Quality of life assessment for nuclear, cortical, posterior subcapsular patients before and after cataract surgery / Evaluación de la calidad de vida de pacientes nucleares, corticales y subcapsulares posteriores antes y después de la cirugía de cataratas

Purpose: The impact of visual outcomes of cataract surgery can be measured using a questionnaire. The aim of our study was to evaluate how patient quality of life changes after cataract surgery and if there are differences between the responses of patients with nuclear, cortical, and posterior subcapsular cataracts, which has not been studied before. Method: We studied 210 cataract patients who were divided into 3 cataract groups based on their cataract type: nuclear (n = 80), cortical (n = 70), and posterior subcapsular (PSC) (n = 60). The patients completed the Visual Function Index (VF-14) questionnaire before, 2 weeks and 1 month after bilateral cataract surgery. The results were analysed using one-way ANOVA (significance level 5 %) and were compared over time and between the cataract groups. Results: Before the cataract surgery, cortical cataract patients had the lowest questionnaire score compared to nuclear and posterior subcapsular cataract groups (p = 0.08). After cataract surgery, cortical cataract patients experienced the greatest improvement in near distance daily activities, while PSC cataract patients experienced the greatest improvement in far distance daily activities (p = 0.38). Before surgery, nuclear cataract patients had the highest questionnaire scores compared to the other cataract groups (p = 0.08). Conclusion: At the 1 month follow-up, there were no statistically significant differences in questionnaire scores between the cataract groups for any of the questions. Overall, cortical cataract patients showed a trend to experience the greatest subjective improvement in quality of life after cataract removal, followed by nuclear and posterior subcapsular patients.(AU)

Why 2D layout in 3D images matters: evidence from visual search and eyetracking.

Precise perception of three-dimensional (3D) images is crucial for a rewarding experience when using novel displays. However, the capability of the human visual system to perceive binocular disparities varies across the visual field meaning that depth perception might be affected by the two-dimensional (2D) layout of items on the screen. Nevertheless, potential difficulties in perceiving 3D images during free viewing have received only a little attention so far, limiting opportunities to enhance visual effectiveness of information presentation. The aim of this study was to elucidate how the 2D layout of items in 3D images impacts visual search and distribution of maintaining attention based on the analysis of the viewer's gaze. Participants were searching for a target which was projected one plane closer to the viewer compared to distractors on a multi-plane display. The 2D layout of items was manipulated by changing the item distance from the center of the display plane from 2° to 8°. As a result, the targets were identified correctly when the items were displayed close to the center of the display plane, however, the number of errors grew with an increase in distance. Moreover, correct responses were given more often when subjects paid more attention to targets compared to other items on the screen. However, a more balanced distribution of attention over time across all items was characteristic of the incorrectly completed trials. Thus, our results suggest that items should be displayed close to each other in a 2D layout to facilitate precise perception of 3D images and considering distribution of attention maintenance based on eye-tracking might be useful in the objective assessment of user experience for novel displays.

The Effect of Stimulus Contrast and Spatial Position on Saccadic Eye Movement Parameters.

(1) Background: Saccadic eye movements are rapid eye movements aimed to position the object image on the central retina, ensuring high-resolution data sampling across the visual field. Although saccadic eye movements are studied extensively, different experimental settings applied across different studies have left an open question of whether and how stimulus parameters can affect the saccadic performance. The current study aims to explore the effect of stimulus contrast and spatial position on saccadic eye movement latency, peak velocity and accuracy measurements. (2) Methods: Saccadic eye movement targets of different contrast levels were presented at four different spatial positions. The eye movements were recorded with a Tobii Pro Fusion video-oculograph (250 Hz). (3) Results: The results demonstrate a significant effect of stimulus spatial position on the latency and peak velocity measurements at a medium grey background, 30 cd/m2 (negative and positive stimulus polarity), light grey background, 90 cd/m2 (negative polarity), and black background, 3 cd/m2 (positive polarity). A significant effect of the stimulus spatial position was observed on the accuracy measurements when the saccadic eye movement stimuli were presented on a medium grey background (negative polarity) and on a black background. No significant effect of stimulus contrast was observed on the peak velocity measurements under all conditions. A significant stimulus contrast effect on latency and accuracy was observed only on a light grey background. (4) Conclusions: The best saccadic eye movement performance (lowest latency, highest peak velocity and accuracy measurements) can be observed when the saccades are oriented to the right and left from the central fixation point. Furthermore, when presenting the stimulus on a light grey background, a very low contrast stimuli should be considered carefully.

Brain activity underlying visual search in depth when viewing volumetric multiplanar images.

The study investigated the cortical activity associated with 3D and 2D image perception on a volumetric multiplanar display by analyzing event-related potentials (ERPs) and power spectral density (PSD). In this study, we used a volumetric multiplanar display to present visual targets, and the brain signals were recorded via an EEG amplifier and analyzed using the EEGLAB toolbox on MATLAB. The study found no significant differences in amplitude between the 3D and 2D conditions across five occipital and parietal electrodes. However, there was a significant difference in latency of the P3 component on the Pz electrode. The analysis of PSD showed no significant differences between the two conditions, although there was a slightly higher alpha and beta activity observed in the 2D visualization. The study concluded that 3D image representation on a volumetric multiplanar display has no more sensory or cognitive load on the human brain than 2D representation, and that depth perception on a multiplanar display requires less brain activity.

Figure-Ground Segmentation and Biological Motion Perception in Peripheral Visual Field.

Biological motion perception is a specific type of perceptual organization, during which a clear image of a moving human body is perceptually generated in virtue of certain core light dots representing the major joint movements. While the processes of biological motion perception have been studied extensively for almost a century, there is still a debate on whether biological motion task performance can be equally precise across all visual field or is central visual field specified for biological motion perception. The current study explores the processes of biological motion perception and figure-ground segmentation in the central and peripheral visual field, expanding the understanding of perceptual organization across different eccentricities. The method involved three different tasks of visual grouping: (1) a static visual grouping task, (2) a dynamic visual grouping task, and (3) a biological motion detection task. The stimuli in (1) and (2) were generated from 12-13 dots grouped by proximity and common fate, and, in (3), light dots representing human motion. All stimuli were embedded in static or dynamics visual noise and the threshold value for the number of noise dots in which the elements could still be grouped by proximity and/or common fate was determined. The results demonstrate that biological motion can be differentiated from the scrambled set of moving dots in a more intensive visual noise than static and dynamic visual grouping tasks. Furthermore, in all three visual tasks (static and dynamic grouping, and biological motion detection) the performance was significantly worse in the periphery than in the central visual field, and object magnification could not compensate for the reduced performance in any of the three grouping tasks. The preliminary results of nine participants indicate that (a) human motion perception involves specific perceptual processes, providing the high-accuracy perception of the human body and (b) the processes of figure-ground segmentation are governed by the bottom-up processes and the best performance can be achieved only when the object is demonstrated in the central visual field.

The impact of eye dominance on fixation stability in school-aged children.

The aim of the study was to analyze the stability of dominant and non-dominant eye fixations, as well as the influence of development on fixation stability. The study analyzed fixation stability in 280 school-age children, ranging in age from 7 to 12 years old. Fixation stability was determined by calculating the bivariate contour ellipse area (BCEA). During the fixation task, eye movements were recorded using the Tobii Pro Fusion eye tracking device at a 250 Hz sampling frequency. The results indicate that the fixation stability of dominant and non-dominant eyes, as well as the fixation stability of each eye regardless of dominance, improves as children grow older. It was found that for 7 and 8- year-old children, fixation in the dominant eye is significantly more stable than in the non-dominant eye, while in older children, there is no significant difference in fixation stability between the dominant and non-dominant eye.

Technologies supporting vision screening: a protocol for a scoping review.

INTRODUCTION: Vision problems affect academic performance, social and mental health. Most traditional vision screening methods rely on human expert assessments based on a set of vision tests. As technology advances, new instruments and computerised tools are available for complementing vision screening. The scoping review based on this protocol aims to investigate current technologies for vision screening, what vision tests can be complemented by technologies, and how these can support vision screening by providing measurements. METHODS AND ANALYSIS: The planned review will utilise the PRISMA extension for Scoping Reviews (PRISMA-ScR) tool. Electronic search will be performed in databases, including Web of Science, MEDLINE (Ovid), Scopus, Engineering Village, Cochrane and Embase. We will perform a systematic search in selected reference databases without the limitation on publications dates, or country of studies. Reference management software, like EndNote and DistillerSR, will be used to remove duplicate entries. Two authors will independently analyse the studies for inclusion eligibility. Conflicts will be resolved by discussion. We will extract the types of technologies, types of vision tests they complement and the measurements for the included studies. Overall findings will be synthesised by thematic analysis and mapping to the logic model. ETHICS AND DISSEMINATION: Ethical approval is not required for this review, as it will only summarise existing published data. We will publish the findings in an open access, peer-reviewed journal. We expect that the review results will be useful for vision screening experts, developers, researchers, and policymakers.

When virtual and real worlds coexist: Visualization and visual system affect spatial performance in augmented reality.

New visualization approaches are being actively developed aiming to mitigate the effect of vergence-accommodation conflict in stereoscopic augmented reality; however, high interindividual variability in spatial performance makes it difficult to predict user gain. To address this issue, we investigated the effects of consistent and inconsistent binocular and focus cues on perceptual matching in the stereoscopic environment of augmented reality using a head-mounted display that was driven in multifocal and single focal plane modes. Participants matched the distance of a real object with images projected at three viewing distances, concordant with the display focal planes when driven in the multifocal mode. As a result, consistency of depth cues facilitated faster perceptual judgments on spatial relations. Moreover, the individuals with mild binocular and accommodative disorders benefited from the visualization of information on the focal planes corresponding to image planes more than individuals with normal vision, which was reflected in performance accuracy. Because symptoms and complaints may be absent when the functionality of the sensorimotor system is reduced, the results indicate the need for a detailed assessment of visual functions in research on spatial performance. This study highlights that the development of a visualization system that reduces visual stress and improves user performance should be a priority for the successful implementation of augmented reality displays.

Gaze Parameters in the Analysis of Ambiguous Geometric Shapes.

This study explores perceptual organisation and shape perception when viewing a tetragon and an additional element (a dot) that is located at varying positions and distances next to the tetragon. The aim of the study is to determine the factors that can alter the interpretation of object configuration and impact whether the presented tetragon is perceived as a diamond or a square. Methods used in this study are a forced-choice task as a subjective measurement and eye tracking as an objective measurement of perceptual processes. Overall, 31 stimuli were presented to the participants: a tetragon in two different sizes with an additional element (a dot) located inside or outside the object at three different positions at three distances. The results indicate significant changes in shape perception, depending on the location of the additional element. The results are complemented with eye movement analysis indicating that as the distance between the elements increases, there is a higher probability of either of the two shape interpretations and the gaze is less likely to be directed to the area between the stimuli. Furthermore, the subjective perception of shape is codetermined by the shape perception when the tetragon is presented without the additional element.

The impact of irregular corneal shape parameters on visual acuity and contrast sensitivity.

BACKGROUND: To understand which irregular corneal parameters determine the visual quality in keratoconus subjects. METHODS: The cross-sectional study examined the eyes of 44 subjects, graded from the first to third keratoconus stages by Amsler-Krumeich classification. We obtained measurements in two ways: (a) by projecting two perpendicular axes onto a cornea (first, through the central point of the cornea and keratoconus apex; second, as the perpendicular axis) to read the elevation values at points on these axes as parameters characterising the corneal surface; (b) by projecting circles with different diameters around the central part of the cornea (1, 2, and 3 mm) and reading elevation values at points equally displaced on these circles as parameters characterising an anterior surface slope. Irregular corneal shape parameters' correlations with visual acuity and contrast sensitivity were determined in order to understand which corneal slope parameter has the strongest correlation with visual acuity and contrast sensitivity. RESULTS: Parameters characterising the corneal surface's correlations with contrast sensitivity were from r = 0.25 (p = 0.03) at 3 cpd to r = 0.47 (p < 0.01) at 9 cpd for the highest elevation and from r = 0.33 (p = 0.09) at 5 cpd to r = 0.40 (p < 0.01) at 11 cpd for the lowest elevation in all subjects together, while for visual acuity the parameters were r = 0.30 (p < 0.01) for the highest elevation and r = 0.21 (p = 0.06) for the lowest elevation in all subjects together. The correlation between contrast sensitivity and the highest and lowest corneal point in all measured cornea was stronger for subjects with a peripheral corneal apex than for those with a central apex. In keratoconus subjects, contrast sensitivity displayed a strong correlation with slope in the central part of the cornea (with a radius of 1 mm) ranging from 0.48 (p < 0.01) at 3 cpd to 0.61 (p < 0.01) at 9 cpd. CONCLUSION: Contrast sensitivity has a higher correlation with corneal shape parameters than with visual acuity. Subjects with a peripheral corneal apex had stronger correlations with visual acuity and contrast sensitivity than did subjects with a central apex. In keratoconus subjects, the strongest correlation was for contrast sensitivity and elevation (slope) in the region within a 1 mm radius of the corneal centre in the opposite direction of the keratoconus apex (direction (ax) CB).

Monocular Versus Binocular Calibrations in Evaluating Fixation Disparity With a Video-Based Eye-Tracker.

When measuring fixation disparity (an oculomotor vergence error), the question arises as to whether a monocular or binocular calibration is more precise and physiologically more appropriate. In monocular calibrations, a single eye fixates on a calibration target that is taken as having been projected onto the center of the fovea; the corresponding vergence state represents the heterophoria (the resting vergence position), which has no effect on the calibration procedure. In binocular calibrations, a vergence error may be present and may affect the subsequent measurement of the fixation disparity during binocular recordings. This study includes a test of the precision of both monocular and binocular calibrations and an evaluation of the impact of the calibration procedure on the measurement of fixation disparity during a dot scanning task. Our results show that 11 participants (out of 19) each exhibited a significant difference in fixation disparity with the two types of calibration procedures. In addition, the fixation disparity was more strongly affected by heterophoria undergoing monocular calibration, as opposed to binocular calibration. This serves as additional evidence showing that the monocular calibration produces a physiologically more plausible fixation disparity and seems to be more appropriate for studying the full extent of fixation disparity.

Reading and coherent motion perception in school age children.

This study includes an evaluation, according to age, of the reading and global motion perception developmental trajectories of 2027 school age children in typical stages of development. Reading is assessed using the reading rate score test, for which all of the student participants, regardless of age, received the same passage of text of a medium difficulty reading level. The coherent motion perception threshold is determined according to the adaptive psychophysical protocol based on a four-alternative, forced-choice procedure. Three different dot velocities: 2, 5, and 8 deg/s were used for both assemblies of coherent or randomly moving dots. Reading rate score test results exhibit a wide dispersion across all age groups, so much so that the outlier data overlap, for both the 8 and 18-year-old student-participant age groups. Latvian children's reading fluency developmental trajectories reach maturation at 12-13 years of age. After the age of 13, reading rate scores increase slowly; however, the linear regression slope is different from zero and positive: F(1, 827) = 45.3; p < 0.0001. One hundred eighty-one student-participants having results below the 10th percentile were classified as weak readers in our study group. The reading fluency developmental trajectory of this particular group of student-participants does not exhibit any statistically significant saturation until the age of 18 years old. Coherent motion detection thresholds decrease with age and do not reach saturation. Tests with slower moving dots (2 deg/s) yield results that exhibit significant differences between strong and weak readers.

Voluntarily controlled bi-stable slant perception of real and photographed surfaces.

We have quantified voluntarily selected perceived slant of real trapezoidal surfaces (a 'reverse-perspective' scene) and their photographed counterparts (pictorial space). The surfaces were slanted about the vertical axis and observers estimated slant relative to the frontal plane. We were particularly interested in those cases in which binocular disparity and monocular perspective provided conflicting slant information. We varied the monocularly and binocularly specified surface slants independently across stimulus presentations. To eliminate texture and shading cues we used sand-blasted aluminium trapezoidal surfaces illuminated from all directions. When disparity-specified slant and perspective-specified slant were conflicting, observers were able to perceive the surfaces in two ways: they perceived either a trapezoid or a rectangle. Our main finding is twofold. First, when subjects chose to perceive the trapezoid, the slant estimates followed the disparity-predicted slant with only a slight underestimation, as if they selected a pure binocular representation of slant governed only by disparity. Second, when subjects chose to perceive the rectangle their estimates for real surfaces were similar to those for photographed surfaces, as if they selected a representation of slant governed by perspective foreshortening.