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M McKerral

Publications and source records attributed to M McKerral.

7 recordsLinked to original sources

Response characteristics of the normal retino-cortical pathways as determined with simultaneous recordings of pattern visual evoked potentials and simple motor reaction times.

PURPOSE: In an attempt to explain the existing discrepancies regarding the relationship between electrophysiological and psychophysical measurements of visual transmission time we compared, in humans, the response characteristics of the normal retino-cortical pathways with simultaneously obtained pattern visual evoked potentials (PVEP) and simple motor reaction times (RT). METHODS: PVEPs and manual RTs were recorded simultaneously using a reversing checkerboard with different spatial frequency and contrast combinations chosen to elicit responses favoring the magnocellular or parvocellular pathways. The amplitude and peak time of the P1 wave of the PVEP were compared to the mean RT. Other parameters of the RT, such as mode and standard deviation were also considered. RESULTS: The RT is not modified in the same fashion as the peak time of the P1 wave of the PVEP, the peak time of the PVEP demonstrating a spatial frequency selectivity, while the RT does not. Further comparative analysis of the PVEP and RT shows that the RT is faster for stimuli of lower contrast and spatial frequency, while the PVEP amplitude is larger and its peak time shorter for higher contrast and spatial frequency stimuli. CONCLUSIONS: Our findings suggest that PVEP and RT measures recruit distinct physiological characteristics and appear to be differently modulated while travelling along the retino-cortical pathway. Our results also show the importance of obtaining electrophysiological and psychophysical measures concomitantly to insure elimination of combined inter-stimulus and inter-session variability.

Adult↗

Can interocular pattern reversal visual evoked potential and motor reaction time differences distinguish anisometropic from strabismic amblyopia?

PURPOSE: With the use of the pattern reversal visual evoked potential and the motor reaction time, we sought to differentiate anisometropic amblyopia from strabismic amblyopia on the basis of the visual transmission time. METHODS: Pattern reversal visual evoked potentials and motor reaction times were obtained in nine normal subjects, eight anisometropic and seven strabismic amblyopes. RESULTS: Our results show that while the peak time of the pattern visual evoked potential in anisometropic amblyopia and strabismic amblyopia was significantly delayed, it could not distinguish the two types of amblyopia. In contrast, a significantly longer interocular increment in strabismics compared to anisometropes was found with the reaction time, but not with the pattern visual evoked potential. CONCLUSION: Our findings thus show that it is possible to distinguish strabismic from anisometropic amblyopes using interocular differences in reaction time measurements. Our results bring support to the contention that the two types of amblyopia represent different neural abnormalities.

Adult↗

Evidence supportive of a functional discrimination between photopic oscillatory potentials as revealed with cone and rod mediated retinopathies.

We report on a family where four of the eleven children presented with reduced visual acuities, a red-green deficit at the Farnsworth-Munsel FM 100-hue test, normal appearing fundi and unexpected electroretinographic findings. Light- (photopic) and dark- (scotopic) adapted electroretinograms (ERG) and oscillatory potentials (OPs) were obtained following an accepted standard protocol. The b-wave of their photopic ERG was significantly more attenuated than the a-wave due to the specific abolition of OP4, while the amplitudes of OP2 and OP3 were within the normal range, giving to the b-wave a truncated appearance reminiscent of that seen in congenital stationary night blindness (CSNB) with myopia. Interestingly in the latter condition, which is believed to result from an ON-retinal pathway anomaly, it is OP2 and OP3 which are specifically abolished while OP4 is of normal amplitude thus resulting in an OP response pattern which complements that seen with our patients. Also of interest is the fact that, in our patients, the amplitude of the dark-adapted OP2 was, on average, 240% larger than that measured in light-adaptation while, in normal, a non-significant 14% increase is noted; a finding which is in keeping with other studies reporting supernormal scotopic ERGs in some forms of cone dystrophies. Based on the photopic OP response pattern, our patients represent the electrophysiological complement of patients affected with CSNB. Interestingly their symptoms are also complementary, a finding which could support a functional discrimination between the photopic OPs.

Adolescent↗

Hemiretinal contribution to the timing of the full-field PVEP as determined with the motor reaction time.

With the use of the simple motor reaction time (RT), we examined the contribution of the hemiretinas to the timing of the pattern reversal visual evoked potential (PVEP). RTs were obtained to the reversal of a progressively dimmer check falling either on the central, nasal, temporal, superior or inferior retina. Results were correlated with the peak time of the P1 wave evoked to the reversal of the entire checkerboard stimulus to the same luminance conditions as that used to generate the RT measurements. Our results clearly indicate that the time taken to trigger a manual response depends not only on the luminance of the stimulus, but also on where it falls on the retina. Comparing the above data with the peak time of the PVEP obtained to the reversal of the entire screen indicates that at brighter luminance the peak time of the P1 wave correlates with that measured from the most central retina, while at dimmer intensities it correlates with the mathematical average of all the retinal locations tested.

Adult↗

Comparative effects of luminance and scatter on the pattern visual evoked potential and eye-hand reaction time.

We investigated the effect of reduced luminance and increased scatter on the pattern visual evoked potential and eye-hand reaction time evoked to a check size of 0.5 degrees in 10 normal subjects. Data analysis indicated that a reduction in luminance as well as an increase in scatter caused a statistically significant increase in the peak time of the pattern visual evoked potential P100 wave. The reaction time, however, was not significantly affected by the initial 0.9-log unit attenuation of the stimulus luminance or the 0.3 scatter filter. Further attenuation of luminance or increase of scatter also yielded statistically significant increases. Our results suggest that the reaction time is less affected by a reduction in luminance or an increase in scatter of a 0.5 degrees stimulus than the pattern visual evoked potential is and therefore represents a more reliable test to assess visual function, especially in the presence of medial opacities, which are known to reduce luminance and produce scatter.

Adolescent↗

Monocular contribution to the peak time of the binocular pattern visual evoked potential.

The contribution of each monocular pathway to the timing of the binocular pattern visual evoked potential was assessed in situations where a significant interocular timing discrepancy was observed. Monocular and binocular pattern visual evoked potentials to 0.5 degree checks were recorded from normal subjects, normal subjects in whom one eye was blurred, patients with monocular amblyopia, and patients with resolved unilateral optic neuritis. Normal subjects showed facilitation, while suppression was evidenced in subjects with monocular blurring. In patients with amblyopia, the affected pathway had no effect on binocular pattern visual evoked potential latency, suggesting that the amblyopic eye was suppressed. In contrast, all patients with optic neuritis showed binocular averaging. Our results show that different forms of binocular interaction are evidenced in normal subjects, in amblyopia and in optic neuritis, and suggest that a comparative analysis of monocular and binocular pattern visual evoked potential peak times brings valuable information to the clinical evaluation that could be used to distinguish disease processes further.

Adolescent↗