Visual performance with lenses correcting peripheral refractive errors

Purpose To design and manufacture lenses to correct peripheral refraction along the horizontal meridian and to determine whether these resulted in noticeable improvements in visual performance. Method Subjective refraction of a low myope was determined on the basis of best peripheral detection acuity along the horizontal visual field out to ±30° for both horizontal and vertical gratings. Subjective refraction was compared to objective refractions using a COAS-HD aberrometer. Special lenses were made to correct peripheral refraction, based on designs optimized with and without smoothing across a 3 mm diameter square aperture. Grating detection was retested with these lenses. Contrast thresholds of 1.25’ spots were determined across the field for the conditions of best correction, on-axis correction, and the special lenses. Results The participant had high relative peripheral hyperopia, particularly in the temporal visual field (maximum 2.9 D). There were differences > 0.5D between subjective and objective refractions at a few field angles. On-axis correction reduced peripheral detection acuity and increased peripheral contrast threshold in the peripheral visual field, relative to the best correction, by up to 0.4 and 0.5 log units, respectively. The special lenses restored most of the peripheral vision, although not all at angles to ±10°, and with the lens optimized with aperture-smoothing possibly giving better vision than the lens optimized without aperture-smoothing at some angles. Conclusion It is possible to design and manufacture lenses to give near optimum peripheral visual performance to at least ±30° along one visual field meridian. The benefit of such lenses is likely to be manifest only if a subject has a considerable relative peripheral refraction, for example of the order of 2 D.

Effect of rod-cone interactions on mesopic visual performance mediated by chromatic and luminance pathways

We studied the effect of rod–cone interactions on mesopic visual reaction time (RT). Rod and cone photoreceptor excitations were independently controlled using a four-primary photostimulator. It was observed that (1) lateral rod–cone interactions increase the cone-mediated RTs; (2) the rod–cone interactions are strongest when rod sensitivity is maximal in a dark surround, but weaker with increased rod activity in a light surround; and (3) the presence of a dark surround nonselectively increased the mean and variability of chromatic (+L-M, S-cone) and luminance (L+M+S) RTs independent of the level of rod activity. The results demonstrate that lateral rod–cone interactions must be considered when deriving mesopic luminous efficiency using RT.

The impact of simulated astigmatism on functional measures of visual performance

Uncorrected refractive error, including astigmatism, is a leading cause of reversible visual impairment. While the ability to perform vision-related daily activities is reduced when people are not optimally corrected, only limited research has investigated the impact of uncorrected astigmatism. Given the capacity to perform vision-related daily activities involves integration of a range of visual and cognitive cues, this research examined the impact of simulated astigmatism on visual tasks that also involved cognitive input. The research also examined whether the higher levels of complexity inherent in Chinese characters makes them more susceptible to the effects of astigmatism. The effects of different powers of astigmatism, as well as astigmatism at different axes were investigated in order to determine the minimum level of astigmatism that resulted in a decrement in visual performance.

Visual performance at passive level crossings with long sighting distances

The third edition of the Australian Standard AS1742 Manual of Uniform Traffic Control Devices Part 7 provides a method of calculating the sighting distance required to safely proceed at passive level crossings based on the physics of moving vehicles. This required distance becomes greater with higher line speeds and slower, heavier vehicles so that it may return quite a long sighting distance. However, at such distances, there are also concerns around whether drivers would be able to reliably identify a train in order to make an informed decision regarding whether it would be safe to proceed across the level crossing. In order to determine whether drivers are able to make reliable judgements to proceed in these circumstances, this study assessed the distance at which a train first becomes identifiable to a driver as well as their, ability to detect the movement of the train. A site was selected in Victoria, and 36 participants with good visual acuity observed 4 trains in the 100-140 km/h range. While most participants could detect the train from a very long distance (2.2 km on average), they could only detect that the train was moving at much shorter distances (1.3 km on average). Large variability was observed between participants, with 4 participants consistently detecting trains later than other participants. Participants tended to improve in their capacity to detect the presence of the train with practice, but a similar trend was not observed for detection of the movement of the train. Participants were consistently poor at accurately judging the approach speed of trains, with large underestimations at all investigated distances.

Lighting conditions and optical filters effects on visual performance of speleologists exposed to cave environments

The aim of this study is to evaluate lighting conditions and speleologists’ visual performance using optical filters when exposed to the lighting conditions of cave environments. A crosssectional study was conducted. Twenty-three speleologists were submitted to an evaluation of visual function in a clinical lab. An examination of visual acuity, contrast sensitivity, stereoacuity and flashlight illuminance levels was also performed in 16 of the 23 speleologists at two caves deprived of natural lightning. Two organic filters (450 nm and 550 nm) were used to compare visual function with and without filters. The mean age of the speleologists was 40.65 (± 10.93) years. We detected 26.1% participants with visual impairment of which refractive error (17.4%) was the major cause. In the cave environment the majority of the speleologists used a head flashlight with a mean illuminance of 451.0 ± 305.7 lux. Binocular visual acuity (BVA) was -0.05 ± 0.15 LogMAR (20/18). BVA for distance without filter was not statistically different from BVA with 550 nm or 450 nm filters (p = 0.093). Significant improved contrast sensitivity was observed with 450 nm filters for 6 cpd (p = 0.034) and 18 cpd (p = 0.026) spatial frequencies. There were no signs and symptoms of visual pathologies related to cave exposure. Illuminance levels were adequate to the majority of the activities performed. The enhancement in contrast sensitivity with filters could potentially improve tasks related with the activities performed in the cave.

Thermal and visual performance of real and theoretical thermochromic glazing solutions for office buildings

Thermochromic windows are able to modulate their transmittance in both the visible and the near-infrared field as a function of their temperature. As a consequence, they allow to control the solar gains in summer, thus reducing the energy needs for space cooling. However, they may also yield a reduction in the daylight availability, which results in the energy consumption for indoor artificial lighting being increased. This paper investigates, by means of dynamic simulations, the application of thermochromic windows to an existing office building in terms of energy savings on an annual basis, while also focusing on the effects in terms of daylighting and thermal comfort. In particular, due attention is paid to daylight availability, described through illuminance maps and by the calculation of the daylight factor, which in several countries is subject thresholds. The study considers both a commercially available thermochromic pane and a series of theoretical thermochromic glazing. The expected performance is compared to static clear and reflective insulating glass units. The simulations are repeated in different climatic conditions, showing that the overall energy savings compared to clear glazing can range from around 5% for cold climates to around 20% in warm climates, while not compromising daylight availability. Moreover the role played by the transition temperature of the pane is examined, pointing out an optimal transition temperatures that is irrespective of the climatic conditions.

Study on the visual performance of a vernacular dwelling in Egypt

Vernacular dwelling buildings located in hot arid regions are well known for their sensitive architecture response to the region’s climatic conditions and the socio-cultural norms. The architectural value of these buildings is not only limited to their historical merit, but also to the human conscious adaptation to its context and the optimum utilisation of natural resources creating both a pleasant and a functional environment. The majority of these traditional dwellings are well recognised for their unique perforated fenestration system and courtyard arrangement that evolved to control the harsh solar, climatic conditions without compromising the quality of space and occupants’ wellbeing. However, the successful design of these features and solutions cannot be fully appreciated without understanding the nature of daylight and solar radiation in which these buildings are revealed. This paper investigates the impact of the characteristic of the dense narrow streets of medieval cities on the visual performance of a typical courtyard house in Cairo.The paper examines the daylight  behaviour of one of the well-known historic alleys and of a courtyard house in Cairo. The paper analyzes and measures the variability in the visual perception and comfort for a typical pedestrian street and the occupants of the house using a simulation modelling tool (Integrated Environmental Solutions (IES) software). The paper gives an insight into the overall visual performance of the urban fabric that shapes of the microclimate, which is an important ingredient of the overall identity of the place.

Study on the visual performance of a traditional residential neighborhood in old Cairo

Traditional dwellings located in the hot arid zones of the Arabian regions are well known for their sensitive architectural response to the region’s climatic conditions and socio-cultural norms. The majority of these dwellings are well recognized for their courtyard arrangement and perforated fenestration system that evolved to control the harsh solar, climatic conditions without compromising the aesthetic quality of space and occupants’ wellbeing. However, the unique visual characteristics of these structures cannot be fully appreciated by assessing the visual performance of buildings in isolation from their urban context. Given the fact that much of the character of the traditional settlements of this region came from the collective visual perception of their architectural components as well as urban patterns. This paper presents a methodology that can be used to assess daylight behaviour at an architectural level as well as at an urban scale. The work examines the daylight behaviour of a well-known historic alleyway and of a courtyard house in the old city of Cairo. The variability in the visual perception and comfort for a typical pedestrian street and the occupants of the house was predicted using Radiance IES simulation modelling tool and a scaled model under an artificial sky dome. A comparative analysis between simulated results and measured values at target points was conducted and the results reveal a reasonable agreement with the simulation results. Preliminary results from the first phase of modelling were presented that give an insight into the overall visual experience in the traditional settlements in the Old City of Cairo where daylight has contributed to the place unique sense of identity.

Study on the visual performance of a traditional residential neighborhood in Old Cairo

Traditional dwellings located in the hot arid zone in Egypt are well known for their sensitive architectural response to the region's climatic conditions and socio-cultural norms. The majority of these dwellings are well recognized for their courtyard arrangement and perforated fenestration systems that evolved to control the harsh solar, climatic conditions without compromising the aesthetic quality of the space and the occupants' well-being. The unique visual characteristics of these structures cannot be fully appreciated by assessing the visual performance of buildings in isolation from their urban context. Much of the character of the traditional urban fabric of this region came from the collective visual perception of its architectural components as well as urban patterns. This paper examines daylight behavior of a well-known historic alleyway and of a courtyard house in the Old City of Cairo. Using the Radiance IES simulation modeling tool and a scaled model under an artificial sky dome, the paper investigates the visual comfort in a typical pedestrian street and a selected house. A comparative analysis between simulated results and measured values at target points was conducted. The results indicate a reasonable agreement with the simulation results. The paper gives an insight into the overall visual experience in the traditional settlements in the Old City of Cairo in relation to daylight components and hence their contribution to the unique sense of identity of the place.

Visual performance of a multifocal contact lens versus monovision in established presbyopes

To compare subjective and objective visual performance of the Air Optix Aqua Multifocal lens to monovision in a group of subjects requiring a medium level of reading-addition power.

Long-term impact of treated congenital toxoplasmosis on quality of life and visual performance

Background: Long-term evolution of congenital toxoplasmosis is not documented. We assessed the outcome of treated congenital toxoplasmosis in a cohort of adult individuals who had undergone ante- and postnatal treatment to provide information for pediatricians and parents on the evolution of the disease. Methods: We conducted a questionnaire study on 126 adults with congenital toxoplasmosis (mean age: 22.2 years; age range: 18–31 years) monitored regularly until the time of inclusion. The main outcome measures were quality of life (Psychological General Well-Being Index) and visual function (VF14 questionnaire), and the outcomes were correlated with disease-specific factors. Results: Of the 102 patients (80.9%) who were finally included in the study, 12 (11.8%) presented neurologic effects and 60 (58.8%) manifested ocular lesions; in the latter category, 13 individuals (12.7%) had reduced visual function. The overall global quality-of-life score (74.7 ± 14.2) was close to the expected normal range for the general population (73.7 ± 15.3). Overall, visual function was only slightly impaired (M = 97.3; 95% confidence interval, 95.8–98.8). Although disease-independent critical life circumstances were associated with a reduced Psychological General Well-Being Index, this index was not influenced by any of the clinical characteristics of congenital toxoplasmosis. Neurologic pathologies, reduced visual acuity, foveal location of the retinal lesion, and squinting contributed to decreased visual function at follow-up. Conclusions: Our data reveal that treated congenital toxoplasmosis has little effect on the quality of life and visual function of the affected individuals. These encouraging findings may help to alleviate the anxiety of affected individuals and their parents.