Dichoptic presentation of vernier stimuli, i.e., one segment to each eye, yielded three times higher thresholds than binocular presentation, mainly due to uncorrelated movements of both eyes. Thresholds allow one to calculate an upper estimate for the amplitudes of uncorrelated eye movements during fixation. This estimate matches the best results from direct eye position recording, with the calculated mean amplitude of eye tremor corresponding to roughly one photoreceptor diameter. The combined amplitude of both correlated and uncorrelated eye movements was also measured by delaying one segment of the vernier relative to its partner under monocular or dichoptic conditions.

The aim of the present study was to determine the distributions of and correlations between hand preference, visual acuity and eye preference through a series of tests in 50 males 50 females aged between 17 and 39 years. Handedness was determined through the Edinburgh handedness inventory questionnaire. The handedness distribution was: right-handed 90%, left-handed 1 %, and ambidextrous 9%. I found that 30 % had better visual acuity with their right eye, 39 % had better visual acuity with their left eye, and 31% had the same visual acuity with both eyes. 75.2% on average used their right eye in the battery of tests and 24.8% on average used their left eye. There were no statistically significant differences between the sexes or age groups with any of the measures. No correlation was found between eye preference and visual acuity or eye preference and hand preference among all subjects. No statistically significance between the sexes was found.

Background Cataract surgery is the most common surgical procedure carried out in the developed world and surgery volumes have increased considerably during the last decades. Various aspects of the surgical procedure, including surgical incision size and intraocular lens materials, have changed substantially, improving the safety and the quality of the outcome. Previous research has primarily focused on the visual function results with a short follow-up time. Long-term population-based studies, exceeding a few years, presenting visual functional results postoperatively, have not been published. Aims To determine the effects of cataract surgery on subjectively experienced visual function and visual acuity in a defined population, and compare the results between sub-groups, on a long-term basis. Methods In this prospective, population-based investigation, all patients with presenile and senile cataract (n=810), operated on during a one-year period (1997-98), at Umeå University Hospital were included. The frequency of cataract surgery at that time, was 5.2 per 1000 population studied. Visual acuity was tested and an eye examination was performed before surgery, 4-8 weeks postoperatively, and five and ten years after surgery. Subjective visual function was assessed using self-administered questionnaires (VF-14) at all occasions. Statistical evaluations comprised analyses of variance, Mann-Whitney U-test, chi-square test, multiple linear regression, a life-table calculation, and Cox’s proportional hazard model. Results Five years after cataract surgery, subjective and objective visual function remained stable in most patients. The most frequent cause of deterioration of visual acuity and decrease in VF-14 scores was agerelated macular degeneration (ARMD). Two thirds of the patients in the cohort were women. They were significantly older than the men and more often operated on both eyes. After adjustment for age and visual acuity, women cataract surgery patients assessed their visual function worse than men both before surgery and 4 months postoperatively. Five years after surgery these differences were no longer significant. At baseline, 13% of the patients were diabetics. At the five-year followup, subjective and objective visual function remained stable in most surviving diabetics, and the longitudinal visual function was not significantly worse compared with the non-diabetics. Ten years after surgery, 28% had received treatment for posterior capsular opacification (PCO). A significantly larger proportion of patients less than 65 years at surgery (37%) compared with those 65 years or older (20%) had been treated. Conclusions Most patients sustain their level of visual acuity and visual function also five and ten years after cataract surgery. Ocular co-morbidity, such as ARMD, is the major cause of longitudinally reduced visual function. Patients suffering from diabetes did not have a significantly worse visual function after five years. A surprisingly large proportion of patients had received treatment for PCO after ten years.

One of the main diagnostic criteria for Asperger Syndrome is a severe social impairment (American Psychiatric Association [DSM-IV-TR] 2000), something that has often been connected to a more specific impairment in facial recognition. However, the main diagnostic tool (the DSM-IV-TR) has received much criticism during later years and is soon to be revised (Woodbury-Smith & Volkmar 2009). Among other things, many researchers claim that the diagnosis should be complemented with a sliding scale of severity (Ring, Woodbury-Smith, Watson, Wheelright & Baron-Cohen 2008). The use of facial information is central in the social interaction of humans, evident in the special patterns of visual scanning that people employ for facial stimuli (Yarbus 1967). Because of that, this symptom of Asperger Syndrome has become a high research priority. The impairment in facial recognition has been connected to a bias towards detail based processing (McPartland, Webb, Keehn & Dawson 2010). A recent study also connects this to an unusually high visual acuity, which could result in a disposition to focus on small facial features. In the present study. facial stimuli were prepared to provoke memory conjunction errors. This type of memory error means that a person erroneously claims to recognize a face assembled by pieces of previously shown stimuli. If a person is more prone to do so, that would imply that he or she is more focused on details than on configural information (Danielsson 2006). Two groups were tested, one consisting of non-diagnosed adults and one of adults diagnosed with Asperger Syndrome. A test for visual acuity was administered, which was followed by a series of facial recognition tasks. Responses in the latter part were given with a computer mouse, and eye fixations were recorded using a head mounted eye-tracking device. Three hypotheses were formulated. First, persons with AS were expected to perform more poorly in all facial recognition tasks. Second, persons with AS were expected to make more conjunction errors than test group subjects. Finally, persons with AS were expected to display a mean visual acuity significantly higher than that of the test group. However, no significant differences emerged between the groups in relation to either of the hypotheses, and results could not be referred to flaws in the experimental setup. Therefore, these results are taken to display the heterogeneity of the Asperger Syndrome population, and possibly the importance of early training measures to compensate for social impairments.

Sensory adaptation to blur improves visual acuity under defocused conditions. This phenomenon has been successfully demonstrated using subjective measures of acuity and is known as blur adaptation. This study investigates aspects of the mechanism of blur adaptation in human vision using subjective and objective methods. Parafoveal visual acuity measured under defocused conditions demonstrates that blur adaptation is not limited to the fovea. The presence of the adaptive mechanism in the parafovea also suggests that the neural compensation that takes places under defocused conditions acts across a spatial range and is not limited to specific frequency bands. An evaluation of the contrast sensitivity function under defocus provides further evidence. Electrophysiological methods measure the effect of blur adaptation at the retina and at the visual cortex to provide objective evidence for the presence of the blur adaptation mechanism. Finally enhanced-depth imaging optical coherence tomography examines whether a period of prolonged defocus triggers any short-term changes in choroidal thickness in a similar manner to that reported in animal emmetropisation.

Background: There is a need for more well-controlled research on the relationship between vision and hearing limitations and emergent literacy to inform early literacy intervention. Two highly prevalent difficulties of early childhood, poor distance visual acuity and otitis media with effusion (OME), have been shown to be associated with literacy achievement. There is little research, however, on the relationship between these conditions and emergent literacy. Objective: The objective of this study was to assess the relationships between (1) distance visual acuity and emergent letter name knowledge, and (2) OME status and emergent letter name knowledge in children at school entry. Method: A prospective cohort of children (N=298) was recruited at school entry. Participants were aged 5, did not require special education for high needs and spoke a nationally recognized language of New Zealand. Distance vision and tympanometry testing was performed and a parent report of OME was obtained. The Wechsler Individual Test of Letter Name Knowledge and the Vocabulary and Block Design sub-tests of the Wechsler Intelligence Scale for Children were administered. Covariates of reading achievement were also measured. Results: Twenty three percent of children knew fewer than 4 letters at school entry, 31.9% had marginal distance visual acuity of 6/9 in one or both eyes and 37.2% had a history of ear infections and/or a B tympanometry test at school entry. Logistic regression tests demonstrated that both 6/9 vision (OR= 2.069, CI0.95=0.999-4.227) and OME status 10 (OR=1.846, CI0.95=1.034-3.297) were significantly associated with low letter name knowledge at school entry, controlling for covariates of emergent literacy. Another analysis showed that children with 6/9 vision and/or OME at school entry were also at greater risk for low letter knowledge (OR=2.187, CI0.95=1.067 – 4.484) than children with 6/6 vision and no OME at school entry. Conclusions: The results of the current study indicate that 6/9 distance vision and OME are risk factors for low letter name knowledge at school entry. These factors warrant greater consideration with regard to early literacy intervention, classroom teaching practices and future research.

Šiame darbe analizuojama šviesos įtaka regos procesui. Išnagrinėta mokslinė literatūra žmogaus regos, ryškumo, kontrasto ir spalvų suvokimo bei regos aštrumo klausimais. Išanalizuoti žmogaus regos proceso ypatumai, regos fiziologija. Pristatomi pagrindiniai fotometriniai dydžiai bei jų sąsaja su regos sistema. Atliktas tyrimas, kurio metu nustatoma regos aštrumo priklausomybė nuo paviršiaus apšvietos. Tyrime dalyvavo 50 žmonių. Tiriamieji suskirstyti į dvi: 40-50 ir 51-60 metų amžiaus grupes. Tyrime nustatyta, tiriamųjų regos aštrumo priklausomybė nuo įvairių apšvietų, apskaičiuoti vidutiniai tyrimo duomenų rezultatai, pateikta, tyrimo eigoje išryškėjusi adaptacijos tamsai įtaka. Šie tyrimo duomenys pavaizduoti grafiškai. Analizuojant teorinę medžiagą pastebėta, kad Lietuvoje, tai mažai tyrinėta sritis. Gauti tyrimo rezultatai rodo, kad padarius didesnius, daug daugiau tiriamųjų, kriterijų, apimančius tyrimus, būtų galima gauti įdomių rezultatų. / The subject of the work is the investigation of the visual acuity dependence on surface illumination. This final work analyzes the influence of light to visual process. Scientific literature was studied to look into the issues of human’s eyesight, brightness, contrast and color perception and visual acuity. The features of the human visual process and physiology of human’s eyesight have been examined as well. The work introduces the main photometric values and their relation to the visual system. The investigation has been carried out to determine the dependence of visual acuity on the surface illumination with 50 people participating in it. The people were divided into two groups according to their age: 40-50 and 51-50. The average data of the results have been estimated and various deviations from the mean shown up during the investigation are graphically presented in the work. While studying the theoretical material it was noticed that this field is still a byway in Lithuania. The findings suggest that if deeper and more criteria spanning researches were carried out, more revealing results could be expected.

Myopia is a major cause of vision loss throughout the world. High myopia is associated with severe eye diseases like maculopathy, retinal detachment and glaucoma. The prevalence of myopia is increasing, and varies by country and by ethnic group. In some Asian populations the prevalence is 70%-80%.  This thesis includes five experiments. In experiment I we investigated the effects of added positive and negative spherical aberration on accommodative response accuracy. We found that the accommodative response can be altered by modulating the spherical aberration of the eye with soft contact lenses. There was an improvement in the accommodative response slopes and a decrease in the lag of accommodation with the negative spherical aberration lenses compared to positive spherical aberration lenses.  In experiment II we investigated whether the negative spherical aberration in contact lenses could be tolerated visually in terms of wearability and comfort. We found that all the subjects were satisfied with the contact lens comfort, distance and near vision and the stability of the vision with the lenses. The accommodative response was stable through out the treatment period. In experiment III we investigated the efficacy of a novel dual treatment for the improvement of accommodative accuracy and dynamics in myopes. The spherical aberration of the eye was effectively altered to negative in the treatment group as predicted. In the control group as expected there was no significant change in the spherical aberration of the eye with and without contact lenses. The treatment lenses decreased the lag of accommodation and increased the accommodative response slope at 3 months. In the experiment IV we investigated the effect of the treatment lenses used in the previous experiment on high and low contrast visual acuities after a one year treatment period. The results showed a significant improvement in both high and low contrast visual acuities after the one year period in the treatment group compared to the control group, even though it was not clinically significant. In experiment V we investigated the intrasession repeatability of peripheral aberrations using COAS-HD VR aberrometer and also reported the distribution of higher order aberrations in a group of young emmetropes. There was no significant difference in the variance of total higher-order RMS between on- and off-axis measurements. There was a significant change in the horizontal coma, spherical aberration and higher-order RMS with off-axis angle along the horizontal visual field. We demonstrated that fast, repeatable and valid peripheral aberration measurements can be obtained with this instrument. This thesis contributes new results in this field of myopia, aberration and accommodation.

Background/Aims: In an investigation of the functional impact of amblyopia on children, the fine motor skills, perceived self-esteem and eye movements of amblyopic children were compared with that of age-matched controls. The influence of amblyogenic condition or treatment factors that might predict any decrement in outcome measures was investigated. The relationship between indirect measures of eye movements that are used clinically and eye movement characteristics recorded during reading was examined and the relevance of proficiency in fine motor skills to performance on standardised educational tests was explored in a sub-group of the control children. Methods: Children with amblyopia (n=82; age 8.2 ± 1.3 years) from differing causes (infantile esotropia n=17, acquired strabismus n=28, anisometropia n=15, mixed n=13 and deprivation n=9), and a control group of children (n=106; age 9.5 ± 1.2 years) participated in this study. Measures of visual function included monocular logMAR visual acuity (VA) and stereopsis assessed with the Randot Preschool Stereoacuity test, while fine motor skills were measured using the Visual-Motor Control (VMC) and Upper Limb Speed and Dexterity (ULSD) subtests of the Brunicks-Oseretsky Test of Motor Proficiency. Perceived self esteem was assessed for those children from grade 3 school level with the Harter Self Perception Profile for Children and for those in younger grades (preschool to grade 2) with the Pictorial Scale of Perceived Competence and Acceptance for Young Children. A clinical measure of eye movements was made with the Developmental Eye Movement (DEM) test for those children aged eight years and above. For appropriate case-control comparison of data, the results from amblyopic children were compared with age-matched sub-samples drawn from the group of children with normal vision who completed the tests. Eye movements during reading for comprehension were recorded by the Visagraph infra-red recording system and results of standardised tests of educational performance were also obtained for a sub-set of the control group. Results Amblyopic children (n=82; age 8.2 ± 1.7 years) performed significantly poorer than age-matched control children (n=37; age 8.3 ± 1.3 years) on 9 of 16 fine motor skills sub-items and for the overall age-standardised scores for both VMC and ULSD items (p<0.05); differences were most evident on timed manual dexterity tasks. The underlying aetiology of amblyopia and level of stereoacuity significantly affected fine motor skill performance on both items. However, when examined in a multiple regression model that took into account the inter-correlation between visual characteristics, poorer fine motor skills performance was only associated with strabismus (F1,75 = 5.428; p =0. 022), and not with the level of stereoacuity, refractive error or visual acuity in either eye. Amblyopic children from grade 3 school level and above (n=47; age 9.2 ± 1.3 years), particularly those with acquired strabismus, had significantly lower social acceptance scores than age-matched control children (n=52; age 9.4 ± 0.5 years) (F(5,93) = 3.14; p = 0.012). However, the scores of the amblyopic children were not significantly different to controls for other areas related to self-esteem, including scholastic competence, physical appearance, athletic competence, behavioural conduct and global self worth. A lower social acceptance score was independently associated with a history of treatment with patching but not with a history of strabismus or wearing glasses. Amblyopic children from pre-school to grade 2 school level (n=29; age = 6.6 ± 0.6 years) had similar self-perception scores to their age-matched peers (n=20; age = 6.4 ± 0.5 years). There were no significant differences between the amblyopic (n=39; age 9.1 ± 0.9 years) and age-matched control (n = 42; age = 9.3 ± 0.38 years) groups for any of the DEM outcome measures (Vertical Time, Horizontal Time, Number of Errors and Ratio (Horizontal time/Vertical time)). Performance on the DEM did not significantly relate to measures of VA in either eye, level of binocular function, history of strabismus or refractive error. Developmental Eye Movement test outcome measures Horizontal Time and Vertical Time were significantly correlated with reading rates measured by the Visagraph for both reading for comprehension and naming numbers (r>0.5). Some moderate correlations were also seen between the DEM Ratio and word reading rates as recorded by Visagraph (r=0.37). In children with normal vision, academic scores in mathematics, spelling and reading were associated with measures of fine motor skills. Strongest effect sizes were seen with the timed manual dexterity domain, Upper Limb Speed and Dexterity. Conclusions Amblyopia may have a negative impact on a child’s fine motor skills and an older child’s sense of acceptance by their peers may be influenced by treatment that includes eye patching. Clinical measures of eye movements were not affected in amblyopic children. A number of the outcome measures of the DEM are associated with objective recordings of reading rates, supporting its clinical use for identification of children with slower reading rates. In children with normal vision, proficiency on clinical measures of fine motor skill are associated with outcomes on standardised measures of educational performance. Scores on timed manual dexterity tasks had the strongest association with educational performance. Collectively, the results of this study indicate that, in addition to the reduction in visual acuity and binocular function that define the condition, amblyopes have functional impairment in childhood development skills that underlie proficiency in everyday activities. The study provides support for strategies aimed at early identification and remediation of amblyopia and the co-morbidities that arise from abnormal visual neurodevelopment.

Diss. (sammanfattning) Stockholm : Karol. inst., 2002. / CD-ROM i ficka. Härtill 5 uppsatser.