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1.
Sci Rep ; 13(1): 16525, 2023 10 02.
Artículo en Inglés | MEDLINE | ID: mdl-37783775

RESUMEN

Microsaccades, incessant "fixational eye movements" (< 1°), are an important window into cognitive functions. Yet, its role in visual perceptual learning (VPL)-improvements in visual discrimination due to practice-remains practically unexplored. Here we investigated whether and how microsaccades change in VPL. Human observers performed a Landolt acuity task for 5 consecutive days and were assigned to the Neutral or Attention group. On each trial, two peripheral Landolt squares were presented briefly along a diagonal. Observers reported the gap side of the target stimulus. Training improved acuity and modified the microsaccade rate; with training, the rate decreased during the fixation period but increased during the response cue. Furthermore, microsaccade direction during the response cue was biased toward the target location, and training enhanced and sped up this bias. Finally, the microsaccade rate during a task-free fixation period correlated with observers' initial acuity threshold, indicating that the fewer the microsaccades during fixation the better the individual visual acuity. All these results, which were similar for both the Neutral and Attention groups and at both trained and untrained locations, suggest that microsaccades could serve as a physiological marker reflecting functional dynamics in human perceptual learning.


Asunto(s)
Fijación Ocular , Movimientos Sacádicos , Humanos , Señales (Psicología) , Percepción Visual/fisiología , Aprendizaje Espacial , Estimulación Luminosa
2.
Invest Ophthalmol Vis Sci ; 63(11): 6, 2022 10 03.
Artículo en Inglés | MEDLINE | ID: mdl-36223102

RESUMEN

Purpose: To investigate whether visual experience with habitual blur alters the neural processing of suprathreshold contrast in emmetropic and highly aberrated eyes. Methods: A large stroke adaptive optics system was used to correct ocular aberrations. Contrast constancy was assessed psychophysically in emmetropic and keratoconic eyes using a contrast matching paradigm. Participants adjusted the contrasts of gratings at various spatial frequencies to match the contrast perception of a reference grating at 4 c/deg. Matching was done both with fully corrected and uncorrected ocular aberrations. Optical correction allowed keratoconus patients to perceive high spatial frequencies that they have not experienced for some time. Results: Emmetropic observers exhibited contrast constancy both with their native aberrations and when their aberrations were corrected. Keratoconus patients exhibited contrast constancy with their uncorrected, native optics but they did not exhibit constancy during adaptive optics correction. Instead. they exhibited striking underconstancy: they required more contrast at high spatial frequencies than the contrast of the 4-c/deg stimulus to make them seem to have the same contrast. Conclusions: The presence of contrast constancy in emmetropes and keratoconus patients viewing with their native optics suggests that they have learned to amplify neural signals to offset the effects of habitual optical aberrations. The fact that underconstancy was observed in keratoconus patients when their optics were corrected suggests that they were unable to learn the appropriate neural amplification because they did not have experience with fine spatial detail. These results show that even adults can learn neural amplification to counteract the effects of their own optical aberrations.


Asunto(s)
Queratocono , Adulto , Emetropía , Humanos , Queratocono/diagnóstico , Óptica y Fotónica , Trastornos de la Visión
3.
Nat Commun ; 12(1): 6102, 2021 10 20.
Artículo en Inglés | MEDLINE | ID: mdl-34671032

RESUMEN

Damage to the primary visual cortex (V1) causes homonymous visual-field loss long considered intractable. Multiple studies now show that perceptual training can restore visual functions in chronic cortically-induced blindness (CB). A popular hypothesis is that training can harness residual visual functions by recruiting intact extrageniculostriate pathways. Training may also induce plastic changes within spared regions of the damaged V1. Here, we link changes in luminance detection sensitivity with retinotopic fMRI activity before and after visual discrimination training in eleven patients with chronic, stroke-induced CB. We show that spared V1 activity representing perimetrically-blind locations prior to training predicts the amount of training-induced recovery of luminance detection sensitivity. Additionally, training results in an enlargement of population receptive fields in perilesional V1, which increases blind-field coverage and may support further recovery with subsequent training. These findings uncover fundamental changes in perilesional V1 cortex underlying training-induced restoration of conscious luminance detection sensitivity in CB.


Asunto(s)
Ceguera Cortical/rehabilitación , Aprendizaje/fisiología , Visión Ocular/fisiología , Corteza Visual/fisiología , Percepción Visual/fisiología , Adulto , Anciano , Ceguera Cortical/diagnóstico por imagen , Ceguera Cortical/fisiopatología , Mapeo Encefálico , Discriminación en Psicología/fisiología , Femenino , Lateralidad Funcional/fisiología , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Plasticidad Neuronal/fisiología , Recuperación de la Función/fisiología , Corteza Visual/diagnóstico por imagen , Campos Visuales/fisiología
4.
Elife ; 102021 08 03.
Artículo en Inglés | MEDLINE | ID: mdl-34342581

RESUMEN

Human vision has striking radial asymmetries, with performance on many tasks varying sharply with stimulus polar angle. Performance is generally better on the horizontal than vertical meridian, and on the lower than upper vertical meridian, and these asymmetries decrease gradually with deviation from the vertical meridian. Here, we report cortical magnification at a fine angular resolution around the visual field. This precision enables comparisons between cortical magnification and behavior, between cortical magnification and retinal cell densities, and between cortical magnification in twin pairs. We show that cortical magnification in the human primary visual cortex, measured in 163 subjects, varies substantially around the visual field, with a pattern similar to behavior. These radial asymmetries in the cortex are larger than those found in the retina, and they are correlated between monozygotic twin pairs. These findings indicate a tight link between cortical topography and behavior, and suggest that visual field asymmetries are partly heritable.


Asunto(s)
Retina/fisiología , Visión Ocular/fisiología , Corteza Visual/fisiología , Campos Visuales/fisiología , Adulto , Mapeo Encefálico , Femenino , Humanos , Masculino , Análisis y Desempeño de Tareas , Adulto Joven
5.
Adv Sci (Weinh) ; 8(10): 2004643, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-34026456

RESUMEN

Delivery and sampling nanoliter volumes of liquid can benefit new invasive surgical procedures. However, the dead volume and difficulty in generating constant pressure flow limits the use of small tubes such as capillaries. This work demonstrates sub-millimeter microfluidic chips assembled directly on the tip of a bundle of two hydrophobic coated 100 µm capillaries to deliver nanoliter droplets in liquid environments. Droplets are created in a specially designed nanopipette and propelled by gas through the capillary to the microfluidic chip where a passive valve mechanism separates liquid from gas, allowing their delivery. By adjusting the driving pressure and microfluidic geometry, both partial and full delivery of 10 nanoliter droplets with 0.4 nanoliter maximum error, as well as sampling from the environment are demonstrated. This system will enable drug delivery and sampling with minimally invasive probes, facilitating continuous liquid biopsy for disease monitoring and in vivo drug screening.


Asunto(s)
Técnicas Analíticas Microfluídicas/instrumentación , Microfluídica/instrumentación , Nanotecnología/instrumentación , Manejo de Especímenes/instrumentación , Diseño de Equipo , Humanos , Técnicas Analíticas Microfluídicas/métodos , Microfluídica/métodos , Nanotecnología/métodos , Manejo de Especímenes/métodos
6.
Elife ; 102021 02 22.
Artículo en Inglés | MEDLINE | ID: mdl-33616034

RESUMEN

The eye's optics are a major determinant of visual perception. Elucidating how long-term exposure to optical defects affects visual processing is key to understanding the capacity for, and limits of, sensory plasticity. Here, we show evidence of functional reallocation of sensory processing resources following long-term exposure to poor optical quality. Using adaptive optics to bypass all optical defects, we assessed visual processing in neurotypically-developed adults with healthy eyes and with keratoconus - a corneal disease causing severe optical aberrations. Under fully-corrected optical conditions, keratoconus patients showed altered contrast sensitivity, with impaired sensitivity for fine spatial details and better-than-typical sensitivity for coarse spatial details. Both gains and losses in sensitivity were more pronounced in patients experiencing poorer optical quality in their daily life and mediated by changes in signal enhancement mechanisms. These findings show that adult neural processing adapts to better match the changes in sensory inputs caused by long-term exposure to altered optics.


Asunto(s)
Adaptación Fisiológica/fisiología , Queratocono , Visión Ocular , Percepción Visual/fisiología , Adulto , Sensibilidad de Contraste , Femenino , Humanos , Masculino , Persona de Mediana Edad , Óptica y Fotónica , Percepción/fisiología
7.
J Vis ; 21(1): 2, 2021 01 04.
Artículo en Inglés | MEDLINE | ID: mdl-33393963

RESUMEN

Human vision is heterogeneous around the visual field. At a fixed eccentricity, performance is better along the horizontal than the vertical meridian and along the lower than the upper vertical meridian. These asymmetric patterns, termed performance fields, have been found in numerous visual tasks, including those mediated by contrast sensitivity and spatial resolution. However, it is unknown whether spatial resolution asymmetries are confined to the cardinal meridians or whether and how far they extend into the upper and lower hemifields. Here, we measured visual acuity at isoeccentric peripheral locations (10 deg eccentricity), every 15° of polar angle. On each trial, observers judged the orientation (± 45°) of one of four equidistant, suprathreshold grating stimuli varying in spatial frequency (SF). On each block, we measured performance as a function of stimulus SF at 4 of 24 isoeccentric locations. We estimated the 75%-correct SF threshold, SF cutoff point (i.e., chance-level), and slope of the psychometric function for each location. We found higher SF estimates (i.e., better acuity) for the horizontal than the vertical meridian and for the lower than the upper vertical meridian. These asymmetries were most pronounced at the cardinal meridians and decreased gradually as the angular distance from the vertical meridian increased. This gradual change in acuity with polar angle reflected a shift of the psychometric function without changes in slope. The same pattern was found under binocular and monocular viewing conditions. These findings advance our understanding of visual processing around the visual field and help constrain models of visual perception.


Asunto(s)
Agudeza Visual , Campos Visuales/fisiología , Adulto , Sensibilidad de Contraste , Femenino , Humanos , Masculino , Adulto Joven
8.
Sci Adv ; 6(22): eaba5660, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32518828

RESUMEN

Actuators at the tip of a submillimetric catheter could facilitate in vivo interventional procedures at cellular scales by enabling tissue biopsy and manipulation or supporting active micro-optics. However, the dominance of frictional forces at this scale makes classical mechanism problematic. Here, we report the design of a microscale piston, with a maximum dimension of 150 µm, fabricated with two-photon lithography onto the tip of 140-µm-diameter capillaries. An oil drop method is used to create a seal between the piston and the cylinder that prevents any leakage below 185-mbar pressure difference while providing lubricated friction between moving parts. This piston generates forces that increase linearly with pressure up to 130 µN without breaking the liquid seal. The practical value of the design is demonstrated with its integration with a microgripper that can grasp, move, and release 50-µm microspheres. Such a mechanism opens the way to micrometer-size catheter actuation.

9.
J Vis ; 20(4): 18, 2020 04 09.
Artículo en Inglés | MEDLINE | ID: mdl-32340029

RESUMEN

Visual perceptual learning (VPL) refers to the improvement in performance on a visual task due to practice. A hallmark of VPL is specificity, as improvements are often confined to the trained retinal locations or stimulus features. We have previously found that exogenous (involuntary, stimulus-driven) and endogenous (voluntary, goal-driven) spatial attention can facilitate the transfer of VPL across locations in orientation discrimination tasks mediated by contrast sensitivity. Here, we investigated whether exogenous spatial attention can facilitate such transfer in acuity tasks that have been associated with higher specificity. We trained observers for 3 days (days 2-4) in a Landolt acuity task (Experiment 1) or a Vernier hyperacuity task (Experiment 2), with either exogenous precues (attention group) or neutral precues (neutral group). Importantly, during pre-tests (day 1) and post-tests (day 5), all observers were tested with neutral precues; thus, groups differed only in their attentional allocation during training. For the Landolt acuity task, we found evidence of location transfer in both the neutral and attention groups, suggesting weak location specificity of VPL. For the Vernier hyperacuity task, we found evidence of location and feature specificity in the neutral group, and learning transfer in the attention group-similar improvement at trained and untrained locations and features. Our results reveal that, when there is specificity in a perceptual acuity task, exogenous spatial attention can overcome that specificity and facilitate learning transfer to both untrained locations and features simultaneously with the same training. Thus, in addition to improving performance, exogenous attention generalizes perceptual learning across locations and features.


Asunto(s)
Atención , Aprendizaje Espacial/fisiología , Agudeza Visual/fisiología , Percepción Visual/fisiología , Adolescente , Adulto , Sensibilidad de Contraste/fisiología , Femenino , Fijación Ocular/fisiología , Humanos , Masculino , Transferencia de Experiencia en Psicología , Adulto Joven
10.
Neuropsychologia ; 128: 315-324, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-29237554

RESUMEN

Training chronic, cortically-blind (CB) patients on a coarse [left-right] direction discrimination and integration (CDDI) task recovers performance on this task at trained, blind field locations. However, fine direction difference (FDD) thresholds remain elevated at these locations, limiting the usefulness of recovered vision in daily life. Here, we asked if this FDD impairment can be overcome by training CB subjects with endogenous, feature-based attention (FBA) cues. Ten CB subjects were recruited and trained on CDDI and FDD with an FBA cue or FDD with a neutral cue. After completion of each training protocol, FDD thresholds were re-measured with both neutral and FBA cues at trained, blind-field locations and at corresponding, intact-field locations. In intact portions of the visual field, FDD thresholds were lower when tested with FBA than neutral cues. Training subjects in the blind field on the CDDI task improved FDD performance to the point that a threshold could be measured, but these locations remained impaired relative to the intact field. FDD training with neutral cues resulted in better blind field FDD thresholds than CDDI training, but thresholds remained impaired relative to intact field levels, regardless of testing cue condition. Importantly, training FDD in the blind field with FBA lowered FDD thresholds relative to CDDI training, and allowed the blind field to reach thresholds similar to the intact field, even when FBA trained subjects were tested with a neutral rather than FBA cue. Finally, FDD training appeared to also recover normal integration thresholds at trained, blind-field locations, providing an interesting double dissociation with respect to CDDI training. In summary, mechanisms governing FBA appear to function normally in both intact and impaired regions of the visual field following V1 damage. Our results mark the first time that FDD thresholds in CB fields have been seen to reach intact field levels of performance. Moreover, FBA can be leveraged during visual training to recover normal, fine direction discrimination and integration performance at trained, blind-field locations, potentiating visual recovery of more complex and precise aspects of motion perception in cortically-blinded fields.


Asunto(s)
Ceguera Cortical/psicología , Discriminación en Psicología , Adulto , Anciano , Atención , Ceguera Cortical/diagnóstico por imagen , Ceguera Cortical/rehabilitación , Señales (Psicología) , Femenino , Humanos , Aprendizaje , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Percepción de Movimiento , Orientación , Recuperación de la Función , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/diagnóstico por imagen , Rehabilitación de Accidente Cerebrovascular , Corteza Visual/diagnóstico por imagen , Campos Visuales , Adulto Joven
11.
Sci Robot ; 4(34)2019 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-33137778

RESUMEN

Because minimally invasive surgery is increasingly used to target small lesions, demand is growing for miniaturized tools-such as microcatheters, articulated microforceps, or tweezers-that incorporate sensing and actuation for precision surgery. Although existing microfabrication techniques have addressed the construction of these devices, accurate integration and functionalization of chemical and physical sensors represent major challenges. This paper presents a microrobotic platform for the functionalization of fibers of diameters from 140 to 830 micrometers, with a patterning precision of 5 micrometers and an orientation error below 0.4°. To achieve this, we developed two 2 millimeter-by-3 millimeter, 200-micrometer-thick microrobots to align floating electronic circuits on a fiber during a wet transfer process. The position and orientation of the microrobots were controlled at the air/water interface by a permanent magnet. The stiffness of the position controlled was 0.2 newton millimeter, leading to an average force of 0.5 newton. The nonhomogeneous magnetic field of the magnet, associated with different preferred magnetization directions recorded in the microrobots, allowed the distance between the two microrobots to be precisely controlled. This extra degree of freedom was used to control the microrobot pair as a tweezer to grab and release floating electronic patterns, whereas the others were used to align the pattern position and orientation with the fiber. A model of this control, as well as the microrobots' interaction through surface tension, is proposed. Detailed performance validation is provided, and various exemplar sensor embodiments on a 200-micrometer-diameter fiber and three-dimensional devices are demonstrated.

12.
Curr Opin Psychol ; 29: 56-64, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-30572280

RESUMEN

It is well established that attention improves performance on many visual tasks. However, for more than 100 years, psychologists, philosophers, and neurophysiologists have debated its phenomenology-whether attention actually changes one's subjective experience. Here, we show that it is possible to objectively and quantitatively investigate the effects of attention on subjective experience. First, we review evidence showing that attention alters the appearance of many static and dynamic basic visual dimensions, which mediate changes in appearance of higher-level perceptual aspects. Then, we summarize current views on how attention alters appearance. These findings have implications for our understanding of perception and attention, illustrating that attention affects not only how we perform in visual tasks, but actually alters our experience of the visual world.


Asunto(s)
Atención/fisiología , Sensibilidad de Contraste , Percepción Visual/fisiología , Encéfalo/fisiología , Humanos , Estimulación Luminosa
13.
Sci Rep ; 8(1): 5938, 2018 04 12.
Artículo en Inglés | MEDLINE | ID: mdl-29651048

RESUMEN

The ability to swiftly detect and prioritize the processing of relevant information around us is critical for the way we interact with our environment. Selective attention is a key mechanism that serves this purpose, improving performance in numerous visual tasks. Reflexively attending to sudden information helps detect impeding threat or danger, a possible reason why emotion modulates the way selective attention affects perception. For instance, the sudden appearance of a fearful face potentiates the effects of exogenous (involuntary, stimulus-driven) attention on performance. Internal states such as trait anxiety can also modulate the impact of attention on early visual processing. However, attention does not only improve performance; it also alters the way visual information appears to us, e.g. by enhancing perceived contrast. Here we show that emotion potentiates the effects of exogenous attention on both performance and perceived contrast. Moreover, we found that trait anxiety mediates these effects, with stronger influences of attention and emotion in anxious observers. Finally, changes in performance and appearance correlated with each other, likely reflecting common attentional modulations. Altogether, our findings show that emotion and anxiety interact with selective attention to truly alter how we see.


Asunto(s)
Ansiedad/psicología , Atención/fisiología , Miedo/psicología , Reconocimiento Visual de Modelos/fisiología , Trastornos de Ansiedad/fisiopatología , Emociones/fisiología , Cara/fisiología , Expresión Facial , Miedo/fisiología , Femenino , Humanos , Masculino , Tiempo de Reacción/fisiología , Adulto Joven
14.
Sci Rep ; 8(1): 438, 2018 01 11.
Artículo en Inglés | MEDLINE | ID: mdl-29323196

RESUMEN

This paper focuses on the control of rotating helical microrobots inside microchannels. We first use a 50 µm long and 5 µm in diameter helical robot to prove that the proximity of the channel walls create a perpendicular force on the robot. This force makes the robot orbit around the channel center line. We also demonstrate experimentally that this phenomenon simplifies the robot control by guiding it on a channel even if the robot propulsion is not perfectly aligned with the channel direction. We then use numerical simulations, validated by real experimental cases, to show different implications on the microrobot control of this orbiting phenomenon. First, the robot can be centered in 3D inside an in-plane microchannel only by controlling its horizontal direction (yaw angle). This means that a rotating microrobot can be precisely controlled along the center of a microfluidic channel only by using a standard 2D microscopy technology. Second, the robot horizontal (yaw) and vertical (pitch) directions can be controlled to follow a 3D evolving channel only with a 2D feedback. We believe this could lead to simplify imaging systems for the potential in vivo integration of such microrobots.

15.
Psychon Bull Rev ; 25(5): 1824-1832, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28849553

RESUMEN

Perceptual organization and selective attention are two crucial processes that influence how we perceive visual information. The former structures complex visual inputs into coherent units, whereas the later selects relevant information. Attention and perceptual organization can modulate each other, affecting visual processing and performance in various tasks and conditions. Here, we tested whether attention can alter the way multiple elements appear to be perceptually organized. We manipulated covert spatial attention using a rapid serial visual presentation task, and measured perceptual organization of two multielements arrays organized by luminance similarity as rows or columns, at both the attended and unattended locations. We found that the apparent perceptual organization of the multielement arrays is intensified when attended and attenuated when unattended. We ruled out response bias as an alternative explanation. These findings reveal that attention enhances the appearance of perceptual organization, a midlevel vision process, altering the way we perceive our visual environment.


Asunto(s)
Atención/fisiología , Percepción Espacial/fisiología , Adulto , Femenino , Humanos , Masculino , Visión Ocular , Percepción Visual/fisiología , Adulto Joven
16.
Psychon Bull Rev ; 24(6): 2045, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-28948568

RESUMEN

This paper originally published with graphical errors in Figures 1 and 4; it has been corrected.

17.
Psychol Sci ; 28(3): 285-296, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-28118103

RESUMEN

How does visual attention affect spatial resolution? In texture-segmentation tasks, exogenous (involuntary) attention automatically increases resolution at the attended location, which improves performance where resolution is too low (at the periphery) but impairs performance where resolution is already too high (at central locations). Conversely, endogenous (voluntary) attention improves performance at all eccentricities, which suggests a more flexible mechanism. Here, using selective adaptation to spatial frequency, we investigated the mechanism by which endogenous attention benefits performance in resolution tasks. Participants detected a texture target that could appear at several eccentricities. Adapting to high or low spatial frequencies selectively affected performance in a manner consistent with changes in resolution. Moreover, adapting to high, but not low, frequencies mitigated the attentional benefit at central locations where resolution was too high; this shows that attention can improve performance by decreasing resolution. Altogether, our results indicate that endogenous attention benefits performance by modulating the contribution of high-frequency information in order to flexibly adjust spatial resolution according to task demands.


Asunto(s)
Atención/fisiología , Reconocimiento Visual de Modelos/fisiología , Percepción Espacial/fisiología , Adulto , Femenino , Humanos , Masculino , Adulto Joven
18.
Vision Res ; 132: 69-77, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-27919674

RESUMEN

In the presence of optical blur at the fovea, blur adaptation can improve visual acuity (VA) and perceived image quality over time. However, little is known regarding blur adaptation in the peripheral retina. Here, we examined neural adaptation to myopic defocus at the fovea and parafovea (10° temporal retina) in both emmetropes and myopes. During a 60-min adaptation period, subjects (3 emmetropes and 3 myopes) watched movies with +2 diopters of defocus blur through a 6-mm artificial pupil in two separate, counter-balanced sessions for each retinal location. VA was measured at 10-min intervals under full aberration-corrected viewing using an adaptive optics (AO) vision simulator. By correcting subjects' native optical aberrations with AO, we bypassed the influence of the individual subjects' optical aberrations on visual performance. Overall, exhibited a small but significant improvement after the 60-min of adaptation at both the fovea (mean±SE VA improvement: -0.06±0.04 logMAR) and parafovea (mean±SE VA improvement: -0.07±0.04 logMAR). Myopic subjects exhibited significantly greater improvement in parafoveal VA (mean±SE VA improvement: 0.10±0.02 logMAR), than that of emmetropic subjects (mean±SE VA improvement: 0.04±0.03 logMAR). In contrast, there was no significant difference in foveal VA between the two refractive-error groups. In conclusion, our results reveal differences in peripheral blur adaptation between refractive-error groups, with myopes displaying a greater degree of adaptation.


Asunto(s)
Adaptación Ocular/fisiología , Emetropía/fisiología , Fóvea Central/fisiología , Miopía/fisiopatología , Neuronas Retinianas/fisiología , Adulto , Humanos , Fenómenos Fisiológicos Oculares , Agudeza Visual/fisiología , Adulto Joven
19.
Vision Res ; 132: 78-84, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-27836334

RESUMEN

Highly aberrated keratoconic (KC) eyes do not elicit the expected visual advantage from customized optical corrections. This is attributed to the neural insensitivity arising from chronic visual experience with poor retinal image quality, dominated by low spatial frequencies. The goal of this study was to investigate if targeted perceptual learning with adaptive optics (AO) can stimulate neural plasticity in these highly aberrated eyes. The worse eye of 2 KC subjects was trained in a contrast threshold test under AO correction. Prior to training, tumbling 'E' visual acuity and contrast sensitivity at 4, 8, 12, 16, 20, 24 and 28 c/deg were measured in both the trained and untrained eyes of each subject with their routine prescription and with AO correction for a 6mm pupil. The high spatial frequency requiring 50% contrast for detection with AO correction was picked as the training frequency. Subjects were required to train on a contrast detection test with AO correction for 1h for 5 consecutive days. During each training session, threshold contrast measurement at the training frequency with AO was conducted. Pre-training measures were repeated after the 5 training sessions in both eyes (i.e., post-training). After training, contrast sensitivity under AO correction improved on average across spatial frequency by a factor of 1.91 (range: 1.77-2.04) and 1.75 (1.22-2.34) for the two subjects. This improvement in contrast sensitivity transferred to visual acuity with the two subjects improving by 1.5 and 1.3 lines respectively with AO following training. One of the two subjects denoted an interocular transfer of training and an improvement in performance with their routine prescription post-training. This training-induced visual benefit demonstrates the potential of AO as a tool for neural rehabilitation in patients with abnormal corneas. Moreover, it reveals a sufficient degree of neural plasticity in normally developed adults who have a long history of abnormal visual experience due to optical imperfections.


Asunto(s)
Aberración de Frente de Onda Corneal/fisiopatología , Queratocono/fisiopatología , Desempeño Psicomotor/fisiología , Percepción Visual/fisiología , Adulto , Sensibilidad de Contraste/fisiología , Humanos , Persona de Mediana Edad , Plasticidad Neuronal/fisiología , Óptica y Fotónica , Psicofísica , Refracción Ocular/fisiología , Agudeza Visual/fisiología
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