Visual system is vital to human beings.Unfortunately,the optic nerve lacks the ability to regenerate after injury.Therefo re,long-distance regeneration of the optic nerve is a major unsolved medical problem in the wor...Visual system is vital to human beings.Unfortunately,the optic nerve lacks the ability to regenerate after injury.Therefo re,long-distance regeneration of the optic nerve is a major unsolved medical problem in the world(Laha et al.,2017).Recently,Li and So groups' study showed that the bioactive material(ciliary neurotrophic factor[CNTF]-chitosan) could promote long-distance regeneration of the completely transected optic nerve in adult rats and partially restored the visual functions(Liu et al.,2023).This study sheds light on the clinical potential for repairing the severely injured optic nerve.展开更多
AIM:To determine the effects of change in light conditions on refractive error and visual functions including visual acuity,stereopsis and contrast sensitivity.METHODS:This cross-sectional study was conducted in the o...AIM:To determine the effects of change in light conditions on refractive error and visual functions including visual acuity,stereopsis and contrast sensitivity.METHODS:This cross-sectional study was conducted in the optometry clinic of the Shahid Beheshti School of Rehabilitation on 48 students in 2021-2022.All of them had eye health and normal visual function and could have refractive errors or not.Light intensity of 4 lx was considered equivalent to photopic light condition and light intensity of 1 lx was considered to be equivalent to mesopic light condition.The amount of refractive error was checked by auto refractometer and its changes in mesopic light condition were subjectively measured.Also,visual acuity,stereopsis and contrast sensitivity(in five spatial frequencies of 1.5,3,6,12,and 18 cycles per degree),were measured first in photopic light condition and then in mesopic light condition,by Snellen control vision chart,stereo butterfly test and the M&S technology monitor test respectively.RESULTS:In the 48 student subjects with an average age of 22.69±3.56y,mean of refractive error as sphere equivalent,visual acuity and stereopsis were-1.25±1.74 diopters,0 logMAR,44.37±13.03 seconds of arc,respectively in photopic light condition while in mesopic light was equal to-1.56±1.75 diopters,0.12±0.09 logMAR and 50.62±33.35 seconds of arc,respectively.The mean of contrast sensitivity measured at spatial frequencies of 1.5,3,6,12,and 18 cycles per degree in photopic condition was equal to 2.38±0.04,2.37±0.07,2.04±0.21,1.27±0.32,0.82±0.27 logarithm of contrast sensitivity,respectively and in mesopic lighting condition was equal to 2.34±0.12,2.30±0.16,1.84±0.28,1.02±0.28,0.63±0.24 logarithm of contrast sensitivity,respectively.Statistical analysis showed a significant difference between the two lighting conditions in all evaluated variables[refractive error(P<0.001),visual acuity(P<0.001),stereopsis(P=0.008)and contrast sensitivity(P<0.001)].CONCLUSION:The refractive error of the student subjects in mesopic light condition change towards myopia,and its amount is clinically significant.Also,the examination and comparison of the factors of visual acuity,stereopsis and contrast sensitivity in these two lighting conditions show that the decrease in brightness level to the mesopic level causes a decrease in the aforementioned visual functions.展开更多
AIM:To explore the effect of visual perception learning software training(VPT)on binocular visual function reconstruction in children with intermittent exotropia after strabismus surgery.METHODS:Ninety children with i...AIM:To explore the effect of visual perception learning software training(VPT)on binocular visual function reconstruction in children with intermittent exotropia after strabismus surgery.METHODS:Ninety children with intermittent exotropia admitted to our hospital from June 2018 to December 2018 were included,and randomly divided into VPT and control groups.Children in the control group received basic binocular vision training,while those in the VPT group received VPT after strabismus surgery.Tertiary visual function,visual perception function,Newcastle Control Score(NCS),and ocular position retraction rate were compared at 3 and 12mo after the surgery.RESULTS:At 3 and 12mo after the surgery,the proportion of simultaneous perception,binocular fusion version and binocular stereo vision in the VPT group was conspicuously higher than that in the control group(P<0.05).After the vision training,the binocular visual perception functions of children in both groups were significantly improved compared with that before training(P<0.05).Interestingly,the grating sharpness,texture perception and texture motion perception in the VPT group were dramatically better than control group(P<0.01).The NCS in the VPT group was significantly lower than that in the control group(P<0.05).The ocular position retraction rate in the VPT group was significantly lower than that in the control group at 12mo(8.89%vs 26.67%,P=0.03).CONCLUSION:VPT effectively promotes binocular visual function reconstruction in intermittent exotropia children after strabismus surgery and reduces the strabismus severity and ocular position retraction rate.展开更多
Older individuals with macular diseases,such as age-related macular degeneration,experience central vision loss(CVL)due to degeneration of their photoreceptors and retinal cells.Patients with CVL may experience variou...Older individuals with macular diseases,such as age-related macular degeneration,experience central vision loss(CVL)due to degeneration of their photoreceptors and retinal cells.Patients with CVL may experience various vision impairments,including of visual acuity,fixation stability,contrast sensitivity,and stereoacuity.After CVL,most patients develop a preferred retinal locus outside the affected macular region,which serves as a new visual reference.In this review,we provide an overview of the visual function and impairment in individuals with CVL.In addition,the important role of biofeedback training on the visual function and activity of individuals with CVL is also reviewed.Accordingly,the location and development of the preferred retinal loci are discussed.Finally,this review discusses how to conduct biofeedback training to treat individuals with CVL.展开更多
Dear Editor,I am Dr.Kang Xue,from the Department of Ophthalmology at the Eye,Ear,Nose and Throat Hospital of Fudan University in Shanghai,China.I am writing to present three case reports of the removal of visual funct...Dear Editor,I am Dr.Kang Xue,from the Department of Ophthalmology at the Eye,Ear,Nose and Throat Hospital of Fudan University in Shanghai,China.I am writing to present three case reports of the removal of visual function alterations in cavernous hemangioma of the orbital apex after surgery.Cavernous hemangioma is a relatively common primary benign orbital tumor in adults^([1]).Although histopathologically benign,a cavernous hemangioma may often cause proptosis and interfere with optic nerve function,necessitating surgical intervention^([2]).Patients should be followed with展开更多
Researches of glaucoma visual function damage, hemorrheololgy, ocular rheography and other related multiplex factors, with computed multifactorial stepwise regresion analysis, indicate that the elevation of intraocula...Researches of glaucoma visual function damage, hemorrheololgy, ocular rheography and other related multiplex factors, with computed multifactorial stepwise regresion analysis, indicate that the elevation of intraocular pressure (IOP) is not the only factor to induce visual impairment. POAG patients are shown to have markedly reduced diastolic purfussion pressure in ophthalmic artery, besides prolonged filling time of the retinal artery and vein, diminished erythrocyte deformability and increased platele...展开更多
Tests of preoperative visual function and prediction of postoperative E chart visual acuity(ECVA) using laser interferometric visual acuity(LIVA) and electroretinogram(ERG) were performed in 16 cases(19 eyes) of catar...Tests of preoperative visual function and prediction of postoperative E chart visual acuity(ECVA) using laser interferometric visual acuity(LIVA) and electroretinogram(ERG) were performed in 16 cases(19 eyes) of cataract. The results showed that the coincident rate between preoperative LIVA and postoperative ECVA was 63.2%, and there was a parallel correlation between preoperative amplitude of photopic ERG b-wave and postoperative ECVA in 79.0% of the eyes. Comparing these two methods, the test of LIVA ...展开更多
AIM:To explore the effects of laser-activated remote phosphors(LARP)on visual function in guinea pigs.METHODS:Electroretinogram(ERG)of guinea pigs were observed after LARP irradiation at different frequencies and irra...AIM:To explore the effects of laser-activated remote phosphors(LARP)on visual function in guinea pigs.METHODS:Electroretinogram(ERG)of guinea pigs were observed after LARP irradiation at different frequencies and irradiation times.We evaluated the expression of rhodopsin,β-catenin,connexin36,calretinin,and calbindin in the retina of guinea pigs and measured the density of photoreceptor cells after high-frequency LARP irradiation.RESULTS:After LARP irradiation,the ERG results showed that the amplitude of the dark-adapted 3.0 b-wave of the model eye was lower than that of the control eye after high-frequency irradiation(P<0.05).The expression of rhodopsin,β-catenin,connexin36,calretinin,and calbindin in the retina of guinea pig declined.CONCLUSION:There is frequency cumulative damage effect on the retina that relates to LARP illumination frequency.This has significance for staff visual protection policies under LARP lighting conditions.展开更多
Background:Visual deficits,caused by ocular disease or trauma,can cause lasting damage.However,recent research has focused on neural plasticity as a means to regain visual functions.In order to better understand the i...Background:Visual deficits,caused by ocular disease or trauma,can cause lasting damage.However,recent research has focused on neural plasticity as a means to regain visual functions.In order to better understand the involvement of neural plasticity and reorganization in partial vision restoration,we aim to evaluate the partial recovery of a visual deficit over time using two behavioural tests.In our study,a partial optic nerve crush(pONC)serves as an induced visual deficit,allowing for residual vision from surviving cells.Methods:Visual functions in C57BL/6 mice was measured using two behavioural tests prior to a bilateral pONC,then at various time points after the pONC.In this study,two injury intensities were used:a high intensity pONC with the full force of self-closing forceps,and a low intensity pONC,in which a calibrated space was left between the forceps at the closed position.The two behavioural tests consisted of the optomotor reflex(OMR)and the visual cliff(VC)tests.The OMR test measures the mouse’s tracking reflex in response to moving sinusoidal gratings.The VC test,on the other hand,evaluates exploratory behaviour,by simulating a cliff to observe the animal’s sense of depth perception.After the behavioural evaluation,surviving retinal ganglion cells were counted.Results:The high intensity pONC resulted in a total loss of visual acuity as measured by the OMR test,with no improvement in the following 4 weeks.However,the light intensity pONC showed the same initial loss,but recovery was observed as of day 3,and results in 40-60%recovery after 4 weeks.With the VC test,mice with intact vision will avoid the deep end,opting to spend more time in the shallow end.However,after both high and low intensity pONCs,this preference is no longer observed.Both groups show a return to the shallow end preference at day 14,though the low intensity pONC group showed a stronger preference similar to baseline performance.The percentage of surviving retinal ganglion cells was higher with the low intensity(68%)than with the high intensity(17%)pONC.Conclusions:There is evidence of visual recovery at the behavioural level following a pONC,though very little recovery was observed following a high intensity pONC,and only with the VC test.Therefore,a certain amount of residual retinal input may be required for recovery at the behavioural level.展开更多
Background:To determine patient-reported vision-related quality of life(VR-QoL)following Boston type I keratoprosthesis(BI-KPro)surgery and its association with postoperative best-corrected visual acuity(BCVA).Methods...Background:To determine patient-reported vision-related quality of life(VR-QoL)following Boston type I keratoprosthesis(BI-KPro)surgery and its association with postoperative best-corrected visual acuity(BCVA).Methods:Descriptive cross-sectional study.Consecutive consenting patients with BI-KPro were included.The French National Eye Institute Visual Function Questionnaire-25 administered at 51±18 months postoperatively measured VR-QoL.Clinical charts were reviewed for demographics,indications for BI-KPro,baseline and postoperative(at time of interview)BCVA.For patients operated unilaterally,stratification of VR-QoL scores based on BCVA in the non-operated eye was performed.Multivariate linear regression was carried out,using VR-QoL scores as dependent variables,and demographics and postoperative BCVA as covariates.For patients operated bilaterally,Spearman correlation between VR-QoL scores and BCVA was performed.P<0.05 indicated statistical significance.Results:Sixty-four patients,aged 59±14 years,52%male,with a follow-up of 54±19 months,were included.Postoperative BCVA increased from baseline in all operated eyes(P=0.000).In patients with unilateral BI-KPro(n=52),the VR-QoL overall score was 70.7±25.1.Scores on all questionnaire subscales were greater when BCVA in the non-operated eye was>20/200 compared to 20/200(P=0.000).BCVA in the non-operated eye was positively associated with all subscales(P<0.01)independently of age,sex,follow-up duration and postoperative BCVA in the operated eye.In patients with bilateral BI-KPro(n=12)the VR-QoL overall score was 63.0±18.7.BCVA in the best eye positively correlated with Near/Distance activities,and social functioning subscales(P<0.05).There was no significant difference between VR-QoL scores of patients operated unilaterally vs.bilaterally.Conclusions:We describe VR-QoL more than 4 years after BI-KPro surgery.Compared to data at 1 year previously reported,our results suggest that,as vision progressively deteriorates in the operated eye,patients increasingly rely on their non-operated eye.VR-QoL after bilateral BI-KPro is assessed for the first time,and appears comparable to that after unilateral surgery.Larger,prospective,long-term studies,with assessment at baseline,are warranted.展开更多
AIM:To develop and test an Arabic version of the National Eye Institute Visual Function Questionnaire-25(NEI-VFQ-25).METHODS:NEI-VFQ-25 was translated into Arabic according to WHO translation guidelines. We enrolled a...AIM:To develop and test an Arabic version of the National Eye Institute Visual Function Questionnaire-25(NEI-VFQ-25).METHODS:NEI-VFQ-25 was translated into Arabic according to WHO translation guidelines. We enrolled adult consenting patients with bilateral chronic eye diseases who presented to 14 hospitals across Egypt from October to December 2012, and documented their clinical findings. Psychometric properties were then tested using STATA.RESULTS:We recruited 379 patients, whose mean age was(54.5±15)y. Of 46.2% were males, 227 had cataract,31 had glaucoma, 23 had retinal detachment, 37 had diabetic retinopathy, and 61 had miscellaneous visual defects. Non-response rate and the floor and ceiling numbers of the Arabic version(ARB-VFQ-25) were calculated. Internal consistency was high in all subscales(except general health), with Cronbach-α ranging from0.702-0.911. Test-retest reliability was high(intraclass correlation coefficient 0.79).CONCLUSION:RB-VFQ-25 isareliableandvalidtool for assessing visual functions of Arabic speaking patients. However, some questions had high non-response rates and should be substituted by available alternatives. Our results support the importance of including self-reported visual functions as part of routine ophthalmologic examination.展开更多
· AIM: To investigate the visual function and the relationship with vision-related quality of life(VRQOL)after macular hole repair surgery.· METHODS: Prospective case series. Thirty-six consecutive eyes in 3...· AIM: To investigate the visual function and the relationship with vision-related quality of life(VRQOL)after macular hole repair surgery.· METHODS: Prospective case series. Thirty-six consecutive eyes in 36 patients who underwent pars plana vitrectomy(PPV) and internal limiting membrane(ILM) peeling were included. The 25-item National Eye Institute Visual Function Questionnaire(VFQ-25) was answered by the participants before and 3 and 12 mo after operation. Follow-up visits examinations included best-corrected visual acuity(BCVA), clinical examination,and central macular thickness(CMT) measured by optical coherence tomography(OCT).·RESULTS: Macular-hole closure was achieved in 35 of36 eyes(97.2%). At baseline and months 3 and 12, the log MAR BCVAs(mean±SD) were 1.15±0.47, 0.68±0.53(P <0.0001 versus baseline), and 0.55 ±0.49(P <0.001 versus baseline, P =0.273 versus month 3), respectively; the CMTs(μm) were 330 ±81, 244 ±62(P <0.001 versus baseline), and 225±58(P <0.001 versus baseline, P =0.222 versus month 3), respectively; the median preoperative VFQ-25 composite score of 73.50(63.92-81.13) increased postoperatively to 85.50(80.04-89.63) at 3mo(P <0.001)and 86.73(82.50-89.63) at 12mo(P <0.001) respectively.The improved BCVA was correlated with improvements in five subscales(r =-0.605 to-0.336, P <0.001 to P =0.046) at 12 mo.· CONCLUSION: PPV with ILM peeling improved anatomic outcome, visual function, and VRQOL. Theimproved BCVA was an important factor related to the improved VRQOL.展开更多
Congenital cataract is a common cause of childhood low vision or blindness worldwide..Early surgery should be performed in sensitive vision development period to avoid vision deprivation in cases of strabismus and nys...Congenital cataract is a common cause of childhood low vision or blindness worldwide..Early surgery should be performed in sensitive vision development period to avoid vision deprivation in cases of strabismus and nystagmus development. Postoperative recovery of visual function is of great significance for these patients and should include proper postoperative aphakia correction by the application of a contact lens and secondary implantation of an intraocular lens(IOL). Patients should receive amblyopic training after surgery to improve their postoperative visual acuity..Although recent advances in surgery techniques and materials have brought better postoperative visual acuity and less complications, a few postoperative complications can still hamper vision condition and vision development,.including posterior capsule opacification and secondary glaucoma. Surgery in early infancy are risk factors for these two complications..Life-long follow-up is essential for these patients..Further study will continue to address the surgery timing issue and methods that prevent postoperative complications.展开更多
AIM:To assess the visual outcomes of aspheric multifocal intraocular lenses(IOLs) compared with spherical multifocal IOL after cataract surgery.METHODS:Potential prospective controlled trials that comparing aspheric m...AIM:To assess the visual outcomes of aspheric multifocal intraocular lenses(IOLs) compared with spherical multifocal IOL after cataract surgery.METHODS:Potential prospective controlled trials that comparing aspheric multifocal IOL implantation with spherical multifocal IOL group were extracted from the computer database.The statistical analysis was carried out using Stata 10 software.Standardized mean differences with 95% confidence intervals(CIs) were calculated for continuous variables.The pooled estimates were computed in the use of a random-effects model. RESULTS:A systematic review identified five prospective nonrandomized controlled trials,including 178 aspheric multifocal IOL and 164 spherical multifocal IOL.There was no significant difference in uncorrected distance visual acuity(95%CI,-0.248 to 0.152;P=0.641) and uncorrected near visual acuity(95% CI,-0.210 to 0.428;P=0.504) between aspheric multifocal IOL and spherical multifocal IOL.Statistically significant differences were detected less spherical aberration in aspheric multifocal IOL(95% CI,-1.111 to-0.472;P<0.001) when compared to spherical multifocal IOL.Spherical multifocal IOL showed a greater higher order aberration compared to the aspheric multifocal IOL(95% CI,-1.024 to-0.293;P<0.001).Sensitivity analysis suggested that the results were relatively reliable. CONCLUSION:The overall findings indicated that aspheric multifocal IOL and spherical multifocal IOL provided similar visual acuity at near and distance.Patients implanted with aspheric multifocal IOL had less spherical aberration and higher order aberration than patients with spherical multifocal IOL.Further well organized,prospective controlled trials involving larger patient numbers are needed.展开更多
AIM: To explore whether ectopic expression of human melanopsin can effectively and safely restore visual function in rd1 mice.· METHODS: Hematoxylin-eosin staining of retinal sections from rd1 mice was used to de...AIM: To explore whether ectopic expression of human melanopsin can effectively and safely restore visual function in rd1 mice.· METHODS: Hematoxylin-eosin staining of retinal sections from rd1 mice was used to detect the thickness of the outer nuclear layer to determine the timing of surgery. We constructed a human melanopsinAAV2/8 viral vector and injected it into the subretinal space of rd1 mice. The Phoenix Micron IV system was used to exclude the aborted injections, and immunohistochemistry was used to validate the ectopic expression of human melanopsin. Furthermore, visual electrophysiology and behavioral tests were used to detect visual function 30 and 45 d after the injection. The structure of the retina was compared between the human melanopsin-injected group and phosphate buffer saline(PBS)-injected group.·RESULTS: Retinas of rd1 mice lost almost all of their photoreceptors on postnatal day 28(P28). We therefore injected the human melanopsin-adeno-associated virus(AAV) 2/8 viral vector into P30 rd1 mice. After excluding aborted injections, we used immunohistochemistry of the whole mount retina to confirm the ectopic expression of human melanopsin by co-expression of human melanopsin and YFP that was carried by a viral vector. At30 d post-injection, visual electrophysiology and the behavioral test significantly improved. However,restoration of vision disappeared 45 d after human melanopsin injection. Notably, human melanopsin-injected mice did not show any structural differences in their retinas compared with PBS-injected mice.·CONCLUSION: Ectopic expression of human melanopsin effectively and safely restores visual function in展开更多
Purpose:To evaluate visual outcomes after implantation of an aspheric multifocal /intraocular lens.(MIOL).or an aspheric monofocal intraocular lens (IOL).Methods:This was a prospective nonrandomized study.During 3-mon...Purpose:To evaluate visual outcomes after implantation of an aspheric multifocal /intraocular lens.(MIOL).or an aspheric monofocal intraocular lens (IOL).Methods:This was a prospective nonrandomized study.During 3-months of post-operative follow-up,the following outcomes for SN6AD1 MIOL.(multifocal group).and SN60WF IOL (monofocal group) were compared:uncorrected (UDVA) and corrected (CDVA) distance visual acuity,uncorrected (UNVA) and distance-corrected (DCNVA) near visual acuity,Chinese character near visual acuity,uncorrected intermediate visual acuity (UIVA) under high (100% contrast) and low contrast.(10% contrast),UIVA for different IOL powers,and a quality-of-life questionnaire.Results:UNVA,DCNVA,and UIVA under high contrast in the multifocal group were significantly better than those in the monofocal group (P<0.05).UDVA,CDVA and UIVA under low contrast did not differ between groups at 63 cm and 100 cm (P >0.05).In most cases,Chinese character near visual acuity was significantly better in the multifocal group.(P < 0.05).UNVA and UIVA at 63 cm improved over time during 3 months post-operatively.Better UIVA was found in emmetropic and mild myopic eyes as compared to hyperopic ones.The patients in the multifocal group had a higher degree of satisfaction and performed better on near and intermediate tasks,although with greater complaints of visual disturbance.Conclusion:The SN6AD1 MIOL provides significantly better UNVA,DCNVA and UIVA under high contrast conditions,and better Chinese character near visual acuity.Patients receiving the SN6AD1 MIOL reported a better quality of vision in spite of more serious visual disturbances.Better UIVA was observed in emmetropic and mildly myopic eyes.展开更多
AIM: To analyze the relationship between two visual functions and refractive, topographic, pachymetric and aberrometric indicators in eyes with keratoconus.METHODS: Corrected distance visual acuity(CDVA),and letter co...AIM: To analyze the relationship between two visual functions and refractive, topographic, pachymetric and aberrometric indicators in eyes with keratoconus.METHODS: Corrected distance visual acuity(CDVA),and letter contrast sensitivity(CS) were correlated with refraction, corneal topography, pachymetry, and total corneal wavefront data prospectively in 71 eyes with keratoconus. The topographic indices assessed were simulated keratometry for the flattest and steepest meridians(SimK1 and SimK2), posterior steeper K(Ks),elevation value in best-fit sphere(BFS) maps, squared eccentricity(∈~2), aspheric asymmetric index(AAI),pachymetry, thickness progression index(TPI), the amount of pachymetric decentralization(APD), and Galilei TM-keratoconus indices.RESULTS: The mean CDVA(expressed as log MAR)were 0.25±0.21. The mean CS was 1.25±0.46. The spherical refraction correlated well with CDVA(r =-0.526, P <0.001). From topographic indices, SRI correlated with CS(r =-0.695), and IAI with CS(r =-0.672)(P <0.001 for all). Root mean square(RMS) was 4.3 ±1.81 μm, spherical aberration(SA) was-0.4±0.67 μm, vertical and horizontal coma were -2.1 ±1.47 and -0.4 ±0.72 μm. All wavefront data(except horizontal coma), AAI,2 and maximum BFS correlated significantly with the visual function(P ≤0.001 for all).CONCLUSION: In this study, CS is more affected than CDVA as a visual function. The quantity and quality of vision is significantly correlated with well-known and new topographic indices. There is not a significant correlation between visual function and pachymetric parameters. The significantly correlated indices can be used in staging keratoconus and to follow the outcome of a treatment.展开更多
Visual functions and nutrition metabolic characteristics werestudied in 8 subjects(16 eyes)with tobacco-toxic optic neuropathy(TTON).Their visual functions tested by psychophysical and electrophysiologicmethods showed...Visual functions and nutrition metabolic characteristics werestudied in 8 subjects(16 eyes)with tobacco-toxic optic neuropathy(TTON).Their visual functions tested by psychophysical and electrophysiologicmethods showed that:1.central vision diminished in 16 eyes,2.dyschromatopsias were found in 14 tested eyes,3.bilateral symmetricalcentral or cecocentral scotomas were the visual field characteristics in allcases,4.PVEP were severe abnormal in 3 spatial frequencies in all cases and56.3% of 15' checkboard ...展开更多
Glaucoma is characterized by the progressive degeneration of the optic nerve head(ONH)and retinal ganglion cells(RGCs).RGCs can be divided into basic regions,including the axon and synapse,the dendritic arbor,and the ...Glaucoma is characterized by the progressive degeneration of the optic nerve head(ONH)and retinal ganglion cells(RGCs).RGCs can be divided into basic regions,including the axon and synapse,the dendritic arbor,and the cell body(1).These compartments can independently be affected by degeneration processes and cause damage of the ONH(1,2).展开更多
文摘Visual system is vital to human beings.Unfortunately,the optic nerve lacks the ability to regenerate after injury.Therefo re,long-distance regeneration of the optic nerve is a major unsolved medical problem in the world(Laha et al.,2017).Recently,Li and So groups' study showed that the bioactive material(ciliary neurotrophic factor[CNTF]-chitosan) could promote long-distance regeneration of the completely transected optic nerve in adult rats and partially restored the visual functions(Liu et al.,2023).This study sheds light on the clinical potential for repairing the severely injured optic nerve.
文摘AIM:To determine the effects of change in light conditions on refractive error and visual functions including visual acuity,stereopsis and contrast sensitivity.METHODS:This cross-sectional study was conducted in the optometry clinic of the Shahid Beheshti School of Rehabilitation on 48 students in 2021-2022.All of them had eye health and normal visual function and could have refractive errors or not.Light intensity of 4 lx was considered equivalent to photopic light condition and light intensity of 1 lx was considered to be equivalent to mesopic light condition.The amount of refractive error was checked by auto refractometer and its changes in mesopic light condition were subjectively measured.Also,visual acuity,stereopsis and contrast sensitivity(in five spatial frequencies of 1.5,3,6,12,and 18 cycles per degree),were measured first in photopic light condition and then in mesopic light condition,by Snellen control vision chart,stereo butterfly test and the M&S technology monitor test respectively.RESULTS:In the 48 student subjects with an average age of 22.69±3.56y,mean of refractive error as sphere equivalent,visual acuity and stereopsis were-1.25±1.74 diopters,0 logMAR,44.37±13.03 seconds of arc,respectively in photopic light condition while in mesopic light was equal to-1.56±1.75 diopters,0.12±0.09 logMAR and 50.62±33.35 seconds of arc,respectively.The mean of contrast sensitivity measured at spatial frequencies of 1.5,3,6,12,and 18 cycles per degree in photopic condition was equal to 2.38±0.04,2.37±0.07,2.04±0.21,1.27±0.32,0.82±0.27 logarithm of contrast sensitivity,respectively and in mesopic lighting condition was equal to 2.34±0.12,2.30±0.16,1.84±0.28,1.02±0.28,0.63±0.24 logarithm of contrast sensitivity,respectively.Statistical analysis showed a significant difference between the two lighting conditions in all evaluated variables[refractive error(P<0.001),visual acuity(P<0.001),stereopsis(P=0.008)and contrast sensitivity(P<0.001)].CONCLUSION:The refractive error of the student subjects in mesopic light condition change towards myopia,and its amount is clinically significant.Also,the examination and comparison of the factors of visual acuity,stereopsis and contrast sensitivity in these two lighting conditions show that the decrease in brightness level to the mesopic level causes a decrease in the aforementioned visual functions.
文摘AIM:To explore the effect of visual perception learning software training(VPT)on binocular visual function reconstruction in children with intermittent exotropia after strabismus surgery.METHODS:Ninety children with intermittent exotropia admitted to our hospital from June 2018 to December 2018 were included,and randomly divided into VPT and control groups.Children in the control group received basic binocular vision training,while those in the VPT group received VPT after strabismus surgery.Tertiary visual function,visual perception function,Newcastle Control Score(NCS),and ocular position retraction rate were compared at 3 and 12mo after the surgery.RESULTS:At 3 and 12mo after the surgery,the proportion of simultaneous perception,binocular fusion version and binocular stereo vision in the VPT group was conspicuously higher than that in the control group(P<0.05).After the vision training,the binocular visual perception functions of children in both groups were significantly improved compared with that before training(P<0.05).Interestingly,the grating sharpness,texture perception and texture motion perception in the VPT group were dramatically better than control group(P<0.01).The NCS in the VPT group was significantly lower than that in the control group(P<0.05).The ocular position retraction rate in the VPT group was significantly lower than that in the control group at 12mo(8.89%vs 26.67%,P=0.03).CONCLUSION:VPT effectively promotes binocular visual function reconstruction in intermittent exotropia children after strabismus surgery and reduces the strabismus severity and ocular position retraction rate.
基金Supported by the National Natural Science Foundation of China(No.81874494)Natural Science Foundation of Beijing Municipality(No.7182187)+1 种基金Capital Foundation of Medical Development(No.2020-2-4182No.2020-3-4184)。
文摘Older individuals with macular diseases,such as age-related macular degeneration,experience central vision loss(CVL)due to degeneration of their photoreceptors and retinal cells.Patients with CVL may experience various vision impairments,including of visual acuity,fixation stability,contrast sensitivity,and stereoacuity.After CVL,most patients develop a preferred retinal locus outside the affected macular region,which serves as a new visual reference.In this review,we provide an overview of the visual function and impairment in individuals with CVL.In addition,the important role of biofeedback training on the visual function and activity of individuals with CVL is also reviewed.Accordingly,the location and development of the preferred retinal loci are discussed.Finally,this review discusses how to conduct biofeedback training to treat individuals with CVL.
基金Supported by the National Health and FamilyPlanning Commission of Shanghai(No.20144Y0264)the Science and Technology Commission of the Shanghai Municipality(No.14411961800)
文摘Dear Editor,I am Dr.Kang Xue,from the Department of Ophthalmology at the Eye,Ear,Nose and Throat Hospital of Fudan University in Shanghai,China.I am writing to present three case reports of the removal of visual function alterations in cavernous hemangioma of the orbital apex after surgery.Cavernous hemangioma is a relatively common primary benign orbital tumor in adults^([1]).Although histopathologically benign,a cavernous hemangioma may often cause proptosis and interfere with optic nerve function,necessitating surgical intervention^([2]).Patients should be followed with
基金This Study was supported by China National Ministry of Health Young Grants(1987)Dr. Y. T. Fox Fund for Young Education of China NationaI Committee of Education(1989)
文摘Researches of glaucoma visual function damage, hemorrheololgy, ocular rheography and other related multiplex factors, with computed multifactorial stepwise regresion analysis, indicate that the elevation of intraocular pressure (IOP) is not the only factor to induce visual impairment. POAG patients are shown to have markedly reduced diastolic purfussion pressure in ophthalmic artery, besides prolonged filling time of the retinal artery and vein, diminished erythrocyte deformability and increased platele...
文摘Tests of preoperative visual function and prediction of postoperative E chart visual acuity(ECVA) using laser interferometric visual acuity(LIVA) and electroretinogram(ERG) were performed in 16 cases(19 eyes) of cataract. The results showed that the coincident rate between preoperative LIVA and postoperative ECVA was 63.2%, and there was a parallel correlation between preoperative amplitude of photopic ERG b-wave and postoperative ECVA in 79.0% of the eyes. Comparing these two methods, the test of LIVA ...
基金Supported by the Key Research Plan of Shaanxi Province,China(No.2018SF-257)the Key Project of Equipment Scientific Research(No.172B02027)。
文摘AIM:To explore the effects of laser-activated remote phosphors(LARP)on visual function in guinea pigs.METHODS:Electroretinogram(ERG)of guinea pigs were observed after LARP irradiation at different frequencies and irradiation times.We evaluated the expression of rhodopsin,β-catenin,connexin36,calretinin,and calbindin in the retina of guinea pigs and measured the density of photoreceptor cells after high-frequency LARP irradiation.RESULTS:After LARP irradiation,the ERG results showed that the amplitude of the dark-adapted 3.0 b-wave of the model eye was lower than that of the control eye after high-frequency irradiation(P<0.05).The expression of rhodopsin,β-catenin,connexin36,calretinin,and calbindin in the retina of guinea pig declined.CONCLUSION:There is frequency cumulative damage effect on the retina that relates to LARP illumination frequency.This has significance for staff visual protection policies under LARP lighting conditions.
文摘Background:Visual deficits,caused by ocular disease or trauma,can cause lasting damage.However,recent research has focused on neural plasticity as a means to regain visual functions.In order to better understand the involvement of neural plasticity and reorganization in partial vision restoration,we aim to evaluate the partial recovery of a visual deficit over time using two behavioural tests.In our study,a partial optic nerve crush(pONC)serves as an induced visual deficit,allowing for residual vision from surviving cells.Methods:Visual functions in C57BL/6 mice was measured using two behavioural tests prior to a bilateral pONC,then at various time points after the pONC.In this study,two injury intensities were used:a high intensity pONC with the full force of self-closing forceps,and a low intensity pONC,in which a calibrated space was left between the forceps at the closed position.The two behavioural tests consisted of the optomotor reflex(OMR)and the visual cliff(VC)tests.The OMR test measures the mouse’s tracking reflex in response to moving sinusoidal gratings.The VC test,on the other hand,evaluates exploratory behaviour,by simulating a cliff to observe the animal’s sense of depth perception.After the behavioural evaluation,surviving retinal ganglion cells were counted.Results:The high intensity pONC resulted in a total loss of visual acuity as measured by the OMR test,with no improvement in the following 4 weeks.However,the light intensity pONC showed the same initial loss,but recovery was observed as of day 3,and results in 40-60%recovery after 4 weeks.With the VC test,mice with intact vision will avoid the deep end,opting to spend more time in the shallow end.However,after both high and low intensity pONCs,this preference is no longer observed.Both groups show a return to the shallow end preference at day 14,though the low intensity pONC group showed a stronger preference similar to baseline performance.The percentage of surviving retinal ganglion cells was higher with the low intensity(68%)than with the high intensity(17%)pONC.Conclusions:There is evidence of visual recovery at the behavioural level following a pONC,though very little recovery was observed following a high intensity pONC,and only with the VC test.Therefore,a certain amount of residual retinal input may be required for recovery at the behavioural level.
文摘Background:To determine patient-reported vision-related quality of life(VR-QoL)following Boston type I keratoprosthesis(BI-KPro)surgery and its association with postoperative best-corrected visual acuity(BCVA).Methods:Descriptive cross-sectional study.Consecutive consenting patients with BI-KPro were included.The French National Eye Institute Visual Function Questionnaire-25 administered at 51±18 months postoperatively measured VR-QoL.Clinical charts were reviewed for demographics,indications for BI-KPro,baseline and postoperative(at time of interview)BCVA.For patients operated unilaterally,stratification of VR-QoL scores based on BCVA in the non-operated eye was performed.Multivariate linear regression was carried out,using VR-QoL scores as dependent variables,and demographics and postoperative BCVA as covariates.For patients operated bilaterally,Spearman correlation between VR-QoL scores and BCVA was performed.P<0.05 indicated statistical significance.Results:Sixty-four patients,aged 59±14 years,52%male,with a follow-up of 54±19 months,were included.Postoperative BCVA increased from baseline in all operated eyes(P=0.000).In patients with unilateral BI-KPro(n=52),the VR-QoL overall score was 70.7±25.1.Scores on all questionnaire subscales were greater when BCVA in the non-operated eye was>20/200 compared to 20/200(P=0.000).BCVA in the non-operated eye was positively associated with all subscales(P<0.01)independently of age,sex,follow-up duration and postoperative BCVA in the operated eye.In patients with bilateral BI-KPro(n=12)the VR-QoL overall score was 63.0±18.7.BCVA in the best eye positively correlated with Near/Distance activities,and social functioning subscales(P<0.05).There was no significant difference between VR-QoL scores of patients operated unilaterally vs.bilaterally.Conclusions:We describe VR-QoL more than 4 years after BI-KPro surgery.Compared to data at 1 year previously reported,our results suggest that,as vision progressively deteriorates in the operated eye,patients increasingly rely on their non-operated eye.VR-QoL after bilateral BI-KPro is assessed for the first time,and appears comparable to that after unilateral surgery.Larger,prospective,long-term studies,with assessment at baseline,are warranted.
文摘AIM:To develop and test an Arabic version of the National Eye Institute Visual Function Questionnaire-25(NEI-VFQ-25).METHODS:NEI-VFQ-25 was translated into Arabic according to WHO translation guidelines. We enrolled adult consenting patients with bilateral chronic eye diseases who presented to 14 hospitals across Egypt from October to December 2012, and documented their clinical findings. Psychometric properties were then tested using STATA.RESULTS:We recruited 379 patients, whose mean age was(54.5±15)y. Of 46.2% were males, 227 had cataract,31 had glaucoma, 23 had retinal detachment, 37 had diabetic retinopathy, and 61 had miscellaneous visual defects. Non-response rate and the floor and ceiling numbers of the Arabic version(ARB-VFQ-25) were calculated. Internal consistency was high in all subscales(except general health), with Cronbach-α ranging from0.702-0.911. Test-retest reliability was high(intraclass correlation coefficient 0.79).CONCLUSION:RB-VFQ-25 isareliableandvalidtool for assessing visual functions of Arabic speaking patients. However, some questions had high non-response rates and should be substituted by available alternatives. Our results support the importance of including self-reported visual functions as part of routine ophthalmologic examination.
文摘· AIM: To investigate the visual function and the relationship with vision-related quality of life(VRQOL)after macular hole repair surgery.· METHODS: Prospective case series. Thirty-six consecutive eyes in 36 patients who underwent pars plana vitrectomy(PPV) and internal limiting membrane(ILM) peeling were included. The 25-item National Eye Institute Visual Function Questionnaire(VFQ-25) was answered by the participants before and 3 and 12 mo after operation. Follow-up visits examinations included best-corrected visual acuity(BCVA), clinical examination,and central macular thickness(CMT) measured by optical coherence tomography(OCT).·RESULTS: Macular-hole closure was achieved in 35 of36 eyes(97.2%). At baseline and months 3 and 12, the log MAR BCVAs(mean±SD) were 1.15±0.47, 0.68±0.53(P <0.0001 versus baseline), and 0.55 ±0.49(P <0.001 versus baseline, P =0.273 versus month 3), respectively; the CMTs(μm) were 330 ±81, 244 ±62(P <0.001 versus baseline), and 225±58(P <0.001 versus baseline, P =0.222 versus month 3), respectively; the median preoperative VFQ-25 composite score of 73.50(63.92-81.13) increased postoperatively to 85.50(80.04-89.63) at 3mo(P <0.001)and 86.73(82.50-89.63) at 12mo(P <0.001) respectively.The improved BCVA was correlated with improvements in five subscales(r =-0.605 to-0.336, P <0.001 to P =0.046) at 12 mo.· CONCLUSION: PPV with ILM peeling improved anatomic outcome, visual function, and VRQOL. Theimproved BCVA was an important factor related to the improved VRQOL.
基金National Nature Science Foundation of China(Grand Number30973276)
文摘Congenital cataract is a common cause of childhood low vision or blindness worldwide..Early surgery should be performed in sensitive vision development period to avoid vision deprivation in cases of strabismus and nystagmus development. Postoperative recovery of visual function is of great significance for these patients and should include proper postoperative aphakia correction by the application of a contact lens and secondary implantation of an intraocular lens(IOL). Patients should receive amblyopic training after surgery to improve their postoperative visual acuity..Although recent advances in surgery techniques and materials have brought better postoperative visual acuity and less complications, a few postoperative complications can still hamper vision condition and vision development,.including posterior capsule opacification and secondary glaucoma. Surgery in early infancy are risk factors for these two complications..Life-long follow-up is essential for these patients..Further study will continue to address the surgery timing issue and methods that prevent postoperative complications.
文摘AIM:To assess the visual outcomes of aspheric multifocal intraocular lenses(IOLs) compared with spherical multifocal IOL after cataract surgery.METHODS:Potential prospective controlled trials that comparing aspheric multifocal IOL implantation with spherical multifocal IOL group were extracted from the computer database.The statistical analysis was carried out using Stata 10 software.Standardized mean differences with 95% confidence intervals(CIs) were calculated for continuous variables.The pooled estimates were computed in the use of a random-effects model. RESULTS:A systematic review identified five prospective nonrandomized controlled trials,including 178 aspheric multifocal IOL and 164 spherical multifocal IOL.There was no significant difference in uncorrected distance visual acuity(95%CI,-0.248 to 0.152;P=0.641) and uncorrected near visual acuity(95% CI,-0.210 to 0.428;P=0.504) between aspheric multifocal IOL and spherical multifocal IOL.Statistically significant differences were detected less spherical aberration in aspheric multifocal IOL(95% CI,-1.111 to-0.472;P<0.001) when compared to spherical multifocal IOL.Spherical multifocal IOL showed a greater higher order aberration compared to the aspheric multifocal IOL(95% CI,-1.024 to-0.293;P<0.001).Sensitivity analysis suggested that the results were relatively reliable. CONCLUSION:The overall findings indicated that aspheric multifocal IOL and spherical multifocal IOL provided similar visual acuity at near and distance.Patients implanted with aspheric multifocal IOL had less spherical aberration and higher order aberration than patients with spherical multifocal IOL.Further well organized,prospective controlled trials involving larger patient numbers are needed.
基金Supported by the Chongqing Internationa Cooperation Key Projects(No.CSTC2013GJHZ10004)National Basic Research Program of China(973 Program No.2013CB967002)
文摘AIM: To explore whether ectopic expression of human melanopsin can effectively and safely restore visual function in rd1 mice.· METHODS: Hematoxylin-eosin staining of retinal sections from rd1 mice was used to detect the thickness of the outer nuclear layer to determine the timing of surgery. We constructed a human melanopsinAAV2/8 viral vector and injected it into the subretinal space of rd1 mice. The Phoenix Micron IV system was used to exclude the aborted injections, and immunohistochemistry was used to validate the ectopic expression of human melanopsin. Furthermore, visual electrophysiology and behavioral tests were used to detect visual function 30 and 45 d after the injection. The structure of the retina was compared between the human melanopsin-injected group and phosphate buffer saline(PBS)-injected group.·RESULTS: Retinas of rd1 mice lost almost all of their photoreceptors on postnatal day 28(P28). We therefore injected the human melanopsin-adeno-associated virus(AAV) 2/8 viral vector into P30 rd1 mice. After excluding aborted injections, we used immunohistochemistry of the whole mount retina to confirm the ectopic expression of human melanopsin by co-expression of human melanopsin and YFP that was carried by a viral vector. At30 d post-injection, visual electrophysiology and the behavioral test significantly improved. However,restoration of vision disappeared 45 d after human melanopsin injection. Notably, human melanopsin-injected mice did not show any structural differences in their retinas compared with PBS-injected mice.·CONCLUSION: Ectopic expression of human melanopsin effectively and safely restores visual function in
基金Guangdong scientific and technological grants 2011B031800223
文摘Purpose:To evaluate visual outcomes after implantation of an aspheric multifocal /intraocular lens.(MIOL).or an aspheric monofocal intraocular lens (IOL).Methods:This was a prospective nonrandomized study.During 3-months of post-operative follow-up,the following outcomes for SN6AD1 MIOL.(multifocal group).and SN60WF IOL (monofocal group) were compared:uncorrected (UDVA) and corrected (CDVA) distance visual acuity,uncorrected (UNVA) and distance-corrected (DCNVA) near visual acuity,Chinese character near visual acuity,uncorrected intermediate visual acuity (UIVA) under high (100% contrast) and low contrast.(10% contrast),UIVA for different IOL powers,and a quality-of-life questionnaire.Results:UNVA,DCNVA,and UIVA under high contrast in the multifocal group were significantly better than those in the monofocal group (P<0.05).UDVA,CDVA and UIVA under low contrast did not differ between groups at 63 cm and 100 cm (P >0.05).In most cases,Chinese character near visual acuity was significantly better in the multifocal group.(P < 0.05).UNVA and UIVA at 63 cm improved over time during 3 months post-operatively.Better UIVA was found in emmetropic and mild myopic eyes as compared to hyperopic ones.The patients in the multifocal group had a higher degree of satisfaction and performed better on near and intermediate tasks,although with greater complaints of visual disturbance.Conclusion:The SN6AD1 MIOL provides significantly better UNVA,DCNVA and UIVA under high contrast conditions,and better Chinese character near visual acuity.Patients receiving the SN6AD1 MIOL reported a better quality of vision in spite of more serious visual disturbances.Better UIVA was observed in emmetropic and mildly myopic eyes.
文摘AIM: To analyze the relationship between two visual functions and refractive, topographic, pachymetric and aberrometric indicators in eyes with keratoconus.METHODS: Corrected distance visual acuity(CDVA),and letter contrast sensitivity(CS) were correlated with refraction, corneal topography, pachymetry, and total corneal wavefront data prospectively in 71 eyes with keratoconus. The topographic indices assessed were simulated keratometry for the flattest and steepest meridians(SimK1 and SimK2), posterior steeper K(Ks),elevation value in best-fit sphere(BFS) maps, squared eccentricity(∈~2), aspheric asymmetric index(AAI),pachymetry, thickness progression index(TPI), the amount of pachymetric decentralization(APD), and Galilei TM-keratoconus indices.RESULTS: The mean CDVA(expressed as log MAR)were 0.25±0.21. The mean CS was 1.25±0.46. The spherical refraction correlated well with CDVA(r =-0.526, P <0.001). From topographic indices, SRI correlated with CS(r =-0.695), and IAI with CS(r =-0.672)(P <0.001 for all). Root mean square(RMS) was 4.3 ±1.81 μm, spherical aberration(SA) was-0.4±0.67 μm, vertical and horizontal coma were -2.1 ±1.47 and -0.4 ±0.72 μm. All wavefront data(except horizontal coma), AAI,2 and maximum BFS correlated significantly with the visual function(P ≤0.001 for all).CONCLUSION: In this study, CS is more affected than CDVA as a visual function. The quantity and quality of vision is significantly correlated with well-known and new topographic indices. There is not a significant correlation between visual function and pachymetric parameters. The significantly correlated indices can be used in staging keratoconus and to follow the outcome of a treatment.
基金This study was supported by Zhongshan ophthalmic Center,SUMS.
文摘Visual functions and nutrition metabolic characteristics werestudied in 8 subjects(16 eyes)with tobacco-toxic optic neuropathy(TTON).Their visual functions tested by psychophysical and electrophysiologicmethods showed that:1.central vision diminished in 16 eyes,2.dyschromatopsias were found in 14 tested eyes,3.bilateral symmetricalcentral or cecocentral scotomas were the visual field characteristics in allcases,4.PVEP were severe abnormal in 3 spatial frequencies in all cases and56.3% of 15' checkboard ...
文摘Glaucoma is characterized by the progressive degeneration of the optic nerve head(ONH)and retinal ganglion cells(RGCs).RGCs can be divided into basic regions,including the axon and synapse,the dendritic arbor,and the cell body(1).These compartments can independently be affected by degeneration processes and cause damage of the ONH(1,2).
