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Query: UMLS:C0086543 (cataract)
 29,165 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

BACKGROUND. Patients with dense ocular media disorders retain the ability to project or point to an intense source of light. Using this response capability and high luminance points of light as stimuli, Vernier judgments (a hyperacuity test) can be made by these patients, even without the presence of a "window" through a leucoma, cataract, or bleed. Without coaching, these individuals are able to locate the centers of the individual degraded point images if the individual light sources are adequately separated (i.e., if sufficient "gaps" exist between the individual stimuli), and they can spatially align the degraded images. Advanced cataracts are the main cause of blindness in the developing world, and this is a treatable condition. In these nations, only a modest proportion of affected patients receive surgery, and only 5% or less of these individuals obtain treatment in two eyes. There are incredibly large and rapidly growing backlogs of advanced cataract patients requiring care (many millions). Because of the 20 to 30% failure rates that occur after treatment (all causes) in many developing world settings, a test performed before surgery, which offers a meaningful estimate of postsurgical visual outcome, can be valuable. Using the principle defined above, we seek to determine before surgery those individuals who will derive most benefit from cataract removal, and which of two cataractous eyes has the better postsurgical visual prognosis. EXPERIMENTAL. In Berkeley, we performed a series of preliminary studies on a Vernier acuity test before initiating a clinical study in a developing world setting. These studies were conducted upon young adult normal subjects wearing their usual vision corrections, with and without induced refractive errors, and/or with or without simulated dense nuclear cataracts. We sought (1) to determine the number of repeat trials necessary for reliable outcomes; (2) to compare a two-point and a three-point Vernier acuity display; (3) to determine the shape of the measured response function at large gap separations between test points; (4) to define optimal test distance and stimulus size; (5) to assess the effect(s) of a broad range of uncorrected refractive errors upon outcomes; and (6) to consider means to minimize refraction-based errors by using a pinhole, a refractive correction, and/or selective spatial filtering. We compared responses obtained using the current CRT/VDT-based, computer-driven (Berkeley) instrument with a new precision optical/mechanical computer-driven (India) instrument. The India instrument is needed to determine design parameters for a next stage simpler, cheaper, more rugged field instrument(s).(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Hyperacuity test to evaluate vision through dense cataracts; research preliminary to a clinical study. I. Studies conducted at the University of California at Berkeley before travel to India. 853 3

The optical density of the human crystalline lens progressively increases with age, the greatest increase in the visible spectrum being at short wavelengths. This produces a gradual shift in the spectral distribution of the light reaching the retina, yet color appearance remains relatively stable across the life span, implying that the visual system adapts to compensate for changes in spectral sensitivity. We explored properties of this adaptive renormalization by measuring changes in color appearance following cataract surgery. When the lens is removed, cataract patients often report a large perceptual shift in color appearance that can last for months. This change in color appearance was quantified for four cataract patients (63-84 years) by determining the chromaticity of stimuli that appeared achromatic before surgery, and at various intervals after surgery for up to 1 year. Stimuli were presented on a calibrated CRT as 9.5-deg spots, with 3-s duration and 3-s interstimulus intervals (ISIs). Chromaticity was adjusted by the subjects in CIE L*a*b* color space with luminance fixed at 32 cd/m2, on a dark background. We also estimated the optical density of the cataractous lens by comparing absolute scotopic thresholds from 410 nm to 600 nm before and after surgery. The results demonstrated that immediately following surgery there is a large increase in the short-wave light reaching the retina, mainly below 500 nm. The achromatic settings generally showed an initial large shift in the "yellow" direction after surgery that gradually (but never fully) returned to the original achromatic point before surgery. The shifts in the achromatic point occur over a number of months and appear to occur independently of the fellow eye.
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PMID:Long-term renormalization of chromatic mechanisms following cataract surgery. 1551 4

Disability glare, affecting e.g. road safety at night, may result either from intraocular light scattering or from external conditions such as fog. Measurements were made of light scattering in fog and compared with intraocular straylight data for normal eyes and eyes with simulated cataract. All measurements were made with a direct compensation flicker method. To estimate light scattering levels in fog, straylight measurements were carried in a fog chamber for different densities of fog. Density was characterized by the meteorological term visibility V and ranged from 7 to 25. Test distance for measurements in the fog was constant at 5 m. Cataract eye conditions were simulated by placing a light scattering polymer dispersed liquid crystal (PDLC) filter with scatterers of submicron size in front of the normal eye. All measurements were made using each of three broad-band color stimuli - red, green and blue (produced either with LEDs or a color CRT monitor). Differences were found in both the level and the spectral characteristics of scattering under the different conditions. The measured values of the straylight parameter, s, in artificial fog showed no noticeable spectral dependence at any visibility range. Increasing the visibility range caused an exponential decrease in the straylight. Intraocular straylight measured with the clear eye showed an increase at the red and blue ends of the spectrum as compared to the green. Straylight measured using PDLC plates with different transparency levels showed a spectral dependence which decreased with wavelength. The scattering introduced by the PDLC plate therefore failed to give a valid simulation of cataract and fog conditions for polychromatic stimuli, due to its erroneous spectral dependence.
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PMID:Light scattering in artificial fog and simulated with light scattering filter. 1942 68