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Background: The World Health Organization estimates that there are 517 million people in the world who are visually impaired due to uncorrected presbyopia. Equal sphere ready-made bifocal and single vision reading spectacles are an inexpensive alternative to custom made spectacles. Methods: A visual satisfaction questionnaire was administered before patients were examined at an outreach clinic and again after ready-made bifocals or reading spectacles were dispensed. The results of both sets of questions along with presenting acuities, corrected acuities, refractive data, and willingness to pay were analyzed. Results: There was an unmet need of 38% (of the 338 subjects that needed glasses only 208 had them). There was no gender bias; the unmet need was higher in the rural areas (47% rural, 36% urban). Those who could not read were 3.4 times less likely to have the glasses they needed than the literate. Unmet need decreased with every level of education. Those without any schooling showed 77% prevalence of unmet need and those with university education had an unmet need rate of 32%. Ready-made spectacles were dispensed to 89.5% of those examined. The ready-made bifocals were very well accepted, with the percentage of subjects giving the highest satisfaction rating improving from a presenting value of 11% to 89.4% with the bifocals at distance and from 6.6% to 89.4% at near. Distance visual acuity of 20/40 or better improved from the presenting value of 60% to 84.5% and near vision of 20/40 or better improved from the presenting value of 44% to 97%. With ready-made single vision readers, functionally good near vision (20/40 or better) improved from a presenting value of 38% to 97%. The highest ranking for near satisfaction improved from 6.3% to 86.6%. The subjects indicted that they would be willing to pay US$18.39 to replace the bifocals and US$16.67 to replace the readers. Conclusion: There is a high unmet need for vision correction in the population over age 35 in Nicaragua. Dissatisfaction with distance and near vision is very high. Although custom made glasses are ideal, ready-made bifocals and ready-made single vision readers are an acceptable and affordable alternative.

Background. The United States military relies on visual acuity standards to assess enlistment induction and military occupational specialty eligibility. In addition, the military recently instituted the Vision Readiness and Classification System to monitor Soldiers' combat vision readiness. The primary aim of this study was to investigate the relationship between visual acuity and marksmanship performance using a single blind randomized trial with the Engagement Skills Trainer 2000. Methods. Marksmanship performance was evaluated in 28 subjects under simulated day and night conditions with habitual spectacle prescription and contact lenses that created visual blur. Results. The relationship between visual acuity and marksmanship performance was found to have a statistically significant correlation of -0.735 with a 95% confidence interval from -0.790 to -0.669. Subsequently, 54 percent of the variance in marksmanship performance was accounted for by visual acuity. In addition, a panel poison regression model using an independent correlation structure revealed significant differences (p< .001) as visual acuity decreased from 20/25 to 20/50. Conclusions. Marksmanship performance decreases as visual acuity decreases. This relationship supports the use of a visual acuity requirement in the assessment of military readiness.

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<p>Motion blur is a form of image quality degradation, showing as content in the image smearing and not looking sharp. It is usually seen in photography due to relative motion between the camera and the scene (either camera moves or objects in the scene move). It is also seen in human vision systems, primarily on digital displays.</p> <p><br></p> <p>It is often desired to remove motion blurriness from images. Numerous works have been put into reducing motion blur <em>after</em> the image has been formed, e.g., for camera-captured ones. Unlike post-processing methods, we take the approach to prevent/minimize motion blur for both human and camera observation by pre-processing the source image. The pre-processed images are supposed to look sharp upon blurring. Note that, only pre-processing methods can deal with human-observed blurriness since the imagery can't be modified after it is formed on the retina.</p> <p><br></p> <p>Pre-processing methods face more fundamental challenges than post-processing ones. A problem inherent to such methods is the appearance of ringing artifacts which are intensity oscillations reducing the quality of the observed image. We found that these ringing artifacts have a fundamental cause rooted in the blur kernel. The blur kernel usually have very low amplitudes in some frequencies, significantly attenuating the signal intensity in these frequencies when it convolves an image. Pre-processing methods can usually reconstruct the targeted image to the observer but inevitably lose energy in those frequencies, appearing as artifacts. To address the artifact issue, we present a few approaches: (a) aligning the image content and the kernel in the frequency domain, and (b) redistributing their intensity variations elsewhere in the image. We demonstrate the effectiveness of our method in a working prototype, in simulation, and with a user study.</p>

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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. / Engineering and Physical Sciences Research Council

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