Journal Description
Vision
Vision
is an international, peer-reviewed, open access journal on vision published quarterly online by MDPI.
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within ESCI (Web of Science), Scopus, PubMed, PMC, and other databases.
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 33 days after submission; acceptance to publication is undertaken in 3.8 days (median values for papers published in this journal in the second half of 2024).
- Recognition of Reviewers: reviewers who provide timely, thorough peer-review reports receive vouchers entitling them to a discount on the APC of their next publication in any MDPI journal, in appreciation of the work done.
Latest Articles
Large Bias in Matching Small Horizontal and Vertical Extents Separated in Depth in the Real World Is Similar for Upright and Supine Observers
Vision 2025, 9(1), 11; https://doi.org/10.3390/vision9010011 - 3 Feb 2025
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The apparent sizes of horizontal and vertical lines show an anisotropy known as the horizontal vertical illusion (HVI) wherein vertical lines appear to be longer than their horizontal counterparts. Whereas a typical HVI comparing vertical and horizontal lines in a plane produces a
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The apparent sizes of horizontal and vertical lines show an anisotropy known as the horizontal vertical illusion (HVI) wherein vertical lines appear to be longer than their horizontal counterparts. Whereas a typical HVI comparing vertical and horizontal lines in a plane produces a 5–10% illusion, a much larger-scale illusion (15–25%) is often found for large objects in the real world, and this has been related to differential angular exaggerations in perceived elevation (vertical) and azimuthal (horizontal) direction. Recently supine observers in virtual environments were found to show larger exaggerations in perceived azimuth than upright observers. Here, 48 participants were tested in both supine and upright postures in an outdoor environment while matching fairly small physical extents in the real world. They adjusted the magnitude of the horizontal extent to perceptually match fairly small vertical poles (0.7–1.3 m tall) that were either presented at the same viewing distance as the matching extent or in a different depth plane, so that size at a distance had to be compared. Supine observers viewed the scene, as though upright, through a large mirror mounted overhead at 45° that was adjusted to approximate their normal eye height. When the matcher extent was at a different distance than the pole, horizontal extent matches typically exceeded the actual pole height by about 15% or more, whether the viewer was upright or supine. The average overestimation was only about 10% when the matching extent was at the same distance. Despite the similarity in performance across different postures for spatial matching, supine observers gave much higher explicit estimates of azimuthal direction than upright observers. However, although the observation of exaggeration in perceived azimuth for supine observers was replicated in a second study with 24 additional participants using a mirror with a smaller (more normal) aspect ratio, the magnitude of the exaggeration seemed to be greatly reduced when the field of view of the apparatus had a more typical aspect ratio. This suggests that the unusually large exaggeration of azimuth found in a previous report with supine observers may have been caused by the unusually large aspect ratio of the viewing apparatus used.
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Open AccessArticle
Developmental Eye Movement (DEM) Test in Adults: Age-Related Changes and Italian Normative Data
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Alessio Facchin, Silvio Maffioletti and Roberta Daini
Vision 2025, 9(1), 10; https://doi.org/10.3390/vision9010010 - 2 Feb 2025
Abstract
The developmental eye movement (DEM) test is a paper-based tool used to assess ocular motor skills in children. By naming numbers in a simple and easy simulated reading task, the DEM test provides an oculomotor efficiency score without complex eye-tracking equipment. Studies have
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The developmental eye movement (DEM) test is a paper-based tool used to assess ocular motor skills in children. By naming numbers in a simple and easy simulated reading task, the DEM test provides an oculomotor efficiency score without complex eye-tracking equipment. Studies have shown that its usefulness can be extended to adults, despite its name suggesting that it is used primarily for developmental ages. However, for a broader application in the adult population in a clinical setting, there are no adult-specific norms. This study aimed to develop adult normative data for the Italian-speaking population and assess whether the DEM scores were influenced by age. In this study, 521 healthy Italian adults, aged 20 to 79 years, participated. Normative data were obtained by using a regression-based framework with demographic variables as predictors. Results show that age influences all sub-measures of time such as Vertical Time (VT), Adjusted Horizontal Time (AHT), and the Ratio score, but did not influence the error score. This is in line with the processing speed reduction in aging. Errors were influenced by education and gender. DEM norms, defined and scored using percentiles and equivalent scores, allow the assessment of oculomotor efficiency in adults, making this test suitable for use in all clinical settings, particularly in neuropsychological and neurological ones.
Full article
(This article belongs to the Special Issue Eye and Head Movements in Visuomotor Tasks)
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Open AccessArticle
Interocular Timing Differences in Horizontal Saccades of Ball Game Players
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Masahiro Kokubu, Yoshihiro Komatsu and Takashi Kojima
Vision 2025, 9(1), 9; https://doi.org/10.3390/vision9010009 - 31 Jan 2025
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In ball game sports, binocular visual function is important for accurately perceiving the distance of various objects in visual space. However, the temporal coordination of binocular eye movements during saccades has not been investigated extensively in athletes. The purpose of the present study
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In ball game sports, binocular visual function is important for accurately perceiving the distance of various objects in visual space. However, the temporal coordination of binocular eye movements during saccades has not been investigated extensively in athletes. The purpose of the present study was to compare the characteristics found in the interocular timing differences in horizontal saccades between ball game players. The participants included 32 university baseball players and 54 university soccer players. They were asked to shift their gaze to the onset of the light-emitting diodes located at 10 deg of visual field eccentricity to the left and right and alternated every 2 s. Horizontal movements of the left and right eyes were recorded separately with the electro-oculogram. Temporal variables for each eye were calculated with digital differentiation, and timing differences between the left and right eyes were compared between participant groups. The overall results showed significant interocular differences between left and right eye movements for the temporal variables of binocular saccades. The comparison between the participant groups revealed that baseball players had smaller interocular timing differences between the left and right eyes than soccer players in the onset time, time to peak velocity, duration, and peak velocity. These results suggest that baseball players have a higher degree of temporal coordination in binocular eye movements, particularly during the initial phase of horizontal saccades, compared to soccer players. This enhanced coordination might be attributable to the sport-specific visual demands of baseball, where players require precise stereoscopic vision to track a small high-speed ball within their visual space.
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Open AccessArticle
Ball-Flight Viewing Duration and Estimates of Passing Height in Baseball
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Emily Benson, Andrew J. Toole and Nick Fogt
Vision 2025, 9(1), 8; https://doi.org/10.3390/vision9010008 - 25 Jan 2025
Abstract
Predictions of the vertical location of a pitched ball (termed the passing height) when the ball arrives at an observer may be based on internal models of ball trajectory and situational cues, kinematic cues from the pitcher’s motion, and visual ball-flight cues. The
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Predictions of the vertical location of a pitched ball (termed the passing height) when the ball arrives at an observer may be based on internal models of ball trajectory and situational cues, kinematic cues from the pitcher’s motion, and visual ball-flight cues. The informational content of ball-flight cues for judgments of vertical passing height when the ball’s launch angle is small and when situational and kinematic cues are limited is unknown. The purpose of this study was to determine whether passing heights can be judged adequately from ball-flight cues and whether judgments of passing height improve as viewing time increases under the aforementioned conditions. Twenty subjects stood 40 feet (12.19 m) from a pneumatic pitching machine that propelled tennis balls toward them at three speeds (from 53 mph (85 kph) to 77 mph (124 kph)). The ball’s launch angle was constant. The subject’s vision was blocked at 100 ms or 250 ms after pitch release. Subjects indicated the height at which they expected the ball to arrive. In the absence of explicit situational cues or kinematic cues and in the presence of a small and constant launch angle, the longer viewing time of ball-flight cues improved passing height estimates but did not result in accurate responses for the slower speeds.
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(This article belongs to the Special Issue Eye and Head Movements in Visuomotor Tasks)
Open AccessReview
Syndromic Retinitis Pigmentosa: A Narrative Review
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Márta Janáky and Gábor Braunitzer
Vision 2025, 9(1), 7; https://doi.org/10.3390/vision9010007 - 20 Jan 2025
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Retinitis pigmentosa (RP) encompasses inherited retinal dystrophies, appearing either as an isolated eye condition or as part of a broader systemic syndrome, known as syndromic RP. In these cases, RP includes systemic symptoms impacting other organs, complicating diagnosis and management. This review highlights
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Retinitis pigmentosa (RP) encompasses inherited retinal dystrophies, appearing either as an isolated eye condition or as part of a broader systemic syndrome, known as syndromic RP. In these cases, RP includes systemic symptoms impacting other organs, complicating diagnosis and management. This review highlights key systemic syndromes linked with RP, such as Usher, Bardet–Biedl, and Alström syndromes, focusing on genetic mutations, inheritance, and clinical symptoms. These insights support clinicians in recognizing syndromic RP early. Ocular signs like nystagmus and congenital cataracts may indicate systemic disease, prompting genetic testing. Conversely, systemic symptoms may necessitate eye exams, even if vision symptoms are absent. Understanding the systemic aspects of these syndromes emphasizes the need for multidisciplinary collaboration among ophthalmologists, pediatricians, and other specialists to optimize patient care. The review also addresses emerging genetic therapies aimed at both visual and systemic symptoms, though more extensive studies are required to confirm their effectiveness. Overall, by detailing the genetic and clinical profiles of syndromic RP, this review seeks to aid healthcare professionals in diagnosing and managing these complex conditions more effectively, enhancing patient outcomes through timely, specialized intervention.
Full article
(This article belongs to the Section Retinal Function and Disease)
Open AccessReview
Orienting Gaze Toward a Visual Target: Neurophysiological Synthesis with Epistemological Considerations
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Laurent Goffart
Vision 2025, 9(1), 6; https://doi.org/10.3390/vision9010006 - 14 Jan 2025
Abstract
The appearance of an object triggers an orienting gaze movement toward its location. The movement consists of a rapid rotation of the eyes, the saccade, which is accompanied by a head rotation if the target eccentricity exceeds the oculomotor range and by a
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The appearance of an object triggers an orienting gaze movement toward its location. The movement consists of a rapid rotation of the eyes, the saccade, which is accompanied by a head rotation if the target eccentricity exceeds the oculomotor range and by a slow eye movement if the target moves. Completing a previous report, we explain the numerous points that lead to questioning the validity of a one-to-one correspondence relation between measured physical values of gaze or head orientation and neuronal activity. Comparing the sole kinematic (or dynamic) numerical values with neurophysiological recordings carries the risk of believing that the activity of central neurons directly encodes gaze or head physical orientation rather than mediating changes in extraocular and neck muscle contraction, not to mention possible changes happening elsewhere (in posture, in the autonomous nervous system and more centrally). Rather than reducing mismatches between extrinsic physical parameters (such as position or velocity errors), eye and head movements are behavioral expressions of intrinsic processes that restore a poly-equilibrium, i.e., balances of activities opposing antagonistic visuomotor channels. Past results obtained in cats and monkeys left a treasure of data allowing a synthesis, which illustrates the formidable complexity underlying the small changes in the orientations of the eyes and head. The aim of this synthesis is to serve as a new guide for further investigations or for comparison with other species.
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(This article belongs to the Section Visual Neuroscience)
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Open AccessArticle
Conversion to Glaucoma After Ocular Trauma in Pediatric Patients
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Nur Cardakli, Rujuta A. Gore and Courtney L. Kraus
Vision 2025, 9(1), 5; https://doi.org/10.3390/vision9010005 - 14 Jan 2025
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Background: The outcomes of pediatric glaucoma suspects with a history of ocular trauma remains unknown; we describe the rate of conversion to glaucoma of this population of patients at a research-intensive academic center. Methods: We conducted a retrospective case series of pediatric patients
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Background: The outcomes of pediatric glaucoma suspects with a history of ocular trauma remains unknown; we describe the rate of conversion to glaucoma of this population of patients at a research-intensive academic center. Methods: We conducted a retrospective case series of pediatric patients with a history of open- or closed-globe trauma who were being monitored as pediatric glaucoma suspects at the Wilmer Eye Institute between 2005 and 2016. Results: A total of 62 eyes from 62 patients with a history of ocular trauma were identified with a median age at presentation of 9.7 years (7.8 years) and a median follow-up of 2.7 (5.8 years). There were 29 eyes (46.8%) with open-globe injuries and 33 eyes (53.2%) with closed-globe injuries. A higher proportion of eyes that sustained closed-globe injuries were started on topical therapy for persistent ocular hypertension than eyes that sustained open-globe injuries (36.4% versus 10.3%, X2 = 5.6976, p = 0.017). Five eyes (8.1%) developed glaucoma during the follow-up period, all of which had a history of closed-globe injury (15.2%, X2 = 4.7794, p = 0.029). Four eyes of these eyes underwent glaucoma-related surgical intervention. Most eyes (3/5, 60%) that went on to develop post-traumatic glaucoma had undergone additional and/or concurrent intraocular surgical interventions to address sequelae of ocular trauma, such as traumatic cataract and retinal detachment. Conclusions: All eyes that developed glaucomatous damage or underwent glaucoma-related surgical intervention in this cohort of patients with a history of ocular trauma were those that had sustained close-globe injuries. No eyes that sustained open-globe injury progressed to glaucoma.
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Open AccessArticle
The Ellipsoid Zone Is a Structural Biomarker for Visual Outcomes in Diabetic Macular Edema and Macular Hole Management
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Shivani Chaturvedi, Amisha Paul, Samya Singh, Levent Akduman and Sandeep Saxena
Vision 2025, 9(1), 4; https://doi.org/10.3390/vision9010004 - 13 Jan 2025
Abstract
Objectives: The goal was to study the ellipsoid zone (EZ) as a structural biomarker for final visual outcomes after pharmacological intervention in center-involving diabetic macular edema (DME) and surgical intervention for full-thickness macular holes (FTMHs). Methods: This was a tertiary care center-based retrospective
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Objectives: The goal was to study the ellipsoid zone (EZ) as a structural biomarker for final visual outcomes after pharmacological intervention in center-involving diabetic macular edema (DME) and surgical intervention for full-thickness macular holes (FTMHs). Methods: This was a tertiary care center-based retrospective study. After sample size calculations, data from 64 consecutive cases were collected, with subjects aged between 40 and 60 years. Thirty-two cases of DME with anti-vascular endothelial growth factor (VEGF) therapy and 32 cases of FTMHs with successful macular hole surgery (MHS) were studied. Spectral-domain optical coherence tomography (SD-OCT) data were collected. Measurements of EZ defects documented at the time of presentation and 12 weeks after intervention were analyzed using the caliper function of the machine. EZ restoration was graded, and a Pearson correlation analysis was performed. Results: Mean logMAR VA decreased after intravitreal therapy (IVT) from 1.12 ± 0.22 pre-intervention to 0.81 ± 0.41 post-intervention and after MHS, from 1.05 + 0.25 to 0.62 + 0.11 (p < 0.001). EZ disruption reduced from 73.4% to 19.4% after IVT and from 67% to 19.3% after MHS. DME and MHS postoperative visual acuity and residual EZ defect were observed to have a statistically significant linear correlation (r = 0.794, p < 0.001 and r = 0.894, p < 0.001, respectively). The EZ was found to be an excellent structural biomarker for final BCVA (area under curve = 0.95 for DME and 1.00 for MHS). Conclusion: Notable EZ restoration results were obtained from pharmacological and surgical interventions. The EZ proves to be a critical structural biomarker for predicting visual outcomes in center-involving DME and MHS.
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(This article belongs to the Section Retinal Function and Disease)
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Open AccessArticle
Colour Vision Deficits in Children with Amblyopia: Impact of Angular Size of Stimuli on Detection
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Kristine Kalnica-Dorosenko, Anzelika Litavnieka, Renars Truksa, Aiga Svede and Sandra Valeina
Vision 2025, 9(1), 3; https://doi.org/10.3390/vision9010003 - 10 Jan 2025
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This study investigates colour vision deficits in children with amblyopia by employing a computerized colour vision test with varying stimulus sizes (1°, 2°, and 3°). The aim is to delineate the impact of amblyopia on colour discrimination in children and to determine the
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This study investigates colour vision deficits in children with amblyopia by employing a computerized colour vision test with varying stimulus sizes (1°, 2°, and 3°). The aim is to delineate the impact of amblyopia on colour discrimination in children and to determine the effectiveness of the computerized colour vision test in detecting these deficits. The study involved 40 participants, divided into 20 children with amblyopia and 20 without amblyopia (control group). Our findings reveal that, during binocular viewing, children with amblyopia exhibit significant impairments in colour vision both for red–green and blue–yellow axes, primarily for 1° chromatic stimuli, but not for larger stimuli (2° and 3°). These findings offer valuable insight into the functional visual limitations in pediatric amblyopia, potentially guiding more targeted clinical assessments and interventions.
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Open AccessReview
Shaping the Space: A Role for the Hippocampus in Mental Imagery Formation
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Andrea Blomkvist
Vision 2025, 9(1), 2; https://doi.org/10.3390/vision9010002 - 8 Jan 2025
Abstract
Mental imagery is claimed to underlie a host of abilities, such as episodic memory, working memory, and decision-making. A popular view holds that mental imagery relies on the perceptual system and that it can be said to be ‘vision in reverse’. Whereas vision
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Mental imagery is claimed to underlie a host of abilities, such as episodic memory, working memory, and decision-making. A popular view holds that mental imagery relies on the perceptual system and that it can be said to be ‘vision in reverse’. Whereas vision exploits the bottom-up neural pathways of the visual system, mental imagery exploits the top-down neural pathways. But the contribution of some other neural areas remains overlooked. In this article, I explore important contributions of the hippocampus, a neural area traditionally associated with episodic memory, to mental imagery formation. I highlight evidence which supports the view that the hippocampus contributes to the spatial model used for mental imagery and argue that we can distinguish different hippocampal circuits which contribute to different kinds of imagery, such as object imagery, scene imagery, and imagery with a temporal aspect. This has significant upshots for mental imagery research, as it opens a new avenue for further research into the role of the hippocampus in a variety of imagery tasks.
Full article
(This article belongs to the Special Issue Visual Mental Imagery System: How We Image the World)
Open AccessArticle
Effect of Hydration on Viscoelastic Tensile Properties of Sclera
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Hamed Hatami-Marbini
Vision 2025, 9(1), 1; https://doi.org/10.3390/vision9010001 - 4 Jan 2025
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The present work characterized the effects of hydration on the viscoelastic tensile properties of the sclera. Scleral strips were dissected from the posterior region near the optic nerve head of porcine eyes in the superior–inferior direction. The samples were divided into four hydration
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The present work characterized the effects of hydration on the viscoelastic tensile properties of the sclera. Scleral strips were dissected from the posterior region near the optic nerve head of porcine eyes in the superior–inferior direction. The samples were divided into four hydration groups and their mechanical response was characterized by conducting uniaxial tensile stress–relaxation experiments. An exponential relation and logarithmic expression were used to numerically represent the experimental measurements during the ramp and relaxation periods, respectively. A nonlinear increase in the tensile stress during the ramp period was observed for all strips. Furthermore, it was found that dehydrated specimens had stiffer tensile properties. In particular, it was observed that the maximum and equilibrium stresses increased significantly with decreasing hydration. Furthermore, it was found that the viscoelastic tensile response of porcine scleral strips at different hydration levels could be collapsed onto a single normalized curve. The findings of the present work showed that hydration had significant effects on the viscoelastic tensile properties of sclera.
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Open AccessArticle
Individual Variations in Vergence and Accommodation Responses Following Virtual Reality Gameplay
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Alona Sumarokova, Reinis Alksnis, Dagni Rappo, Karola Panke, Gunta Krumina and Tatjana Pladere
Vision 2024, 8(4), 69; https://doi.org/10.3390/vision8040069 - 20 Dec 2024
Abstract
Virtual reality (VR) can challenge the visual system, leading to temporary oculomotor changes, though the degree of change varies among individuals. While the vergence and accommodation system plays a crucial role in VR perception, it remains unclear whether individuals whose visual functions fall
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Virtual reality (VR) can challenge the visual system, leading to temporary oculomotor changes, though the degree of change varies among individuals. While the vergence and accommodation system plays a crucial role in VR perception, it remains unclear whether individuals whose visual functions fall outside clinical norms experience larger changes. Thus, our study aimed to investigate whether changes in vergence and accommodation responses following VR gameplay differ between individuals with and without non-strabismic binocular and accommodative disorders. To assess this, both subjective and objective measurements were conducted before and after 20 min of playing Beat Saber. Results revealed significant alterations across both subjective measurements—near point of convergence and near point of accommodation—and objective measurements, including eye refraction, accommodation lag, and accommodative microfluctuations at far. Moreover, individuals with non-strabismic binocular and accommodative disorders exhibited larger accommodative microfluctuations at far compared to the control group. Overall, these findings indicate that considering individual differences in vergence and accommodation responses is important when evaluating the impact of VR on the visual system and can be helpful in the design and use of VR systems, particularly for individuals with binocular and accommodative disorders.
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(This article belongs to the Special Issue Selected Papers from the 4th International Symposium on Visual Physiology, Environment, and Perception (VisPEP 2024))
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Open AccessEditorial
New Horizons in Myopia Management: Bridging Epidemiology and Clinical Innovation
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Nir Erdinest and Yair Morad
Vision 2024, 8(4), 68; https://doi.org/10.3390/vision8040068 - 1 Dec 2024
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In 1975, Brit J [...]
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(This article belongs to the Special Issue New Horizons in Myopia Management: Bridging Epidemiology and Clinical Innovation)
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Open AccessReview
Digital Applications for Videoterminal-Associated Dry Eye Disease
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Maria Angela Romeo, Giulia Coco, Andrea Taloni, Giovanna Carnovale-Scalzo, Vincenzo Scorcia and Giuseppe Giannaccare
Vision 2024, 8(4), 67; https://doi.org/10.3390/vision8040067 - 28 Nov 2024
Abstract
Dry eye disease (DED) has become increasingly prevalent in the digital era, largely due to prolonged screen exposure. The excessive use of digital devices contributes to inappropriate blink frequency and dynamics, leading to ocular surface dryness and discomfort. Additionally, digital screen use has
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Dry eye disease (DED) has become increasingly prevalent in the digital era, largely due to prolonged screen exposure. The excessive use of digital devices contributes to inappropriate blink frequency and dynamics, leading to ocular surface dryness and discomfort. Additionally, digital screen use has broader implications for systemic health, including visual strain, headaches, and disrupted circadian rhythms caused by blue light exposure. Previous studies have shown that prolonged screen time correlates with altered blink frequency and increased symptom severity in DED patients, exacerbating the imbalance in tear film production and evaporation. Blinking dynamics, particularly blink rate and completeness, are crucial in maintaining ocular surface moisture. Incomplete blinking impairs meibomian gland function, reducing lipid secretion, which is essential for preventing tear evaporation. Raising patient awareness through educational material, ergonomic adjustments, and blinking exercises has been shown to mitigate these effects. Digital tools that provide targeted educational interventions can be particularly effective in improving blink dynamics and overall ocular comfort. This study evaluates the efficacy of digital applications in optimizing blinking dynamics and enhancing tear film stability. The findings suggest that these innovations improve patient outcomes by encouraging healthier eye care practices. However, further research is needed to assess their long-term impact across diverse populations.
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Open AccessArticle
Optical Bench Evaluation of a Novel, Hydrophobic, Acrylic, One-Piece, Polyfocal Intraocular Lens with a “Zig-Zag” L-Loop Haptic Design
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Andreas F. Borkenstein, Eva-Maria Borkenstein, Pooria Omidi and Achim Langenbucher
Vision 2024, 8(4), 66; https://doi.org/10.3390/vision8040066 - 14 Nov 2024
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Purpose: The number of presbyopia-correcting (premium) intraocular lenses (IOLs) is growing steadily as the desire for spectacle independence after cataract surgery increases. The aim of this laboratory study was to evaluate a newly launched hydrophobic, acrylic, polyfocal, refractive intraocular lens with a new
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Purpose: The number of presbyopia-correcting (premium) intraocular lenses (IOLs) is growing steadily as the desire for spectacle independence after cataract surgery increases. The aim of this laboratory study was to evaluate a newly launched hydrophobic, acrylic, polyfocal, refractive intraocular lens with a new optical design and geometry. This polyfocal IOL has three different zones (within the optic) with radially asymmetric design. Methods: We performed optical bench tests to calculate the optical characteristics of the sample. The optical performance and quality of IOLs based on ISO 11979-2 and 11979-9 requirements were analyzed with the NIMO TR0815 (Lambda-X). In addition, optical quality metrics were evaluated with the IOLA MFD device (Rotlex). Sphere, Add, modulation transfer function (MTF), the energy distribution between the modes and the MTF along the whole range from far to near were analyzed. Results: The power histogram showed that the tested IOL has the characteristics of a polyfocal IOL with a wide range of optical power between 20.5 and 24.5 diopters. Two distinct peaks were observed, indicating bifocal functionality. In the radial and axial power surface map, all three zones, stated by the company, could be detected. Larger apertures lead to a significant increase in MTF at the far peak, indicating better visual acuity for distant objects under low-light conditions. It was observed that in small aperture sizes, intermediate vision seems to be dominant. The energy distribution remained almost constant with increasing aperture size. Conclusions: This laboratory study was able to confirm the properties of the polyfocal lens stated by the company. Three optical zones could be identified. However, further optical bench tests should be performed to evaluate the new lens under tilted and decentered conditions. Clinical studies have to confirm that the presbyopia-correcting, polyfocal lens can achieve good clinical results with high patient satisfaction without disturbing side effects.
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Open AccessSystematic Review
Optimal Timing for Intraocular Pressure Measurement Following Phacoemulsification Cataract Surgery: A Systematic Review and a Meta-Analysis
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William J. Herspiegel, Brian E. Yu, Hamzah S. Algodi, Monali S. Malvankar-Mehta and Cindy M. L. Hutnik
Vision 2024, 8(4), 65; https://doi.org/10.3390/vision8040065 - 8 Nov 2024
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Post-operative increases in intraocular pressure (IOP) are a frequent complication following phacoemulsification cataract surgery. Assessment of IOP is an essential element in post-operative checks. Despite this, guidance regarding the optimal timing remains vague. The purpose of this meta-analysis was to determine the current
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Post-operative increases in intraocular pressure (IOP) are a frequent complication following phacoemulsification cataract surgery. Assessment of IOP is an essential element in post-operative checks. Despite this, guidance regarding the optimal timing remains vague. The purpose of this meta-analysis was to determine the current status of evidence that may help guide best practice regarding the optimal time following phacoemulsification cataract surgery to measure IOP. A comprehensive literature search was performed on MEDLINE and EMBASE. In two stages, independent reviewers screened articles that reported IOP measurements following uncomplicated cataract surgery. Risk of Bias Assessment was conducted following data extraction. The meta-analysis incorporated 57 randomized clinical studies involving a total of 6318 participants and 7089 eyes. Post-operative hour one had a significant decrease in IOP from baseline, while hour two had a non-significant increase. Post-operative hours four, six, and eight were the only timepoints to have a significant increase in IOP. Finally, post-operative day one had no significant change in IOP, while day two had a non-significant decrease. These results suggest that the optimal time to measure IOP is within the first 4–8 h following phacoemulsification cataract extraction. Taking measurements too soon or too late could result in missed IOP spikes.
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Open AccessArticle
Corneal Endothelial Microscopy: Does a Manual Recognition of the Endothelial Cells Help the Morphometric Analysis Compared to a Fully Automatic Approach?
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Giulia Carlotta Rizzo, Rosa Di Grassi, Erika Ponzini, Silvia Tavazzi and Fabrizio Zeri
Vision 2024, 8(4), 64; https://doi.org/10.3390/vision8040064 - 30 Oct 2024
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This study investigated whether manual integration in the recognition of the endothelial cells produces different outcomes of morphometric parameters compared to a fully automatic approach. Eight hundred and ninety endothelial images, originally acquired by the Perseus Specular Microscope (CSO, Florence, Italy), from seven
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This study investigated whether manual integration in the recognition of the endothelial cells produces different outcomes of morphometric parameters compared to a fully automatic approach. Eight hundred and ninety endothelial images, originally acquired by the Perseus Specular Microscope (CSO, Florence, Italy), from seven positions of right and left corneas were selected from the database of the Research Centre in Optics and Optometry at the University of Milano-Bicocca. For each image selected, two procedures of cell identification were performed by the Perseus: an automatic identification and a manual-integrated procedure to add potential additional cells with the available editing tool. At the end of both procedures, the endothelial cell density (ECD), coefficient of variation (CV), and hexagonality (HEX) of the mosaic were calculated. The HEX in the two procedures was significantly different for all comparisons (p < 0.001), but clinically negligible. No significant differences were found for the CV and ECD in the images of both eyes irrespective of the corneal position of acquisition (except for ECD in three corneal portions, p < 0.05). To conclude, it is possible to recognise a significantly higher number of cells using the manual-integrated procedure than it is using the fully automatic one, but this does not change the morphological parameters achieved.
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Open AccessCase Report
Combined Epiretinal Proliferation and Internal Limiting Membrane Inverted Flap for the Treatment of Large Macular Holes
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Nikolaos Dervenis, Iordanis Vagiakis, Elena P. Papadopoulou, Panagiotis Dervenis and Teresa Sandinha
Vision 2024, 8(4), 63; https://doi.org/10.3390/vision8040063 - 19 Oct 2024
Abstract
We are presenting a new method for the treatment of large macular holes (MHs) with the use of an inverted flap consisting of both internal limiting membrane (ILM) and epiretinal proliferation (EP). A prospective interventional case series was conducted from September 2021 to
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We are presenting a new method for the treatment of large macular holes (MHs) with the use of an inverted flap consisting of both internal limiting membrane (ILM) and epiretinal proliferation (EP). A prospective interventional case series was conducted from September 2021 to January 2023. MH patients with coexistent EP visualized preoperatively in macula optical coherence tomography and with a MHs minimum linear diameter larger than 400 microns underwent standard pars plana vitrectomy with the creation of an inverted petaloid flap (consisting of both ILM and EP) and gas tamponade. Sixteen eyes were included in our case series. MHs closure was successful in all the eyes with a single procedure. The preoperative minimum linear diameter was 707.63 (±164.02 μm), and the preoperative best corrected visual acuity was 1.11 ± 0.52. The postoperative BCVA was 0.51 ± 0.20 (p = 0.01) at 6 weeks postoperatively, and the final BCVA was 0.45 ± 0.20 (p = 0.008). EP can be safely combined with ILM for the creation of an inverted, petaloid flap to cover and facilitate the closure of large MHs.
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(This article belongs to the Section Retinal Function and Disease)
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Comparison of Four Methods for Measuring Heterophoria and Accommodative Convergence over Accommodation Ratio
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Noelia Nores-Palmas, Veronica Noya-Padin, Eva Yebra-Pimentel, Maria Jesus Giraldez and Hugo Pena-Verdeal
Vision 2024, 8(4), 62; https://doi.org/10.3390/vision8040062 - 18 Oct 2024
Abstract
The study aimed to assess the agreement between OptoTab SERIES, alternating Cover Test, Modified Thorington test, and Von Graefe method in measuring heterophoria and accommodative convergence over accommodation (AC/A) ratio. In an initial step, heterophoria was assessed at both distance and near in
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The study aimed to assess the agreement between OptoTab SERIES, alternating Cover Test, Modified Thorington test, and Von Graefe method in measuring heterophoria and accommodative convergence over accommodation (AC/A) ratio. In an initial step, heterophoria was assessed at both distance and near in a cohort of 76 healthy young volunteers using the previously described tests. Subsequently, to determine the AC/A ratio, near-vision measurements were repeated with +1.00 D and −1.00 D lenses. All tests were performed in a randomized order across participants under consistent conditions. Significant differences were found between the Modified Thorington test and all other tests at distance (Wilcoxon test, all p ≤ 0.001) and between Von Graefe and all other tests at near (Wilcoxon test, all p ≤ 0.005). Regarding the AC/A ratio, significant differences were observed between all methods in +1.00 D AC/A ratio, except for the Modified Thorington test vs. the alternating Cover Test (Wilcoxon test, p = 0.024). In the −1.00 D AC/A ratio, differences were observed between OptoTab POCKET and all the other tests (Wilcoxon test, all p ≤ 0.001). The results indicate that all methods are interchangeable except the Modified Thorington test at distance and Von Graefe at near. For the AC/A ratio, only the Modified Thorington test is interchangeable with the alternating Cover Test using +1.00 D lenses and all are interchangeable using −1.00 D lenses except OptoTab POCKET.
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(This article belongs to the Special Issue Effects of Optical and Behavioral Factors on the Ocular Accommodation Response)
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Open AccessCase Report
Terson’s Syndrome with Roth Spot-Resembling Features and Third Nerve Palsy without Radiologically Diagnosed Subarachnoid Haemorrhage
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Olga E. Makri, Iasonas K. Tsekouras, Stylianos N. Mastronikolis, Vasileios E. Panagiotopoulos, Constantine Constantoyannis and Constantinos D. Georgakopoulos
Vision 2024, 8(4), 61; https://doi.org/10.3390/vision8040061 - 7 Oct 2024
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We report an unusual case of pupil-involving third nerve palsy associated with Terson’s syndrome that resulted in the diagnosis of a right posterior communicating artery aneurysm. Interestingly, Terson’s syndrome presented with Roth spot-resembling features, accompanied by third nerve palsy in a patient without
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We report an unusual case of pupil-involving third nerve palsy associated with Terson’s syndrome that resulted in the diagnosis of a right posterior communicating artery aneurysm. Interestingly, Terson’s syndrome presented with Roth spot-resembling features, accompanied by third nerve palsy in a patient without any disturbance of consciousness. To our knowledge, the association of Terson’s syndrome with third nerve palsy has not been described before in the absence of radiologically diagnosed subarachnoid haemorrhage. We present the case of a 48-year-old woman who presented in the Department of Emergencies of the University Hospital of Patras with right-sided complete-pupil-involving third nerve palsy combined with bilateral Terson’s syndrome. More precisely, fundoscopy revealed multiple scattered intra- and pre-retinal haemorrhages in both eyes, while some retinal haemorrhages had a white-centred pattern resembling Roth spots. Neurological examination revealed no nuchal rigidity or any other neurological signs. The Glasgow coma scale score was 15/15. A cerebral computed tomography angiography revealed a 5 mm aneurysm of the right posterior communicating artery and the patient underwent a microvascular clipping operation after craniotomy. The significant contribution of the ophthalmological consultation to the appropriate and timely diagnosis and management of a life-threatening condition is highlighted.
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