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Medical Forum / General / Vision / October 2006

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Vision after cataract surgery

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Richard - 20 Oct 2006 16:00 GMT
At age 60 I had to use reading glasses. I am now 82 years old and due
to clouding I had cataract surgery. I selected monovision, simply
because that's what I had for the last two years. For reasons unknown
to me one day I was able to read newspapers withouth glasses. My right
eye stayed at far focal range and my left eye changed to close. I am
perfectly happy with the replacement lenses, but as an engineer I am
very unhappy that I have not the faintest clue why the brain is able to
seamlessly switch from one eye to the other when the viewing distance
changes. My eye surgeon hates engineers, he thinks they are like kids,
they allways have to ask: WHY.  Anybody knows WHY ?

The second problem I have is: When I look at say 3 televison antenna
towers in the distance, they are not  straight up and parallel to each
other, but they are slightly bent in relation to each other. The
windows in a large building are not rectangular but have a hourglass
contour in the vertical, with top and bottom at slightly different
angles. While this does not bother me much it again brings up the WHY.
If the lens used was  a fresnel I could consider some kind of
interference, but I am assured the lenses used are of the lenticular
design, i.e. slightly thicker in the center than at the rim.  Again,
anybody knows of this?

Richard
Dr Judy - 20 Oct 2006 17:37 GMT
> At age 60 I had to use reading glasses. I am now 82 years old and due
> to clouding I had cataract surgery. I selected monovision, simply
[quoted text clipped - 6 lines]
> changes. My eye surgeon hates engineers, he thinks they are like kids,
> they allways have to ask: WHY.  Anybody knows WHY ?

The why is a question best left to philosophers, might have some
success with how.

If you think of  perception as a process with selective filters you can
understand how.  Every day, all the time, with all sensory input the
higher brain centres filter the input and direct attention to the most
important bits.  Imagine you are in a crowded bus terminal, reading the
newspaper while the kid next you plays a radio.  You will attend to the
news story and ignore the radio, peoples voices, footsteps, smells and
the constant drone of the station announcements of arriving and
departing trains, due to selective filtering of inputs.  Yet you will
clearly hear the announcement of your particular bus department and
should your name be paged, you will hear it too.

Same with vision.  Your brain will filter out the blurry image of the
far eye when reading and the near eye when looking far away.  It
trained itself to do this as your vision changed in your during
cataract development.  If interested, try signing out some perceptual
psychology books from your local library.  Steven Pinker and Oliver
Saks have some interesting and readible books.

If you want more detail on the how, you will be deep into neuro
physiology and the electrical and chemical properties of brain cells.
This is beyond the knowledge base of most eye doctors.  Try posting the
question on a neuro physiology forum if one exists.

> The second problem I have is: When I look at say 3 televison antenna
> towers in the distance, they are not  straight up and parallel to each
[quoted text clipped - 6 lines]
> design, i.e. slightly thicker in the center than at the rim.  Again,
> anybody knows of this?

Since you understand a fresnel lens, it may explain the effect to you
if you know that a glasses lens has the same optical properties as a
fresnel lens.  It is normal to have pincushion and beer barrel effects
with lenses, the exact effect will depend on the particular power of
the individual lens.

Dr Judy
Don W - 20 Oct 2006 19:49 GMT
> If interested, try signing out some perceptual
> psychology books from your local library.  Steven Pinker and Oliver
> Saks have some interesting and readible books.
>
> If you want more detail on the how, you will be deep into neuro
> physiology and the electrical and chemical properties of brain cells.

And Richard, if you do run across how the brain patches in the crazy quilt
design into the blind spot....
please let me know.
: )

Don W.
Mike Tyner - 20 Oct 2006 22:34 GMT
> very unhappy that I have not the faintest clue why the brain is able to
> seamlessly switch from one eye to the other when the viewing distance
> changes. My eye surgeon hates engineers, he thinks they are like kids,
> they allways have to ask: WHY.  Anybody knows WHY ?

As Judy said, "why" isn't as important as "how." In physiology, the answer
to "why" is usually "natural selection."

As for "how," it helps to know that what travels from the retina to the eye
is NOT a pixel-by-pixel map of visual space. The optic nerves transmit
derivative signals, primarily about edges in vector motion. Without edges,
and without motion, the signal fades to null. If you immobilize an eye
experimentally, it stops seeing within a few seconds.

No moving edges, no information. The more diffuse and out-of-focus, the less
an image competes for attention in the cortex.

> windows in a large building are not rectangular but have a hourglass
> contour in the vertical, with top and bottom at slightly different
> angles. While this does not bother me much it again brings up the WHY.

As Judy said, this is "pincushion" distortion familiar to photographers.
It's a fixed feature of convex lenses, a function of F (power), n (index),
CT (center thickness), and most importantly, VD or vertex distance - the
standoff distance from your cornea. It's minimized by small, round lenses
fit close to the eye, and goes away with contacts, where vertex=0.

-MT
 
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