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Blindsight and shape perception: deficit of visual consciousness or of visual function?

Two people with homonymous right hemianopias were tested on a number of measures of non-conscious and conscious perception of shape in the blind field. Experiment 1 examined preparatory manual adjustments in grasping objects. Both subjects performed well above chance not only in three-dimensional location but also in preforming the hand to the shape, size and orientation of objects. In Experiment 2 single upper-case letters were briefly exposed in the blind field, and subjects made forced choices among 6 alternatives in the sighted field. Performance improved over blocks of trials and was above chance, but not dramatically. In Experiment 3 single upper-case words were briefly presented in the blind field, and subjects chose which of two words exposed after in the intact field was semantically closer. In Experiment 4 subjects had to give the meaning of single ambiguous words (e.g. BANK) presented both visually in the intact field and auditorily. Each ambiguous word was preceded by a single upper-case word briefly presented in the blind field, biasing each meaning on different blocks of trials (e.g. MONEY and RIVER). In Experiment 3, although results were in the appropriate direction, they were not consistently well above chance. By contrast, in Experiment 4 both subjects were consistently semantically biased to a high degree by words in the blind field. Experiments 2, 3 and 4 taken together suggest that indirect techniques (priming) are more sensitive to showing effects of non-conscious perception than direct ones (forced-choice). More importantly the experiments indicate that not only orientation but curvature, structural descriptions of component strokes and spatial ordering of letters are registered non-consciously in the blind field. Experiment 5 examined after-images in the blind and sighted fields, showing veridical conscious perception of shape in the blind field provided it was accompanied by a shape in the sighted field which together formed a good Gestalt. Experiment 6 showed conscious perception of illusory contours spanning the hemifields induced by Kanizsa figures. The experiments suggest that aspects of shape are much better perceived in blindsight than previously thought, that this is independent of their use in motor control, that the main deficit in blindsight is one of consciousness, and that the loss of conscious vision in the blind field is far from total. The effects and their relationship to those in other neuropsychological deficits suggest an intimate link between perceptual consciousness, attention and object perception.

Afterimage↗

[Study of vestibular disorders in epileptics by means of electronystagmography and functional visual and vestibular loads].

Twenty-two patients with temporal epilepsy (TE) in the interparoxysmal period were subjected to otoneurological examination. In the majority of cases, there were vestibular disorders of the irritative nature and disturbances of otokinetic nystagmus. The data obtained, along with specification of the localization of the epileptic focus, confirm the involvement of the brain on different levels--cortical-subcortical-truncal--in TE patients with polymorphic seizures.

Adolescent↗

The effect of anisometropia on binocular visual function.

PURPOSE: To investigate the effects of anisometropia on binocular vision. METHODS: One to three dioptres of unilateral hyperopia, myopia or astigmatism was induced in 30 normal adults. The effect on binocularity was assessed with the Worth-four dot test, Titmus stereo test and Bagolini's lenses. RESULTS: Binocular vision deteriorated with increasing anisometropia. Spherical anisometropia was more deleterious than astigmatic anisometropia. CONCLUSION: In addition to amblyopia, the potential effect of anisometropia on binocular vision should be considered while prescribing spectacles in young children during the sensitive period.

Adult↗

[Changes in visual function in myopia 12 months after photorefractive keratectomy].

1. 110 myopes undergoing photorefractive keratectomy (PRK) with refraction from -0.25 D to -12.0 D were divided into 4 groups: A: upto -2.75 D, B: -3.0 D to -5.75 D, C: -6.0 D to -8.75 D and D: -9.0 D to -12.0 D. BCVA using the computerized method with Landolt rings and CS using an adjustment method with ascendant and descendent approach to threshold contrast adaptation on a computerized system of the Contrast sensitivity 8010 type were examined in patients before and 1 year after PRK. 20 emmetropes of the same median age were evaluated as a control group. 2. Preoperative BCVA and CS in myopes of all four groups was significantly lower (p < 0.05 az p < 0.001), compared to controls. Decrease of functions was proportional to refraction. 3. With increasing refraction less patients were within +/- 0.5 D and +/- 1.0 after surgery. 4. Twelve months after PRK, BCVA in the group A reached the level of controls, CS in the same time interval was equal to control even in groups A and B. 5. According to results of our study, PRK is a suitable method for myopia upto -6.0 D.

Adolescent↗

Visual function in Laurence-Moon-Bardet-Biedl syndrome. A survey of 26 cases.

In 1984, 32 persons with Laurence-Moon-Bardet-Biedl syndrome (LMBB syndrome) were registered in Norway. Of these, 26 stayed for 10 days at the Frambu Health Centre, where they consulted a pediatrician, a psychologist, a dentist, a social worker, a geneticist, a teacher for the blind and an ophthalmologist. The ocular examination showed the eye disease in cases of LMBB syndrome to be homogeneous and fulminant tapetoretinal degeneration of the retinitis pigmentosa type.

Adolescent↗

[Possibilities of magnetotherapy in stabilization of visual function in patients with glaucoma].

Courses of magnetotherapy (MT) using ATOS device with 33 mT magnetic field induction were administered to 31 patients (43 eyes) with primary open-angle glaucoma with compensated intraocular pressure. The operation mode was intermittent, with 1.0 to 1.5 Hz field rotation frequency by 6 radii. The procedure is administered to a patient in a sitting posture with magnetic inductor held before the eye. The duration of a session is 10 min, a course consists of 10 sessions. Untreated eyes (n = 15) of the same patients were examined for control. The patients were examined before and 4 to 5 months after MT course. Vision acuity improved by 0.16 diopters, on an average, in 29 eyes (96.7%) out of 30 with vision acuity below 1.0 before treatment. Visocontrastometry was carried out using Visokontrastometer-DT device with spatial frequency range from 0.4 to 19 cycle/degree (12 frequencies) and 125 x 125 monitor. The orientation of lattices was horizontal and vertical. The contrasts ranged from 0.03 to 0.9 (12 levels). MT brought about an improvement of spatial contrast sensitivity by at least 7 values of 12 levels in 22 (84.6%) out of 26 eyes and was unchanged in 4 eyes. Visual field was examined using Humphry automated analyzer. A 120-point threshold test was used. After a course of MT, visual field deficit decreased by at least 10% in 31 (72%) out of 43 eyes, increased in 3, and was unchanged in 9 eyes; on an average, visual field deficit decreased by 22.4% vs. the initial value. After 4 to 5 months the changes in the vision acuity and visual field deficit were negligible. In controls these parameters did not appreciably change over the entire follow-up period.

Aged↗

[Depth visual function and the relative accommodation reserves of patients before and after keratotomy].

Reserves of relative accommodation and thresholds of remote vision have been investigated in 60 patients with myopia of different degree before radial keratotomy and 1.5-2.0 years after the surgery. It was firstly established that the state of accommodation and remote vision for near before surgery influences the stability of the obtained postoperative effect. This fact should be considered when planning keratotomy. A conclusion is made that for patients with reserves of accommodation of the positive part not lower that 2.0D and the threshold of remote vision for near not higher than 7 mm keratotomy is not advisable.

Accommodation, Ocular↗

Changes in visual function with normal ageing, cataract and intraocular lenses.

We have been able to separate the neural and optical components of vision with contrast sensitivity tests employing laser interferometry and direct viewing of a cathode ray tube display. In normal ageing, neural function declined markedly while optical function remained essentially unchanged. On the other hand, even the mildest degree of cataract was shown to degrade optical function to the extent that it exceeded the age-related neural deterioration. The satisfactory optical performance of the monofocal implant lens has been confirmed, though the diffractive bifocal implant lens was shown to have optical limitations. A major cause of these was shown, by simulation experiments, to be the dilution of the contrast of the in-focus image by the superimposed defocused image, particularly under conditions of reduced retinal sensitivity as would be present in the elderly.

Adolescent↗

Long-term preservation of cortically dependent visual function in RCS rats by transplantation.

Cell transplantation is one way of limiting the progress of retinal degeneration in animal models of blinding diseases such as retinitis pigmentosa (RP) and age-related macular degeneration (AMD). Here we transplanted a human retinal pigment epithelial (RPE) cell line into the subretinal space of one such model, the Royal College of Surgeons (RCS) rat, and showed, using head tracking to moving stripes and pattern discrimination in conjunction with single-unit cortical physiology, that cortically mediated vision can be preserved with this treatment.

Animals↗

Effect of uniocular occlusion on selected visual functions.

Uniocular occlusion (dark patching) of adults for a period of days produces marked reduction in the directional sensitivity of the eye (Stiles-Crawford effect). The effect reaches a maximum 3 to 5 days after the onset of patching. Recovery occurs in a comparable period. The second eye is not affected, and a simple light diffuser fails to produce the same effect. Coupled with alteration in directional sensitivity are an overall increase in sensitivity and modest resolution and perceived colour changes. These findings, with other research, suggest that directional sensitivity is at least partially mediated by light and that orientation of photoreceptors is an active process.

Adult↗

Clinical assessment of visual function in the young child: a prospective study of binocular vision.

Binocular vision was evaluated in 12 children with infantile esotropia before and after corrective surgery. Stereopsis was measured by the eye movement/global stereopsis method. Also in a subgroup of four infants, binocular and monocular pattern VERs were recorded to evaluate binocular summation. Results revealed 50% of the infantile esotropia children who had corrective surgery before one year of life developed gross stereopsis two weeks following surgery. In addition, of four infants who showed no evidence of stereopsis, 50% showed some degree of binocular summation following surgery. The importance of prospective studies of binocular vision in infantile esotropia is discussed within the context of new tests that can be used to objectively assess binocularity in the preverbal child.

Esotropia↗

Diffuse field loss and central visual function in glaucoma.

Eighty-two eyes of 82 patients with different types of glaucoma were examined with program 30-2 of the Humphrey Field Analyzer. Forty-six of 82 eyes (56.1%) had diffuse field loss and 36/82 (43.9%) eyes had no diffuse field loss according to the cumulative defect curves. Various foveal threshold criteria including temporal transfer and color vision were tested in all eyes. All criteria showed a loss of sensitivity in the presence of diffuse field loss. The loss of sensitivity was statistically significant for the high-frequency end of the foveal temporal contrast-sensitivity function (P = 0.0498), for foveal flicker-fusion frequency (P = 0.0275) and for foveal and parafoveal blue-on-yellow sensitivity (fovea: P = 0.0009; 4 parafoveal points: P = 0.0001; 16 points in the central 10 degrees: P < 0.0001). The loss in sensitivity was not statistically significant for the low and intermediate temporal frequencies of the foveal temporal contrast-sensitivity function and for the FM 100-Hue loss score. All temporal threshold criteria showed a low sensitivity (25-37%) and a low negative predictive value (48-50%) for the presence of diffuse field loss. Their specificity (75-94%) and positive predictive value (65-83%) are high, however. Thus, whenever one of the foveal temporal threshold criteria as used in the present study is abnormal, the probability is very high that there is some diffuse field loss.

Adult↗

A colour-flicker analysis of visual function in patients with retinal detachment.

Patients with a history of retinal detachment were examined by the following tests: (1) setting of an isoluminant match between yellow and green constituent squares of a checkerboard and (2) measurement of the flicker fusion frequency for a contrast-reversal of this yellow-green pattern. The results suggest that the test may provide useful data for assessing the severity of any damage to a given part of the retina. The fusion frequencies range from over 10 Hz (normal) to about 2 Hz for a severely impaired retina. The data for the relative amounts of red and green light needed to achieve a match rarely show any abnormality; thus, a standard anomaloscope test or pseudoisochromatic plates would not detect these deficiencies.

Adult↗

Location vs feature: reaction time reveals dissociation between two visual functions.

Reaction time in a detection or a location discrimination task was longer when a target appeared at the same location as in the previous trial (inhibition of return; IOR). However, it became shorter when the task was color or orientation discrimination (facilitation of return: FOR). This dichotomy was observed in the single target as well as in the popout displays. In additional experiments, vernier, size, and luminance discriminations all led to FOR, whereas eye-movement and arm-reaching tasks led to IOR. Moreover, identical stimuli could lead to the opposite patterns of result depending on the nature of the task: inhibition in global location tasks, and facilitation in feature analysis tasks. These may correspond to "where" vs "what" or "action" vs "recognition" pathways neurophysiologically.

Analysis of Variance↗

Analysis and restitution of visual function in a case of cerebral amblyopia.

In a patient suffering from a severe bilateral dysfunction in both occipital and parietal areas we have found: (1) A loss of contrast-sensitivity, being strongest in the range of spatial frequencies where the normal eye is most sensitive; (2) Virtually normal grating resolution, a severe loss in letter acuity (about 15-fold), and a very strong loss in vernier acuity (about 100-fold); (3) Rapid partial recovery of contrast sensitivity due to stimulation; (4) Slow partial recovery of letter acuity due to CAM rotating grating treatment; (5) No improvement of a 10-fold temporal retardation in the speed of reading. Evidence is presented that the residual impairment of vision depends upon improper synthesis of spatial frequency components originating from a heavy loss in processing speed and abnormally long store duration for high spatial frequency information.

Adult↗

Visual function deficits in glaucoma. Electroretinogram pattern and luminance nonlinearities.

The pattern electroretinogram is abnormal in glaucoma. Part of the pattern electroretinogram may be attributed to the summation of responses to luminance increases and decreases (nonlinear luminance responses). We conducted a study to investigate the effect of glaucoma on the pattern electroretinogram component waves and to determine if the flicker electroretinogram nonlinear components are abnormal in glaucoma. We tested 35 subjects in two replications of four conditions: 10- and 20-Hz flicker, and 4- and 10-Hz pattern reversal. Only the even harmonics were recorded. The patients with glaucoma had reduced electroretinogram amplitudes for all measures relative to the normal subjects. Electroretinogram amplitudes of those suspected of having glaucoma were intermediate. The greatest amplitude reductions were for the 10-Hz flicker electroretinogram and the 4-Hz pattern electroretinogram. These results confirm pattern electroretinogram abnormalities and reveal flicker electroretinogram abnormalities in glaucoma.

Adult↗

The effects of 0.025% hyoscine hydrobromide eyedrops on visual function in man.

Instillation of three drops of 0.025% hyoscine hydrobromide into one eye at 5 min intervals caused a mydriasis and cycloplegia of rapid onset and of 4-6 days' duration; this was similar to the previously reported actions of concentrations of up to 0.5%. After refraction for the working distance of the experiments, contrast sensitivity to stationary oscilloscope-generated grating patterns of 10 and 20 c/deg was unaffected despite the mydriasis. Also, contrast sensitivity to laser interference fringes of 10 and 20 c/deg observed in the Maxwellian view, in which the effects of the ocular media are bypassed, was unaffected. Contrast sensitivity to a 3 c/deg phase-reversed grating pattern was, however, transiently reduced by 40% after hyoscine. A second series of experiments showed a deleterious effect of hyoscine on contrast sensitivity to both stationary and phase-reversed grating patterns of 2, 3 and 5 c/deg while contrast sensitivity at 10 c/deg was not consistently affected. These results were explained by a direct deleterious action of hyoscine at the level of the retina, specific to channels that detect low spatial frequencies.

Accommodation, Ocular↗

Impaired visual function after cataract surgery assessed using the Catquest questionnaire.

PURPOSE: To evaluate and explain why some patients report more difficulties performing everyday activities 6 months after a cataract extraction than they did before surgery. SETTING: Cataract surgeons from 4 departments of ophthalmology affiliated with the National Swedish Cataract Outcome Register. METHODS: Patients were recruited from those having cataract extraction during March 1995, 1996, or 1997 at the participating units. Only patients who completed Catquest questionnaires before and after surgery and were evaluated to have a "no-benefit" outcome were included. The no-benefit outcomes were analyzed by using medical records and surgeon opinions. Possible and/or probable reasons for the outcome were identified. RESULTS: Several possible and/or probable reasons were identified as a single reason or combined with other reasons. The 5 most frequent reasons were ocular co-morbidity in the operative eye, anisometropia after surgery, problems with the nonoperative eye during follow-up, low disability score sum before surgery (no difficulties), and postoperative complications. CONCLUSION: In about a third of the cases, the no-benefit outcome could probably have been avoided by better planning for both eyes; that is, both eyes should have surgery within a short time and waiting for second-eye surgery in cases with anisometropia should be avoided.

Activities of Daily Living↗