Optometry and vision science : official publication of the American Academy of Optometry
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We investigated the extent to which simulated cataracts slow a driver's ability to anticipate potential traffic hazards, a skill that has been found to correlate with crash risk. In previous studies, we found a significant correlation between contrast sensitivity and hazard perception in a sample of older drivers. The present study allowed us to determine the causal direction of this relationship. This is important as it provides a better understanding of the mechanisms underlying the higher crash risk of drivers with cataracts. ⋯ Moderate levels of simulated cataract slowed drivers' ability to detect and anticipate traffic hazards enough to warrant road safety concerns, despite the fact that the vision of participants wearing the cataract goggles still complied with the minimum legal standard required for driving.
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To simulate medium level "dry eye" and investigate the effect of "blink" rates in "dry eye" condition using a novel porcine dry eye model (pDEM). ⋯ Different severity levels of "dry eye" can be simulated using the newly developed pDEM. Increased blink rate may protect the cornea against desiccation-induced damage; however, increased blink rate may also increase shear force between the cornea and conjunctiva and result in mechanical damage because of increased frictional force.
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The purpose of this report is to describe acute myopia as an ocular adverse reaction to topiramate (Topamax, Ortho-McNeil, Raritan, NJ) and discuss the importance of recognizing this syndrome. ⋯ An acute myopic shift may be the presenting sign of an idiosyncratic drug reaction that can include secondary bilateral angle closure glaucoma. This condition can occur in patients who do not have a history of anterior chamber abnormalities. Recognizing this condition and discontinuing the use of the causative drug may prevent angle closure and associated vision loss.