Making Eye Health a Population Health Imperative

Making Eye Health a Population Health Imperative

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-01-15

Total Pages: 587

ISBN-13: 0309439981

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The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.


Neurovision: Neural bases of binocular vision and coordination and their implications in visual training programs

Neurovision: Neural bases of binocular vision and coordination and their implications in visual training programs

Author: Olivier A. Coubard

Publisher: Frontiers Media SA

Published: 2015-10-12

Total Pages: 266

ISBN-13: 2889196550

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Binocular vision is achieved by five neurovisual systems originating in the retina but varying in their destination within the brain. Two systems have been widely studied: the retino-tectal or retino-collicular route, which subserves an expedient and raw estimate of the visual scene through the magnocellular pathway, and the retino-occipital or retino-cortical route, which allows slower but refined analysis of the visual scene through the parvocellular pathway. But there also exist further neurovisual systems: the retino-hypothalamic, retino-pretectal, and accessory optic systems, which play a crucial role in vision though they are less understood. The retino-pretectal pathway projecting onto the pretectum is critical for the pupillary or photomotor reflex. The retino-hypothalamic pathway projecting onto the suprachiasmatic nucleus regulates numerous behavioral and biological functions as well as circadian rhythms. The accessory optic system targeting terminal lateral, medial and dorsal nuclei through the paraoptic fasciculus plays a role in head and gaze orientation as well as slow movements. Taken together, these neurovisual systems involve 60% of brain activity, thus highlighting the importance of vision in the functioning and regulation of the central nervous system. But vision is first and foremost action, which makes perception impossible without movement. Binocular coordination is a prerequisite for binocular fusion of the object of interest on the two foveas, thus ensuring visual perception. The retino-collicular pathway is sufficient to elicit reflexive eye movements with short latencies. Thanks to its motor neurons, the superior colliculus activates premotor neurons, which themselves activate motor neurons of the oculomotor, trochlear and abducens nuclei. At a higher level, a cascade of neural mechanisms participates in the control of decisional eye movements. The superior colliculus is controlled by the substancia nigra pars reticulata, which is itself gated by subcortical structures such as the dorsal striatum. The superior colliculus is also inhibited by the dorsolateral prefrontal cortex through a direct prefrontotectal tract. Cortical areas are crucial for the triggering of eye movements: the frontal eye field, supplementary eye field, and parietal eye field. Finally the cerebellum maintains accuracy. The focus of the present research topic, entitled Neural bases of binocular vision and coordination and their implications in visual training programs, is to review the most recent findings in brain imaging and neurophysiology of binocular vision and coordination in humans and animals with frontally-placed eyes. The emphasis is put on studies that enable transfer of knowledge toward visual training programs targeting visual field defects (e.g., hemianopia) and binocular functional disorders (e.g., amblyopia).


Filling-in

Filling-in

Author: Luiz Pessoa

Publisher: Oxford University Press, USA

Published: 2003

Total Pages: 369

ISBN-13: 0195140133

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The best example of filling-in involves the blind spot, a region of the retina devoid of photoreceptors. While this phenomenon is common in the visual domain, it is argued by contributors to this book that forms of filling-in also take place in other sensory modalities.


Visual Prosthetics

Visual Prosthetics

Author: Gislin Dagnelie

Publisher: Springer Science & Business Media

Published: 2011-02-19

Total Pages: 456

ISBN-13: 1441907548

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Visual Prosthetics provides an in-depth analysis of the principles of operation, current state, anticipated developments, and functional aspects of visual prosthetics restoring sight to visually impaired individuals. This volume uniquely describes the human visual system in health and disease in a pedagogical and didactic manner, fitting to professionals and researchers with a bioengineering background. Readers will find a balanced overview of electrical, molecular chemical and synthetic chromophore stimulation, in addition to the biophysics and psychological aspects of vision restoration. Unlike competitive texts, this introduction also includes the need and methods for functional evaluation and rehabilitation. Professionals in the field of biomedical engineering and graduate and postgraduate researchers will find Visual Prosthetics a valuable reference.


Cerebral Reorganization of Function After Brain Damage

Cerebral Reorganization of Function After Brain Damage

Author: Harvey S. Levin

Publisher: Oxford University Press

Published: 2000-07-20

Total Pages: 413

ISBN-13: 0195120264

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Cerebral Reorganization of Function After Brain Damage integrates basic research on neuroplasticity and clinical research on reorganization of function after brain injury, with a view toward translating the findings to rehabilitation. Historical foundations of research on neuroplasticity are presented to provide a perspective on recent findings. Leading investigators synthesize their work with results from other laboratories to provide a current update on neuroanatomic features that enhance neuroplasticity and provide a substrate for reorganization of function. The capacity for recovery from brain injury associated with focal lesions as compared to diffuse cerebral insult is discussed. Interventions such as environmental enrichment and drugs to enhance reorganization of function after brain injury have been studied in animal models and in human studies. Methodologies to study neuroplasticity are discussed including functional magnetic resonance imaging, neurophysiological measures, transcranial magnetic stimulation, and computational modeling. Implications of neuroplasticity research for innovations in rehabilitation of persons with brain injury are critically reviewed. This text will be particularly appealing to neuropsychologists, neurologists, psychologists, neuroscientists, psychiatrists, speech scientists, and other health professionals engaged in rehabilitation-related research.


Cerebral Visual Impairment in Children

Cerebral Visual Impairment in Children

Author: Josef Zihl

Publisher: Springer

Published: 2014-10-24

Total Pages: 347

ISBN-13: 3709118158

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Cerebral visual disorders have far-reaching consequences for child development. These have profound adverse effects on children’s education and success in school and also in later life, but, unfortunately, cerebral visual disorders often remain undiagnosed and untreated in the pediatric population. This book provides a state-of-the-art account of what is known about the development and disorders of visual perception in children. It covers the development and disorders of visual perception in children, their assessment, early intervention and management in an interdisciplinary context, both from a scientific as well as clinical perspective. Case studies illustrate the recommended assessment and rehabilitation procedures; synopses, boxes and check-lists complement the presentation of our recommendations for clinical practice.


Vision Rehabilitation

Vision Rehabilitation

Author: Penelope S. Suter

Publisher: CRC Press

Published: 2016-04-19

Total Pages: 544

ISBN-13: 1439836566

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Providing the information required to understand, advocate for, and supply post-acute vision rehabilitative care following brain injury, Vision Rehabilitation: Multidisciplinary Care of the Patient Following Brain Injury bridges the gap between theory and practice. It presents clinical information and scientific literature supporting the diagnostic and therapeutic strategies applied in a comprehensive overview of current diagnostic and treatment strategies in adult post-brain injury vision rehabilitation. Includes a foreword by Dr. Sue Barry Because post-brain injury rehabilitation works best in a team setting where the entire person can be treated, this text has been carefully designed as a multidisciplinary resource with an emphasis on models for working with the rehabilitation team. The book covers a myriad of topics such as post-brain injury vision rehabilitation; eye movements; binocular dysfunction; visual field loss; visual-spatial neglect; shifts in visual egocenter affecting balance and coordination; visual-vestibular interactions; central vs. peripheral visual attention; as well as deficits in object perception, visual memory, and visual cognition. The book details models that vision specialists working with the rehabilitation team can use to achieve the best success for the patient in rehabilitation; vision rehabilitation concepts and the science from which they have been developed; examples of therapeutic exercises; practice management information for the post-brain injury vision rehabilitation practice; and information on the legal process in which one frequently becomes involved in this type of work. Edited by eminent clinicians, the book highlights the work of contributors who are well-respected academicians and researchers, bringing together the clinical information that enables everyone involved in a brain injury case to grasp the diagnostic and therapeutic strategies.