scholarly journals The Direct Subjective Refraction: Unsupervised measurements of the subjective refraction using defocus waves

2021 ◽  
Author(s):  
Victor Rodriguez -Lopez ◽  
Alfonso Hernandez-Poyatos ◽  
Carlos Dorronsoro

AbstractWe present the Direct Subjective Refraction (DSR), a new subjective refraction method, and validate it vs the Traditional Subjective Refraction (TSR) and an unsupervised version of it (UTSR). We project an optotunable lens onto the eye to create Temporal Defocus Waves produces flicker and chromatic distortions, minimum when the mean optical power of the wave matches the spherical equivalent of the eye. 25 subjects performed the DSR visual and UTSR tasks without supervision. DSR is more repeatable than TSR and UTSR (standard deviations ±0.17D, ±0.28, and ±0.47D). The time per repetition of DSR is only 39s (almost 6 min for TSR). Cyclopegia severely affects UTSR, but not DSR, confirming that the DSR task de-activates the accommodative system. DSR is a new method to obtain the spherical equivalent that does not requires supervision and overpasses existing subjective methods in terms of accuracy, precision, and measurement time.

1978 ◽  
Vol 86 (1) ◽  
pp. ORL-81-ORL-89 ◽  
Author(s):  
Andrew W. Sills ◽  
Vicente Honrubia

We have developed an accurate, convenient method for determining unique values of vestibular time constants from impulsive tests. The method was used to determine the mean values and standard deviations of 36 normal subjects. A comparison between these normal values and data from patients with cerebellopontine (CP) angle tumors or unilateral peripheral vestibular lesions showed no significant difference in the values of the time constants. We conclude that shape-descriptive parameters such as time constants cannot differentiate between subjects and patients.


2021 ◽  
pp. 112067212110206
Author(s):  
Pablo Felipe Rodrigues ◽  
Bernardo Kaplan Moscovici ◽  
Guilherme Ferrara ◽  
Luciano Lamazales ◽  
Marcela Mara Silva Freitas ◽  
...  

Objective: Evaluation of central corneal densitometry changes following Ferrara corneal ring segment implantation in patients with keratoconus, especially the correlation between corneal densitometry and keratometry. Methods: Retrospective, non-comparative, interventional study based on the review of medical records of patients diagnosed with keratoconus who underwent Ferrara corneal ring segment implantation. Pre and post-operative corneal densitometry measurements obtained with Pentacam HR (Oculus, Wetzlar, Germany) were analyzed. The follow-up time was 3 months, and data comparison was made, using specific statistical analysis, with the data of 3 months postoperatively. Results: The study sample consisted of 43 eyes of 36 patients. The mean corrected visual acuity improved from 0.82 LogMAR preoperatively (SD ± 0.33) to 0.19 LogMAR (SD ± 0.13) postoperatively. The mean spherical equivalent varied from −4.63 (SD ± 3.94) preoperatively to −2.16 (SD ± 2.63) postoperatively. Asphericity varied from −0.69 (SD ± 0.32) preoperatively to −0.27 (SD ± 0.31) postoperatively. The mean maximum K was 54.01D (SD ± 3.38) preoperatively and 51.50D (SD ± 2.90) postoperatively. The mean anterior densitometric value was 18.26 (SD ± 2.03) preoperatively and 17.66 (SD ± 1.84) postoperatively. Conclusion: Corneal densitometry is an interesting technology that should be studied in keratoconus patients. Our results suggest that the corneal densitometry in the cornea’s anterior layer reduces after ICRS implantation and correlates with corneal keratometry. Further studies should be performed to increase the knowledge in this field.


2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Louis M. Houston

We derive a general equation for the probability that a measurement falls within a range of n standard deviations from an estimate of the mean. So, we provide a format that is compatible with a confidence interval centered about the mean that is naturally independent of the sample size. The equation is derived by interpolating theoretical results for extreme sample sizes. The intermediate value of the equation is confirmed with a computational test.


PEDIATRICS ◽  
1965 ◽  
Vol 36 (1) ◽  
pp. 62-66
Author(s):  
Edward J. O'Connell ◽  
Robert H. Feldt ◽  
Gunnar B. Stickler

The purpose of this study was to re-affirm our clinical impression that non-institutionalized children whose head circumference was below minus 2 standard deviations were mentally subnormal and frequently had growth failure. A group of 134 children with a head circumference below minus 2 standard deviations from the mean were studied, and all but one were mentally subnormal. The most severe mental retardation was noted in the group of children with a head circumference of minus 4 standard deviations or below. We found, as have others, that children with mental retardation have height and weights below the expected norm and that children with a head circumference below minus 2 standard deviations have even lower mean heights and weights. The head circumference of 31 children with growth failure and normal intelligence was normal for age and sex, therefore disproving the concept that the abnormally small child has a proportionally small head. In the child with growth failure, should the head be proportionally small (below minus 2 standard deviations), mental subnormality should be suspected. We feel that the head circumference measurement has taken on new clinical significance in that our data support its use in suspecting the association of mental subnormality in children with growth failure and a head circumference of below minus 2 standard deviations from the mean for age and sex.


2018 ◽  
Vol 30 (1) ◽  
pp. 139-146 ◽  
Author(s):  
Guilherme Andrade do Nascimento Rocha ◽  
Paulo Ferrara de Almeida Cunha ◽  
Leonardo Torquetti Costa ◽  
Luciene Barbosa de Sousa

Importance: This study shows that a newer long-arc length intrastromal corneal ring segment is efficient and safe for keratoconus treatment. Background: To evaluate visual, tomographic results and complications of a 320-degree intrastromal corneal ring segment implantation with the femtosecond laser for keratoconus treatment. Design: A prospective, nonrandomized, and interventional study. Participants: A total of 34 eyes of 31 patients diagnosed with keratoconus were enrolled. Methods: Patients were divided into two groups based on the strategy used for 320-degree intrastromal corneal ring segment thickness selection. In one group, this selection was based on spherical equivalent (SE group) and in the other on the mean asphericity (Q group). The uncorrected and corrected distance visual acuities, spherical equivalent, K1, K2, Km, Kmax, and mean asphericity ( Q) on corneal tomography were evaluated preoperatively and at 3 and 6 months postoperatively. For astigmatism improvement, we analyzed the corneal tomographic vectorial astigmatism change preoperatively and at 6 months postoperatively. The mean follow-up period was 6.63 ± 0.96 months. Results: The mean uncorrected distance visual acuity and corrected distance visual acuity improved with a significant spherical equivalent improvement ( p < 0.05), with no differences between the 320-degree intrastromal corneal ring segment groups. All corneal tomographic parameters improved significantly ( p < 0.05) between the preoperative and postoperative intervals, with a significant better performance when we used spherical equivalent for the 320-degree intrastromal corneal ring segment thickness selection. Finally, the mean vectorial corneal tomographic astigmatism significantly improved after 6 months, again with no differences between groups. Conclusion: This study suggests that implanting a 320-degree intrastromal corneal ring segment is a safe and effective procedure for treating patients with keratoconus. It also suggests that for thickness selection spherical equivalent is the better strategy.


Author(s):  
Barbara J. Kelso

A legibility study was performed to investigate the effects of scale factors, graduation marks, orientation of scales, and reading conditions on the speed and accuracy of reading moving-tape instruments. Each of 150 Air Force Officers made 150 self-paced readings from slides of hand drawn tape instruments. Error was expressed as the magnitude of deviation of a subjects' verbal response from the set scale value. An analysis of variance was performed on the mean error scores, standard deviations of error, mean reaction times, and standard deviations of reaction times. The results clearly favored the 1 7/8 inch scale factor over the 1 3/8 inch and the 2 3/8 scale factor. The use of 9 graduation marks was superior to either 0, 1, 3, or 4 graduation marks. Reading conditions had little effect on performance. Horizontal scales were read more rapidly but no more accurately than vertical scales.


1988 ◽  
Vol 66 (1) ◽  
pp. 174-177 ◽  
Author(s):  
E. Haddad ◽  
L. Zikovsky

A new method for the determination of Sr-90 dissolved in surface waters has been developed. It is based on the precipitation of Sr with 8-hydroxyquinoline at pH 11.3 and counting of β particles with energy above 150 keV. The detection limit obtained is 0.5 mBq/L and the mean yield is 28%. The decontamination factors from other β emitters achieved are better than 10 000. This method has been used to measure the Sr-90 in 5 lakes and 5 rivers in Québec and activities ranging from 3 to 15 mBq/L were obtained. This new method is as efficient and reliable as conventional techniques while being less tedious.


1974 ◽  
Vol 18 (2) ◽  
pp. 116-116
Author(s):  
Helmut T. Zwahlen

Twelve subjects (20–37 years old) were tested in the laboratory and eleven out of these were also tested in a car in the field, first under a no alcohol condition and then under an alcohol condition (approximately 0.10% BAC). In the laboratory the subjects simple and choice reaction times for two uncertainty modes were measured and their information processing rates (3 bits unsertainty) were determined. In the field the subjects driving skill for driving through a gap with 20 inches total clearance at 20 MPH was measured, as well as their static visual perceptual capabilities and risk acceptance decisions for a 46 feet viewing distance using psychophysical experimental methods. Based upon the driving skill measure (standard deviation of centerline deviations in the gap), the mean of the psychometric visual gap perception function and the mean of the psychometric gap risk acceptance function, the “Safety Distance” and the “Driver Safety Index” (DSI) were obtained. Based upon a statistical analysis of the data we may conclude first that the effects of alcohol (approximately 0.10% BAC) vary widely from one subject to another (slighthly improved performance to highly impaired performance) and that the changes in the group averages of the means and standard deviations of the psychometric visual perception and risk acceptance functions, the driving skill distributions, the “Safety Distances” and the DSI's for the subjects (although all changes in the group averages are in the expected direction) are statistically not significant (α = .05). Second, the group average of the means of the choice reaction times for the subjects increased by 5% under the alcohol condition (statistically significant, α = .05), but more important the group average of the standard deviations of the choice reaction times for the subjects increased by 23% (statistically significant, α = .05). The group average of the information processing rates for the subjects decreased by 3% (statistically not significant, α = .05) under the alcohol condition. A system model in which the system demands on the driver are represented in terms of choice reaction times is used to demonstrate that the increase in performance variability (expressed by the standard deviation of choice reaction times) under the influence of alcohol provides a much better explanation for the higher accident involvement than the historically most frequently used rather small increase in average performance (expressed by the mean of choice reaction times).


Author(s):  
Feride Tuncer Orhan ◽  
Haluk Huseyin Gürsoy

Aim To evaluate consecutive measurements of the biometric parameters, age, and refraction error in a Turkish population at primary school age. Materials and Methods A total of 197 children aged between 7-12 years were included. The data of three consecutive measurements of children, who were examined at least once a year for three years using both cycloplegic auto-refractometry and optical biometry, were used in this retrospective study. Spherical equivalent <-0.50D was considered to be myopic; >+0.75D was considered to be hypermetropic. Age, gender, body mass index, spherical equivalent, axial length, anterior chamber depth, central corneal thickness, keratometry, and lens thickness were analyzed. The onset data obtained in 2013 whereas, the final data were from 2015. Logistic and Cox regression analyses were performed (p<0.05). Results The mean of the onset and the final spherical equivalents were 0.19D (0.56), and 0.08D (0.80), respectively. The myopia prevalence was increased among refractive errors in observation periods (univariable analysis p=0.029; multivariable analysis p=0.017). The onset axial length (HR:4.55, 95%CI:2.87-7.24, p<0.001), keratometry (HR:2.04, 95%CI:1.55-2.67, p<0.001) and age (HR:0.73, 95%CI: 0.57-0.92, p=0.009) correlated myopia progression. To calculate the estimated spherical equivalent, the onset data were included in the logistic regression model. The onset data of spherical equivalent (β=0.916, p<0.001), axial length (β=-0.451, p<0.001), anterior chamber depth (β=0.430, p=0.005) and keratometry (β=-0.172, p<0.001) were found to be significantly associated with the mean SE at the final data. Conclusions To calculate the estimated spherical equivalent following three years, an equation was proposed. The estimated refractive error of children can be calculated by using the proposed equation with the associated onset optical parameters.


2021 ◽  
Author(s):  
Mohammad Nazrul Islam

There are three dominant noise mechanisms in an analog optical fiber link. These are shot noise that is proportional to the mean optical power, relative intensity noise (RIN) that is proportional to the square of the instanteaneous optical power. This report describes an adaptive noise cancellation of these dominant noise processes that persist an analog optical fiber link. The performance of an analog optical fiber link is analyzed by taking the effects of these noise processes. Analytical and simulation results show that some improvement in signal to noise ratio (SNR) and this filter is effective to remove noise adaptively from the optical fiber link.


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