Visual Conditions Research Articles

Postural control in episodic ataxia type 2: no evidence for increased vestibular excitability.

Patients with episodic ataxia type 2 (EA2) suffer from recurrent paroxysmal episodes of vertigo and oscillopsia. Pathophysiologically, altered neuronal excitability has been suspected. Vestibular excitability in 22 EA2 patients and 22 age-matched healthy participants was compared. Galvanic vestibular stimulation (GVS) was used to assess vestibular excitability by vestibular motion perception thresholds and mean postural sway velocity during various visual and proprioceptive conditions in the two groups. Control stimuli using sham and no GVS were established to identify the specificity of GVS-induced postural sway. In the baseline condition, EA2 patients showed larger postural instability. However, motion perception thresholds and the increase in mean postural sway velocity during vestibular stimulation (stimulation ratio) did not differ between groups. Postural sway during suprathreshold GVS increased with the vestibular motion perception threshold in EA2 patients, in contrast to healthy participants. The larger postural unsteadiness of EA2 patients probably reflects their progressive cerebellar degeneration. It is not related to abnormal visual (Romberg's ratio) or proprioceptive control of stance. Postural unsteadiness during vestibular stimulation does not indicate altered vestibular excitability in EA2 patients. However, vestibular stimulation increasingly destabilized postural control of EA2 patients with higher motion perception thresholds when proprioceptive information was diminished. This conclusion, however, is restricted to the postural control of EA2 patients in the interval between the vestibulo-cerebellar episodes.

Sensory experience steers representational drift in mouse visual cortex

Representational drift—the gradual continuous change of neuronal representations—has been observed across many brain areas. It is unclear whether drift is caused by synaptic plasticity elicited by sensory experience, or by the intrinsic volatility of synapses. Here, using chronic two-photon calcium imaging in primary visual cortex of female mice, we find that the preferred stimulus orientation of individual neurons slowly drifts over the course of weeks. By using cylinder lens goggles to limit visual experience to a narrow range of orientations, we show that the direction of drift, but not its magnitude, is biased by the statistics of visual input. A network model suggests that drift of preferred orientation largely results from synaptic volatility, which under normal visual conditions is counteracted by experience-driven Hebbian mechanisms, stabilizing preferred orientation. Under deprivation conditions these Hebbian mechanisms enable adaptation. Thus, Hebbian synaptic plasticity steers drift to match the statistics of the environment.

Deep medullary vein abnormalities impact white matter hyperintensity volume through increases in interstitial free water

BackgroundOur intent was to explore the mediating role of interstitial free water (FW) linking deep medullary vein (DMV) score to white matter hyperintensity (WMH) volume.MethodsOur research team conducted a forward-looking analysis of initial clinical and imaging information gathered from 125 patients with cerebral small vessel disease. We identified six anatomic DMV regions on susceptibility weighted imaging (SWI) studies. Each region earned a score of 0–3, determined by the visual conditions of vessels, summing all six to generate a DMV score. We utilized fluid-attenuated inversion recovery (FLAIR) sequences to measure the volume of WMH. Additionally, we employed diffusion tensor imaging (DTI) to assess FW value.ResultsDMV score significantly positively correlated with FW value and with WMH volume (p < 0.05), and value of FW positively correlated with WMH volume (p < 0.05). The indirect effect of DMV score on WMH volume was mediated by FW (β = 0.281, 95% confidence interval [CI]: 0.178–0.388), whether adjusted for age and gender (β = 0.142, 95% CI: 0.058–0.240) or for age, gender and vascular risk factors (β = 0.141, 95% CI: 0.054–0.249).ConclusionDMV score correlate with WMH volume by virtue of FW increases in white matter.

Weathering words: a virtual reality study of environmental influence on reading dynamics.

Reading is a fundamental cognitive activity that is influenced by both textual and external environmental factors, although the latter has been less thoroughly explored. This study aims to examine the impact of environmental visual conditions on reading performance using Virtual Reality (VR) technology. We conducted two experiments to assess the effects of visual contrast and simulated weather conditions on reading dynamics. In Experiment 1, we measured single-word recognition speed using a lexical decision task under different visual contrasts and weather conditions. In Experiment 2, we assessed reading dynamics during a sentence reading task, analyzing how visual contrast and simulated sunny versus rainy weather conditions affected reading behavior, particularly focusing on reading speed and eye fixations. In Experiment 1, high visual contrast, particularly under sunny conditions, significantly enhanced single-word recognition speed, indicating a notable influence of environmental visual conditions. In Experiment 2, visual contrast had minimal effect on sentence reading; however, sunny weather facilitated faster reading times, while rainy scenarios increased the number of eye fixations. These findings suggest that environmental factors, such as weather conditions, can significantly affect reading behavior. The study contributes to the understanding of key environmental influences on reading in everyday life contexts and has implications for the ergonomic design of reading materials, especially for outdoor settings and VR environments. Additionally, the integration of controlled stimuli within VR increases the ecological validity of reading research, underscoring the potential of VR as a powerful tool for cognitive research.

Dopamine release plateau and outcome signals in dorsal striatum contrast with classic reinforcement learning formulations

We recorded dopamine release signals in centromedial and centrolateral sectors of the striatum as mice learned consecutive versions of visual cue-outcome conditioning tasks. Dopamine release responses differed for the centromedial and centrolateral sites. In neither sector could these be accounted for by classic reinforcement learning alone as classically applied to the activity of nigral dopamine-containing neurons. Medially, cue responses ranged from initial sharp peaks to modulated plateau responses; outcome (reward) responses during cue conditioning were minimal or, initially, negative. At centrolateral sites, by contrast, strong, transient dopamine release responses occurred at both cue and outcome. Prolonged, plateau release responses to cues emerged in both regions when discriminative behavioral responses became required. At most sites, we found no evidence for a transition from outcome signaling to cue signaling, a hallmark of temporal difference reinforcement learning as applied to midbrain dopaminergic neuronal activity. These findings delineate a reshaping of striatal dopamine release activity during learning and suggest that current views of reward prediction error encoding need review to accommodate distinct learning-related spatial and temporal patterns of striatal dopamine release in the dorsal striatum.

Diffusion policy: Visuomotor policy learning via action diffusion

This paper introduces Diffusion Policy, a new way of generating robot behavior by representing a robot’s visuomotor policy as a conditional denoising diffusion process. We benchmark Diffusion Policy across 15 different tasks from 4 different robot manipulation benchmarks and find that it consistently outperforms existing state-of-the-art robot learning methods with an average improvement of 46.9%. Diffusion Policy learns the gradient of the action-distribution score function and iteratively optimizes with respect to this gradient field during inference via a series of stochastic Langevin dynamics steps. We find that the diffusion formulation yields powerful advantages when used for robot policies, including gracefully handling multimodal action distributions, being suitable for high-dimensional action spaces, and exhibiting impressive training stability. To fully unlock the potential of diffusion models for visuomotor policy learning on physical robots, this paper presents a set of key technical contributions including the incorporation of receding horizon control, visual conditioning, and the time-series diffusion transformer. We hope this work will help motivate a new generation of policy learning techniques that are able to leverage the powerful generative modeling capabilities of diffusion models. Code, data, and training details are available (diffusion-policy.cs.columbia.edu).

Postural control strategies with alterations in visual input conditions in a standing position.

Mediated by balance systems, postural control relies heavily on visual input. However, the precise relationship between various visual conditions and postural strategies for balance remains unclear. This study investigated alterations in the center of pressure (COP) and ankle muscle activity during standing positions in healthy individuals under different visual conditions. Fifty-three healthy university students participated in the study. Stabilometry was conducted to evaluate the total path length and outer circumferential area for the COP. Further, surface electromyography was utilized to assess the activity of the bilateral tibialis anterior (TA) and lateral head of gastrocnemius muscles. Participants were instructed to maintain an upright posture under three visual conditions: binocular (eyes open) and monocular (either closing the dominant or nondominant eye). The three conditions were compared using a one-way analysis of variance. No significant differences were observed in the COP across visual conditions. However, in the TA of the nondominant leg, the mean values for the binocular, dominant eye, and nondominant eye conditions were 0.91, 1.08, and 1.14 times that of the resting standing position. Notably, the TA of the nondominant leg was significantly lower in the binocular condition than the dominant and nondominant eye conditions. The study findings indicate that the COP remain consistent despite variations in external visual input. This stability is likely maintained through compensatory adjustments, such as increased TA muscle activity in the nondominant leg under the nondominant eye condition. These observations highlight the complex interplay between the visual perception and postural stability.

Refractive errors, amblyopia risk factors and vision screening in children aged 7–10 years in Aotearoa New Zealand

ABSTRACT Clinical relevance Vision screening is important for detecting undiagnosed vision conditions that are common in school-aged children. However, current vision screening protocols are poor at detecting vision conditions that are most common in the Aotearoa New Zealand paediatric population. Background Uncorrected refractive error and amblyopia are the most common causes of visual impairment in children. The most appropriate vision screening method depends on the refractive error profile of the population. This study aimed to: estimate the prevalence of refractive errors and amblyopia risk factors among children living in Aotearoa New Zealand; describe previous participation in preschool vision screening and determine the diagnostic accuracy of potential screening methods. Methods Children aged 7–10 years received comprehensive eye examinations, including cycloplegic refraction, in their school. Eye examination results were assessed for refractive error and amblyopia risk factors. The sensitivity and specificity of individual vision tests for detecting any vision conditions was calculated to assess the most effective tests for vision screening. Results Eye examinations were completed for 237 children and cycloplegic refraction data was available for 220 of these children. Significant refractive error (need for glasses) was detected in 23.6% of children (7.7% myopia, 7.7% hyperopia, 15.0% astigmatism). Amblyopia risk factors were detected in 9.1% of children. Preschool vision screening had been completed by 78.5% of children. Distance visual acuity screening alone had a sensitivity of 39% for detecting vision conditions, with addition of the Spot Vision Screener improving sensitivity to 65%. Conclusion Astigmatism is the most frequent refractive error among children aged 7–10 years living in Aotearoa New Zealand. Distance visual acuity screening alone is ineffective in detecting refractive error in children in Aotearoa New Zealand. Further research investigating refractive errors across the paediatric population in Aotearoa New Zealand is required to determine the optimal timing and appropriate protocols for school-aged vision screening.

Research on the regulation of emotions in elderly people through bedroom audio-visual environments

The indoor environment of buildings has a long-term impact on the psychological and physiological state of people, and a good indoor environment can help the physical and mental health of the elderly. As the mobility of the elderly weakens, the indoor visual and auditory environments are important channels for them to acquire external perceptions. In order to investigate the effects of visual and auditory environments on the psychological (positive and negative emotions) and physiological (heart rate) states of older adults in their bedrooms, the study designed an audio-visual interaction experiment, selecting three common sounds preferred by older adults and six visual scenes that included two types of visual factors , to measure the emotions and heart rate changes under different sound and visual interaction conditions. The study revealed that natural sounds were more effective in positively modulating mood in warm-toned rooms, while artificial sounds were more appropriate for cool-toned rooms. Regardless of the type of therapeutic sound environment, the addition of greenery significantly contributes to mood regulation in older adults. Combining sound environments with visual factors can be an effective design strategy to promote the physical and mental health of occupants.

Development of CadR-based cadmium whole cell biosensor for visual detection of environmental Cd2+

BackgroundAs a threat to human health and public health, cadmium (Cd) pollution has received widespread social concern. Our previously constructed CadR-based bacterial whole cell biosensor (WCB) epCadR5 showed high sensitivity and specificity in cadmium detection. However, the application of the sensor is still hindered by the need for laboratory equipment to read the fluorescence signal output. In this study, we aimed to optimizing the sensor to make it available for visual detection of environmental cadmium and simplify the detection process to advance practical application of the sensor. ResultsBy replacing the constitutive promoter with J110, the fluorescence signal output of the sensor was significantly increased and the fluorescence leakage was decreased. In addition, the fluorescence signal output of green fluorescence protein (GFP) was enhanced by the addition of a 5′ untranslated region (5′-UTR) mlcR10. The fluorescence signal output of the WCB is sufficiently robust to be visible and distinguishable to the naked eye, which is of paramount importance for visual detection. The sensor readout can be conveniently recorded by mobile phone camera and quantified. For ease of on-site application, the WCB's visual detection procedures and conditions were further optimized and simplified. The WCB demonstrated good linearity and detection limit (1.81 μg/L) for visual detection of Cd2+ without the assistance of bulky laboratory equipment. For the detection of real environmental samples, the WCB visual detection results were close to those of WCB-flow cytometry (FACS) and graphite furnace atomic absorption spectroscopy (GFAAS). SignificanceIn this work, we developed an easy-to-use, on-site and visual detection biosensor for monitoring environmental Cd2+. It will advance the utilization of cadmium WCBs in practical settings. The optimization and simplification strategy in the study also provide new insights into the visualization of other bacterial biosensors, and will advance the practical application of WCBs.

Temporal adaptation of the postural control following a prolonged fin swimming.

Postural control deteriorates following a transition between two environments, highlighting a sensory conflict when returning to natural conditions. Aquatic immersion offers new perspectives for studying postural control adaptation in transitional situations. Our aim is to study immediate and post-task static postural control adaptation on land after a prolonged fin swimming exercise in total immersion. Standing static postural control was assessed in 14 professional or recreational SCUBA divers (11 men, 3 women; 33.21 ± 10.70years), with eyes open and closed, before, immediately after, and in the following 20min following a fully-immersed 45-min fin swimming exercise. Centre-of-pressure metrics (COP) including average position, amplitude, velocity, length and 95% ellipse were evaluated in medial-lateral (x-axis) and anterior-posterior (y-axis) directions with a force platform. The Romberg ratio was also assessed for each metric. A two-way repeated measures analysis of variance revealed a significant effect of the measurement period on COPx vel (p = 0.01), COPy vel (p < 0.01) and Length (p < 0.01), and of the visual condition on COPy vel (p < 0.01) and Length (p < 0.01). Eyes closed measures were systematically higher than eyes open measures despite there being no significant difference in the Romberg ratio in all periods. Post-immersion, the velocity and total trajectory of the centre of pressure remained systematically lower than baseline values in both visual conditions. Post-immersion, COP velocity and length significantly decreased, suggesting a sensory reweighting strategy potentially associated with ankle stiffening.

Development and Validation of a Novel Night-Time Hazard Visibility Test.

Night-time driving is dangerous, with increased crash rates, particularly involving vulnerable road users. A Night-Time Hazard Visibility Test (NHVT) was developed and validated by exploring the effects of refractive and cataract blur on performance. The NHVT comprised video clips of night-time roads from the driver's perspective, including different hazards (pedestrians, cyclists, and vehicles). Participants responded when they first recognized hazards requiring them to take evasive action to avoid a collision. In experiment 1, there were 16 young visually normal drivers (mean age = 22.3, standard deviation [SD] = 2.2 years) who completed 2 NHVT sets, viewed separately through best-correction and refractive blur (+1.00 diopter sphere [DS]). In experiment 2, a refined version of the NHVT was administered to an additional 16 young visually normal drivers (mean age = 21.1, SD = 1.2 years) with best-correction and cataract blur. The order of visual conditions and NHVT sets were counterbalanced. In experiment 1, refractive blur significantly reduced photopic visual acuity (VA) compared to best-corrected vision (+0.09 vs. -0.21 logMAR, P < 0.001) and delayed response times by 0.69 seconds (3.10 vs. 2.41 seconds, P < 0.001) compared to best-corrected vision. In experiment 2, cataract blur reduced VA compared to best-corrected vision (+0.03 vs. -0.17 logMAR, P < 0.001) and delayed response times by 0.63 seconds (2.92 vs. 2.29 seconds, P < 0.001). The NHVT was sensitive to refractive and cataract blur, providing preliminary support of its validity as a measure of night-time hazard visibility performance. The NHVT has potential as an off-road assessment of visibility for night driving and application for assessment of drivers with different refractive corrections and ocular diseases.

Effects of the Acoustic-Visual Indoor Environment on Relieving Mental Stress Based on Facial Electromyography and Micro-Expression Recognition

People working and studying indoors for a long time can easily experience mental fatigue and stress. Virtual natural elements introduced into indoor environments can stimulate the human visual and auditory senses, thus relieving psychological stress. In this study, stress induction was achieved through noise playback, and the recovery effects on psychological stress of three set indoor environments, visual, auditory, and audio-visual, were investigated through changes in subjects’ facial expressions, electromyographic (EMG) signals, and subjective questionnaires. The experiment found that after stress induction through noise, the participants’ stress levels changed significantly. At this time, the subject scored low on the questionnaire, with electromyography readings higher than usual, and micro-expression recognition indicated negative emotions. After the restoration effects under the three working conditions of visual, auditory, and audio-visual combination, the average EMG values during the recovery period decreased from the baseline period (10 min after the subject acclimated to the environment), respectively. The results indicate that all three restoration conditions have the effect of relieving psychological stress, with the stress recovery effects of auditory and audio-visual conditions being superior to visual conditions. This study is of great significance for creating comfortable indoor environments and minimizing psychological pressure on indoor office workers.

The Impact of Stroboscopic Visual Conditions on the Performance of Elite Curling Athletes.

In elite curling, precise time perception, speed control, and accuracy are critical components of performance. Stroboscopic training enhances visual processing speed, reaction time, motor skill control, and cognitive abilities by challenging the brain to make quick decisions with limited visual information. This study aimed to investigate the impact of stroboscopic visual conditions on the key performance aspects of elite athletes in curling to determine whether these effects can be leveraged in long-term training to enhance elite curling performance. This study involved the participation of 32 national-level male curling athletes (n = 32, age: 19.9 ± 2.2 years, height: 178.0 ± 6.2 cm, body mass: 71.9 ± 10.6 kg, and training age: 2.7 ± 0.9 years). A cross-over controlled experiment was conducted, with participants randomly assigned to either a stroboscopic-first group (n = 16) or a control-first group (n = 16). Each participant completed tests under both stroboscopic and normal visual conditions, including assessments of time perception error, speed control error, and curling accuracy. Paired sample t-tests were employed to analyse performance differences across conditions, and two-factor ANOVA was used to analyse sequence effects. Bonferroni post-hoc tests were used to compare differences if the main effect was significant. Cohen's d was used for two-group comparisons, whereas ηp2 and Cohen's f were used for comparisons involving three or more groups. under stroboscopic conditions, participants experienced increased errors in time perception (p < 0.001, Cohen's d = 1.143), delivery speed control (p = 0.016, Cohen's d = 0.448), and reduced accuracy (p = 0.029, Cohen's d = 0.404). The sequence main effect on speed control error was significant (p = 0.025, ηp2 = 0.081, Cohen's f = 0.297). Stroboscopic visual conditions negatively impacted cognition (especially time perception) and delivery performance focused on speed control and accuracy in elite curling, highlighting the potential and feasibility of using stroboscopic training to enhance elite curling performance.

Multisensory working memory capture of attention.

During visual search, representations in working memory (WM) can guide the deployment of attention toward memory-matching visual input. Although previous studies have demonstrated that multisensory interactions facilitate WM and visual search, it remains unclear whether multisensory interaction influences attentional capture by WM. To address this issue, the present study adopted a dual-task paradigm, pairing a visual search task with a WM task, in which the memory modality was manipulated to be either visual or audiovisual. The results revealed that memory-driven attentional capture was observed under the visual and the audiovisual condition. Additionally, the capture effects and response time (RT) costs under the audiovisual condition were weaker than those under the visual condition, even on the trials with the earliest RTs. Furthermore, RT benefits under the audiovisual condition were comparable with those under the visual condition. These findings suggest that multisensory interactions can enhance cognitive control, leading to robust strategic effects and improved search performance. In this process, cognitive control tends to suppress the attentional capture by WM-matching distractors rather than enhance the attentional capture by WM-matching targets. The present study offers new insights into the influence of multisensory interactions on attentional capture by WM.

Distinct and additive effects of visual and vibratory feedback for motor rehabilitation: an EEG study in healthy subjects

IntroductionThe use of visual and proprioceptive feedback is a key property of motor rehabilitation techniques. This feedback can be used alone, for example, for vision in mirror or video therapy, for proprioception in focal tendon vibration therapy, or in combination, for example, in robot-assisted training. This Electroencephalographic (EEG) study in healthy subjects explored the distinct neurophysiological impact of adding visual (video therapy), proprioceptive (focal tendinous vibration), or combined feedback (video therapy and focal tendinous vibration) to a motor imagery task.MethodsSixteen healthy volunteers performed 20 mental imagery (MI) tasks involving right wrist extension and flexion under four conditions: MI alone (IA), MI + video feedback observation (IO), MI + vibratory feedback (IV), and MI + observation + vibratory feedback (IOV). Brain activity was monitored with EEG, and time-frequency neurophysiological markers of movement were computed. The emotions of the patients were also measured during the task.ResultsIn the alpha band, we observed bilateral ERD in the visual feedback conditions (IO, IOV). In the beta band, the ERD was bilateral in the IA, IV and IOV but more lateralized in the IV and IOV. After movement, we observed strong ERS in the IO and IOV but not in the IA or IV. Embodiment was stronger in conditions with vibratory feedback (IOV > IV > IA and IO)ConclusionConditions with visual feedback (IO, IOV) recruit the mirror neurons system (alpha ERD) and provide more accurate feedback of the task than IA and IV, which triggers motor validation pathways (beta rebound analysis). Vibratory feedback enhances the recruitment of the left sensorimotor areas, with a synergistic effect in the IOV (beta ERD analysis), thus maximizing embodiment. Visual and vibratory feedback recruits the sensorimotor cortex during motor imagery in different ways and can be combined to maximize the benefits of both techniquesTrial registrationhttps://clinicaltrials.gov/study/NCT04449328.

The Influence of Immersion on Situational Awareness in a Virtual Environment

Abstract Researchers have pointed out the need to find an alternative to subjective questionnaires to measure presence in a virtual environment. Situational awareness has been proposed to objectively measure the concept of presence. However, the link between situational awareness and specific factors of presence has not been established. To study this relationship, 60 participants executed a driving task in a virtual environment under different visual conditions while we measured their situational awareness with the situational awareness global assessment technique (SAGAT), and their presence with the presence questionnaire (PQ). During the driving task, we objectively and meaningfully manipulated immersion, a factor of presence, by varying our participants' contrast sensitivity, size of the field of view, and visual acuity. The meaningful manipulation of presence also allowed us to evaluate the functional thresholds of the three aforementioned visual qualities for a driving task, which were previously measured from a multidirectional selection test. Our results indicated a significant positive correlation between SAGAT and PQ. They also showed that SAGAT was sensitive to an immersion's degradation and brought a good diagnosticity on the effect of an immersion's manipulation. Consequently, we conclude that it could represent an objective alternative to subjective questionnaires to measure presence in a virtual environment. Moreover, our assessment of the functional thresholds allowed us to confirm that they were context dependent. Our results indicated that only the contrast sensitivity functional threshold was valid in both a multidirectional selection test and a driving task.

Impact of dispensing optical, nonoptical, and electronic devices on the visual function of students attending the schools for the blind

Background: Many students attending schools for the blind have some vision that can be made use of to improve their vision function. Aims: Our study aimed to assess the impact of optical, nonoptical, and electronic devices on vision function of visually impaired students. Setting and Design: This prospective interventional study was conucted in schools for the blind in western Maharashtra, India. Methods: Students attending schools for the blind were evaluated with history-taking, visual acuity tests, ocular examinations, fundoscopy, and low vision workup in 2022–2023. The LV Prasad Functional Vision Questionnaire assessed impact on vision function, before and after 3-month adaptation period. Results: Five hundred and thirty-five students aged 5–25 years with visual acuity &lt;6/60 in the better eye from eight schools were evaluated. Among them, 172 (31.77%) received low vision aids, with 144 (84.70%) using nonoptical devices such as NoIR filters, Caps, Typo scopes, and White canes. Optical devices such as telescopes and magnifiers in 35 and electronic devices like portable video magnifier in 11 students. Forty-six received all three types. There was a significant enhancement (P &lt; 0.001) in tasks related to distance, near vision, mobility, and outdoor lighting conditions for students using nonoptical devices alone or combined with optical aids and video magnifiers. Among the 119 (70%) students using nonoptical devices, 80 (67.22%) exclusively used them, while 42 (32.77%) combined them with other aids, showing even more substantial improvement. Conclusion: Optical, nonoptical and electronic, when used together improved vision function of visually impaired students.

Glaucoma Surgery SOS: Emergency Department Utilization Greater among Younger and First-Time Surgical Patients with Glaucoma

PurposeTo describe the frequency, findings, and interventions of patients’ emergency department visits after all types of glaucoma surgery DesignRetrospective cohort study SubjectsAll surgical glaucoma patients between 2013 and 2021 MethodsThis single institution study collected demographics, surgery type, and surgical parameters for each patient. Subsequently, for those visiting the emergency department within 50 days of surgery, data was collected on reason for visit, findings, and ophthalmic intervention. Logistic regression models were used to determine the odds of ED visits based on multiple risk factors. Main outcomePostoperative presentation to ED ResultsAmong 9155 surgeries in 5505 patients, 5.7% had ED visits within 50 days, with 46.3% having ocular complaints. Patients with ocular diagnoses presented earlier than those without (p < 0.001). Patients who presented to the ED with an ocular diagnosis were found to be significantly younger than those who did not present (62.2 ± 18.6 vs 65.4 ± 18.0 years old, p < 0.028). Furthermore, white patients were more likely than black patients to present with an ocular diagnosis compared to a non-ocular diagnosis (OR 2.64, 95% CI 1.67-4.18, p<0.001). Patients undergoing their first glaucoma surgery had a much higher chance of presenting to the ED compared to patients who had undergone more than one surgery (OR: 3.75, 95%CI 2.74 – 5.14, p < 0.001). Those who underwent traditional surgeries were more likely than patients with trabecular meshwork bypass stent (TMBS) to present to the ED with an ocular diagnosis (OR: 3.02, 95% CI 1.29 – 7.08, p = 0.011). Filtering surgeries and glaucoma drainage device (GDD) revisions exhibited more vision-threatening conditions than glaucoma drainage devices (p = 0.037 and p = 0.010 respectively). Ophthalmology consultation was sought for 88.0% of ocular diagnoses. Most received medical therapy (71.0%), primarily IOP-lowering drops. ConclusionED visits after glaucoma surgery are infrequent, yet more often seen in younger patients or those undergoing their first glaucoma surgery. TMBS, but not trabecular meshwork excision and/or Schlemm’s canal dilation (TME/SCD), were less likely to present to the ED than traditional surgeries. Filtering surgeries and tube revisions presented more often with visual threatening conditions.

A method for rapid assessment of visual ergonomics and lighting conditions (RAVEL): An in-depth development and psychometrics study.

In workplaces heavily reliant on visual tasks, various factors can significantly influence an individual's performance, necessitating the use of reliable tools to identify and mitigate these factors. This study aimed to develop a swift assessment method for visual ergonomics and lighting conditions, evaluating its validity in real-world scenarios. The questionnaire's content validity was determined by a panel of experts using the content validity ratio (CVR) and content validity index (CVI). Construct validity was assessed through exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and latent class analysis (LCA). Internal consistency was measured using Cronbach's alpha coefficient. The RAVEL index, derived from the calculated effect coefficients of items, classified total scores through receiver operator curves (ROCs). The rapid assessment method, comprising two parts with 30 items, demonstrated acceptable reliability with CVR, CVI, and Cronbach's alpha coefficient (α) at 0.75, 0.87, and 0.896, respectively. The EFA on the first part's 22 items identified three factors, confirmed by CFA. The LCA on the second part's eight items revealed that a two-class model best fit the data, with Bayesian information criterion (BIC) = 24249, 17, Akaik information criterion (AIC) = 2179.89, and an entropy R-squared of 0.83, indicating appropriate subject classification based on the model. The RAVEL score was categorized into three levels, with optimal cut points of 55 and 63. In conclusion, the study demonstrated that this method based on visual ergonomics serves as a rapid and reliable tool for assessing visual ergonomic risks of display users in the workplace.