1.Binocular luminance summation (BLS) in esotropic and exotropic kittens.
Byung Moo MIN ; Myung Ju OH ; Kyung Moo LEE
Korean Journal of Ophthalmology 1988;2(2):62-65
Normal kittens showed a gradual increase from 17.6% to 25.5% of BLS with aging from the fifth week to the ninth. Young kittens showed significantly less BLS than do adult ones (p < 0.1), There was significant difference of BLS between exotropic and normal kittens or alternating and non-alternating strabismic ones. However, there was a significant diftrence between esotropic and normal ones (p < 0.1). These results suggested that the BLS can be used as a index for the extent of total field from both eyes.
Aging
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Animals
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Cats
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Esotropia/*physiopathology
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Exotropia/*physiopathology
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Photic Stimulation
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Pupil/*physiopathology
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Strabismus/*physiopathology
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Vision, Binocular
2.Quantitative analysis of changes of automated perimetric thresholds after pupillary dilation and induced myopia in normal subjects.
Korean Journal of Ophthalmology 1994;8(2):53-60
We quantitatively analyzed the changes of the (retinal) threshold sensitivities between normal status and dilated emmetropic status, and between dilated emmetropic status and -1.0D induced myopic status. Three consecutive visual field examinations by Humphrey Field Analyzer C-30-2 threshold test and STATPAC program were performed in 36 eyes of 21 normal subjects who ranged in age from 23 to 40 years. The results were as follows: 1) There was a statistically significant decrease (0.87 +/- 0.91dB)in the mean threshold sensitivity within the central 30 degrees at the dilated emmetropic status (27.90dB) as compared with the normal status (28.77dB)(p = 0.0001). 2) There was a statistically significant decrease(0.99 +/- 0.61dB) at -1.0D induced myopic status(26.91dB) as compared with the dilated emmetropic status(27.90dB)(p = 0.0001). 3) After dilation, the mean threshold sensitivity between 20 and 30 degrees of field showed statistically significant decrease as compared with those within the central 20 degrees of visual field(p < 0.05). In case of -1.0D induced myopia, there were uniform decreases in the mean threshold sensitivities within the central 30 degrees of visual field (p > 0.05). Therefore, we emphasize the importance of consistent pupillary size and correct refractive state in performing the serial automated visual field tests.
Adult
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Female
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Humans
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Male
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Myopia/etiology/*physiopathology
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Pupil/drug effects
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Pupil Disorders/chemically induced/*physiopathology
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Retina/physiology
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Sensory Thresholds/*physiology
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Tropicamide/pharmacology
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Visual Field Tests
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Visual Fields/*physiology
3.Objective evaluation of driving fatigue by using variability of pupil diameter under spontaneous pupillary fluctuation conditions.
Xingliang XIONG ; Yan ZHANG ; Mengmeng CHEN ; Longcong CHEN
Journal of Biomedical Engineering 2013;30(2):239-244
Objective evaluation of driver drowsiness is necessary toward suppression of fatigued driving and prevention of traffic accident. We have developed a new method in which we utilized pupillary diameter variability (PDV) under spontaneous pupillary fluctuation conditions. The method consists of three main steps. Firstly, we use a 90s long infrared video of pupillogram infrared-sensitive CCD camera. Secondly, we employed edge detection algorithm based on curvature characteristics of pupil boundary to extract a set of points of visible pupil boundary, and then we adopted these points to fit a circle to obtain the diameter of the pupil in current frame of video. Finally, the values of PDV in 90s long video is calculated. In an experimental pilot study, the values of PDV of two groups were measured. One group rated themselves as alert (12 men), the other group as sleepy (13 men). The results showed that significant differences could be found between the two groups, and the values were 0.06 +/- 0.005 and 0.141 +/- 0.042, respectively. Taking into account of the knowledge that spontaneous pupillary fluctuation is innervated by autonomic nervous system which activity is known to change in parallel with drowsiness and cannot be influenced by subjective motive of people. From the results of the experiments, we concluded that PDV could be used to evaluate driver fatigue objectively.
Algorithms
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Automobile Driving
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Fatigue
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diagnosis
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physiopathology
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Humans
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Iris
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anatomy & histology
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Monitoring, Physiologic
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methods
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Pupil
;
physiology
5.A Pharmacologic Pupillary Test in the Diagnosis of Diabetic Autonomic Neuropathy.
Korean Journal of Ophthalmology 2009;23(4):291-295
PURPOSE: To screen for diabetic autonomic neuropathy of the pupil using 0.5% apraclonidine and 0.1% pilocarpine and to evaluate the early diagnostic value of this pharmacologic pupillary test by assessing the relationship between pupillary and cardiovascular autonomic neuropathies. METHODS: A total of 22 diabetic patients were recruited. Baseline pupillary diameter (PD) and the difference in PD between the test eye and the control eye before and after instillation of apraclonidine and pilocarpine were measured. All patients also underwent cardiovascular autonomic function (CAF) testing. RESULTS: Baseline PD in room light correlated with duration of diabetes mellitus (DM, p=0.049) and the presence of DM retinopathy (DMR, p=0.022). Eleven patients (50%) had positive apraclonidine tests, and two patients had positive pilocarpine tests. The patients who had positive pilocarpine tests also had positive apraclonidine tests. Patients who had a positive pupillary test had a significantly higher rate of positive CAF tests (p=0.032). CONCLUSIONS: Pupillary autonomic neuropathy was related to the duration of diabetes and the degree of DMR. There was also a significant correlation between pupillary autonomic neuropathy and cardiovascular autonomic neuropathy (CAN). Also, sympathetic nerve dysfunction occurred prior to parasympathetic dysfunction in this study. A simple pharmacologic pupillary test can help manage complications in diabetic patients because patients with pupillary autonomic dysfunction have an increased risk of CAN.
Adrenergic alpha-Agonists/administration & dosage/diagnostic use
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Adult
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Aged
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Clonidine/administration & dosage/*analogs & derivatives/diagnostic use
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Diabetic Nephropathies/*diagnosis/physiopathology
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Diagnosis, Differential
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Female
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Follow-Up Studies
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Humans
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Male
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Middle Aged
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Miosis/*chemically induced/physiopathology
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Miotics/administration & dosage/diagnostic use
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Ophthalmic Solutions
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Pilocarpine/administration & dosage/*diagnostic use
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Pupil/drug effects/*physiology
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Reproducibility of Results
6.The Comparison of Mydriatic Effect Between Two Drugs of Different Mechanism.
Ji Hyun PARK ; Young Chun LEE ; Se Youp LEE
Korean Journal of Ophthalmology 2009;23(1):40-42
PURPOSE: To maximize effective use of mydriatic drugs through comparing the pupillary dilation effects between 1% tropicamide and 2.5% phenylephrine. METHODS: Fifty people requiring pupillary dilation were divided into 3 groups. Group 1 was treated with one drop of 1% tropicamide in the right eye and one drop of 2.5% phenylephrine in the left eye. Group 2 was treated twice during a 5-minute interval with 1% tropicamide in the right eye. Group 3 was treated twice during a 5-minute interval with 2.5% phenylephrine in the right eye. Groups 2 and 3 were treated with 2.5% phenylephrine and 1% tropicamide in the left eye, administered during a 5-minute interval. The pupillary size was measured in all groups for 40 minutes following eye drops administration. RESULTS: The mean patient age was 15.7 years. Group 1 included 10 patients, and groups 2 and 3 included 20 patients each. Eight patients in group 1 and 16 patients in group 2 developed a larger right pupil. Fourteen patients in group 3 developed a larger left pupil. CONCLUSIONS: Our study showed that 1% tropicamide, with its parasympathetic antagonistic mechanism of action, was more effective at inducing pupillary dilation than 2.5% phenylephrine, and the combination of 1% tropicamide and 2.5% phenylephrine was more effective than multiple drops of single eye drops.
Adolescent
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Adult
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Child
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Child, Preschool
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Dose-Response Relationship, Drug
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Drug Administration Schedule
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Female
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Follow-Up Studies
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Humans
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Male
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Muscarinic Antagonists/*administration & dosage
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Mydriatics/*administration & dosage
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Ophthalmic Solutions
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Phenylephrine/*administration & dosage
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Pupil/*drug effects
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Refractive Errors/diagnosis/physiopathology
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Retrospective Studies
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Tropicamide/*administration & dosage
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Young Adult