The Effects of Severe Myopia on the Properties of Sampling Units in Peripheral Retina.

Significance: Poor peripheral visual acuity in myopia may reflect, in part, photoreceptor misalignment with the exit pupil of the eye. We speculate that if such misalignment causes sufficient visual deprivation and/or disrupts retinal feedback processes, it may influence eye growth itself.Purpose: I...

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Published in:Optometry & Vision Science Vol. 95; no. 4; pp. 399 - 405
Main Authors: Nagra, Manbir, Gilmartin, Bernard, Logan, Nicola S., Anderson, Stephen J.
Format: research Journal Article
Published: Wiley-Blackwell Apr2018
Online Access:View this record in EBSCOhost
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      dt: Apr2018
      vid: 95
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: The Effects of Severe Myopia on the Properties of Sampling Units in Peripheral Retina.
      aug:
        au:
          Nagra, Manbir
          Gilmartin, Bernard
          Logan, Nicola S.
          Anderson, Stephen J.
        affil: Centre for Applied Vision Research, City, University of London, London, United Kingdom.
      sug:
        subj:
          Retina Physiopathology
          Myopia Physiopathology
          Visual Acuity Physiology
          Refraction, Ocular
          Human
          Male
          Psychometrics
          Imaging, Three-Dimensional
          Myopia
          Ophthalmoscopy
          Magnetic Resonance Imaging
          Retina
          Middle Age
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Middle Aged: 45-64 years
          Male
      ab: Significance: Poor peripheral visual acuity in myopia may reflect, in part, photoreceptor misalignment with the exit pupil of the eye. We speculate that if such misalignment causes sufficient visual deprivation and/or disrupts retinal feedback processes, it may influence eye growth itself.Purpose: It is known that myopic eyes have a reduced peripheral resolution acuity relative to emmetropic eyes, though it remains unclear how mechanical stretching of the retina in myopia impacts on peripheral visual performance. Our aim was to determine how retinal stretching affects the properties of sampling units in peripheral vision.Methods: Three-dimensional magnetic resonance imaging provided a depiction in vivo of ocular shape, allowing the inter-eye ratio of retinal image surface areas and the relative alignment of surfaces to be determined in our observer, who was unique in having severe myopia in the right eye (~21 D) but only modest myopia in the left (~3 D). Visual performance was assessed for the detection and direction discrimination of drifting sinusoids positioned 40° in the temporal retina. Applying the sampling theorem to our measures, we estimated the density and cut-off frequency of the underlying sampling units.Results: The retinal image surface area of the right eye was 40% larger than that of the left and was rotated 8.9° anticlockwise relative to the left eye's image surface. In agreement with a linear stretch model of myopia, the sampling density of the right eye was reduced by approximately the same ratio as that predicted from the inter-eye MRI data, namely, 1.18. However, the cut-off frequency (cycles/mm) of the right eye was approximately half that of the left, a reduction that cannot be explained solely by a linear areal expansion of retinal sampling units.Conclusions: Poor peripheral acuity in severe myopia may be caused, at least in part, by receptoral misalignment with the exit pupil.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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