phoria adaptation

AIMS: To determine the influence of single-vision lenses (SVLs) and progressive addition lenses (PALs) on the near vision posture of myopic children based on their near phoria. METHODS: Sixty-two myopic children were assigned to wear SVLs followed by PALs. Eighteen children were esophoric (greater than +1), 18 were orthophoric (-1 to 1) and 26 were exophoric (less than -1) at near. Reading distance, head tilt and ocular gaze angles were measured using an electromagnetic system after adaptation to each lens type...

PURPOSE: To compare personalized near addition values for myopic children that induce a reasonable phoria (Ph) (meeting Sheard's criterion) and induce a null lag of accommodation at near and to evaluate changes in these metrics after lens adaptation. METHODS: Fifty-three myopic children participated in this study. Accommodative response, Ph, and fusional amplitudes (FAs) were measured at 33 cm through multiple addition lenses (0D, +1.00D, +1.50D, +2.00D, +2.50D, +3...

PURPOSE: The innervational pattern of extraocular muscles that maintain ocular alignment vary with gaze direction, age, and orbital anatomy. A muscle paresis, for example, may cause a misalignment, which is characterized by a gaze dependent deviation of the ocular alignment. Clinically this is termed incomitant strabismus. In this study we aimed at investigating the physiological mechanisms that enable orthophoria, i.e. good ocular alignment, in all directions of gaze. For this purpose we explored the physiological response to vergence stimuli and assessed their directional specificity...

Conventional stereoscopic imagery presents conflicting stimuli to vergence and accommodation. With sufficient conflict, vergence-accommodation coupling causes inaccurate responses in one or both systems, impairing stereoscopic depth perception, or preventing it altogether. We examined tolerance of stereo depth perception to stimuli presented in-front-of and behind the screen, and examined factors that might predict it, including phoria, and decreased ability to accommodate with age (presbyopia). We characterised accommodation of observers aged 20 to 68 years using the slope of the linear portion of their stimulus-response functions...

Investigations into the progression of myopia in children have long considered the role of accommodation as a cause and solution. Myopic children show high levels of accommodative adaptation, coupled with accommodative lag and high response AC/A (accommodative convergence per diopter of accommodation). This pattern differs from that predicted by current models of interaction between accommodation and vergence, where weakened reflex responses and a high AC/A would be associated with a low not high levels of accommodative adaptation...

PURPOSE: The purpose of this study was to determine whether stereoacuity can be used as an indicator of prism adaptation. In particular, we wanted to know whether the time required for stereoacuity to return to the initial level after viewing through a prism can be used to determine the degree of adaptation. MATERIALS AND METHODS: Eighteen subjects participated in this study. Stereoacuity and dissociated phoria were determined using the TNO stereotest and the Maddox rod, respectively...

BACKGROUND: During many years of occupational stress research, mostly within the German governmental program for "Humanization of Work Life'', remarkable deficits concerning visual work were seen, the most striking being the lack of cooperation between the different experts. OBJECTIVE: With regard to this article hard arguments and ideas for solutions had to be found. METHODS/PARTICIPANTS: A pilot study in 21 enterprises was realized (1602 employees with different visual work tasks)...

PURPOSE: In this experiment two hypotheses were tested. The first hypothesis was that viewing 3D stereoscopic stimuli which are located geometrically beyond the screen on which the images are displayed would induce exophoric heterophoria (phoria) changes (adaptation). The second hypothesis was that participants whose phoria changed as a consequence of adaptation during the viewing of the stereoscopic stimuli would experience less visual discomfort than people whose phoria did not adapt...

BACKGROUND: This study sought to investigate whether eye dominance and age are related to the stimulus-free oculomotor resting state described via the dark disconjugate position (near or far), the dark conjugate position (left to right), and the near dissociated phoria. METHODS: Nineteen non-presbyopes and 25 presbyopes with normal binocular vision participated in two identical sessions. The left-eye and the right-eye positions were recorded using a video-based infrared eye tracker while the subjects were in total darkness...

The influence of phoria-type and myopia on changes to vergence and accommodation during prolonged near-task was examined in 53 children. Participants were classified into phoria and refractive categories based on near phoria and cycloplegic refraction respectively. Measures of near phoria, binocular (BA) and monocular accommodation (MA) were obtained before and during a 20 min task when children binocularly fixated a high-contrast target at 33 cm through best corrective lenses. Vergence adaptation and accommodative adaptation were quantified using changes to near phoria and tonic accommodation respectively...

BACKGROUND: Single image random dot stereograms (SIRDS) have been used to study diverse visual parameters and skills. The aim of the present study was to identify the main optometric factors involved in the perception of SIRDS and to obtain a discriminant model to categorise our participants in terms of their skill in perceiving SIRDS. METHODS: Response time was determined to assess the ability of 69 participants to perceive the hidden three-dimensional shape in an auto-stereogram presented under controlled conditions, whereupon three skill level groups were defined...

PURPOSE: This study sought to investigate the influence of phoria adaptation on convergence peak velocity from responses located at different initial vergence positions. METHODS: Symmetrical 4° convergence step responses and near dissociated phoria (measured at 40 cm from the subject's midline) were recorded from six subjects with normal binocular vision using an infrared limbus tracking system with a haploscope. Two different sustained fixations (1° and 16° convergent rotation along the subject's midline) were used to study whether phoria had an influence on the peak velocity of convergence responses located at two initial vergence positions (1° or 'far' steps and 12° or 'near' steps)...

The ability to adapt is critical to survival and varies between individuals. Adaptation of one motor system may be related to the ability to adapt another. This study sought to determine whether phoria adaptation was correlated with the ability to modify the dynamics of disparity vergence. Eye movements from ten subjects were recorded during dynamic disparity vergence modification and phoria adaptation experiments. Two different convergent stimuli were presented during the dynamic vergence modification experiment: a test stimulus (4° step) and a conditioning stimulus (4° double step)...

Postoperative muscle imbalance was prospectively evaluated in 44 patients who underwent conventional scleral buckling operations. Strabismus was present in 27 of 44 patients (61%). Heterotropia resolved spontaneously during the first six postoperative months in nine of 27 patients (33%). Diplopia persisted in six patients (13.6%) and limitation of ductions occurred in 22 of 44 patients (50%). The risk of developing postoperative strabismus was 2.5 times longer if an implant was placed under a rectus muscle...

The main purpose of this study was to evaluate the vergence adaptive ability in subjects diagnosed with convergence excess (CE) phoria (ie, subjects with an esophoric shift from distance to near but without an intermittent tropia at near). Vergence adaptation was measured at far and near with both base-in and base-out prisms using a "flashed" Maddox rod technique in 20 control subjects and 16 subjects with CE. In addition, accommodative adaptation and the stimulus AC/A and CA/C cross-links were measured. The AC/A and CA/C ratios were found to be high and low, respectively, and accommodative adaptation was found to be reduced in CE subjects as compared with the controls (P<0...

Under natural viewing conditions, the accommodation and vergence systems adjust the focus and the binocular alignment of the eyes in response to changes in viewing distance. The two responses are linked via cross-coupling and proceed almost simultaneously. Some optical devices, such as virtual reality or helmet mounted displays, create an oculomotor conflict by modifying demands on both vergence and accommodation. Previous studies extensively investigated the effect of such a conflict on the cross-coupling between vergence and accommodation, but little is known about the plasticity of the whole oculomotor system...

BACKGROUND: The purposes of this investigation were to determine whether vergence adaptation occurs after vergence range testing and vergence facility testing and to determine whether vergence adaptation correlates with the results of these tests. METHODS: Thirty subjects participated in 3 testing sessions on different days. During each session 1 of the following was tested: base-out prism bar vergences, vergence facility (12 base-out/3 base-in binocular prism flippers for 1 minute), and 5 minutes viewing with 6 prism diopters of base-out prism...

PURPOSE: Clinical studies have shown that positive fusional vergence (PFV) can be trained through a program of orthoptic exercises. Models of accommodation and vergence predict that training PFV would require a reduction in the convergence accommodation (CA) cross-link. Recent investigations have found that the CA/C ratio is not changed in a clinical population after orthoptics. We hypothesized that such orthoptic programs may instead act to reduce CA through changes in the relationship between fast and slow vergence components...

PURPOSE: The purpose of this study was to investigate the relationship between phoria and the dynamics of vergence eye movements as described by the ratio of convergence average peak velocity to divergence average peak velocity, termed the vergence peak velocity ratio. METHODS: Phoria and vergence step responses were recorded. Three measures of phoria were assessed: baseline phoria, which is the initial phoria measurement; adapted phoria, which is the phoria measured after a visual task; and change in phoria, which is defined as adapted phoria minus baseline phoria...

PURPOSE: The purpose of this study was to investigate how sustained convergence induces phoria adaptation and changes divergence dynamics. METHODS: Near dissociated phoria and divergence step responses were recorded using an infrared eye movement monitor on four binocularly normal subjects. We tested three different adapting vergence positions (16 degrees , 6 degrees , and 0.5 degrees ) and measured 4 degrees divergence step responses for two different initial vergence positions (16 degrees and 4...