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The same angle formed by the line of sight and the pupillary axis is referred to in the literature with two different names: for instance, kappa in [13] and lambda in [15] and others. The reason for this notation discrepancy can be found in the historical references and the intrinsic confusion with ocular angle definitions. In the clinical literature only kappa is commonly used, while lambda is still used by some basic researchers. According to Emsley [16, the first definition of angle kappa was given by Landolt as the angle between the visual axis and the so-called central pupillary line (the pupillary axis, This definition involved the visual axis, as the line connecting the fixation point with the object nodal point of the eye. This is not the same as the line of sight, connecting the center of the entrance pupil and the fixation point. Therefore this definition is not what was used by Le Grand and adopted here. Angle lambda was defined by Lancaster cited in [13, as
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The same angle formed by the line of sight and the pupillary axis is referred to in the literature with two different names: for instance, kappa in [13] and lambda in [15] and others. The reason for this notation discrepancy can be found in the historical references and the intrinsic confusion with ocular angle definitions. In the clinical literature only kappa is commonly used, while lambda is still used by some basic researchers. According to Emsley [16], the first definition of angle kappa was given by Landolt as "the angle between the visual axis and the so-called central pupillary line (the pupillary axis)." This definition involved the visual axis, as the line connecting the fixation point with the object nodal point of the eye. This is not the same as the line of sight, connecting the center of the entrance pupil and the fixation point. Therefore this definition is not what was used by Le Grand and adopted here. Angle lambda was defined by Lancaster (cited in [13]) as the line connecting the pupillary axis and the line of sight. However, Le Grand and El Hage [13] redefined angle kappa exactly as the angle lambda defined by Lancaster. The reason to do this is that they understand the term "visual axis" in Landolt's original definition of kappa as the line of sight, since the nodal point in the eye is a purely paraxial theoretical concept that cannot be measured. Quoting Le Grand's book, p. 73: "It is not very logical to confuse geometric and fictitious ideas (optical and visual axis) and experimental ideas (pupillary axis and the principal line of sight)." Therefore, Le Grand maintained the old name of kappa but with the modern definition of lambda by Lancaster. Moreover, in practical terms, the two angles are nearly identical as stated by Le Grand [13]: "It seems unnecessary to distinguish this (angle lambda) from kappa which is practically equal to it when the point of fixation is not very dose to the eye." We used in the manuscript this meaning for angle kappa, but the reader should be aware of the other accepted name (lambda) for the same angle to avoid confusion. A standard definition of ocular angles is required to unify terms in both basic and clinical literature. In the case of this angle, keeping only the name kappa would be, in our opinion, the most adequate.
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