1% Cyclopentolate hydrochloride: another look at the time course of cycloplegia using an objective measure of the accommodative response.

The time course of cycloplegia was measured by monitoring residual accommodation after the application of 1 drop (29.3 microliters) of 1% cyclopentolate hydrochloride. Three different measures of residual accommodation were made, one objective assessment with an optometer, and two subjective assessments similar to those used by previous investigators. Pupil diameter was also measured in a subgroup of individuals to compare the time course of the induced mydriasis to that of the cycloplegia. When residual accommodation is measured objectively, maximum cycloplegia occurs 10 min after the application of 1% cyclopentolate hydrochloride in individuals with light irides. This result suggests that the standard clinical protocol of delaying refraction 30 to 60 min after the application of cyclopentolate hydrochloride may be too conservative for individuals with light irides. For individuals with dark irides, 30 to 40 min is required for maximum cycloplegia, and the magnitude of residual accommodation in these individuals is similar to that found in light iris individuals at 10 min. When subjective measures are used to estimate residual accommodation, more accommodation is present and the time at which maximum cycloplegia occurs is delayed for individuals with light irides. These results are in agreement with previous studies using subjective techniques. Regardless of iris color or measurement method, the time course for pupil dilation is not the same as the time course for cycloplegia.

Spatial processing of complex stimuli in the amblyopic visual system.

Thresholds for detection and discrimination of the polarity (phase) of repetitive gratings with a ramp luminance profile were compared to sine-wave thresholds in normal and amblyopic observers. In the high-frequency range (4 cy/deg), normal observers detected ramp-wave gratings when the contrast of the fundamental spatial frequency was close to its independent threshold and discriminated the polarity (phase) of the ramp when the second harmonic reached its independent threshold. For the amblyopic eyes, detection of the ramp also occurred when the contrast of the fundamental frequency was near its independent threshold. In contrast, discrimination of the polarity (phase) of the ramp required contrast levels 2 to 10 times greater than needed to detect the second harmonic. The reduced ability of the amblyopic eye to discriminate the polarity of the ramp represents an abnormality in phase processing and appears to be roughly proportional to athe reduced optotype acuity of the amblyopic eyes.

Binocular interactions in normal and anomalous binocular vision: effects of flicker.

Temporal modulation thresholds were determined for monocular viewing and for binocular viewing of stimuli presented in phase or in counterphase to each eye of observers with normal binocular vision and those lacking stereopsis. The results showed that in individuals with normal binocular vision sensitivity was much greater for in-phase than for counterphase stimulation at low temporal frequencies, but that this superiority declined at higher temporal frequencies. Averaged across frequencies, binocular sensitivity for in-phase stimulation was 40-50% higher than monocular sensitivity. In contrast, in the observers lacking stereopsis the ratios of binocular in-phase/monocular sensitivity averaged 1.02, and there were no significant differences in sensitivity to in-phase and counterphase stimulation. This failure of binocular integration at threshold does not result from differences in transmission time between the 2 eyes. However, while individuals lacking stereopsis showed an absence of binocular interaction for uniform-field flicker at threshold, they showed suprathreshold dichoptic temporal frequency masking which was similar to that found in normal persons.

Edge sensitive mechanisms in humans with abnormal visual experience.

Detection of broadband, aperiodic stimuli (edges) was investigated in normal observers, and in observers with abnormal visual experience which resulted in amblyopia. The spatial properties of the mechanisms used to detect an edge were investigated by a method of subthreshold addition. The method involved the determination of the threshold contrast for detecting an edge in the presence of a subthreshold line at various distances from the edge. In normal eyes, the one dimensional sensitivity profile of the edge detecting mechanism was: (1) approximately antisymmetric, (2) very localized, with sensitivity changes restricted to +/- 6'--8' on either side of the edge, and (3) phase dependent, showing an abrupt change in sign between +/- 1.5'. The sensitivity profiles of the amblyopic eyes were also approximately antisymmetric and showed the same steep rate of change from plus to minus as the fellow (nonamblyopic) eyes. However, in every case, the spatial extent of the profile was much broader than that of the nonamblyopic eyes. In normal eyes, the narrowest edge sensitivity profile was associated with the fovea; however, in two amblyopes with eccentric fixation, the narrowest edge sensitivity profile coincided with the locus of eccentric fixation. Moreover, the grating sensitivity function of the edge detecting mechanism of the amblyopic eye was similar to that of the non-amblyopic eye, but was shifted toward lower spatial frequencies. Control experiments show that these results are not accounted for on the basis of optics, eccentric fixation, or abnormal eye movements. The findings are discussed in terms of current models for the detection of aperiodic stimuli, and in the context of animal models of amblyopia.