Mapping residual stereopsis in macular degeneration.

Individuals with macular degeneration typically lose vision in the central region of one or both eyes. A binocular scotoma occurs when vision loss occurs in overlapping locations in both eyes, but stereopsis is impacted even in the non-overlapping region wherever the visual field in either eye is affected. We used a novel stereoperimetry protocol to measure local stereopsis across the visual field (up to 25° eccentricity) to determine how locations with functional stereopsis relate to the scotomata in the two eyes. Participants included those with monocular or binocular scotomata and age-matched controls with healthy vision. Targets (with or without depth information) were presented on a random dot background. Depth targets had true binocular disparity of 20' (crossed), whereas non-depth targets were defined by monocular cues such as contrast and dot density. Participants reported target location and whether it was in depth or flat. Local depth sensitivity (d') estimates were then combined to generate a stereopsis map. This stereopsis map was compared to the union of the monocular microperimetry estimates that mapped out the functional extent of the scotoma in each eye. The "union" prediction aligned with residual stereopsis, showing impaired stereopsis within this region and residual stereopsis outside this region. Importantly, the stereoblind region was typically more extensive than the binocular scotoma defined by the intersection (overlap) of the scotomata. This explains why individuals may have intact binocular visual fields but be severely compromised in tasks of daily living that benefit from stereopsis, such as eye-hand coordination and navigation.

Predicting Stereopsis in Macular Degeneration.

Each of our eyes sees a slightly different view of the physical world. Disparity is the small difference in position of features in the retinal images; stereopsis is the percept of depth from disparity. A distance between corresponding features in the retinal images of the two eyes smaller than the "upper disparity limit" yields a percept of depth; distances greater than this limit cause the two unfused monocular features to appear flattened into the fixation plane. This behavioral disparity limit is consistent with neurophysiological estimates of the largest disparity scale in primate, allowing us to relate physiological limits on plausible binocular interactions to separation between retinal locations. Here we test the hypothesis that this upper disparity limit predicts the presence of coarse stereopsis in humans with macular degeneration (MD), which affects the central retina but typically spares the periphery. The pattern of vision loss can be highly asymmetric, such that an intact location in one eye has a corresponding point in the other eye that lies within affected retina. Nevertheless, some individuals with MD have coarse stereopsis that is useful for eye-hand coordination. Our results show that individuals with MD (n = 25, male and female) have coarse stereopsis when the distance between intact retinal locations is less than the behavioral and physiological upper disparity limit at the corresponding eccentricity. Furthermore, for those without stereopsis, we can predict whether they can achieve stereopsis by using alternate retinal loci at further eccentricities whose separation is below the upper disparity limit.SIGNIFICANCE STATEMENT We show that the largest separation between features in the two eyes that yields a percept of depth in humans is related to the largest disparity scale in macaque medial temporal area and to the estimated size of the receptive fields in human depth-sensitive cortical regions. This upper disparity limit also predicts whether individuals with retinal damage due to macular degeneration will have stereopsis. Individuals have stereopsis when the separation between intact retinal locations in the two eyes is smaller than the upper disparity limit measured behaviorally. Our results indicate the importance of the behavioral upper disparity limit as a predictor for stereopsis in populations with retinal damage.

Calibration of the PlusOptix PowerRef 3 with change in viewing distance, adult age and refractive error.

PURPOSE: The PowerRef 3 is frequently used in studying the near triad of accommodation, vergence and pupil responses in normal and clinical populations. Within a range, the defocus measurement of the PowerRef 3 is linearly related to the eye's defocus. While the default factory-calibrated slope of this relation (calibration factor) is 1, it has been shown that the slope can vary across individuals. Here, we addressed the impact of changes in viewing distance, age and defocus of the eye on the calibration factor. METHODS: We manipulated viewing distance (40 cm, 1 m and 6 m) and recruited participants with a range of accommodative capabilities: participants in their 20s, 40s and over 60 years old. To test whether any effect was larger than the range of measurement reliability of the instrument, we collected data for each condition four times: two in the same session, another on the same day, and one on a different day. RESULTS: The results demonstrated that viewing distance did not affect the calibration factor over the linear range, regardless of age or uncorrected refractive error. The largest proportion of the variance was explained by between-subject differences. CONCLUSIONS: Calibration data for the PowerRef 3 were not sensitive to changes in viewing distance. Nevertheless, our results re-emphasise the relevance of calibration for studies of individual participants.

The upper disparity limit increases gradually with eccentricity.

Stereopsis is important for tasks of daily living such as eye-hand coordination. It is best in central vision but is also mediated by the periphery. Previously we have shown that individuals with central-field loss who have residual stereopsis in the periphery perform better at an eye-hand-coordination task when they perform the task binocularly rather than monocularly. Here we seek to determine what sets the limit of stereopsis, defined as the largest disparity that supports the sustained appearance of depth, in the near periphery in healthy individuals. While stereoacuity thresholds increase sharply with eccentricity, Panum's area increases much more slowly. We used a rigorous method to determine the uppermost limit of disparity. At long durations, the two half-images that define a large disparity appear as two isolated targets in the same flat plane; small incremental changes in disparity produce changes in the separation between the half-images, and disparity magnitude can be judged on the basis of separation, like a monocular width judgment. The disparity limit is the point at which the threshold for judging dichoptic separation between the half-images is equal to the monocular width-discrimination threshold. The disparity limit at 10° was a factor of 2-4 times larger than the fovea, regardless of the meridian tested. The increase in the disparity limit with eccentricity was shallow, similar to that of Panum's area. Within this disparity limit, disparity increment thresholds were comparable for foveal and peripheral targets, illustrating the significance and utility of peripheral stereopsis, especially in the absence of foveal stereopsis.

Texture segmentation influences the spatial profile of presaccadic attention.

Attention is important for selecting targets for action. Several studies have shown that attentional selection precedes eye movements to a target, and results in an enhanced sensitivity at the saccade goal. Typically these studies have used isolated targets on blank backgrounds, which are rare in real-world situations. Here, we examine the spatial profile of sensitivity around a saccade target on a textured background and how the influence of the surrounding context develops over time. We used two textured backgrounds: a uniform texture, and a concentric arrangement of an inner and an outer texture with orthogonal orientations. For comparison, we also measured sensitivity around the target on a blank background. The spatial profile of sensitivity was measured with a brief, dim, probe flashed around the saccade target. When the target was on a blank or a uniformly textured background, spatial sensitivity peaked near the target location around 350 ms after cue onset and declined with distance from the target. However, when the background was made up of an inner and outer texture, sensitivity to the inner texture was uniformly high, peaking at about 350 ms after cue onset, suggesting that the entire inner texture was selected along with the target. The enhancement of sensitivity on the inner texture was much smaller when observers attended the target covertly and performed the probe-detection task. Thus, our results suggest that the surface representation around the target is taken into account when an observer actively plans to interact with the target.

The crowding factor method applied to parafoveal vision.

Crowding increases with eccentricity and is most readily observed in the periphery. During natural, active vision, however, central vision plays an important role. Measures of critical distance to estimate crowding are difficult in central vision, as these distances are small. Any overlap of flankers with the target may create an overlay masking confound. The crowding factor method avoids this issue by simultaneously modulating target size and flanker distance and using a ratio to compare crowded to uncrowded conditions. This method was developed and applied in the periphery (Petrov & Meleshkevich, 2011b). In this work, we apply the method to characterize crowding in parafoveal vision (<3.5 visual degrees) with spatial uncertainty. We find that eccentricity and hemifield have less impact on crowding than in the periphery, yet radial/tangential asymmetries are clearly preserved. There are considerable idiosyncratic differences observed between participants. The crowding factor method provides a powerful tool for examining crowding in central and peripheral vision, which will be useful in future studies that seek to understand visual processing under natural, active viewing conditions.

Accuracy of eye position for saccades and smooth pursuit.

In this study, we address the question of whether a target is foveated during smooth pursuit. Specifically, we examine whether smooth pursuit eye movements land near the center-of-mass of the target, as is the case for saccades. To that end, we instructed eight untrained, healthy participants to follow moving targets, presented monocularly in a scanning laser ophthalmoscope. Stimuli moved either in a modified step-ramp (smooth pursuit), or made a single step (saccade), stepping 6° from the center. Targets were ring-shaped and either 0.6° or 1.7° in diameter. In an additional set of experiments, two participants collected more extensive data on smooth pursuit and saccades for a larger range of target sizes (0.6°, 1.7°, or 4.3°). During pursuit, eyes were rarely placed at target center, even when participants' fixational stability was taken into account. Furthermore, there was a clear tendency for distance from target center to increase with target size. This outcome was in contrast to saccades, where there was no effect of target size across participants. The difference in foveal placement between the two types of eye movements is consistent with their different purposes: closer inspection of the target for saccades versus maintenance of the target in the visual field for smooth pursuit.

Higher Visual Function Deficits in Children With Cerebral Visual Impairment and Good Visual Acuity.

In clinical practice Cerebral Visual Impairment (CVI) is typically diagnosed by observation of abnormal visually guided behaviors which indicate higher visual function deficits (HVFDs) suggesting abnormal brain development or brain damage in a child with a suitable clinical history. HVFDs can occur even in the presence of good visual acuity and may remain undiagnosed because the good visual acuity does not prompt further investigation. This leads to a lack of understanding of the child's visual perceptual difficulties. In a prospective study, we determined the spectrum of HVFDs in a group of children with history suggestive of brain damage or disruption of brain development and an independent diagnosis of CVI in comparison with typically developing children with a structured 51 question inventory, the Higher Visual Function Question Inventory (HVFQI-51) adapted from the Cerebral Vision Impairment Inventory, CVI-I. Here, we show that the HVFQI-51 can detect a range of HVFDs in children with CVI with good visual acuity and clearly distinguishes these children from typically developing children. HVFDs in our study group could mostly be attributed to dorsal stream visual processing dysfunction though the spectrum varied between children. We report on the inclusion of the "not applicable" response option in analysis providing a picture of HVFDs more in tune with the overall disability of each child. We also propose a subset of 11 questions (Top-11) which discriminate between children with CVI vs. behaviors seen in typical children: this provides both a potential screening tool for initial assessment of HVFDs and a measure of CVI-related impairment, and needs further validation in a secondary independent sample.

The effect of load on spatial attention depends on preview: Evidence from a reading study.

The spatio-temporal distribution of covert attention has usually been studied under unfamiliar tasks with static viewing. It is important to extend this work to familiar tasks such as reading where sequential eye movements are made. Our previous work with reading showed that covert spatial attention around the gaze location is affected by the fixated word frequency, or the processing load exerted by the word, as early as 40 ms into the fixation. Here, we hypothesised that this early effect of frequency is only possible when the word is previewed and thus pre-processed before being fixated. We tested this hypothesis by preventing preview. We investigated the dynamics of spatial attention around the gaze location while the observer read strings of random words. The words were either always exposed (normal preview) or only exposed while being fixated (masked preview). We probed spatial attention when a target word with either high or low printed frequency - or low or high load, respectively - was fixated. The results confirmed that, early in a fixation, allocation of spatial attention 6 characters from the gaze was affected by the word's frequency but only when the word was exposed before being fixated, so that processing of the word could start before it was fixated. Our results indicate that the ongoing processing load of a word is modulated by its pre-processing and affects the dynamics of covert spatial attention around the word once it is fixated.

Depth Perception and Grasp in Central Field Loss.

PURPOSE: We set out to determine whether individuals with central field loss benefit from using two eyes to perform a grasping task. Specifically, we tested the hypothesis that this advantage is correlated with coarse stereopsis, in addition to binocular summation indices of visual acuity, contrast sensitivity, and binocular visual field. METHODS: Sixteen participants with macular degeneration and nine age-matched controls placed pegs on a pegboard, while their eye and hand movements were recorded. Importantly, the pegboard was placed near eye height, to minimize the contribution of monocular cues to peg position. All participants performed this task binocularly and monocularly. Before the experiment, we performed microperimetry to determine the profile of field loss in each eye and the locations of eccentric fixation (if applicable). In addition, we measured both acuity and contrast sensitivity monocularly and binocularly, and stereopsis by using both a RanDot test and a custom stereo test. RESULTS: Peg-placement time was significantly shorter and participants made significantly fewer errors with binocular than with monocular viewing in both the patient and control groups. Among participants with measurable stereopsis, binocular advantage in peg-placement time was significantly correlated with stereoacuity (ρ = -0.78; P = 0.003). In patients without measurable stereopsis, the binocular advantage was related significantly to the overlap in the scotoma between the two eyes (ρ = -0.81; P = 0.032). CONCLUSIONS: The high correlation between grasp performance and stereoacuity indicates that coarse stereopsis may benefit tasks of daily living for individuals with central field loss.

Effects of load on the time course of attentional engagement, disengagement, and orienting in reading.

We examined how the frequency of the fixated word influences the spatiotemporal distribution of covert attention during reading. Participants discriminated gaze-contingent probes that occurred with different spatial and temporal offsets from randomly chosen fixation points during reading. We found that attention was initially focused at fixation and that subsequent defocusing was slower when the fixated word was lower in frequency. Later in a fixation, attention oriented more towards the next saccadic target for high- than for low-frequency words. These results constitute the first report of the time course of the effect of load on attentional engagement and orienting in reading. They are discussed in the context of serial and parallel models of reading.