To see, not to see or to see poorly: Perceptual quality and guess rate as a function of electroencephalography (EEG) brain activity in an orientation perception task.

Detection of visual stimuli fluctuates over time, and these fluctuations have been shown to correlate with time domain evoked activity and frequency-domain periodic activity. However, it is unclear if these fluctuations are related to a change in guess rate, perceptual quality or both. Here we determined whether the quality of perception randomly varies across trials or is fixed so that the variability is the same. Then we estimated how perceptual quality and guess rate on an orientation perception task relate to electroencephalography (EEG) activity. Response errors were fitted to variable precision models and the standard mixture model to determine whether perceptual quality is from a varying or fixed distribution. Overall, the best fit was the standard mixture model that assumes that response variability can be defined by a fixed distribution. The power and phase of 2-7 Hz post-target activities were found to vary along with task performance in that more accurate trials had greater power, and the preferred phase differed significantly between accurate and guess trials. Guess rate and σ were significantly lower on trials with high 2- to 3-Hz power than low, and the difference started around 250-ms post-target. These effects coincide with changes in the P3 event-related potential (ERP): There was a more positive deflection in the accurate trials versus guesses. These results suggest that the spread of errors (perceptual quality) can be characterised by a fixed range of values. Where the errors fall within that range is modulated by the post-target power in the lower-frequency bands and their analogous ERPs.

People with Hemianopia Report Difficulty with TV, Computer, Cinema Use, and Photography.

SIGNIFICANCE: Our survey found that participants with hemianopia report more difficulties watching video in various formats, including television (TV), on computers, and in a movie theater, compared with participants with normal vision (NV). These reported difficulties were not as marked as those reported by people with central vision loss. PURPOSE: The aim of this study was to survey the viewing experience (e.g., frequency, difficulty) of viewing video on TV, computers and portable visual display devices, and at the cinema of people with hemianopia and NV. This information may guide vision rehabilitation. METHODS: We administered a cross-sectional survey to investigate the viewing habits of people with hemianopia (n = 91) or NV (n = 192). The survey, consisting of 22 items, was administered either in person or in a telephone interview. Descriptive statistics are reported. RESULTS: There were five major differences between the hemianopia and NV groups. Many participants with hemianopia reported (1) at least "some" difficulty watching TV (39/82); (2) at least "some" difficulty watching video on a computer (16/62); (3) never attending the cinema (30/87); (4) at least some difficulty watching movies in the cinema (20/56), among those who did attend the cinema; and (5) never taking photographs (24/80). Some people with hemianopia reported methods that they used to help them watch video, including video playback and head turn. CONCLUSIONS: Although people with hemianopia report more difficulty with viewing video on TV and at the cinema, we are not aware of any rehabilitation methods specifically designed to assist people with hemianopia to watch video. The results of this survey may guide future vision rehabilitation.

Does 10-Hz Cathodal Oscillating Current of the Parieto-Occipital Lobe Modulate Target Detection?

The phase of alpha (8-12 Hz) brain oscillations have been associated with moment to moment changes in visual attention and awareness. Previous work has demonstrated that endogenous oscillations and subsequent behavior can be modulated by oscillating transcranial current stimulation (otCS). The purpose of the current study is to establish the efficacy of cathodal otCS for modulation of the ongoing alpha brain oscillations, allowing for modulation of individual's visual perception. Thirty-six participants performed a target detection with sham and 10-Hz cathodal otCS. Each participant had two practice and two experimental sets composed of three blocks of 128 trials per block. Stimulating electrodes were placed on the participant's head with the anode electrode at Cz and the cathode electrode at Oz. A 0.5 mA current was applied every 100 ms (10 Hz frequency) during the otCS condition. The same current and frequency was applied for the first 10-20 s of the sham condition, after which the current was turned off. Target detection rates were compared between the sham and otCS experimental conditions in order to test for effects of otCS phase on target detection. We found no significant difference in target detection rates between the sham and otCS conditions, and discuss potential reasons for the apparent inability of cathodal otCS to effectively modulate visual perception.

THE EFFECTS OF GUIDANCE METHOD ON DETECTION AND SCANNING AT INTERSECTIONS - A PILOT STUDY.

Older drivers are frequently involved in collisions at intersections. One reason may be inadequate head and eye scanning when approaching the intersection. Prior driving simulator research on scanning at intersections has employed two main methods to guide subjects through the simulated world: auditory instructions similar to GPS navigation and following a lead vehicle. However, these two methods may have differing effects on head and eye scanning behaviors. We therefore conducted a pilot study to assess the effects of guidance method on participants' head and eye movements as well as their detection of motorcycle hazards at intersections. Detection rates were significantly higher when following a lead vehicle than when following GPS instructions, but participants were closer to the intersection when they responded. Preliminary examination of the head and eye movement data suggests participants scanned less frequently when following the lead vehicle.

Bioptic Telescope Use and Driving Patterns of Drivers with Age-Related Macular Degeneration.

PURPOSE: To investigate the telescope use and driving patterns of bioptic drivers with age-related macular degeneration (AMD). METHODS: A questionnaire addressing telescope use and driving patterns was administered by telephone interview to three groups of bioptic drivers: AMD (n = 31; median 76 years); non-AMD first licensed with a bioptic (n = 38; 53 years); and non-AMD first licensed without a bioptic (n = 47; 37 years). Driving patterns of bioptic AMD drivers were also compared with those of normal vision (NV) drivers (n = 36; 74 years) and nonbioptic AMD drivers (n = 34; 79 years). RESULTS: Bioptic usage patterns of AMD drivers did not differ from those of the younger bioptic drivers and greater visual difficulty without the bioptic was strongly correlated with greater bioptic helpfulness. Bioptic AMD drivers were more likely to report avoidance of night driving than the age-similar NV drivers (P = 0.06). However, they reported less difficulty than the nonbioptic AMD drivers in all driving situations (P ≤ 0.02). Weekly mileages of bioptic AMD drivers were lower than those of the younger bioptic drivers (P < 0.001), but not the NV group (P = 0.54), and were higher than those of the nonbioptic AMD group (P < 0.001). CONCLUSIONS: Our results suggest that bioptic telescopes met the visual demands of drivers with AMD and that those drivers had relatively unrestricted driving habits. TRANSLATIONAL RELEVANCE: Licensure with a bioptic telescope may prolong driving of older adults with AMD; however, objective measures of bioptic use, driving performance, and safety are needed.

Can we improve clinical prediction of at-risk older drivers?

OBJECTIVES: To conduct a pilot study to evaluate the predictive value of the Montreal Cognitive Assessment test (MoCA) and a brief test of multiple object tracking (MOT) relative to other tests of cognition and attention in identifying at-risk older drivers, and to determine which combination of tests provided the best overall prediction. METHODS: Forty-seven currently licensed drivers (58-95 years), primarily from a clinical driving evaluation program, participated. Their performance was measured on: (1) a screening test battery, comprising MoCA, MOT, Mini-Mental State Examination (MMSE), Trail-Making Test, visual acuity, contrast sensitivity, and Useful Field of View (UFOV) and (2) a standardized road test. RESULTS: Eighteen participants were rated at-risk on the road test. UFOV subtest 2 was the best single predictor with an area under the curve (AUC) of .84. Neither MoCA nor MOT was a better predictor of the at-risk outcome than either MMSE or UFOV, respectively. The best four-test combination (MMSE, UFOV subtest 2, visual acuity and contrast sensitivity) was able to identify at-risk drivers with 95% specificity and 80% sensitivity (.91 AUC). CONCLUSIONS: Although the best four-test combination was much better than a single test in identifying at-risk drivers, there is still much work to do in this field to establish test batteries that have both high sensitivity and specificity.