Refractive index distribution and optical properties of the isolated human lens measured using magnetic resonance imaging (MRI).

Using a non-invasive MRI technique for measuring the refractive index distribution through the crystalline lens, refractive index maps were obtained through 20 intact isolated human lenses (7-82years). Focal length measurements, obtained by simulated light ray propagation through each index map were found to be in agreement with direct measurements performed on a scanning laser apparatus. With increasing age, the refractive index profiles became flatter in the central region, accompanied by steepening of the profile in the periphery. This appears to be an important mechanism underlying the observed changes in power and longitudinal aberration of the human lens.

Atrial natriuretic peptide augments the variability of sympathetic nerve activity in human heart failure.

OBJECTIVES: Activation of the sympathetic nervous system, decreased heart rate variability (HRV), and loss of modulation of muscle sympathetic nerve activity (MSNA) within the low frequency (LF, 0.05-0.15 Hz) range are three adverse features of advanced congestive heart failure (CHF). In healthy men, atrial natriuretic peptide (ANP) infusion attenuates reflex increases in MSNA and reduces LF components of HRV spectral power. Sympathoinhibitory actions have also been documented in CHF, but effects on the variability of MSNA and HRV have not been described. DESIGN AND METHODS: Heart rate and MSNA were recorded in 10 men (aged 39 +/- 3 years, mean +/- SE) with dilated cardiomyopathy (mean EF 20 +/- 4%) treated with angiotensin converting enzyme (ACE) inhibitors. Subjects received i.v. ANP (50 microg bolus then 50 ng/kg/min) and nitroglycerin (NTG, 8 mg/min) as a hemodynamic control. Signals at baseline, and 13-20 min into each infusion were submitted to spectral analysis. RESULTS: ANP had no effect on HRV, but increased MSNA LF (from 7.9 +/- 1.5 to 12.1 +/- 2.6 U2; P< 0.02) and total spectral power (from 47.9 +/- 5.4 to 61.9 +/- 6.8 U2; P < 0.05). NTG had no effect on the variability of MSNA or HRV. CONCLUSIONS: In CHF patients receiving ACE inhibitors, ANP (i) does not suppress HRV and (ii) enhances the modulation of MSNA, particularly within the LF range. This latter action is not observed with NTG. These findings suggest beneficial actions of exogenous ANP on neurogenic circulatory control.

Subject instructions and methods of target presentation in accommodation research.

PURPOSE: The authors investigated the potential of subject instructions to alter the static accommodative stimulus-response function. They also investigated whether the reduced cue environment of the Badal optical system leads to accommodative responses different from those that occur for targets presented in real space. METHODS: Static accommodative responses with three focusing instructions were compared to baselines obtained with minimal instruction to stabilize gaze. Static accommodative responses were recorded for targets presented in real space and in a Badal optical system. RESULTS: Individuals differ widely in their responses to Instruction 1 (" ... make no special effort ... "), although some adopt a relatively fixed position of focus. Responses with Instruction 2 (" ... look at the words naturally ... ") and Instruction 3 (" ... carefully focus ... ") are not significantly different from each other, but differ slightly from the responses with the baseline instruction ("pick a word in the middle of the block of text and look at it"). In a sample including most subjects, mean responses for Badal and real space targets are identical. However, it appears that some subjects have difficulty accommodating for Badal targets. CONCLUSIONS: The authors recommend the use of Instructions 2 and 3 for investigation of the static accommodative response, with a number of provisos. Accommodative responses to Badal and real space targets are generally equivalent, but researchers should take care to identify those persons who have difficulties accommodating for Badal targets.

Accommodation-convergence relationships and age.

PURPOSE: The objective of this study was to determine if there are differences in accommodative-convergence/accommodation (AC/A) and convergence-accommodation/convergence (CA/C) ratios in subjects with increasing age. The authors aimed to relate the findings to the present theories of the development of presbyopia. METHODS: Using a Canon AutoRef R-1 to measure accommodation and an IRIS eye movement monitor to measure eye movements, the authors determined objective AC/A and CA/C ratios for 23 subjects between 17 and 42 years of age with normal binocular vision. Changes in accommodation and convergence responses were stimulated by lenses (-1.00 DS and -2.00 DS) and prisms (4 and 8 prism diopters), respectively. Measures were made at two visits on consecutive days. RESULTS: A moderate linear relationship was found between AC/A ratio and age (P < .002), and a strong linear relationship was found between CA/C ratio and age (P < .0001). The decrease in CA/C ratio with age was due to a decreased accommodative response to prisms (P = .0001). Measurements were reliable, with 95% confidence intervals at +/- 1.28 delta/D and +/- 0.02 D/delta for AC/A and CA/C ratios, respectively. A reciprocal relationship existed between the AC/A and CA/C ratios. CONCLUSION: The AC/A ratio increases, and the CA/C ratio decreases, in persons between 20 and 40 years of age. This may be because increasing ciliary muscle contraction is required to produce a given change in accommodation with increasing age or because of changes in the adaptability of the tonic accommodation and vergence systems with age.

Age-related effects of compression rate and duration in cardiopulmonary resuscitation.

The effects of various compression rate and duration combinations on chest geometry and cerebral perfusion pressure during cardiopulmonary resuscitation (CPR) were studied in immature swine. Pentobarbital-anesthetized 2- and 8-wk-old piglets received CPR after ventricular fibrillation. At compression rates of 40, 60, 80, 100, 120, and 150/min, duty cycle (compression duration/total cycle time) was increased from 10 to 80% by 10% increments. Mean aortic and sagittal sinus pressures, pulsatile displacement, and deformity of the anterior chest wall were measured. Increasing duty cycle increased cerebral perfusion pressure until chest relaxation time was compromised. Inadequate chest recoil, development of static chest deformation, and limitation of pulsatile chest wall movement occurred in both age groups when relaxation time was very short (150-200 ms in 2-wk-old piglets, 250-300 ms in 8-wk-old piglets). These changes in chest geometry correlated with deterioration of cerebral perfusion pressure only in 8-wk-old piglets. In the younger group, perfusion pressures plateaued but did not deteriorate. These data emphasize the importance of duty cycle in generating cerebral perfusion pressure and indicate that younger animals can tolerate high compression rates except at extremely long duty cycles.

Reference axis selection: subcommittee report of the OSA Working Group to establish standards for measurement and reporting of optical aberrations of the eye.

It is the committee's recommendation that the ophthalmic community use the line of sight as the reference axis for the purposes of calculating and measuring the ocular optical aberrations.

Continuous gradient index and shell models of the human lens.

Because of the complexity of tracing rays through a gradient refractive index medium, the human eye's lens is sometimes approximated by a shell structure with constant refractive index within shells. In the shell model, power arises from a combination of an axial variation in index and the curvatures of the shell surfaces. We develop an equation which gives the power due to the gradient index of the lens, and use this to choose shell models that have the same power as the continuous gradient index model. Some types of shell models are described and evaluated.

Consequences of monocular diplopia for the contrast sensitivity function.

Though the human eye generally creates a single image on the retina, the literature contains many examples showing perceptual monocular diplopia. Previously, monocular diplopia resulting from astigmatic defocus has been demonstrated to cause a notch (local minimum) in the contrast sensitivity function (CSF). We examine Verhoeff's (1900) model which explains how monocular diplopia can occur through an interaction between defocus and common ocular aberrations. From the measured ocular transverse aberration function and from the measured monocular diplopia of three cyclopleged subjects we predicted multiple notches in the CSF with hyperopic spherical defocus. Monochromatic and polychromatic CSF were measured for vertical gratings with best refraction and with simulated myopia and hyperopia. Multiple notches in CSF were observed experimentally. Notches in the polychromatic CSF were smaller and broader than those found in the monochromatic CSF. Our aberration model was successful in predicting notches in the CSF with hyperopic spherical defocus. The implications for clinical measurement of CSF are discussed.

Monocular diplopia caused by ocular aberrations and hyperopic defocus.

As a single aperture, approximately monofocal optical system, the human eye generally creates a single image on the retina. However, the literature contains many reports of perceptual monocular diplopia. While it is easy to understand how distortion may produce monocular diplopia, its reported high incidence in normal eyes is less easily understood. We examine a model which ascribes monocular diplopia to an interaction between defocus and ocular spherical aberration. Using a psychophysical hyperacuity-based alignment procedure we measured the transverse aberration function in 0.5 mm steps horizontally across the pupil in the eyes of three cyclopleged subjects. Ocular transverse aberration functions were derived with best refraction and with simulated myopia and hyperopia. Monocular diplopia was also measured under the same conditions. All three subjects showed significant, but different, degrees of positive spherical aberration. The measured ocular transverse aberration functions were predictably modified by the hyperopic and myopic defocus. Hyperopic defocus combined with positive (myopic) spherical aberration changes a monotonic transverse aberration function with a single inflection point into a biphasic function with two inflection points. The locations of the inflections predict the presence and magnitude of the perceived diplopia. These experimental results confirm Verhoeff's (1900) hypothesis for the ocular cause of monocular diplopia.

Age-related changes in refractive index distribution and power of the human lens as measured by magnetic resonance micro-imaging in vitro.

We report a new technique for non-invasively mapping the refractive index distribution through the eye lens using magnetic resonance micro-imaging. The technique is applied to map the refractive index distribution throughout the sagittal plane of 18 human eye lenses ranging in age from 14 to 82 years in vitro. The results are compared with standard models for the human eye lens. They confirm that the refractive index distribution, when plotted as a function of normalised lens radius, is a function of lens age and differs both between the equatorial and axial directions and between the anterior and posterior halves of the optical axis. The refractive index of the lens nucleus exhibits a significant reduction with age amounting to 3.4+/-0.6 x 10(-4) years(-1). The contribution of the gradient index (GRIN) to the lens power decreases by 0.286+/-0.067 D/year, accounting almost entirely for the estimated overall change in lens power with age for these lenses, which were probably in their most accommodated state. The results provide experimental verification of hypothesised changes in the GRIN that have previously been invoked as contributing to presbyopia and support the hypothesis that changes in the GRIN are sufficient to offset effects of increasing curvature of human lenses with age in their unaccommodated state.

Monochromatic aberrations and myopia.

The monochromatic aberrations present in the eyes of a group of 21 young myopic subjects and 16 young emmetropic subjects were measured along the visual axis at three levels of accommodation. The aberrations were measured using a modified aberroscope technique which makes use of a retinal camera to photograph the shadow image of the aberroscope grid on the retina, while accommodation levels of 0, 1.5 and 3.0 D were induced consensually. Fourth-order aberrations were significantly different between the emmetropic and myopic groups, with the myopes showing lower fourth-order terms. A high proportion of the aberroscope grids photographed in the myopic eyes were too highly aberrated to permit analysis.

Measurement of monochromatic ocular aberrations of human eyes as a function of accommodation by the Howland aberroscope technique.

Further development of the objective version of the Howland and Howland [(1976) Science, 193, 580-582; (1977) Journal of the Optical Society of America, 67, 1508-1518] aberroscope technique for measuring ocular aberrations is described. Compensation for refractive corrections and calibration is discussed. The technique was used to investigate the effect of accommodation upon the monochromatic aberrations of the right eyes of 15 subjects. Coma and coma-like aberrations were the dominant aberrations for most people at different accommodation levels, thus confirming previous findings. Variations in aberrations were considerable between subjects. About half the subjects showed the classical trend towards negative spherical aberration with accommodation. Changes in spherical aberration with accommodation in this study were less than found in previous studies where all monochromatic aberration was considered to be spherical aberration.

Optical design of poly(methyl methacrylate) intraocular lenses.

The effect of poly(methyl methacrylate) intraocular lens shape on optical performance of pseudophakic eyes was investigated. Image quality criteria included wave aberrations, spot diagrams, longitudinal aberrations, the modulation transfer function, and an optimization procedure. For eyes with corneal asphericities encompassing most of the population, the optimum lens form for on-axis vision is close to plano-convex, with the more curved surface facing the cornea. This applies whether lenses are correctly centered, tilted, or decentered. For small off-axis angles, optimum lens shape varies with the ocular parameters. Good intraocular lens shapes range from the plano-convex to the equi-convex. Plano-convex lenses with the curved surface facing the retina are not recommended.

Optical design of low index intraocular lenses.

The effect of shape of low index (1.43) intraocular lenses on optical performance of pseudophakic eyes was investigated. A range of image quality criteria was used. The optimum lens for on-axis vision was biconvex, with the more curved surface facing the cornea. For small off-axis angles, optimum lens shape varied with the ocular parameters. A recommended range of intraocular lenses is plano-convex (with the curved shape facing the cornea) to equi-convex. Compared with conventional poly(methyl methacrylate) lenses (1.492 index), optimum lens shapes of low index lenses were less sensitive to changes in eye parameters and lens fitting position. The magnitudes of aberration of pseudophakic eyes varied more with changes in lens shape and lens position in low index lenses than in conventional lenses.

NASA's Space Life Sciences Training Program.

The Space Life Sciences Training Program (SLSTP) is an intensive, six-week training program held every summer since 1985 at the Kennedy Space Center (KSC). A major goal of the SLSTP is to develop a cadre of qualified scientists and engineers to support future space life sciences and engineering challenges. Hand-picked, undergraduate college students participate in lectures, laboratory sessions, facility tours, and special projects: including work on actual Space Shuttle flight experiments and baseline data collection. At NASA Headquarters (HQ), the SLSTP is jointly sponsored by the Life Sciences Division and the Office of Equal Opportunity Programs: it has been very successful in attracting minority students and women to the fields of space science and engineering. In honor of the International Space Year (ISY), 17 international students participated in this summer's program. An SLSTP Symposium was held in Washington D.C., just prior to the World Space Congress. The Symposium attracted over 150 SLSTP graduates for a day of scientific discussions and briefings concerning educational and employment opportunities within NASA and the aerospace community. Future plans for the SLSTP include expansion to the Johnson Space Center in 1995.

Visual and vestibular components of motion sickness.

BACKGROUND: The relative importance of visual and vestibular information in the etiology of motion sickness (MS) is not well understood, but these factors can be manipulated by inducing Coriolis and pseudo-Coriolis effects in experimental subjects. HYPOTHESIS: We hypothesized that visual and vestibular information are equivalent in producing MS. The experiments reported here aim, in part, to examine the relative influence of Coriolis and pseudo-Coriolis effects in inducing MS. METHODS: We induced MS symptoms by combinations of whole body rotation and tilt, and environment rotation and tilt, in 22 volunteer subjects. Subjects participated in all of the experiments with at least 2 d between each experiment to dissipate after-effects. We recorded MS signs and symptoms when only visual stimulation was applied, when only vestibular stimulation was applied, and when both visual and vestibular stimulation were applied under specific conditions of whole body and environmental tilt. RESULTS: Visual stimuli produced more symptoms of MS than vestibular stimuli when only visual or vestibular stimuli were used (ANOVA F = 7.94, df = 1, 21 p = 0.01), but there was no significant difference in MS production when combined visual and vestibular stimulation were used to produce the Coriolis effect or pseudo-Coriolis effect (ANOVA: F = 0.40, df = 1, 21 p = 0.53). This was further confirmed by examination of the order in which the symptoms occurred and the lack of a correlation between previous experience and visually induced MS. CONCLUSIONS: Visual information is more important than vestibular input in causing MS when these stimuli are presented in isolation. In conditions where both visual and vestibular information are present, cross-coupling appears to occur between the pseudo-Coriolis effect and the Coriolis effect, as these two conditions are not significantly different in producing MS symptoms.

Optimal spherical focus in the peripheral retina.

It is well known that, in most eyes, astigmatism increases with the field angle. A simple reduced-eye model is used to demonstrate that, for point imagery in the peripheral retina, the combination of oblique astigmatism with elliptical entrance and exit pupils means that the retinal image with the optimal rotational symmetry is not necessarily at a focus corresponding to a 'best-sphere' correction. Equations are derived for the position of focus at which a circularly symmetric blur patch is obtained and for the dimensions of the patch in this and other image planes. Ray tracing through a wide-angle schematic eye is used to explore the validity of the simple model. It is shown that although the latter gives good predictions of retinal imagery for very small entrance pupils, it becomes less valid for larger, more realistic pupil diameters, due to the increasing importance of the effects of higher-order aberrations. Nevertheless, the simple model can still yield useful insights into through-focus, peripheral optical imagery.

Design of aspheric intraocular lenses.

The value of aspherizing intraocular lens surfaces for the purpose of improving retinal image quality of pseudophakic eyes was investigated. Surfaces were made as conicoids. Changes in primary wave aberrations and refractive errors were found to be proportional to changes in surface asphericity. The optimum asphericity depends markedly on ocular parameters, lens fitting position and how well lenses are centred within the eye. If lenses are not well centred, the asphericity that eliminates spherical aberration may result in poorer performance than that occurring with spherical surfaces. It is suggested that there is no general benefit in aspherizing surfaces of intraocular lenses.

Laboratory evaluation of blended lenticular aphakic lenses.

Six types of blended lenticular aspheric lenses for the correction of aphakia were assessed with respect to mass, spectacle magnification, off-axis power errors, peripheral distortion, visual field size and cosmetic appearance. Relative to spherical surfaced lenses, these lenses showed considerably reduced mass, reduced peripheral distortion, increased visual field size and improved cosmetic appearance. All but one type showed considerably reduced off-axis power errors, but none of the lenses showed much reduction in spectacle magnification. In general, the manufacturers' claims made in favour of the blended lenticular lenses were supported.

Refractive errors induced by displacement of intraocular lenses within the pseudophakic eye.

Simple methods were developed to estimate refractive errors when intraocular lenses are not fitted optimally within pseudophakic eyes. The accuracy of these methods was determined by comparing results obtained with them to results obtained by raytracing through a model eye. Accuracy was good for longitudinal displacement and tilting, and reasonable for transverse displacement. Refractive errors are related linearly to the magnitude of the longitudinal displacement, and are related to the square of the magnitude of tilt or transverse displacement. The refractive error upon transverse displacement is quadratically dependent upon lens shape.