The role of ethnicity versus environment in tear film stability: A pilot study.

PURPOSE: Existing literatures suggest a difference in tear film stability between Caucasian and Asian ethnic groups. However, such a finding was compounded by the fact that the comparison was done on subjects living in different environments. Therefore, it is not clear whether such difference is due to ethnicity, environment, or both. The aim of this study is to clarify the roles of these two factors. METHODS: A total of 88 asymptomatic subjects participated in this present study. For each subject, the tear film break-up time (TBUT), non-invasive TBUT (NITBUT) and tear meniscus height (TMH) were measured. To isolate the effect of ethnicity, the results of 12 American Asian young adults were compared against the results of 23 Caucasian adults. Both groups were recruited from Nova Southeastern University. To elucidate the effect of environment, the results from the same 12 American Asians were compared to that of the 53 Asian young adults recruited from the Tianjin Vocational Institute, China (Tianjin Asian). RESULTS: The tear film stability did not show significant difference among American Asian subjects and Caucasian subjects in TBUT (10.49 ± 2.86 s vs. 11.06 ± 2.79 s,p = 0.57), NITBUT (11.19 ± 4.89 s vs. 11.14 ± 6.20 s, p = 0.98), and TMH (0.21 ± 0.08 mm vs. 0.22 ± 0.05 mm, p =0.59). However, the tear film stability was significantly better in the American Asian group than the Tianjin Asian group in TBUT (10.49 ± 2.86 s vs. 7.60 ± 3.26 s, p = 0.01), NITBUT (11.19 ± 4.89 s vs. 8.03 ± 3.56 s, p = 0.01), and TMH (0.21 ± 0.08 mm vs. 0.14 ± 0.03 mm, p < 0.01). CONCLUSIONS: The previously reported difference in Caucasian and Asian populations might be due to the fact that the studied subjects have different living environments.

Attentional biases toward body images in males at high risk of muscle dysmorphia.

OBJECTIVE: Although research on muscle dysmorphia (MD), a body dysmorphic disorder subtype, has recently increased, the causes and mechanisms underlying this disorder remain unclear. Results from studies examining disorders associated with body image suggest the involvement of self-schema in biasing attention toward specific body information. The present study examined whether individuals at higher risk of MD also display attentional biases toward specific types of body images. METHODS: The validated Chinese version of the Muscle Appearance Satisfaction Scale was used to distinguish men at higher and lower risk of MD. Sixty-five adult Chinese men at higher (HRMD, n = 33) and lower risk of MD (LRMD, n = 32) performed a visual probe task. Initially, an image of a bodybuilder with either larger or smaller musculature was presented on one side of a central point, with a neutral image of a car exterior presented on the other side along the horizontal plane for 2,000 ms. The paired images were removed, and a visual target (a dot) was displayed in the location of one of the previously shown images. Participants were asked to indicate the location of the target, and their eye movements were recorded during the entire visual presentation. Participant reaction time and three eye movement measurements (gaze direction, first saccade latency, and first fixation duration) were recorded for use in determining attentional bias. RESULTS: The HRMD group revealed biases in orienting and maintaining their attention on images of bodybuilders with larger musculatures. Participants in this group consequently had a shorter reaction time in identifying the target that appeared at the location in which an image of a bodybuilder with a larger musculature had been previously displayed. They also directed their initial gaze more frequently, had shorter saccade latency, and had longer first fixation duration on images of bodybuilders with larger musculatures (all p < .0001). In comparison, the LRMD group had longer reaction times, slower attention orientation toward body images, and shorter fixation duration for images of bodybuilders with larger musculatures (all p < .0001), indicating weaker or mixed responses. DISCUSSION: Adult Chinese men at higher risk of MD displayed biases in orienting and maintaining their visual attention toward images of bodybuilders with larger musculatures, and these biases facilitated their information processing. These results suggest that development of MD may be due in part to attentional biases associated with established negative self-schema of specific body information. These findings provide insight into understanding and identifying the cognitive characteristics of MD in an Asian population.

Comparison of ocular higher-order aberrations after SMILE and Wavefront-guided Femtosecond LASIK for myopia.

BACKGROUND: To compare changes in higher-order aberrations (HOAs) following small incision lenticule extraction (SMILE) and wavefront-guided femtosecond laser-assisted in situ keratomileusis (WFG FS-LASIK), and to investigate correlations between preoperative spherical equivalence (SE) and components of HOAs affecting visual quality. METHODS: Sixty-five myopic eyes from 38 patients were enrolled in the study retrospectively, either having undergone SMILE or WFG FS-LASIK. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive error, and individual Zernike coefficients of 3rd- to 6th-order HOAs were measured before and 3 months after the surgeries and were compared using the Mann-Whitney test or Student's t-test. Additional generalized estimating equation analyses (GEE) were used to control for within-subject biases in individual Zernike coefficients between the right and left eyes of the same patients. RESULTS: There was no significant difference in UDVA or CDVA after WFG FS-LASIK (Mean ± SD: -0.02 ± 0.07 and -0.04 ± 0.22 respectively, in logMAR) and after SMILE (-0.01 ± 0.06 and -0.04 ± 0.04 respectively). However, greater vertical coma aberration was found after SMILE (p = 0.036). Preoperative SE was correlated to induced horizontal coma (r = -0.608, p = 0.001) in WFG FS-LASIK, and correlated to induced vertical coma (r = -0.459, p = 0.003) in SMILE. CONCLUSIONS: Both SMILE and WFG FS-LASIK can achieve planned visual outcomes in correcting myopia and myopic astigmatism. However, higher vertical coma was shown in SMILE than WFG FS-LASIK which might be a potentially impact factor for patients' vision under certain lighting conditions and needs further investigation.

Contributions of Visuo-oculomotor Abilities to Interceptive Skills in Sports.

PURPOSE: Monitoring and intercepting a fast approaching object is a critical skill for many sports. Athletes might be distinguished from nonathletes based on their ability to access various visual abilities to accomplish interceptive actions. Here, we examined whether interceptive visuomotor skills of athletes and nonathletes are differently correlated to a hierarchy of visuo-oculomotor abilities related to the perception of motion in depth. METHODS: Eighty-six athletes in interceptive sports, as well as 60 nonathletes, were recruited based on their sport performance and prior experiences. Their basic visual abilities (dominant eye acuity, contrast sensitivity, visual span, and visual memory) and complex visuo-oculomotor abilities (dynamic acuity, accommodative facility, near point of convergence, and near/far phoria) were analyzed in relation to critical visuomotor skills (manual interception, visually guided locomotion, and depth judgment). RESULTS: Discriminant analysis revealed that athletes and nonathletes can be accurately differentiated based on measured visuomotor skills (91.3% accuracy, p < 0.0001). Near point of convergence, accommodative facility, and dynamic acuity were moderately effective in identifying athletes (71.3%, p = 0.002) and in predicting the three visuomotor skills (all r(2) ≥ 0.096, all p ≤ 0.022). Dominant eye acuity and contrast sensitivity also identified athletes (61.4%, p = 0.021) and contributed to complex visuo-oculomotor abilities (all r(2) ≥ 0.046, all p ≤ 0.039). The correlations among measured abilities were more significant for athletes than nonathletes. CONCLUSIONS: Athletes in interceptive sports are superior to nonathletes in their visuomotor skills. They also have broader access to various visual and complex visuo-oculomotor abilities than nonathletes. This likely allows athletes to more effectively coordinate visual and oculomotor abilities under demanding conditions when some visual cues are degraded. The present findings are consistent with a pyramid of sports vision and suggest a top-down process for athlete screening and training.

The Muscle Appearance Satisfaction Scale: A factorial analysis of validity and reliability for its use on adult Chinese male weightlifters.

Muscle dysmorphia (MD) is the distorted perception of men's own muscle appearance. The increasing popularity of weightlifting in Chinese men suggests the presence of MD. The study assessed the validity and reliability of the Muscle Appearance Satisfaction Scale (MASS) for its use on adult Chinese males. Exploratory and confirmatory factor analyses of responses from 225 and 592 participants confirmed the same five factors for the 17-item Chinese version as the original MASS (CFI=.931, RMSEA=.052). The internal consistency for all factors were acceptable (Cronbach's α=.636 to .737). Correlation levels of its subscales with converging measurements indicated that the revised MASS is effective in assessing MD in Chinese male weightlifters. Differences in the importance of the factors suggest an influence of Chinese culture in the symptoms of MD and the need of assessing the MASS with populations from distinct demographics in China and from different cultures.

Contrasting the roles of the supplementary and frontal eye fields in ocular decision making.

Single-unit recording in monkeys and functional imaging of the human frontal lobe indicate that the supplementary eye field (SEF) and the frontal eye field (FEF) are involved in ocular decision making. To test whether these structures have distinct roles in decision making, single-neuron activity was recorded from each structure while monkeys executed an ocular go/nogo task. The task rule is to pursue a moving target if it intersects a visible square or "go zone." We found that most SEF neurons showed differential go/nogo activity during the delay period, before the target intersected the go zone (delay period), whereas most FEF neurons did so after target intersection, during the period in which the movement was executed (movement period). Choice probability (CP) for SEF neurons was high in the delay period but decreased in the movement period, whereas for FEF neurons it was low in the delay period and increased in the movement period. Directional selectivity of SEF neurons was low throughout the trial, whereas that of FEF neurons was highest in the delay period, decreasing later in the trial. Increasing task difficulty led to later discrimination between go and nogo in both structures and lower CP in the SEF, but it did not affect CP in the FEF. The results suggest that the SEF interprets the task rule early but is less involved in executing the motor decision than is the FEF and that these two areas collaborate dynamically to execute ocular decisions.

Comparative effect of lens care solutions on blink rate, ocular discomfort and visual performance.

PURPOSE: To help maintain clear vision and ocular surface health, eye blinks occur to distribute natural tears over the ocular surface, especially the corneal surface. Contact lens wearers may suffer from poor vision and dry eye symptoms due to difficulty in lens surface wetting and reduced tear production. Sustained viewing of a computer screen reduces eye blinks and exacerbates such difficulties. The present study evaluated the wetting effect of lens care solutions (LCSs) on blink rate, dry eye symptoms, and vision performance. METHODS: Sixty-five adult habitual soft contact lens wearers were recruited to adapt to different LCSs (Opti-free, ReNu, and ClearCare) in a cross-over design. Blink rate in pictorial viewing and reading (measured with an eyetracker), dry eye symptoms (measured with the Ocular Surface Disease Index questionnaire), and visual discrimination (identifying tumbling E) immediately before and after eye blinks were measured after 2 weeks of adaption to LCS. Repeated measures anova and mixed model ancova were conducted to evaluate effects of LCS on blink rate, symptom score, and discrimination accuracy. RESULTS: Opti-Free resulted in lower dry eye symptoms (p = 0.018) than ClearCare, and lower spontaneous blink rate (measured in picture viewing) than ClearCare (p = 0.014) and ReNu (p = 0.041). In reading, blink rate was higher for ClearCare compared to ReNu (p = 0.026) and control (p = 0.024). Visual discrimination time was longer for the control (daily disposable lens) than for Opti-Free (p = 0.007), ReNu (p = 0.009), and ClearCare (0.013) immediately before the blink. CONCLUSIONS: LCSs differently affected blink rate, subjective dry eye symptoms, and visual discrimination speed. Those with wetting agents led to significantly fewer eye blinks while affording better ocular comfort for contact lens wearers, compared to that without. LCSs with wetting agents also resulted in better visual performance compared to wearing daily disposable contact lenses. These presumably are because of improved tear film quality.

Stereoscopic viewing and reported perceived immersion and symptoms.

PURPOSE: Stereoscopic 3D displays heighten perceived immersion but elevate viewing symptoms for some viewers. The present study measured prevalence and magnitude of perceived immersion and viewing symptoms in stereoscopic viewing, and related them to viewer's characteristics and viewing position. METHODS: Two hundred three teens and adults viewed a movie in 2D or 3D while sitting at different angles and distances. Their prior viewing symptoms, as well as visual and physical discomfort immediately before and after viewing, were measured with questionnaires. They were also asked to report their perceived immersion after the viewing. RESULTS: Twelve percent and twenty-one percent of 2D and stereoscopic 3D participants reported increases of measured symptoms during and/or after viewing. Stereoscopic 3D viewing incurred greater and more frequent perception of blurred vision, double vision, dizziness, disorientation, and nausea than 2D viewing. Reported ocular and physical symptoms were negatively correlated to perceived immersion in 3D viewing. Older viewers (age 46 years or older) reported greater ocular, visual, and motion sickness symptoms in 2D viewing, and younger viewers (age 24-34 years) reported greater visual and motion sickness symptoms in 3D viewing. Sitting in an oblique position attenuated perceived immersion but also reduced motion symptoms in 3D viewing. Prior viewing symptoms in 2D tasks also predicted ocular and physical symptoms in 2D but less so in 3D viewing. CONCLUSIONS: Stereoscopic 3D viewing provides greater immersion, but it can also lead to heightened visual and motion sickness symptoms. Viewers with prior symptoms in viewing TV and computer screen are not more likely to have increased ocular and physical symptoms in 3D viewing. Young viewers incurred higher immersion but also greater visual and motion sickness symptoms in 3D viewing; both will be reduced if a farther distance and a wider viewing angle are adopted.

Effects of ocular transverse chromatic aberration on peripheral word identification.

Transverse chromatic aberration (TCA) smears the retinal image of peripheral stimuli. We previously found that TCA significantly reduces the ability to recognize letters presented in the near fovea by degrading image quality and exacerbating crowding effect from adjacent letters. The present study examined whether TCA has a significant effect on near foveal and peripheral word identification, and whether within-word orthographic facilitation interacts with TCA effect to affect word identification. Subjects were briefly presented a 6- to 7-letter word of high or low frequency in each trial. Target words were generated with weak or strong horizontal color fringe to attenuate the TCA in the right periphery and exacerbate it in the left. The center of the target word was 1°, 2°, 4°, and 6° to the left or right of a fixation point. Subject's eye position was monitored with an eye-tracker to ensure proper fixation before target presentation. They were required to report the identity of the target word as soon and accurately as possible. Results show significant effect of color fringe on the latency and accuracy of word recognition, indicating existing TCA effect. Observed TCA effect was more salient in the right periphery, and was affected by word frequency more there. Individuals' subjective preference of color-fringed text was correlated to the TCA effect in the near periphery. Our results suggest that TCA significantly affects peripheral word identification, especially when it is located in the right periphery. Contextual facilitation such as word frequency interacts with TCA to influence the accuracy and latency of word recognition.

Supplementary eye field activity reflects a decision rule governing smooth pursuit but not the decision.

Animals depend on learned rules to guide their actions. Prefrontal (PFC) and premotor (PMC) cortex of primates have been reported to display rule-related neural activity, but it is unclear how signals encoded here are utilized to enforce the decision to act. The supplementary eye field (SEF) is a candidate for enforcing rule-guided ocular decisions because the activity of neurons here is correlated with the rule in an ocular decision-making task and because this area is anatomically more proximal to movement structures than PFC and PMC and receives inputs from them. However, in the previous work, the rule encoding and ocular outcome were confounded, leaving open the question of whether SEF activity is related to the rule or the behavior. In the present study, we attempted to discriminate between these alternatives by increasing task difficulty and forcing errors, thereby putting the stimulus and the behavior at odds. Single SEF neurons were recorded while monkeys performed the task in which the rule is to pursue a moving target if it intersects a visible square and maintain fixation if it does not. A delay period was imposed to monitor neural activity while the target approached the square. Two complementary populations of go and nogo neurons were found. When task difficulty was increased, the monkeys made more errors, and the neurons took longer to encode the rule. However, in error trials, most neurons continued to reflect the rule rather the monkey's ocular decision in both the delay period and after square intersection (movement period). This was the case for both directionally tuned and nondirectional SEF neurons. The results suggest that SEF neurons encode the ocular decision rule but that the decision itself likely occurs in a different structure that sums rule information from the SEF with information from other areas.

Effects of ocular transverse chromatic aberration on near foveal letter recognition.

Transverse chromatic aberration (TCA) smears retinal images of peripheral stimuli. In reading, text information is extracted from both foveal and near fovea, where TCA magnitude is relatively small and variable. The present study investigated whether TCA significantly affects near foveal letter identification. Subjects were briefly presented a string of five letters centered one degree of visual angle to the left or right of fixation. They indicated whether the middle letter was the same as a comparison letter subsequently presented. Letter strings were rendered with a reddish fringe on the left edge of each letter and a bluish fringe on the right edge, consistent with expected left periphery TCA, or with the opposite fringe consistent with expected right periphery TCA. Effect of the color fringing on letter recognition was measured by comparing the response accuracy for fringed and non-fringed stimuli. Effects of lateral interference were examined by manipulating inter-letter spacing and similarity of neighboring letters. Results demonstrated significantly improved response accuracy with the color fringe opposite to the expected TCA, but decreased accuracy when consistent with it. Narrower letter spacing exacerbated the effect of the color fringe, whereas letter similarity did not. Our results suggest that TCA significantly reduces the ability to recognize letters in the near fovea by impeding recognition of individual letters and by enhancing lateral interference between letters.

Effects of gaze-contingent text changes on fixation duration in reading.

In reading, a text change during an eye fixation can increase the duration of that fixation. This increased fixation duration could be the result of disrupted text processing, or from the effect of perceiving the brief visual change (a visual transient). The present study was designed to test those two hypotheses. Subjects read multiple-line text while their eye movements were monitored. During randomly selected saccades, the text was masked with an alternate page, which was then replaced with a second alternate page, 75 or 150 ms after the onset of the subsequent (critical) fixation. The effect of the initial masking page, the text change during fixation, and the content of the second page on the likelihood of saccade initiation during the critical fixation, was measured. Results showed that a text change during fixation resulted in similar bilateral (forward and regressive) saccade suppression regardless of the nature of the first and second pages, or the timing of text change. This result likely reflects the effect of a low-level visual transient caused by text change. In addition, there was delay effect reflecting the content of the initial masking. How the suppression dissipated after text change depended on the nature of the first and second pages. These effects are attributed to high-level text processing. The present results suggest that in reading, visual and cognitive processes both can disrupt saccade initiation. The combination of processing difficulty and visually-induced saccade suppression is responsible for the change in fixation duration when gaze-contingent display change is utilized. Therefore, it is prudent to consider both factors when interpreting the effect of text change on eye movement patterns.

The effects of microstimulation of the dorsomedial frontal cortex on saccade latency.

Neural regions in the dorsomedial frontal cortex (DMFC), including the supplementary eye field (SEF) and the presupplementary motor area (pre-SMA), are likely candidates for generating top-down control of saccade target selection. To investigate this, we applied electrical microstimulation to these structures while saccades were being planned to visual targets. Stimulation administered to superficial and lateral DMFC sites that were within or close to the SEF delayed ipsilateral and facilitated contralateral saccades. Facilitation was limited to saccades made toward targets in a narrow, contralateral movement field that had endpoints consistent with the goal of evoked saccades. Facilitation occurred with current delivered before target onset and delay with current applied after this time. Stimulation at deeper, medial sites that encompassed the pre-SMA resulted in mostly bilateral delay. The amount of delay at these sites was usually greater for ipsilateral saccades and increased with current amplitude. Changes in saccade latency were not accompanied by altered endpoint, trajectory, or peak velocity. The spatial specificity of SEF stimulation in inducing latency changes suggests that the SEF participates in selecting saccade goals. The less specific delay with pre-SMA stimulation suggests that it is involved in postponing visually guided saccades, thus likely permitting other oculomotor structures to select saccade goals.