Age-related deficits in attentional control of perceptual rivalry

AbstractSome aspects of attentional processing are known to decline with normal aging. To understand how age affects the attentional control of perceptual stability, we investigated age-related changes in voluntarily controlled perceptual rivalry. Durations of the dominant percept, produced by an ambiguous Rubin vase-faces figure, were measured in conditions that required passive viewing and attentional control: holding and switching the dominant percept. During passive viewing, mean dominance duration in the older group was significantly longer (63%) than the dominance duration found in the young group. This age-related deficit could be due to a decline in the apparent strength of the alternating percepts as a result of higher contrast gain of visual cortical activity and a reduction in the amount of attentional resources allocated to the ambiguous stimulus in older people compared to young adults. In comparison to passive viewing, holding the dominant percept did not significantly alter the dominance durations in the older group, while the dominance durations in the young group were increased (∼100%). The dominance durations for both age groups in switch conditions were reduced compared to their passive viewing durations (∼40%). The inability of older people to voluntarily prolong the duration of the dominant percept suggests that they may have abnormal attentional mechanisms, which are inefficient at enhancing the effective strength of the dominant percept. Results suggest that older adults have difficulty holding attended visual objects in focus, a problem that could affect their ability to carry out everyday tasks

Exploring eye care pathways, patient priorities and economics in Pakistan: a scoping review and expert consultation study with thematic analysis

PURPOSE: As the prevalence of eye diseases increases, demand for effective, accessible and equitable eye care grows worldwide. This is especially true in lower and middle‐income countries, which have variable levels of infrastructure and economic resources to meet this increased demand. In the present study we aimed to review the literature on eye care in Pakistan comprehensively, with a particular focus on eye care pathways, patient priorities and economics. METHODS: A systematic scoping review was performed to identify literature relating to eye care in Pakistan. Searches of relevant electronic databases and grey literature were carried out. The results were analysed through a mixed methods approach encompassing descriptive numerical summary and thematic analysis. To consolidate results and define priority areas for future study, expert consultation exercises with key stakeholders were conducted using qualitative semi‐structured interviews. RESULTS: One hundred and thirty‐two papers (published and unpublished) were included in the final review. The majority (n = 93) of studies utilised a quantitative design. Seven interlinked themes were identified: eye care pathways, burden of eye disease, public views on eye‐related issues, workforce, barriers to uptake of eye care services, quality of eye care services and economic impact of blindness. Research priorities included investigating the eye care workforce, the quality and efficiency of current eye care services, eye care services available in rural Pakistan and the costs and benefits related to eye care provision and sustaining eye care programmes. CONCLUSIONS: To the best of our knowledge, this is the first review to synthesise evidence from papers across the field relating to eye care in Pakistan. As such, this work provides new insights into the achievements of the national eye health programme, challenges in eye care in Pakistan and priority areas for future research

The role of peripheral ocular length and peripheral corneal radius of curvature in determining refractive error

PURPOSE: The purpose of this study was to extend the knowledge of peripheral biometric component and its relationship to refractive status in healthy individuals by determining the correlation between peripheral ocular length to peripheral corneal radius ratio and the refractive error. METHODS: This prospective study was conducted on thirty-three healthy adult participants. Refractive error was assessed objectively and subjectively and recorded as the mean spherical equivalent. Central and peripheral ocular lengths at 30° were assessed using partial coherence interferometry under dilation with 1% tropicamide. Central and peripheral corneal radius of curvature was assessed using Scheimpflug topography. Peripheral ocular lengths at 30° were paired with peripheral corneal curvatures at the incident points of the IOLMaster beam (3.8 mm away from corneal apex) superiorly, inferiorly, temporally and nasally to calculate the peripheral ocular length-peripheral corneal radius ratio. Descriptive statistics were used to describe the distribution and spread of the data. Pearson’s correlation analysis was used to present the association between biometric and refractive variables. RESULTS: Refractive error was negatively correlated with the axial length-central corneal radius ratio (r = −0.91; p < 0.001) and with 30° peripheral ocular length-peripheral corneal radius ratio in all four meridians (r ≤ −0.76; p < 0.001). The strength of the correlation was considerably lower when only axial length or peripheral ocular lengths were used. CONCLUSION: Using the ratios of peripheral ocular length-peripheral corneal radius to predict refractive error is more effective than using peripheral corneal radius or peripheral ocular length alone

Metabolomics in retinal diseases: an update

Retinal diseases are a leading cause of visual loss and blindness, affecting a significant proportion of the population worldwide and having a detrimental impact on quality of life, with consequent economic burden. The retina is highly metabolically active, and a number of retinal diseases are associated with metabolic dysfunction. To better understand the pathogenesis underlying such retinopathies, new technology has been developed to elucidate the mechanism behind retinal diseases. Metabolomics is a relatively new “omics” technology, which has developed subsequent to genomics, transcriptomics, and proteomics. This new technology can provide qualitative and quantitative information about low-molecular-weight metabolites (M.W. < 1500 Da) in a given biological system, which shed light on the physiological or pathological state of a cell or tissue sample at a particular time point. In this article we provide an extensive review of the application of metabolomics to retinal diseases, with focus on age-related macular degeneration (AMD), diabetic retinopathy (DR), retinopathy of prematurity (ROP), glaucoma, and retinitis pigmentosa (RP)