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The contribution of motion, the visual frame, and visual polarity to sensations of body tilt.

Three types of visual information contribute to the sense of self orientation with respect to gravity: visual polarity of objects with a distinct top and bottom, the principal vertical and horizontal lines of the visual environment, and visual motion. Three visual displays were designed to investigate the contribution of each visual feature to illusory self tilt: a large sphere lined with dots, a cubic room lined with dots, and a furnished room with floor and ceiling. In experiment 1 the dotted room and the furnished room were tilted to various angles about the roll axis of the erect subject who set a visual line and an unseen rod to the apparent vertical. In the dotted room, settings were made either with respect to the nearest surface to the horizontal or with respect to the nearest diagonal of the room. In the furnished room, settings were made with respect to the nearest horizontal wall but not with respect to diagonals. In experiment 2 each of the three displays was rotated at constant velocity and subjects' responses were classified into four categories: illusory self tilt at a constant angle, alternating self tilt with the body becoming erect each time a surface became horizontal, continuous head-over-heels self rotation, and a feeling that the body was supine. Almost all responses were of constant tilt in the sphere. Constant and alternating tilt were the most common responses in the dotted room. In the furnished room 60% of subjects experienced full head-over-heels self rotation.

Attention↗

The effects of visual discomfort and pattern structure on visual search.

Unpleasant somatic and perceptual side effects can be induced when viewing striped repetitive patterns, such as a square wave or a page of text. This sensitivity is greater in participants with higher scores on a scale of visual discomfort. In three experiments the effect that this sensitivity has on performance efficiency in a reading-like visual search task was investigated. In experiments 1 and 2, the 'global' structure of the patterns was manipulated to produce a square-wave, a checkerboard, and a plaid pattern. It was found that the group that suffered severe visual discomfort took significantly longer than other groups to perform the task, with interference greatest with presentation of the square-wave-like pattern. This supports the prediction of greatest distraction of visual attention from the local target elements with presentation of the pattern structure inducing greatest visual discomfort. In experiment 3, the internal pattern components were manipulated and task difficulty reduced. A no-interference and two interference patterns, one with a global characteristic only and the second made up of distracting line elements, containing global and local components were used. The global pattern structure produced interference effects on the visual-search task. All groups performed with the same speed and accuracy on the task involving the no-interference pattern, a finding attributed to reduced task difficulty. McConkie and Zola's model of visual attention was used to explain these results.

Asthenopia↗

Strength of early visual adaptation depends on visual awareness.

We measured visual-adaptation strength under variations in visual awareness by manipulating phenomenal invisibility of adapting stimuli using binocular rivalry and visual crowding. Results showed that the threshold-elevation aftereffect and the translational motion aftereffect were reduced substantially during binocular rivalry and crowding. Importantly, aftereffect reduction was correlated with the proportion of time that the adapting stimulus was removed from visual awareness. These findings indicate that the neural events that underlie both rivalry and crowding are inaugurated at an early stage of visual processing, because both the threshold-elevation aftereffect and translational motion aftereffect arise, at least in part, from adaptation at the earliest stages of cortical processing. Also, our findings make it necessary to reinterpret previous studies whose results were construed as psychophysical evidence against the direct role of neurons in the primary visual cortex in visual awareness.

Adaptation, Ocular↗

Global-local visual biases correspond with visual-spatial orientation.

Within the past decade, numerous investigations have demonstrated reliable associations of global-local visual processing biases with right and left hemisphere function, respectively (cf. Van Kleeck, 1989). Yet the relevance of these biases to other cognitive functions is not well understood. Towards this end, the present research examined the relationship between global-local visual biases and perception of visual-spatial orientation. Twenty-six women and 23 men completed a global-local judgment task (Kimchi and Palmer, 1982) and the Judgment of Line Orientation Test (JLO; Benton, Sivan, Hamsher, Varney, and Spreen, 1994), a measure of visual-spatial orientation. As expected, men had better performance on JLO. Extending previous findings, global biases were related to better visual-spatial acuity on JLO. The findings suggest that global-local biases and visual-spatial orientation may share underlying cerebral mechanisms. Implications of these findings for other visually mediated cognitive outcomes are discussed.

Adult↗

Effect of visual perception, visual function, cognition, and personality on power wheelchair use in adults.

The purpose of this study was to determine to what extent visual perception, visual function, cognition, and personality traits affect power wheelchair use in adults. It also proposes to establish baseline information to help clinicians determine or predict power wheelchair driving performance and to develop service plans to address those driving skills that need improvement or compensation. Sixty-two adult power wheelchair users were recruited. Standardized instruments were used to evaluate visual perceptual skills, visual function, cognitive skills, and personality traits. The results of these evaluations were then correlated with participants' scores on a power wheelchair performance test. Strong correlations were found between power wheelchair driving performance and visual perception (p = .000), ocular motor function (p = .000 and p < or = .001), stereodepth perception (p < or = .001), and alertness to the environment (p < or = .001). No significant correlations were found between personality traits and power wheelchair driving performance. These results indicate that good visual perceptual skills, visual function, and various aspects of cognition are necessary for proficient power wheelchair use. These data will assist clinicians in identifying significant factors to consider when evaluating and training clients for power wheelchair use.

Activities of Daily Living↗

Infarcts of both inferior parietal lobules with impairment of visually guided eye movements, peripheral visual inattention and optic ataxia.

Clinicopathological correlations are reported in a case with bilateral isolated infarcts in the posterior part of the parietal lobes, due to nonbacterial thrombotic endocarditis accompanying pancreatic adenocarcinoma. The initial left-sided infarct induced right visual neglect, impairment of right-beating optokinetic nystagmus (OKN), optic ataxia, Gerstmann's syndrome and apraxia. After the right-sided infarct, which occurred six weeks later, bilateral visuo-oculomotor disturbances were observed, including peripheral visual inattention, disorder of visually guided saccades, severe impairment of foveal smooth pursuit and OKN slow phase. The lesion on the left involved the upper part of the angular gyrus and a part of the adjacent superior parietal lobule (SPL). That on the right involved the supramarginal gyrus and extended posteriorly into the superoanterior extremity of the angular gyrus, into both margins of the adjacent intraparietal sulcus and into a small part of the SPL. As the oculomotor deficits and the peripheral visual inattention were bilateral after the second infarct, they probably resulted from the lesion of homologous areas in both cerebral hemispheres. The zone damaged in common included a small part of the SPL, the superoanterior extremity of the angular gyrus, and the adjacent intraparietal sulcus and a small portion of the subcortical white matter. This restricted cerebral zone could therefore, in man, be implicated both in the control of all visually guided eye movements and in visual attention. It is further suggested that two corticofugal pathways are implicated in visually guided saccades, the first arising from the frontal eye fields and projecting directly onto the premotor structures in the brainstem, the second arising from the posterior parietal cortex (probably mainly the intraparietal sulcus adjacent to the angular gyrus) and including a relay in the superior colliculus before reaching the premotor structures. Lastly, the findings support the hypothesis that optic ataxia results from interruption of direct and/or crossed occipitofrontal pathways coursing in the deep white matter of the parietal lobe.

Ataxia↗

Development of cytochrome oxidase blobs in visual cortex of normal and visually deprived cats.

Cytochrome oxidase (CO) blobs are central to our understanding of the columnar organization and parallel pathways in primate and cat visual cortex. In primates, development of blobs and their relationship with other columnar features of the visual cortex begins pre-natally, before visual experience. In kittens, the supragranular layers differentiate post-natally, after eye opening, raising the possibility that visual experience may influence the development of blobs in cat V1. We have examined the development of blobs in unfolded and flattened sections through the visual cortex of normally reared, dark-reared, monocularly deprived and binocularly deprived kittens. Blobs were found in superficial layers of V1 of normally reared kittens as early as 2 weeks of age, although at this age the overall CO staining in V1 was lighter than in V2. By 6 weeks of age the blobs were adult-like. A patchy pattern of CO staining was also found in V2 of young kittens but not in adults. Visual experience was not necessary for expression of the blobs and monocularly deprived kittens had well developed blobs, indicating that strong Y cell drive is not necessary for the development of blobs in cat V1. CO blobs appear in kitten V1 very early in post-natal development and their expression is independent of visual experience, suggesting that they may be an intrinsic feature of V1 organization.

Age Factors↗

Temporal relation of population activity in visual areas MT/MST and in primary motor cortex during visually guided tracking movements.

There is growing evidence that in primate cerebral cortex the areas along the 'dorsal pathway' are involved in the transformation of visual motion information towards a motor command. To pursue this cortical flow of information from visual motion areas to the motor cortex, single-cell activity was recorded from visual areas MT/MST (middle temporal area/medial superior temporal area) and from primary motor cortex (M1) while monkeys tracked moving targets with their right hand. Spike activity of 353 directionally tuned motor cortex cells was combined to a time-varying population vector, and similarly a time-resolved visual population vector was calculated from 252 MT/MST cells. Both population vectors code faithfully for the direction of the collinear motion of target and hand. For a given direction, the length of the population vectors varied over time during the performance of the task. The temporal evolution of both population responses reflects the different relationship between the early visual responses to the moving target and the directional motor command controlling the hand movement. The results indicate that during the visual tracking task visual and motor populations which code for similar directions of movement are co-activated with considerable temporal overlap. Despite this co-activation in both modalities, we failed to observe any significant synchronization between areas MT/MST and M1.

Animals↗

High-frequency activity in human visual cortex is modulated by visual motion strength.

A central goal in systems neuroscience is to understand how the brain encodes the intensity of sensory features. We used whole-head magnetoencephalography to investigate whether frequency-specific neuronal activity in the human visual cortex is systematically modulated by the intensity of an elementary sensory feature such as visual motion. Visual stimulation induced a tonic increase of neuronal activity at frequencies above 50 Hz. In order to define a functional frequency band of neuronal activity, we parametrically investigated which frequency band displays the strongest monotonic increase of responses with strength of visual motion. Consistently in all investigated subjects, this analysis resulted in a functional frequency band in the high gamma range from about 60 to 100 Hz in which activity reliably increased with visual motion strength. Using distributed source reconstruction, we found that this increase of high-frequency neuronal activity originates from several extrastriate cortical regions specialized in motion processing. We conclude that high-frequency activity in the human visual motion pathway may be relevant for encoding the intensity of visual motion signals.

Adult↗

Clinical value of the Beery visual-motor integration supplemental tests of visual perception and motor coordination.

PURPOSE: Children may perform poorly on a test of visual-motor integration due to deficits in one or more of the following: visual analysis/visual spatial ability, motor coordination, visual conceptualization, or visual-motor integration. The VMI Supplemental Developmental Test of Visual Perception (VP) and VMI Supplemental Developmental Test of Motor Coordination (MC) were developed to help differentiate between such difficulties after administration of the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI). However, the clinical value of the VMI supplemental tests has not been reported. METHOD: The VMI, VP, and MC were administered to 193 children (mean age = 8.77 years). RESULTS: Multiple linear regression revealed that the supplemental tests were significantly related to the VMI (VP: beta = 0.212 +/- 0.044, p < 0.001; MC: beta = 0.422 +/- 0.299, p < 0.001) but explained only 36.2% of the variance in the VMI. Poor performance was defined as a score >1 SD below the mean for study population norms and below the 16th percentile for published norms. Using study population norms, 35 children did poorly on the VMI, 20% of whom scored poorly on VP, 14.3% of whom scored poorly on MC, 17.1% of whom scored poorly on both supplemental tests, and 48.6% of whom scored within normal on both supplemental tests. Using the published norms, 40 children scored poorly on the VMI. Twenty-eight children scored poorly on VP, 39% of whom scored within normal on the VMI. Fifty-six children scored poorly on MC, 54% of whom scored within normal on the VMI. CONCLUSION: There was a significant amount of variance in performance on the VMI that was not explained by performance on the tests of VP or MC alone. Each area should be individually assessed during the visual perceptual examination of children, regardless of performance on the VMI. Even children who perform within normal limits on the VMI may show a deficit in VP or MC.

Child↗

Susceptibility to induced visual discomfort during the menstrual cycle while viewing a visual display unit.

PURPOSE: Consistent variations in reports of visual discomfort during the female menstrual cycle are found when virtual reality headsets are used to display moving images. Because little is known about the influence of this cycle on susceptibility to visual discomfort in other situations, we performed a laboratory study using an intensive visual task. METHODS: Twelve female participants, with normal-length menstrual cycles, completed the study. This required them to play a computer game for 30 minutes while viewing the screen through -2.00-D lenses. Questionnaires were used to record symptom changes; visual acuity and near points of accommodation (NPA) and convergence (NPC) were also recorded both before and after the game. The participants performed this task on designated days (5, 12, 19, and 26) of their menstrual cycle chosen because they fall in line with peaks and troughs of ovarian hormone levels. Cycle phase was confirmed by the measurement of salivary estradiol and progesterone levels. RESULTS: The task performed produced clear changes in all metrics examined. Visual discomfort first increased, on average, after 6 minutes; VA declined on average by 0.02 logarithm of the minimum angle of resolution and NPC and NPA both receded by just over 1 cm. However, none of these changes differed significantly at any stage of the menstrual cycle. CONCLUSIONS: We conclude that visual discomfort, generated by providing increased accommodative demand while viewing a visual display unit, does not vary significantly during the menstrual cycle.

Accommodation, Ocular↗

Visual processing levels revealed by response latencies to changes in different visual attributes.

Visual latencies, and their variation with stimulus attributes, can provide information about the level in the visual system at which different attributes of the image are analysed, and decisions about them made. A change in the colour, structure or movement of a visual stimulus brings about a highly reproducible transient constriction of the pupil that probably depends on visual cortical mechanisms. We measured this transient response to changes in several attributes of visual stimuli, and also measured manual reaction times to the same stimulus changes. Through analysis of latencies, we hoped to establish whether changes in different stimulus attributes were processed by mechanisms at the same or different levels in the visual pathway. Pupil responses to a change in spatial structure or colour are almost identical, but both are ca. 40 ms slower than those to a change in light flux, which are thought to depend largely on subcortical pathways. Manual reaction times to a change in spatial structure or colour, or to the onset of coherent movement, differ reliably, and all are longer than the reaction time to a change in light flux. On average, observers take 184 ms to detect a change in light flux, 6 ms more to detect the onset of a grating, 30 ms more to detect a change in colour, and 37 ms more to detect the onset of coherent motion. The pattern of latency variation for pupil responses and reaction times suggests that the mechanisms that trigger the responses lie at different levels in cortex. Given our present knowledge of visual cortical organization, the long reaction time to the change in motion is surprising. The range of reaction times across different stimuli is consistent with decisions about the onset of a grating being made in V1 and decisions about the change in colour or change in motion being made in V4.

Adult↗

Progression of visual field loss in open angle glaucoma in the Melbourne Visual Impairment Project.

PURPOSE: To quantify the progression of visual field loss in participants with open angle glaucoma. METHODS: Cluster random samples of 3271 participants participated in this study. Each participant underwent a standardized ophthalmic examination, which included intraocular pressure measurement, Humphrey 24-2 Fastpac visual field testing and stereophotography of the optic disc. At baseline 118 participants were identified as possible, probable or definite open angle glaucoma and 74 (62.7%) of these were seen again at the follow-up examination. Progression of visual field loss was defined using three methods: the Advanced Glaucoma Intervention Study criteria, the modified Anderson criteria and the Blumenthal method. RESULTS: In total, 49% of subjects showed progressive visual field loss with at least one method. The Blumenthal criteria yielded the highest rate of progression (37%), followed by the modified Anderson method (33%) and the Advanced Glaucoma Intervention Study method (16%). The progressive visual field loss was associated with baseline glaucoma status (P = 0.02); 65% of the definite glaucoma progressed, compared with 57% of the probable glaucoma and 25% of the possible glaucoma. Participants who had been previously diagnosed with glaucoma had a higher rate of progression (54%) when compared with those who had not been diagnosed previously (47%). In total, 50% (four of eight) of those receiving glaucoma medication at baseline had progressive visual field loss; all were in the definite glaucoma category. CONCLUSION: Despite use of glaucoma medications the majority of glaucoma patients managed by their regular ophthalmologist experienced progressive visual field loss over a 5-year period.

Aged↗

Clinical outcomes of phacoemulsification cataract surgery in diabetes patients: visual function (VF-14), visual acuity and patient satisfaction.

PURPOSE: To evaluate the visual outcomes (visual acuity [VA] and visual function) after phacoemulsification cataract surgery in patients with diabetic retinopathy (DR), and assess patient satisfaction with final surgical outcome. METHODS: This prospective study comprised 74 eyes of 74 patients with different stages of DR. One surgeon (AW) performed all cataract surgery in a standardized fashion. Patients were assessed using the VF-14 (Visual Function-14) questionnaire. The following groups of patients were compared: those with no apparent retinopathy; those with mild non-proliferative DR (NPDR); those with severe NPDR, and those with proliferative DR (PDR). Visual acuity and visual function questionnaire (VF-14) responses were recorded preoperatively and 3 months postoperatively, during which the non-operated fellow eye showed no progression in retinopathy. RESULTS: Improvements in visual outcomes were significantly higher in groups 1 and 2 compared to groups 3 and 4 (Tukey-Kramer, p < 0.001). Comparisons between groups 1, 2 and 3, 4 showed significant differences in improvements in VA (Tukey-Kramer, p < 0.01), yet no statistically significant differences in functional (VF-14) improvements emerged between these groups. CONCLUSIONS: Patients with more advanced levels of DR showed no functional improvements despite improvements in VA. This emphasizes the relevance of patient education prior to surgery. In particular, it should be explained to patients with more advanced DR that, although surgery may be required, their functional improvement may be limited.

Adult↗

Posterior capsule opacification: comparisons between morphology, visual acuity and self-assessed visual function.

PURPOSE: To investigate whether posterior capsule opacification (PCO) morphology, visual acuity (VA) and self-assessed visual function correlate, and to compare perceived visual disabilities with those of cataract patients with corresponding VA. METHODS: Twenty-one patients with PCO were examined before capsulotomy. In adjunct to the ophthalmological examination, the patients completed a Catquest questionnaire and a digitized retroillumation image was acquired. The images were analysed with the Evaluation of Posterior Capsule Opacification (EPCO) program. Data for visual function were compared with data from the National Swedish Cataract Register (NCR). RESULTS: The epco values were correlated with VA in the PCO eyes: the higher the epco score, the lower the VA. There were also correlations between the epco scores, satisfaction with vision, and perceived disabilities in daily life. Symptoms of glare were not significantly correlated with epco scores or with VA. Visual acuity in PCO eyes was better correlated with perceived disabilities and satisfaction with vision than VA in eyes with cataract. CONCLUSIONS: There was a significant correlation between epco scores and VA and between epco scores and Catquest. Consequently, the morphological method was related to the self-assessed visual function. Patients with PCO seemed to have more disturbed visual function, as defined by Catquest, than cataract patients with the same VA.

Adult↗

Assessment of the Catford drum in visual acuity testing and its use as a measurement of visual performance in low-vision patients.

Objective measurements of visual acuity were determined with the Catford drum in 82 eyes of patients in our Low-Vision Clinic who typically suffered from visual loss due to macular disease. The results were compared with subjective measurements of visual acuity by the Snellen chart. The findings indicated a significant overestimation of Snellen visual acuities by the Catford drum in 90.2% of eyes tested by a factor of 1.05 to 20.0, average 4.73. The correlation coefficient for the study was +0.40. This differs from the original results of Catford and Oliver in 1971. In addition, the Catford drum was used on follow-up visits in the same patients to assess 'visual performance'. The initial results showed an improvement in visual acuities when the Catford drum was used in 12 of 15 patients, while the Snellen acuities remained stable when retested after one month of basic instruction and use of standard low-vision aids. This improvement in 'Catford' acuity was by a factor of 0.3 to 10.0, average 4.08. This is thought to represent the patient's ability to learn the use of eccentric viewing or parafoveal retinal areas for vision. It confirms previous intuitive findings and helps to explain why low-vision patients seem to function at a higher level than expected from their Snellen visual acuities.

Follow-Up Studies↗

Macular degeneration: do conventional measurements of impaired visual function equate with visual disability?

AIMS: To examine the relation between measures of vision and ability to perform daily living tasks in those visually impaired with macular degeneration. METHODS: A visual functioning index (daily living tasks dependent on vision: DLTV) was used to evaluate patients' perception of their ability to perform vision dependent tasks. Distance visual acuity, near visual acuity, reading speed, and contrast sensitivity were measured in all patients. In addition, a new measure of reading ability was derived, designated the reading index. This takes into account both the size of the text read and the time to read it and is equivalent to the reading speed in words per minute divided by text size in M. RESULTS: The reading index was found to show best associations with the majority of items within the DLTV. Stepwise regression identified the combination of reading index and distance visual acuity as having the best associations with DLTV items. The present study also demonstrated that specific levels of vision as measured by acuity, reading index, and contrast sensitivity corresponded with different perceived amounts of difficulty in the performance of daily living tasks. CONCLUSIONS: This study showed that reading index is valuable in predicting the ability to perform daily living tasks and therefore may be useful in the visual assessment of the visually impaired individual. In addition, this study identified specific levels of vision at which individuals reported different degrees of difficulty in performing daily living tasks.

Activities of Daily Living↗

Preliminary FMRI evidence of visual system dysfunction in Parkinson's disease patients with visual hallucinations.

Using functional magnetic resonance imaging (fMRI), the authors examined visual cortex function in Parkinson's disease patients who did and did not experience visual hallucinations. Patients with visual hallucinations demonstrated increased activation in the visual association cortex and deficits in the primary visual cortex, suggesting that visual hallucinations are associated with an abnormality of visual-cortex function.

Aged↗