Control Of Accommodation Research Articles (Page 1)

We review the current state of our knowledge of the neural control of vergence and ocular accommodation in primates including humans. We first describe the critical need for these behaviors for viewing in a three-dimensional world. We then consider the sensory stimuli that drive vergence eye movements and lens accommodation and describe models of the sensorimotor transformations required to drive these motor systems. We discuss the interaction of vergence with saccades to produce high-speed shifts in gaze between objects at different distances and eccentricities. We also cover the normal development of these eye movements as well as the sequelae associated with their maldevelopment. In particular, we examine the neural substrates that produce vergence and lens accommodation, including motoneurons, immediate premotor circuitry, cerebellar and precerebellar regions, and cerebral cortical areas.

Optical fogging is an effective method of reducing overestimation of myopia.

BCLA CLEAR presbyopia: Mechanism and optics

Accommodation is the process of adjusting the eye's optical power so as to focus at different distances. Uncorrected refractive error and/or functional presbyopia mean that sharp focus may not be achievable for some distances, so observers experience sustained defocus. Here, we identify a problem with current models of accommodative control: They predict excessive internal responses to stimuli outside accommodative range, leading to unrealistic adaptation effects. Specifically, after prolonged exposure to stimuli outside range, current models predict long latencies in the accommodative response to stimuli within range, as well as unrealistic dynamics and amplitudes of accommodative vergence innervation driven by the accommodative neural controller. These behaviors are not observed empirically. To solve this issue, we propose that the input to blur-driven accommodation is not retinal defocus, but correctable defocus. Predictive models of accommodative control already estimate demand from sensed defocus, using a realistic “virtual plant” to estimate accommodation. Correctable defocus can be obtained by restricting this demand to values physically attainable by the eye. If we further postulate that correctable defocus is computed using an idealized virtual plant that retains a young accommodative range, we can explain why accommodative–convergence responses are observed for stimuli that are too near—but not too far—to focus on. We model cycloplegia as a change in gain, and postulate a form of neural myopia to explain the additional relaxation of accommodation often seen with cycloplegia. This model produces plausible predictions for the accommodative response and accommodative convergence signal in a wide range of clinically relevant situations.

Antecedent bedrock control on the sediment-starved continental shelf of south/central Namibia

The present research paper aims to explore the ways in which literature and its celluloid stepchild, the cinema, have been employed in combination with supposedly nonfictional venues to falsify the realities of Euro- American interaction with the continent’s indigenous people, both historically and in the contemporary setting. Its purpose is to shred away to some extent an elaborate shroud of misimpression and misinformation behind which the dreadful visage of Euro-American subjugation, occupation and massacre have been so prudently veiled. These all complications are accredited to ethnic and social deterioration which is outcome of intensified control of genocide, colonialism, enforced cultural and institutional accommodation, monetary reliance and racism.Keywords: Colonization, American Indian cultures, Collapse of social structures, Resistance literature, Native survival, Systematic marginalization.

Modelling the neural control of ocular accommodation

Is accommodative control sufficient to overcome the propinquity of enclosed stimulus displays during distance heterophoria measurement?

Ocular accommodation is the process of adjusting the eye's crystalline lens so as to bring the retinal image into sharp focus. The major stimulus to accommodation is therefore retinal defocus, and in essence, the job of accommodative control is to send a signal to the ciliary muscle which will minimize the magnitude of defocus. In this article, we first provide a tutorial introduction to control theory to aid vision scientists without this background. We then present a unified model of accommodative control that explains properties of the accommodative response for a wide range of accommodative stimuli. Following previous work, we conclude that most aspects of accommodation are well explained by dual integral control, with a “fast” or “phasic” integrator enabling response to rapid changes in demand, which hands over control to a “slow” or “tonic” integrator which maintains the response to steady demand. Control is complicated by the sensorimotor latencies within the system, which delay both information about defocus and the accommodation changes made in response, and by the sluggish response of the motor plant. These can be overcome by incorporating a Smith predictor, whereby the system predicts the delayed sensory consequences of its own motor actions. For the first time, we show that critically-damped dual integral control with a Smith predictor accounts for adaptation effects as well as for the gain and phase for sinusoidal oscillations in demand. In addition, we propose a novel proportional-control signal to account for the power spectrum of accommodative microfluctuations during steady fixation, which may be important in hunting for optimal focus, and for the nonlinear resonance observed for low-amplitude, high-frequency input. Complete Matlab/Simulink code implementing the model is provided at https://doi.org/10.25405/data.ncl.14945550.

PurposeIn frontal-eyed mammals such as primates, eye movements are coordinated so that the lines of sight are directed at targets in a manner that adjusts for target distance. The lens of each eye must also be adjusted with respect to target distance to maintain precise focus. Whether the systems for controlling eye movements are monocularly or binocularly organized is currently a point of contention. We recently determined that the premotor neurons controlling the lens of one eye are bilaterally distributed in the midbrain. In this study, we examine whether this is due to premotor neurons projecting bilaterally to the preganglionic Edinger-Westphal nuclei, or by a mixture of ipsilaterally and contralaterally projecting cells supplying each nucleus.MethodsThe ciliary muscles of Macaca fasicularis monkeys were injected with recombinant forms of the N2c rabies virus, one eye with virus that produced a green fluorescent marker and the other eye with a virus that produced a red fluorescent marker.ResultsPreganglionic motoneurons in the Edinger-Westphal nucleus displayed the same marker as the ipsilateral injected muscle. Many of the premotor neurons in the supraoculomotor area and central mesencephalic reticular formation were doubly labeled. Others were labeled from either the ipsilateral or contralateral eye.ConclusionsThese results suggest that both monocular control and binocular control of lens accommodation are present. Binocular inputs yoke the accommodation in the two eyes. Monocular inputs may allow modification related to differences in each eye's target distance or differences in the capacities of the two ciliary muscles.

There is evidence that attention can modulate ocular dynamics, but its effects on accommodative dynamics have yet to be fully determined. We investigated the effects of manipulating the capacity to focus on task-relevant stimuli, using two levels of dual-tasking (arithmetic task) and auditory feedback, on the accommodative dynamics at three different target distances (500, 40 and 20cm). The magnitude and variability of the accommodative response were objectively measured in 20 healthy young adults using the Grand Seiko WAM-5500 autorefractor. In randomised order, participants fixated on a Maltese cross while 1) performing an arithmetic task with two levels of complexity (low and high mental load); 2) being provided with two levels of auditory feedback (low and high feedback); and 3) without performing any mental task or receiving feedback (control). Accommodative and pupil dynamics were monitored for 90seconds during each of the 15 trials (5 experimental conditions x 3 target distances). The lag of accommodation was sensitive to the attentional state (p=0.001), where a lower lag of accommodation was observed for the high feedback condition compared to the control (corrected p-value=0.009). The imposition of mental load while fixating on a distant target led to a greater accommodative response (corrected p-value=0.010), but no effects were found for the near targets. There was a main effect of the experimental manipulation on the accommodative variability (p<0.001), with the use of auditory feedback improving the accuracy of the accommodative system. Our data show that accommodative dynamics is affected by varying the capacity to focus on task-relevant stimuli, observing an improvement in accommodative stability and response with auditory feedback. These results highlight an association between attention and ocular dynamics and provide new insight into the control of accommodation.

This research was conducted based on the condition of the development of tourism on the island of Nusa Lembongan, aiming to find out the impact brought about by socio-economic conditions against the tourism society.This study uses qualitative and quantitative approach with mix method, the primary data source that are obtained by observations and direct interviews and secondary data. The sampling technique used was purposive sampling techniques and data analysis using the method of case study. This study shows tourism provides impact on society and the government on the island of Nusa Lembongan are seen from eight aspect among others : impact increasing of foreign exchange, impact toward local community income that increasing before tourism exist, impact toward higher prices than the real prices, impact toward employment for opportunity to local community, ownership and control of tourism accommodation, the distribution of benefits and advantage against indigenous village, development in general are seen from 4A tourism and government income of tax viewed from PHR. Advice can be given to government and businessman and tourism service on the island of Nusa Lembongan in the order of future improve the facilities, infrastructure supporting tourism, reinforce the rules on the division of the proceeds against the indigenous villages, improving access and employment for local community on the island of Nusa Lembongan. &#x0D; &#x0D; Key Words : Tourism, Nusa Lembongan Island, Impact

목적: 비정시의 유형별 조절자극 후 운무적용에 따른 자각적 및 자동굴절검사값의 변화와 조절제어효과를 분석하고자 하였다. 방법: 근시성 비정시 76안과 원시성 비정시 52안을 대상으로 하였다. 세 가지 검사조건에서 측정된(조절자극 전, 조절자극 후, 운무적용 후) 자각적 및 자동굴절검사값을 각각 비교하였다. 결과: 근시성 비정시안에서 자각적 및 자동굴절검사의 (-)구면굴절력값은 조절자극 전과 비교해 조절자극 후에서 유의하게 증가하였고, 운무적용 후에서는 조절자극 전의 수준으로 감소하였다. 자각적 및 자동굴절검사간의 (-)구면굴절력차이는 조절자극 후에서 자각적굴절검사값이 높았고, 운무적용 후 검사에서는 자동굴절검사값이 높게 측정되었다. 원시성 비정시안에서 자각적굴절검사의 (+)구면굴절력값은 조절 전과 비교해 조절자극 후에서 유의하게 감소하였고, 운무적용 후에서는 조절자극 전보다 더 높은 (+)구면굴절력이 검출되었다. 자동굴절검사의 (+)구면굴절력값은 조절자극 전 후간의 유의한 차이는 없었고, 운무적용 후에서는 조절자극 전보다 더 높은 (+)구면굴절력이 검출되었다. 자각적 및 자동굴절검사간의 구면굴절력은 모든 검사조건에서 유의한 차이를 보였다. 원시성 비정시 52안 중 조절자극 후 자각적굴절검사에서 7안이 근시로 측정되었다. 자동굴절검사의 경우, 원시성 비정시 52안 중 조절자극 전 검사에서 25안이 -0.25 D ~ -1.25 D 범위의 근시로 나타났고, 조절자극 후 검사에서는 26안이, 운무적용 후 검사에서도 19안이 -0.25 D ~ -1.25 D 범위의 근시로 측정되었다. 결론: 비정시의 유형에 상관없이 운무를 통한 조절제어는 두 굴절검사과정 모두에서 효과적이었다. 하지만 원시안에서 자동굴절검사는 모든 검사조건에서 일정량의 조절이 개입된 상태로 측정되어 굴절이상의 분류가 다르게 검출되는 비율이 높았다. 따라서 정확한 굴절이상도를 검출하기 위해서는 운무과정을 실시한 후 반드시 자각적굴절검사과정을 통해 완전교정값을 결정해야 할 것이다. Purpose: To analyze the effect of accommodative control and change values between subjective refraction (SR) and auto-refraction (AR) according to application of fogging after accommodative stimulation depending on ametropia type. Methods: Myopic ametropia 76 eyes and hyperopic ametropia 52 eyes participated for this study. SR and AR values measured by three test conditions (Before accommodative stimulation; Before AS, After accommodative stimulation; After AS, and After application of fogging; After AF) were compared, respectively. Results: In myopic eyes, (-)spherical power by SR and AR in After AS test was significantly increased as compared to Before AS test, (-)spherical power in After AF test was decreased to the level of Before AS test. The differences of spherical power between SR and AR were highly measured by SR in After AS test, and highly measured by AR in After AF test, respectively. In hyperopic eyes, (+)spherical power of SR significantly decreased in After AS test compared to Before AS test, more (+)spherical power was detected in After AF test compared to Before AS test. (+)spherical power of AR have no significant difference between Before AS and After AS test, but more (+)spherical power was detected in After AF test compared to Before AS test. The differences of (+)spherical power between SR and AR were significant in all test conditions. Among 52 eyes which were measured as hyperopic ametropia, 7 eyes were measured as myopia by SR in After AS test. In case of AR, 25 eyes among 52 eyes were mismeasured as myopia of ranges from -0.25 D to -1.25 D in Before AS test, 26 eyes in After AS test, and 19 eyes in After AF test were mismeasured as myopia of ranges from -0.25 D to -1.25 D. Conclusions: Regardless of ametropia type, accommodative control by After AF test was effective on both refraction process. However, in auto-refraction for hyperopic eyes, the misdetermined proportion of refractive error's type was high due to consistent accommodative intervention in all test condition. Therefore, in order to obtain an accurate value of refractive errors, full correction should be determined by subjective refraction process after fogging method.

Following the recognition, some 80 years ago, that the accommodation of the eye is not stable but fluctuates over a range of about ±0.5 D, mainly at frequencies of up to a few Hz, there has been a continuing interest in the characteristics of these microfluctuations (MFs) and their possible role in the control of accommodation. This paper reviews relevant work carried out since 1988, when we previously reviewed the same topic (Charman WN, Heron G. Fluctuations in accommodation: a review. Ophthalmic Physiol Opt 1988; 8: 153-164). Studies relating to the effects on the MFs of stimulus form, luminance and vergence are described, together with those of pupil diameter, age and ametropia. Important advances in the understanding of the links between the characteristics of the MFs and those of the cardiopulmonary system, higher-order aberrations and ocular depth-of-focus are outlined. Only limited progress has been made in understanding the role of MFs in accommodation control. While the dependence of the characteristics of the MFs in relation to observing conditions is now reasonably well understood, their involvement in accommodation control still needs clarification. The current consensus appears to be that any role is more likely to be concerned with maintaining an appropriate response, rather than in initiating responses to abrupt changes in stimulus vergence. Fluctuations at lower temporal frequencies (<0.6 Hz) are probably important to the control process, which may make use of the associated changes in the contrast and spatial frequency spectrum of the retinal image.

To compare the accommodation response (AR) to monochromatic targets in subjects with different color vision statuses, and to investigate the role of color vision in the control of accommodation and emmetropization. It was a case-control study. Accommodation was measured with a dynamic infrared optometer while subjects [17 protans, 47 deutans, and 23 normals; mean age: (20.0 ± 4.4) years] viewed a (1) red on black or (2) green on black vertical square-wave gratings of iso-luminance (3 cycles/deg; 0.9 contrast) in a Badal optic system. The grating stepped 1.00 D towards the eye from an initial position of 0 D until 5.00 D. With red-black targets, the AR in the protans (AR = 1.98 D) was worse than that in the normals (AR = 2.55 D) when the accommodation stimulus (AS) was 4.00 D (LSD, P = 0.031). The AR in the deutans were worse than that in the normals when the AS was 3.00, 4.00, and 5.00 D (3.00 D: 1.23 D vs. 1.69 D, P = 0.002; 4.00 D: 1.89 D vs. 2.55 D, P = 0.002; 5.00 D: 2.40 D vs. 3.17 D, P = 0.003). With green-black targets, the AR in the protans were worse than that in the normals when the AS was 3.00 and 4.00 D (3.00 D: 1.13 D vs. 1.61 D, P = 0.004; 4.00 D: 1.80 D vs. 2.34 D, P = 0.021). In the deutans, the AR was worse with stimuli of 3.00, 4.00, and 5.00 D (3.00 D: 1.21 D vs. 1.61 D, P = 0.003; 4.00 D: 1.65 D vs. 2.34 D, P < 0.001; 5.00 D: 2.36 D vs. 2.93 D, P = 0.007). No significant differences between the protans and deutans were found for all the stimulus conditions. In the protans, accommodation to red-black targets was better than that to green-black targets when the stimulus was 2.00, 3.00, and 5.00 D (2.00 D: t = -2.81, P = 0.013; 3.00 D: t = -4.55, P < 0.001; 5.00 D: t = -3.15, P = 0.006). In the deutans, accommodation to red-black targets was better than that to green-black targets when the stimulus was 4.00 D (t = -2.19, P = 0.034). In the normals, accommodation to red-black targets were better than that to green-black targets when the stimulus was 2.00, 4.00, and 5.00 D (2.00 D: t = -2.57, P = 0.017; 4.00 D, t = -2.67, P = 0.014; 5.00 D: t = -2.15, P = 0.043). Individuals with a color vision deficiency tend to have a larger accommodative lag than normals. Red targets tend to induce better accommodation response than green ones. Color vision may play a role in the control of accommodation and emmetropization.

Visual sensing of the sign of defocus is important not only for the rapid control of accommodation but also for regulating the slower long-term growth of the eye. We examined the possibility that ocular spherical aberration (SA) elicits a sign of defocus by optical modeling of image formation using the principles of physical optics. Retinal image contrast, as measured by the area under the visually weighted modulation-transfer function, depends on both the magnitude and the sign of defocus relative to the sign of the SA. Image contrast is greater for hyperopic blur than for myopic blur when SA is positive and vice versa when SA is negative. When coupled with Wallman's hypothesis that retinal activity caused by image contrast inhibits eye growth, these results provide a testable hypothesis to account for myopia progression. For example, we suggest that hyperopic blur is a risk factor for myopia progression only when the eye has a negative SA because that is the combination leading to relatively low contrast in the defocused retinal image. Because the likelihood of a negative SA increases with accommodation, avoiding long hours of near work in the presence of accommodative lag may help prevent the onset and progression of myopia.

Substance P (SP) is a member of the neurokinin (NK) family and is one of the established neurotransmitters in the mammalian central and enteric nervous system. It is unclear whether NK1 receptors are involved in the control of gastric sensorimotor function in man. We studied the effects of aprepitant, an NK1 receptor antagonist used in the treatment of chemotherapy-induced emesis, on gastric sensorimotor function in healthy volunteers. Sixteen healthy volunteers (six males, 32.4±2.7 years) were studied on three separate occasions after placebo, aprepitant 80 or 125mg in randomized double-blind study to assess gastric compliance, perception to isobaric distensions, and gastric accommodation with a gastric barostat. Compared to placebo, both doses of aprepitant did not influence gastric compliance or sensitivity to gastric distension. Aprepitant 80 and 125mg did not have any significant effects on gastric accommodation compared with placebo (mean postprandial gastric volume increase, respectively, 83.4±28.4 vs 35.3±16.2 vs 83.9±30.4mL, NS). Postprandial gastric compliance and sensitivity to distention were also not altered. In health, NK1 receptors do not appear to be involved in the control of gastric compliance, accommodation or sensitivity to distention in man.

To assess the magnitude of nearwork-induced transient myopia (NITM) under binocular viewing conditions separately in each eye of individuals with mild to moderate anisometropia to determine the relationship between NITM and their interocular refractive error. Forty-three children and young adults with anisometropia [cycloplegic spherical equivalent (SE) difference >1.00 D] were tested (ages 9-28 years). NITM was measured with binocular viewing separately in each eye after binocularly performing a sustained near task (5 D) for 5 min incorporating a cognitive demand using an open-field, infrared autorefractor (Grand-Seiko, WAM-5500). Data were averaged over 10 s bins for 3 min in each eye. Initial NITM, its decay time (DT), and its decay area (DA) were determined. A-scan ultrasound ocular biometry was also performed to determine the axial length of each eye. The more myopic eye exhibited increased initial NITM, DT, and DA as compared to the less myopic eye (0.21 ± 0.16 D vs 0.15 ± 0.13 D, p = 0.026; 108.4 ± 64.3 secs vs 87.0 ± 65.2 secs, p = 0.04; and 17.6 ± 18.7 D*secs vs 12.3 ± 15.7 D*secs, p = 0.064), respectively. The difference in DA and the difference in SE between the more versus less myopic eye were significantly correlated (r = 0.31, p = 0.044). Furthermore, 63% (27/43), 56% (24/43), and 70% (30/43) of the more myopic eyes exhibited increased initial NITM, longer DT, and larger DA, respectively, than found in the less myopic eye. In approximately two-thirds of the anisometropic individuals, the initial NITM and its decay area were significantly increased in the more myopic eye as compared to the less myopic eye. NITM may play an important role in the development of interocular differences in myopia, although a causal relationship is yet to be established. Furthermore, the findings have potentially important implications regarding accommodative control and interocular accommodative responsitivity in anisometropia, in particular for anisomyopia.

When fixating on a stationary object, the human eye exhibits microfluctuations in accommodation. Changes in the magnitude of these fluctuations reflect changes in the accommodation control system. We used adaptive optics to determine the effect of monochromatic aberration dynamics on the control of steady-state accommodation of four subjects. The subjects viewed a stationary stimulus at 2 D while selective Zernike aberrations were corrected. The fluctuations in accommodation were characterised using a wavelet-based multifractal formalism approach. We found that for all subjects, and all experimental conditions, the accommodative fluctuations were multifractal. For one subject, we found that the width of the multifractal spectrum was statistically significantly larger when even-order aberrations were corrected as compared to no aberrations corrected. Hence, in general, for the subjects tested, the multifractal nature of steady-state accommodation control is unaffected by the manipulation of monochromatic aberration dynamics. Averaging across all subjects and experimental conditions, the mean spectrum was right-skewed with a most frequently occurring Hölder exponent of 0.31 ± 0.08. Future applications of multifractal analysis to accommodation control are discussed.

This study investigated cultural variations in perceived control over personal goals in Russian and American college students. Several appraisal dimensions of personal goals were studied including goals' importance, their attainability, and sources of control over goal attainment, such as self, others, luck, and fate. The association between assimilative (tenacious goal pursuit) and accommodative (flexible goal adjustment) control strategies and perceived attainability of goals was also examined. The results indicated that both Russian and American students gave higher priority to work- and education-related goals and lower priority to the familial goal. In both samples, the familial goal was the most influenced and health was the least influenced by luck/chance and fate. Overall, American students were more optimistic about the perceived probability to attain their goals, which may be affected by a cultural tendency for self-enhancement and positive outlook. Russian students had a stronger belief in control by luck/chance and fate over personal goals, which coincides with a less agentic orientation of Russian culture. Regardless of culture and goal content, goal importance was associated with greater perceived success in goal attainment. However, control strategies (assimilative and accommodative) as well as internal control differentially predicted perceived attainability of goals depending on the goals' content. For both Russians and Americans, perceived attainability of education-related goals was associated with assimilative strategies and internal control; leisure was associated with accommodative strategies and health-related goals were associated with internal control. Characteristics of cultural contexts accountable for crosscultural differences in perceived control over personal goals are discussed.