Induced Vertical Disparity Effects on Local and Global Stereopsis

Magnitude of astigmatism - A comparison between eyes

PURPOSE

Astigmatism is a highly prevalent refractive error and while studies typically focus to describe the axis symmetry between eyes, little is known about the refractive symmetry. Therefore, this study determined the astigmatic power symmetry between eyes in a large clinic population.

METHODS

A clinical chart review was conducted at three optometric practices in the United States, the United Kingdom and Canada and subjective refraction data from 88,891 patients 14-70 years of age who presented with at least -0.25DC refractive astigmatism in at least one eye were included in the analysis. Data were obtained at these practices between January 2014 and March 2017. The overall distribution (%) and magnitude (DC) of astigmatism was determined and refractive differences between eyes were identified.

RESULTS

The mean age of the patients was 42.1 ± 15.9 years and included 51,685 (58%) female and 37,206 (42%) male patients. In this data pool of 177,782 eyes, 10.9% required zero astigmatic correction, while 56.2% had astigmatism of -0.25 to -0.75DC. In total 23.9% of patients presented with astigmatism of at least -0.75DC in only one eye, while the other eye had 0 to -0.50DC. Overall, the difference in astigmatism between eyes was less than -0.75DC for 82.1% of astigmatic patients. For patients who presented with astigmatism of -1.00DC in the right eye, 80.8% of them had an astigmatic prescription of -1.00 ± 0.50DC in the left eye. For an astigmatic prescription of -4.00DC in the right eye, only 40.6% of patients exhibited astigmatism of -4.00DC ± 0.50DC in the left eye.

CONCLUSIONS

The majority of patients exhibited a difference in astigmatism between eyes of less than -0.75DC, however the refractive cylinder power symmetry was significantly lower in patients with higher refractive astigmatism.

Effect of Induced Vertical Disparity on Horizontal Fusional Reserves

PURPOSE

The aim of this study was to investigate the effects of induced vertical disparity on horizontal fusional reserves at near.

MATERIALS AND METHODS

In 170 healthy subjects wearing best corrective refraction, the negative and positive horizontal fusional reserves were measured with base-in (BI) and base-out (BO) prisms, respectively, in the presence of 0.5 prism diopters (^∆) and 1^∆ vertical prisms placed in trial frames in front of the right eye. The prism power was slowly increased step by step until the subject reported sustained blur, break, and recovery. These were compared to horizontal fusional reserves in the same subjects without a vertical prism. Data were analyzed in SPSS.17 software using a repeated measures ANOVA.

RESULTS

Induced vertical disparity decreased negative fusional reserves (NFR) horizontally and was more significant with 1^∆ vertical disparity (P<0.001). There were significant differences between the blur (P<0.001), break (P<0.001), and recovery (P<0.001) for NFR before and after induced vertical disparity and no significant difference between blur (P=0.173) and recovery points (P=0.261) with a marginal difference for break points (P=0.045) for the positive fusional reserves (PFR).

CONCLUSION

Inducing vertical disparity even with small magnitudes affects all 3 aspects (blur, break, and recovery) of horizontal negative fusional reserves while only break is affected in positive fusional reserves. These changes are statistically significant but do not seem to be clinically significant except for cases accompanied by symptoms.

Target Properties Effects on Central versus Peripheral Vertical Fusion Interaction Tested on a 3D Platform

PURPOSE

We investigated the impact of target properties on vertical fusion amplitude (VFA) using a 3D display platform; the performance of the subjects allowed us to assess how central and peripheral retina regions interact during the fusion process.

MATERIAL AND METHODS

Fourteen subjects were involved in the test. VFA was recorded by varying the viewing distance, target complexity, disparity velocity, lighting condition and background luminance. Base-up prisms were introduced to create vertical disparity in the peripheral retinal area, whereas an offset compensation was added in the central area. Data were analyzed in JMP software using T-test and repeated-measures ANOVA tests.

RESULTS

VFA is significantly affected by target properties including viewing distance, target complexity and disparity velocity; the impact from lighting condition and background luminance is not significant. Although central retina plays a crucial role in the fusion process, peripheral regions also affect the fusion performance when stimulus size on retina and contents disparity values are modified between central and peripheral vision.

CONCLUSION

Vertical fusion is affected by various target properties. For the first time, peripheral vertical disparity direction effects on central fusion and eye motion response have been explored. Besides, a quantitative interaction of central and peripheral fusion is observed, which could be applied in clinical measurement on binocular disease concerning central and peripheral vision conflict.