Glaucoma is a blinding disease characterized by damage to the optic nerve and often caused by an increase in the intra-ocular pressure. Glaucoma affects from 2% to 8% of the South African population, depending on race and age. Primary Open-angle Glaucoma (POAG) is found mostly in patients above the age of 40 years. POAG is more prevalent in black people, with the number of black persons contracting the disease double that of persons of European origin. In South Africa, the prevalence of blindness is estimated to be 0,6%, thus 240 000 out of a total of 40 million. Glaucoma is responsible for an estimated 20% of the total number of blind people, thus approximately 48 000. The treatment of glaucoma in Africa, and particularly in rural areas, presents many unresolved problems. Conventional conservative treatment with eye drops is difficult, due to the following reasons: -- Logistical problems of providing patients with a supply of medication. -- Appropriate use of drops requires education, together with a high degree of personal compliance. -- Cost of medical treatment. Patients require life-long treatment. Eye drops cost approximately R100,00 per person per month. Thus, over a ten-year period, the cost would be R12 000,00 per person and R576 million for the estimated 48 000 sufferers. Conventional surgery is not very effective, due to the following reasons: -- Scarring takes place at the surgical site. -- Can be performed only in main centres with microsurgical facilities and competent staff. -- Requires travelling expenses, not only for surgery, but also for periodical follow-up examinations. -- Surgical complications are not uncommon. Conventional laser surgery is not effective, for the following reasons: -- Can be performed only in main centres with laser surgery facilities and competent staff. -- Requires travelling expenses, not only for surgery, but also for periodical follow-up examinations. -- Complications of surgery are not uncommon. This dissertation describes an investigation concerning treatment of glaucoma, with specific reference to the use of optical energy sources. The spectral transmission of the human sclera is investigated. Alternative methods of sourcing optical energy to the ciliary processes are presented and compared. Results obtained can be summarized as follows: -- The spectral transmission of the sclera was measured. -- Trans-scleral transmission was measured to be very low (less than 5%). The result was confirmed by means of histological investigation, where high scleral absorption was found. -- Since no well-defined transmission window could be found, the application source need not be monochromatic. -- Results published in literature were found to be inconsistent. / Dissertation (MEng (Bio-engineering))--University of Pretoria, 2006. / Electrical, Electronic and Computer Engineering / unrestricted

The eyes of snakes and most geckos, as well as a number of other disparate squamate taxa, are shielded beneath a layer of transparent integument referred to as the “reptilian spectacle.” Derived from the embryonic fusion of palpebral tissues, the spectacle contains a number of specializations of the skin to benefit vision while still allowing it to function as the primary barrier to the environment. For example, in nearly all species that possess it, it is markedly thinned compared to the surrounding integument and its keratinized scale is optically transparent. While the spectacle may thus seem ideally adapted to vision in allowing the eyes to be always unoccluded, it does have a few drawbacks. One such drawback is its vascularity, the implications of which are still not fully understood, but are explored herein. As no recent synthesis exists of the body of knowledge on reptilian spectacles, the first chapter of this thesis consists of a review of spectacle anatomy, physiology, adaptive significance and evolution to help put into context the following chapters that present original research. The second chapter describes the dynamics of blood flow through the spectacle vasculature of colubrid snakes, demonstrating three main points: (1) that the spectacle vasculature exhibits cycles of regular dilation and constriction, (2) that the visual perception of a threat induces vasoconstriction of its vessels, and (3) that spectacle vessels remain dilated throughout the renewal phase. The implications of these points are discussed. The third chapter describes the spectral transmittance of the shed spectacle scale, the only keratinized structure in the animal kingdom to contribute to the dioptric apparatus of the eye, as well as its thickness. Spectacle scale transmittance and thickness was found to differ dramatically between snakes and geckos and found in snakes to vary between families. The adaptive significance of the observed variation is discussed. The fourth chapter describes biochemical analyses of the shed spectacle scales of snakes and geckos and compares their composition to other scales in the integument. Spectacle scales were found to differ significantly from other scales in their keratin composition, and gecko spectacle scales in particular were found to lack ß keratin, that hard corneous protein thought to be common to all reptile scales. The concluding chapter will discuss where this research has brought the state of our knowledge on the spectacle and offers thoughts on potentially useful avenues for further research.

The eyes of snakes and most geckos, as well as a number of other disparate squamate taxa, are shielded beneath a layer of transparent integument referred to as the “reptilian spectacle.” Derived from the embryonic fusion of palpebral tissues, the spectacle contains a number of specializations of the skin to benefit vision while still allowing it to function as the primary barrier to the environment. For example, in nearly all species that possess it, it is markedly thinned compared to the surrounding integument and its keratinized scale is optically transparent. While the spectacle may thus seem ideally adapted to vision in allowing the eyes to be always unoccluded, it does have a few drawbacks. One such drawback is its vascularity, the implications of which are still not fully understood, but are explored herein. As no recent synthesis exists of the body of knowledge on reptilian spectacles, the first chapter of this thesis consists of a review of spectacle anatomy, physiology, adaptive significance and evolution to help put into context the following chapters that present original research. The second chapter describes the dynamics of blood flow through the spectacle vasculature of colubrid snakes, demonstrating three main points: (1) that the spectacle vasculature exhibits cycles of regular dilation and constriction, (2) that the visual perception of a threat induces vasoconstriction of its vessels, and (3) that spectacle vessels remain dilated throughout the renewal phase. The implications of these points are discussed. The third chapter describes the spectral transmittance of the shed spectacle scale, the only keratinized structure in the animal kingdom to contribute to the dioptric apparatus of the eye, as well as its thickness. Spectacle scale transmittance and thickness was found to differ dramatically between snakes and geckos and found in snakes to vary between families. The adaptive significance of the observed variation is discussed. The fourth chapter describes biochemical analyses of the shed spectacle scales of snakes and geckos and compares their composition to other scales in the integument. Spectacle scales were found to differ significantly from other scales in their keratin composition, and gecko spectacle scales in particular were found to lack ß keratin, that hard corneous protein thought to be common to all reptile scales. The concluding chapter will discuss where this research has brought the state of our knowledge on the spectacle and offers thoughts on potentially useful avenues for further research.