influence of noncongruent stimuli on tonic accommodation and tonic vergence. Eight visually normal subjects were tested in a within-subjects design. Tonic states were measured using a haploscope-optometer immediately before and after viewing a reduced Snellen chart binocularly with suppression control in a synoptophore for 8 min. One stimulus was set at either 4 D or 4 MA, with the other set at either the maximally high (e.g., greater than 4 D or 4 MA) or low setting (e.g., less than 4 D or 4 MA) that still permitted clear and single binocular vision. Significant changes in tonic vergence but not tonic accommodation were found. The results suggest that when the oculomotor system is challenged, or stressed, under such noncongruent binocular viewing conditions, it is tonic vergence and not tonic accommodation which adapts rapidly.

Recognizing the need for an effective test for screening color vision in young children, we have developed a new pseudoisochromatic (PIC) plate test which is useful for a wide variety of observers at different ages. The test consists of four plates and responses can be used to categorize color vision as normal or as either red-green or blue-yellow defective. Results of this validation study with adults, both color normal and red-green defective, show a high degree of correlation between the new test and the Nagel anomaloscope: there were no false positives and only a few false negatives, which occurred with mild deuteranomalous observers. The validity of the test compares favorably to the Ishihara, F-2, and the AO-HRR screening plates. Results with toddlers (3 to 6 years) indicate that the task demands of the test are well suited for testing young children. The percentage of color defectives identified in the toddler sample using the new test is closer to the adult prevalence than results obtained with the F-2 and AO-HRR screening plates, which gave dramatically higher failure rates. The new test is culture-free and can be administered rapidly to both verbal and nonverbal observers using pointing or preferential looking.

Though the Hirschberg test has been used for over a 100 years, several different formulas are still being recommended and used clinically to determine the amount of a given ocular deviation. The purpose of this study was to obtain a double-masked clinical evaluation of the Hirschberg test. Several strabismic patients were evaluated by one investigator using the alternate cover test and by another investigator using a photographic Hirschberg procedure in a double-masked procedure. It was determined that the Hirschberg test can be used for strabismic patients of all ages and that the most appropriate formula to use is 1 mm = 22 delta.

Results of refractive component measurements have shown that eyes of Melanesian schoolchildren living in Vanuatu, almost all of whom are emmetropic, have relatively short axial lengths and relatively flat corneas in comparison to emmetropic eyes of children examined in England. Evidence is presented to suggest that the relation between the axial length of the eye and corneal radius--the axial length/corneal radius (AL/CR) ratio--may be a useful predictor of future refractive state. Mean axial length/corneal radius ratios for 6- to 19-year-old Melanesian school children were found to be 2.88 for boys and 2.86 for girls, as compared to mean AL/CR ratios for 6- to 19-year-old British schoolchildren of 3.05 for boys and 3.04 for girls. It is proposed that an eye having a high AL/CR ratio is at risk for the development of myopia, and that such an eye has maintained its state of emmetropia by virtue of a compensatory flattening of the crystalline lens. In order to test the proposition that an increase in axial length occurs as a precursor to the development of myopia, a prospective longitudinal study of a group of 6- to 7-year-old schoolchildren is proposed.

The present investigation was designed to determine the effect of lens parameters and lens environment on measurements of contact angle. The sessile drop contact angle of saline on four rigid [polymethyl methacrylate (PMMA) and silicone/acrylate] contact lens materials was examined with a Ramé-Hart goniometer to determine how front surface radius, drop size, time after drop placement, humidity, and desiccation affect measurements of lens wettability in vitro. Contact angles of Silafocon A and PMMA were relatively uninfluenced by front surface radii between 7.7 and 8.85 and 7.3 to 8.8 mm, respectively. Contact angles of Pasifocon C and modified PMMA were slightly but significantly influenced by front surface radii between 6.4 and 7.5 mm. For drop volumes from 2 to 20 microliter, all materials yielded contact angles, which were unaffected by drop size. The contact angle of lenses stored in the hydrated or dehydrated state was not affected by chamber humidity between 31 and 76%. In the ranges tested, drop size, humidity, and hydration had no significant effect on the contact angle within 1 to 6 min after drop placement. In addition, surface scratches had no effect on lens wettability. The results suggest that goniometry on contact lens surfaces, for the most part, is uninfluenced by lens parameters and environmental conditions.

Intraocular pressure (IOP) and several other parameters were measured on 560 subjects as part of a vision and health screening program. The sample included a large proportion of American Indians with diabetes (15.2%) and obesity. Multiple regression analysis showed that the percentage of ideal body weight index and average blood pressure both had independent effects on IOP, whereas age, blood sugar, sex, degree of Indian blood, and diabetes did not, although the latter three variables narrowly missed having a statistically significant effect in at least one eye. The analysis of variance showed that diabetes was associated with elevated IOP. This association was independent of random blood sugar, blood pressure, obesity index, and age.