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Chinese Journal of Experimental Ophthalmology ; (12): 701-710, 2013.
Article Dans Chinois | WPRIM | ID: wpr-636152

Résumé

Based on a concept of the hyperfocal distance from photographic lens,this study proposes that emmetropia presents far-hyperfocal distance,near-hyperfocal distance and accommodative hyperfocal distance.When emmetropic presbyopias completely lose the ability of accommodation,its farthest blur point is not beyond 1.5 m,even not being at infinity,and the phenomenon of dark focus both completely match with the definition of hyperfocal distance.On the other hand,after cycloplegic mydriatics in emmetropia,it could be found in the region of depth-of-field that there is no change in the back depth of field (clearness in far vision),but change was found in the front depth of field (blur in near vision).It conforms well to the definition of the hyperfocal distance,demonstrating that human eyes belong to the hyperfocal distance optical system.Furthermore,it is reported that the emmetropic presbyopias rarely matched the spectacles higher than +2.50 D in their whole life;therefore,it can be inferred that their accommodative amplitude in youth is equal to this corrected value.This value accounts for about 4% of the total refractive power in human eyes,so it is suggested that human eye is a micro zoom optical system.Based on the objective existence of hyperfocal distance,the author proposes that human eye is an integrated accommodative mechanism.It includes three components:the accommodative mechanism of near vision,the measuring and controlling mechanism of near vision,and the general control of near vision.This paper discusses the accommodative mechanism of near vision and the resting mechanism of distance vision based on the hyperfocal distance,and considers that when human eye transfer into the accommodation of near vision from the normal distance vision of hyperfocal distance.There are three different pushing forces contributing to lens deformation and its anterior shift,and these forces cause four different accommodative efforts,which constitute the real accommodative efforts in the relative tissue.This paper also points out that it is only the mode of pushing accommodation that can make the lens vary refraction quickly and greatly,and control the amount of deformation effectively.That can not be achieved by the stretching mode proposed by Tscherning & Schachar,because some authors have verified that excessive pulling would result in decline in the refraction,which would be difficult to regulate and control the eye.Similarly,the self-bulging mode of Helmholtz & Gullstrand will not work neither,because it is unable to control the amount of lens deformation that is its fatal defect.

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