Foveal crowding differs in children and adults

We used custom-designed acuity tests to compare the magnitude and extent of crowded letter recognition in children and adults. Visual acuity (logMAR) was measured monocularly in children and adults using five custom-designed letter tests with varying degrees of crowding: single letter, single letter surrounded by four flanking bars, single letter surrounded by four flanking letters, line of five letters surrounded by flanking bars, and line of five letters surrounded by flanking letters. The tests were constructed using Sloan letters and presented on an iPad (Apple Incorporated, Cupertino, CA) at 4 m using a standardized endpoint and instructions. Crowded logMAR was normalized to unflanked logMAR and results were analyzed in three groups: younger children aged 4–6 (n = 32), older children, aged 7–9 (n = 30), and adults (n = 27). Both groups of children showed a greater extent of crowding than the adults. The adult participants showed no difference in performance between single or linear presentation and letter or bar flankers. Letter flankers and linear presentation individually resulted in poorer performance in the younger children p < 0.001 and p = 0.003, respectively (mean normalized logMAR 0.17 in each case) and together had an additive effect (mean 0.24), p < 0.001. Crowding in the older children was adult-like except in the linear presentation with letter flankers, p < 0.001. These results indicate that both target-flanker similarity and linear presentation contribute more to foveal crowding in young children than in adults

Stereopsis, stereotests, and their relation to vision screening and clinical practice

Tests of stereopsis have many uses in ophthalmic practice, especially in the examination of children. Stereotests are recommended as a way to improve paediatric vision screening programs, to provide an overall indication of binocularity and to monitor binocularity in amblyopia therapy or contact lens monovision. There are currently many stereotests available to practitioners and careful consideration must be given to the applicability of a particular test. The correct stereotest for a particular task is critically dependent on the perceptual age of the patient and the type of information the clinician wants to gather from the test. © 2017 Wiley. All rights reserved

Effect of stimulus configuration on crowding in strabismic amblyopia

Foveal vision in strabismic amblyopia can show increased levels of crowding, akin to typical peripheral vision. Target–flanker similarity and visual-acuity test configuration may cause the magnitude of crowding to vary in strabismic amblyopia. We used custom-designed visual acuity tests to investigate crowding in observers with strabismic amblyopia. LogMAR was measured monocularly in both eyes of 11 adults with strabismic or mixed strabismic/anisometropic amblyopia using custom-designed letter tests. The tests used single-letter and linear formats with either bar or letter flankers to introduce crowding. Tests were presented monocularly on a high-resolution display at a test distance of 4 m, using standardized instructions. For each condition, five letters of each size were shown; testing continued until three letters of a given size were named incorrectly. Uncrowded logMAR was subtracted from logMAR in each of the crowded tests to highlight the crowding effect. Repeated-measures ANOVA showed that letter flankers and linear presentation individually resulted in poorer performance in the amblyopic eyes (respectively, mean normalized logMAR = 0.29, SE = 0.07, mean normalized logMAR = 0.27, SE = 0.07; p 0.05). Both linear presentation and letter rather than bar flankers increase crowding in the amblyopic eyes of people with strabismic amblyopia. These results suggest the influence of more than one mechanism contributing to crowding in linear visual-acuity charts with letter flankers

Development of robust methods of assessment of clinical competency in ophthalmic dispensing – results of a pilot trial

Purpose: We evaluated whether the use of Objective Structured Clinical Examinations (OSCEs) combined with established standard setting procedures, could be used to define standards for the achievement of clinical competencies in ophthalmic dispensing. Methods: Ten OSCE stations were created to assess a range of professional competencies for dispensing opticians. For each station, examiners made a global judgment about student performance using a rating scale (bad fail, fail, borderline, pass, good pass). Examiners were instructed not to base their rating on the checklist marks. We also introduced performance based standard setting using a linear regression method. The rating of the student was plotted against marks obtained for the station and a line of best fit was derived from the data. The pass mark for each station was set at the mark for the borderline rating. Results: The average pass mark across stations was 57%. Students with higher marks also tended to be rated more highly by examiners; however, this was not universal. The slopes of the regression lines were significantly greater than zero across stations suggesting that the checklists were appropriate. Feedback from students and examiners was positive. Conclusions: Our study has demonstrated that the OSCE format and use of standard setting procedures is a viable approach to assess clinical competencies in ophthalmic dispensing. More data are required to confirm the reliability of the stations over repeated use

Investigation of the invasion dynamics of Asparagus asparagoides at the habitat level using spatial analytical techniques

This thesis reports on research that examines the early stage invasion process of Asparagus asparagoides (L.) W. Wight (bridal creeper), primarily a bird-dispersed weed, in a remnant vegetation patch. The study site is on Phillip Island, approximately 100 kilometres south east of Melbourne, Victoria. Asparagus asparagoides invasion of the remnant vegetation reserve is a relatively recent phenomenon. Landscape elements that affect bird dispersal and vegetation types that affect seedling establishment may be important factors that limit or enhance the spread of A. asparagoides. A systematic sampling strategy was adopted and data collected for a variety of landscape and vegetative variables including cover and abundance of A. asparagoides and the data were presented in a Geographic Information System (GIS). Preliminary results show that the distribution of A. asparagoides within a remnant vegetation patch is not random. It appears to have entered the reserve from two boundaries, spreading toward the centre, which to date remains sparsely colonised despite the capacity of this weed to spread rapidly over long distances by birds. A number of other outcomes are noted. Asparagus asparagoides establishment is prevented in pasture where sheep and cattle graze, and paddocks subjected to tillage practices. The exclusion of grazing in fenced off vegetation in pastures demonstrates rapid weed establishment and colonisation several hundred metres from main infestation. Field observation and visual inspection of temporal progress of invasion (using above ground weed density with tuber appearance to infer age) appear to suggest that invasion into remnant is associated with the track network. This age/density assumption is strengthened when spatial distribution is examined using a data set where low-density values for A. asparagoides are removed and compared with a data set using all A. asparagoides density values. The mapping of A. asparagoides in fenced off farm remnants suggests that velocity of spread at 191m/yr is a considerable underestimate. Subsequent analysis shows that the spatial distribution of A. asparagoides is not completely spatially random while intensity surface analysis highlights regions of low and high intensity located near track network. Mapping a density surface within GIS provided confirmatory evidence for the establishment of satellite clusters along the track network. The change in the intensity surface observed using the two data sets (lowdensity values and all density values) is also consistent with an expanding invasion occurring between two time periods. Spatial point pattern analysis using K-function statistics shows that xxii the clustering observed using GIS appears to be occurring at two scales or distances (130m- 160m and 195m-205m). The association between tracks and the invasion process observed in the initial stages of the study is examined. There is a change in density as a function of distance from a track where the density of A. asparagoides appears to reduce the further away from the track a site is and this relationship holds regardless of track width. The final stages of the study look at the development of a predictive model. Visual exploration of the data through mapping in a GIS and field observation made during data collection provide the starting point for the development of logistic models to estimate the probability of A. asparagoides presence. Finally the best overall logistic model is applied to a second independent site to determine the general applicability of the model. A number of variables that impact on the presence of A. asparagoides, particularly during the initial stages of the invasion process, are identified. While all the identified variables and the overall model are statistically significant, the model is found to correctly predict presence/absence in only 67% of cases overall. The model however could be expected to correctly predict the presence of A. asparagoides in 74% of cases and has a false positive rate of 40%. The model is applied at a second independent site and found to have an overall percent correct rate of 80% and correctly predicted A. asparagoides presence in 94% of cases. The variables identified as influential in the early stage of invasion are relatively easy to acquire by simple field survey that does not require specialist skills. When considering the model as a tool for the management of remnant vegetation communities, high false positive rates may lead to limited resources being spent on searching sites where there is no weed. However, a high false negative rate would have a larger impact on the management of the weed since the undetected infestations would form sources for new propagules. The model performs well from this point of view in that it provided low false negative rates at both sites. The value of the predictive model is its ability to provide managers with information regarding specific areas to target for weed eradication and management can use the model to assess the effectiveness of any control measures by going back to obtain new cover density data, then using the model to examine the changes over time. The model also provides a starting point for the development of a generic model of A. asparagoides invasion at sites outside of Phillip Island and could also provide the starting point for developing models that could be used for other bird-dispersed fleshy-fruited weed species

Crowding in childrenʼs visual acuity tests - effect of test design and age

Purpose. The aim of this study was to investigate the effect of test design (crowding) and age on visual acuity in a sample of young children. Methods. Vision was measured in 103 children aged between 4 and 9 years using five different visual acuity tests. The tests included three crowded tests: logMAR Crowded test, the Sonksen logMAR test, and the Crowded Kay Picture test, and two single optotype tests: the Single Kay Picture and Sheridan Gardiner tests. Tests were presented in a random order using standardized instructions and a defined end-point. Results were analyzed in two age groups, younger (4 to 6 years) and older (7 to 9 years). Results. In both groups, there was a significant main effect of test on acuity (younger: F = 63.92, dF = 4, p < 0.001; older: F = 63.59, dF = 4, p < 0.001). In the younger group, an effect of crowding was seen in all three crowded tests, but in the older group, an effect of crowding was seen only in the crowded letter tests. In both groups, mean acuity was lowest with the logMAR Crowded test, which has the closest interoptotype spacing (0.5), slightly higher with the Sonksen test (with interoptotype spacing of 1.0) and highest with the single optotype tests (no crowding). More crowding was seen in the younger children. Conclusions. Our results show that maturation of line acuity is still taking place between the ages of 4 and 9 years. Measured acuity is affected by the amount of contour interaction induced by the type of optotype (letter or picture) and by the interoptotype separation. Another factor, probably a maturation of gaze control or selective attention is responsible for the reduction in crowding with age

Monocular microsaccades are visual-task related

During visual fixation, we constantly move our eyes. These microscopic eye movements are composed of tremor, drift, and microsaccades. Early studies concluded that microsaccades, like larger saccades, are binocular and conjugate, as expected from Hering's law of equal innervation. Here, we document the existence of monocular microsaccades during both fixation and a discrimination task, reporting the location of the gap in a foveal, low-contrast letter C. Monocular microsaccades differ in frequency, amplitude, and peak velocity from binocular microsaccades. Our analyses show that these differences are robust to different velocity and duration criteria that have been used previously to identify microsaccades. Also, the frequency of monocular microsaccades differs systematically according to the task: monocular microsaccades occur more frequently during fixation than discrimination, the opposite of their binocular equivalents. However, during discrimination, monocular microsaccades occur more often around the discrimination threshold, particularly for each subject's dominant eye and in case of successful discrimination. We suggest that monocular microsaccades play a functional role in the production of fine corrections of eye position and vergence during demanding visual tasks

Optical measurements of electrophoretic suspension kinetics

Electrophoretic deposition (EPD) was originally used for formation of coatings, e. g. in the automotive industry. Recently EPD is successfully utili zed for thin film preparation with an app lication in the optics and electronics. This paper investigates the process of the suspension formation and aggregation by ultraviolet and visible spectroscopy (UV- VIS) spectroscopy and Dynamic Light Scattering (DLS) methods. The suspensions were formed by a precipitation of solution of poly[2-methoxy-5-(3 ′ ,7 ′ -dimethyloctyloxy)-1,4-phenylenevinylene] in toluene using acetonitrile as a precipitator. It could be concluded that the progressive suspension particle growth observed by DLS affects regularly the first derivative of the UV-VIS spectra. By a comparison of the results obtained by both methods it could be seen that UV-VIS spectroscopy combined with the spline method could be successfully used for an estimation of electrophoretic suspensions

Foveal contour interaction on the edge: Response to 'Letter-to-the-Editor' by Drs. Coates and Levi

Recently, we reported that, when considered as a function of the edge-to-edge target-toflanker separation in min arc, the spatial extent of foveal contour interaction is the same for high and low contrast acuity targets. This result resolved an apparent discrepancy in the literature, which suggested that foveal contour interaction was absent or reduced for low contrast targets. In commenting on our results, Drs. Coates and Levi suggest a two-mechanism model for foveal crowding that depends on the center-to-center separation between the acuity target and flanking stimuli, and is based in part on a reanalysis of data from our recent work and a number of other studies. In our reply, we show that the spatial extent of foveal contour interaction for both high and low contrast targets is essentially unchanged by the width of the flanking targets when the target-to-flanker separation is depicted in terms of edge-to-edge separation, but varies systematically when depicted in terms of center-to-center separation. We therefore conclude that for foveal contour interaction in the range of a few min arc, edge-to-edge target-to-flanker separation is the more appropriate metric