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Purpose Early detection of abnormal visual acuity (VA) is crucial in the identification and management of ocular and visual abnormalities in infants. Currently, the Teller Acuity Cards (TACs) are considered the gold standard for clinical testing and are effective in obtaining a quick estimate of an infant’s VA, but they have certain drawbacks. They rely on a subjective assessment of the baby’s looking behavior. Despite this, TACs have been found to have good validity and repeatability. The current study investigates a new method to objectively assess visual acuity in infants, which is uses a video gaze tracker (GT) and computer-generated stimuli, developed in the lab of M. Eizenman at the University of Toronto. The purpose was to validate this method in adults and infants against current clinical VA tests. Visual scanning patterns were measured by the GT system that requires minimal subject cooperation in adult and infant populations. The targets were judged as seen when the relative fixation time on the grating exceeded a pre-determined threshold, as compared to the fixation time on the luminance-matched background. Methods Experiment 1: In 15 uncorrected myopic adults, binocular grating VA was measured. The targets were square-wave gratings of spatial frequency ranging from 2.3 to 37 cpd presented randomly in one of four positions on the screen. There were 6 objective protocols (in which VA was judged by fixations). The subjects were naïve, as the only instruction given to the participants was to look towards the screen. The experimenter, who presented the gratings also acted as an observer by making judgments of seen/not seen responses using the objective information provided by the software. Objective GT VA was compared with VA measured with subjective responses using the same stimuli and with Teller Acuity Cards (TACs). Experiment 2: Binocular grating VA for horizontal gratings was measured in 20 typically-developing infants aged 3 to 12 months. Spatial frequency ranged from 0.32 to 42 cpd and VA was measured on two visits with both the GT and TACs. A staircase protocol was used to obtain the VA threshold in the GT. The experimenter controlled the staircase method and an observer used the objective information of visual fixations using the software to judge if the grating was seen or not. Video cartoons were shown between stimulus presentations to keep the infant’s attention towards the screen. VA was also measured with the TACs held in the vertical orientation, so that the gratings were horizontal, similar to the GT method. A TAC stage was specially designed with a vertical slot in which the cards could be presented. The observer was masked regarding the participant’s age and the starting spatial frequency. The study co-ordinator determined the choice of the start card which was randomized between participants so as to give an equal number of participants with each start card. The same start card was used for the second session of each infant. The threshold was defined as the highest spatial frequency for which the infant gave a clear, correct look and an unclear/inconsistent look for the next higher level. The observer, who was masked regarding the absolute spatial frequency, increased or decreased the spatial frequency until this threshold was determined. Results Experiment 1: The mean age of participants in the adult study was 28.47±7.93 yrs and their mean uncorrected logMAR acuity was 0.9±0.2. There was no obvious difference among the mean acuities obtained by 6 objective GT protocols, the subjective GT protocol and the TACs. The GT showed agreement of 93% and 100 % within half an octave compared with the subjective protocol and TACs (horizontal gratings) respectively. There was 100% agreement within 1 octave of the objective GT with both the subjective protocol and the TACs (horizontal gratings). The objective gaze tracker VA showed significant correlation with uncorrected refractive error (r =0.87, p < 0.001). Experiment 2: The mean age of participants was 7.9±2.5 months. In both visits, the testability of the TACs was 100% across all infants. GT had 100% testability on the first visit and 95% testability on the second visit. The mean TAC acuity over two visits for all the infants was 0.7±0.23 log cycles per degree, while the mean log GT acuity over two visits was 0.86±0.30. Infant GT VA acuity estimates were within 1 octave of the TACs 90% and 79% of the time for the first and second visit respectively, while GT VA estimates were within half octave of the TACs 63.2% and 47% of the time for the first and second visit respectively. Eighty-seven percent of the GT VAs and 72.5% of TACs were within one octave of the mean age norms, although on average the GT gave better acuities than the TACs. There was an increase in GT VA with increasing age (r=0.80, p<0.005 for the first visit and r=0.77, p<0.005 for the second visit). Both the TACs and the GT had repeatability of 89.5% within 1 octave between visits and 84.2% and 79% within half octave between visits respectively. Conclusions In adults, the gaze tracker gave VA thresholds which were equivalent to the TACs and were not significantly different from subjectively determined grating VA. The agreement of the GT with TACs in infants and with norms in the infant literature established good validity for the GT. Finally, the significant correlation with age confirmed the validity of the measurements of the gaze tracker. The repeatability of the gaze tracker was similar to that of the TACs, demonstrating the quality usefulness of the test. These results demonstrate the potential for an automated test of infant visual acuity, which could be a powerful and useful tool for visual acuity assessment in infants and other population groups who cannot respond verbally. The staircase protocol established in the study could be fully automated in an objective version of the test. The raw data of eye movements obtained in this study such as the pattern of first fixations, time taken for first fixations, time spent fixing the stimulus, typical stimulus duration and time between presentations could be used to develop algorithms for fully automated testing of VA in infants.

No description available.

The aim of this thesis is to develop a method of optical modelling that can be used to predict visual performance of the eye. It is intended to give visual acuity estimates under normal circumstances and under a wide range of optical treatments such as photorefractive keratectomy (PRK) to correct refractive error. Visual performance refers to the performance of the eye under various conditions such as decreased object contrast, defocus and change in pupil size. (For complete abstract open document)

Thesis (Optometry, M.S.) --Nova Southeastern University in Ft. Lauderdale, Florida, 2008. / Includes bibliographical references. Typescript. "A Thesis Submitted to NOVA Southeastern University's Clinical Vision Research Graduate Program in Partial Fulfillment of the Requirements for the Degree of Master of Science." Also available online via ProQuest : Dissertations & Theses

Issued also as author's dissertation. / Columbia contributions to philosophy and psychology, vol. XX, no. 2.

M.Phil. / Tinted spectacle lenses have long been worn to provide ocular protection from harmful electromagnetic radiation during recreational activities. Controversy exists surrounding the colour of the spectacle tints and the environmental conditions under which these tints are worn. There is little scientific evidence to substantiate the many opinions of authors on the effects of tinted spectacle lenses on visual skills and, ultimately, on overall performance in recreational situations. This study serves to provide scientific data concerning the effects of tinted lenses on static visual acuity, contrast sensitivity, colour vision, stereopsis and visual evoked potential (VEP). These results are related to the visible spectrum transmission curve for each experimental lens. recommendations are then made concerning the environmental conditions under which each lens tint should be worn. The HOYA ULT-2000 Light Transmission Metre was used to establish the percentage of visible light being transmitted through each of the experimental lenses. The DMS 80/90 Visible Spectrophotometer was used to generate a visible spectrum transmission curve for each of the 8 experimental lenses used in this study. 30 subjects (Group A) were randomly selected from the RAU student population for the assessment of the effects of tinted lenses static visual acuity, contrast sensitivity, colour vision and stereopsis. 10 students (Group B) were then randomly selected from the RAU student population for the assessment of the effects of tinted experimental lenses on visual evoked potential (VEP). The ametropic subjects in Groups A and B all wore their habitual spectacle or contact lens corrections throughout the testing procedure. The following lens tint colours were used: clear, black, grey, yellow, green, blue, red and pink. The subjects were evaluated binocularly without any tinted lens being worn, then through each of the 8 tinted experimental lenses (randomly presented). Results of the visual skills and VEP testing were analysed as follows: Group A: An average score was calculated for the results achieved on the static visual acuity, contrast sensitivity, colour vision and stereopsis tests when no experimental lenses were worn. This average was then compared to the average static visual acuity, contrast sensitivity, colour vision and stereopsis scores for each of the 8 experimental lenses. Group B: An average score was calculated for each of the amplitude and latency components of the VEP waveforms generated when no experimental lenses are worn. This average was then compared to the average amplitude and latency components generated when each of the 8 experimental lenses (as for Group A) are worn. Static visual acuity was assessed using a Snellen visual acuity letter chart at 6m. Contrast sensitivity was assessed using a Vistech VCTS 6500 Contrast Sensitivity Chart at 3m. Colour vision assessment was performed using the lshihara Colour Vision Test and the City University Colour Vision Test. The Random Dot Near Stereo Test was used to assess stereopsis. The Nicolet Pathfinder II was used to assess visual evoked potentials (VEPs). The results of this study show that the black, grey, yellow, green, blue, red and pink tinted lenses have a statistically significant influence on visual efficiency only when subjective methods (i.e. static visual acuity, contrast sensitivity, colour -vision and stereopsis) of visual efficiency assessment are used. The tinted lenses had little effect on visual efficiency when an objective means (i.e. VEP) of assessment was used, as there were no statistically significant differences between the lenses. The results of this research project indicate that the colour of the lens tint has little real effect on visual efficiency, when measured objectively. The effect of the lens tint is shown to be highly subjective. Tinted lens selection would therefore be based on personal preference and the amount of protection that the lens provides from harmful electromagnetic radiation. It can be concluded that no single lens tint is therefore suitable for all individuals under the same environmental conditions.

Static Visual Acuity (SVA) has been called into question for some time as a measure of overall visual system function and as a predictor of performance on real-life tasks requiring vision (i.e., operating an automobile). Specifically, it has been pointed out that the targets employed in most SVA testing (high contrast, stationary letters) are an insufficient analog to actual targets encountered in everyday activities, which are often in motion and/or of less-than-perfect contrast. In addition, the size-threshold methodology typically used to measure SVA is incongruent with current theories of a multi-channel visual system. Dynamic Visual Acuity (DVA) and Contrast Sensitivity have been suggested as alternatives to SVA, but while each mitigates specific weaknesses of the SVA measure, neither addresses the shortcomings completely. Traditional DVA measures employ moving targets, but these targets are usually of perfect contrast and a size-threshold methodology is used to specify acuity levels. Contrast Sensitivity employs a contrast-threshold methodology and allows measurement of specific visual channels, but stationary targets are utilized. The present study combined the DVA and Contrast Sensitivity measures in an effort to retain the unique qualities of each while addressing their shortcomings, resulting in a more detailed picture of the human visual system and functioning than has yet been possible. By measuring contrast sensitivity to targets at a set of spatial frequencies spanning the human "window of visibility" and under conditions of motion representative of that encountered in everyday activities, it was hoped that a more powerful predictor of actual visual performance would be created. In addition, normative data was established for two separate age populations, in the hopes of learning more about specific changes that occur to the visual system during the aging process. Indeed, several effects and interactions among the three main variables (spatial frequency, velocity, age) were uncovered, which appears to indicate that the new test may provide more information about the visual system than DVA or contrast sensitivity by themselves. The ramifications of this effort to human factors and visual performance research are discussed along with recommendations for the continuation and application of this line of research.

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No description available.