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Biomedical subjects

O Braddick

Publications and source records attributed to O Braddick.

At least 37 records · Page 2Linked to original sources

Basal ganglia damage and impaired visual function in the newborn infant.

AIM: To examine the effects of early lesions in the visual pathway on visual function; and to identify early prognostic indicators of visual abnormalities. METHODS: The visual function of 37 infants with perinatal brain lesions on magnetic resonance imaging was assessed using behavioural and electrophysiological variables. RESULTS: Normal visual behaviour was observed in most infants with large bilateral occipital lesions, but all the infants with associated basal ganglia involvement had abnormal visual function. Visual abnormalities were also present in six infants with isolated basal ganglia lesions. CONCLUSIONS: These observations suggest that basal ganglia may have an integral role in human visual development and that their presence on neonatal MRI could be an early marker of abnormal visual function.

Basal Ganglia↗

Where is the naso-temporal asymmetry? Motion processing.

Strabismic (cross-eyed) humans and animals show an imbalance between opposite directions of eye movement. Both midbrain and cortical origins for this asymmetry have been proposed, but there is no sign of it in the main motion-processing area of visual cortex.

Animals↗

Responses to opposed directions of motion: continuum or independent mechanisms?

Opponency between opposite directions of motion is a characteristic of many models of movement detection and is commonly invoked in explanations of the motion after-effect. If detection of opposite directions is mediated by a single mechanism, then a single, smooth psychometric function for the discrimination of global direction in random-dot kinematograms should be found as a function of the percent of directional coherence of dots in the display, ranging from 100% coherence leftwards through 0% coherence to 100% coherence rightwards. Moreover, after rightward motion adaptation, a single psychometric function should still be observed if adaptation affects the perceptual system prior to opponent interactions. If, however, leftward and rightward detectors operate independently, then the slopes of the leftward and rightward halves of the function may differ, particularly after unidirectional adaptation. We measured the probability of a "rightward" direction response for nine values of motion coherence for five observers with and without prior rightward motion adaptation. Although a smooth psychometric function was found without motion adaptation, after adaptation, the rightward half of the psychometric function was flattened whereas the leftward half remained unchanged. Such results indicate that movement direction analysers operate in a non-opponent manner.

Adaptation, Ocular↗

Binocularity in infancy.

A variety of behavioural and electrophysiological studies agree that the onset of functional binocular interaction in human visual cortex normally occurs between 10 and 16 weeks of age. Measures of sensitivity to binocular correlation and to disparity agree closely, and behavioural and visual evoked potential measures on the same infant show onset of binocularity within about a 2 week range. Beyond the initial onset, the maximum disparity to which infants are sensitive increases steadily and stereoacuity is found to increase very rapidly. The initial development of binocularity does not appear to be a consequence of improving alignment of the eyes and occurs even in the presence of strabismus. However, the connections subserving binocularity are plastic in early childhood; they can be disrupted by unilateral strabismus, although in some strabismic children who use both eyes for fixation, they can adapt to serve stereo function at the angle of deviation and re-adapt, albeit temporarily, to the surgical alignment of the eyes. These findings allow us to pose some as yet unanswered questions about the development of binocularity, including: How is the infant's visual system organised before the establishment of binocularity? How does the pre-binocular infant maintain vergence? And what neural changes underlie the increase in performance for small and large disparities following the initial onset of binocular function?

Aging↗

Two infant vision screening programmes: prediction and prevention of strabismus and amblyopia from photo- and videorefractive screening.

Two infant vision screening programmes on total populations in the Cambridge Health District have been designed to identify manifest strabismus and strabismogenic and amblyogenic refractive errors at 7-9 months of age. The first, completed, programme used the isotropic photorefractor with cycloplegia together with a standard orthoptic examination. The second, current, programme uses the VRP-1 isotropic videorefractor to identify infants with accommodative lags which are followed up by refraction under cycloplegia. Both programmes show good agreement between infants identified at screening and retinoscopic refractions at follow-up, showing that photo- and videorefraction (with or without cycloplegia) can be effective methods for screening for ametropia in infants and young children. In each programme 5-6% of infants showed abnormal levels of hyperopia (> or = 3.5 D in any meridian), less than 1% showed anisometropia > or = 1.5 D; very few infants (0.25%) showed -3D myopia or greater. Less than 1% showed manifest strabismus. Hyperopic and anisometropic children entered a randomised controlled trial of partial refractive correction. All children identified at screening, alongside appropriate control groups, are extensively followed up to age 4 years. The first programme has found that children who were hyperopic in infancy were 13 times more likely to become strabismic, and 6 times more likely to show measurable acuity deficits by 4 years, compared with controls. Wearing a partial spectacle correction reduced these risk ratios to 4:1 and 2.5:1 respectively. The impaired acuity can be attributed, in part, to meridional amblyopia resulting from persisting astigmatism. Both hyperopic and myopic infants showed refractive changes in the direction of emmetropia between 9 months and 4 years. Wearing a partial spectacle correction did not affect this process of emmetropisation, but does provide the possibility of reducing the incidence of common pre-school vision problems.

Aging↗

Visual function and perinatal focal cerebral infarction.

AIMS: To evaluate the visual function of infants with perinatal cerebral infarction in whom the site and size of the lesion has been determined using magnetic resonance imaging (MRI). METHODS: Twelve infants with cerebral infarction on MRI were studied with a battery of tests specifically designed to evaluate visual function in infancy. This included tests: for visual attention (fixation shifts); of cerebral asymmetry (optokinetic nystagmus, visual fields); for assessment of acuity (forced choice preferential looking); and neurophysiological measures of vision (phase reversal and orientation reversal visual evoked potential). RESULTS: A considerable incidence of abnormalities on at least one of the tests for visual function used was observed. The presence or severity of visual abnormalities could not always be predicted by the site and extent of the lesion seen on imaging. CONCLUSIONS: Early focal lesions affecting the visual pathway can, to some extent, be compensated for by the immature developing brain. These data suggest that all the infants presenting with focal lesions need to be investigated with a detailed assessment of various aspects of vision.

Cerebral Infarction↗

Visual perception. Seeing motion signals in noise.

The brain can integrate local motion signals among noise to gain a global perception of visual motion. The scope and limits of this ability may reveal how the inputs to central motion systems are organized.

Animals↗

Reduction of infant myopia: a longitudinal cycloplegic study.

Changes of cycloplegic retinoscopy refraction from 8.5 to 38.5 months of age were compared in two infant groups in the Cambridge population: "infant myopes", having at least one myopic axis (0 to -3.5 D inclusive), and a second, "control" group with low hyperopia (< or = +3.5 D). Cycloplegia eliminated the variable accommodation of infants. The myopic group showed a significant emmetropization of the mean spherical equivalent towards low hyperopia by 3 yr. There was no significant change in the control group's mean spherical equivalent power. Both groups showed a significant reduction in astigmatism with age. Analysis of the vertical and horizontal powers showed significant "emmetropization" of these meridians, in both groups, towards low hyperopia from 8.5 to 38.5 months. These meridional emmetropization changes were significant for both With-the-Rule and Against-the-Rule astigmatism.

Aging↗

Motion perception. Moving on the surface.

Recent studies of motion perception show that, in the brain's internal representation of three-dimensional space, distances may be less important than relationships to surfaces.

Brain↗

Segmentation versus integration in visual motion processing.

Reliable motion perception requires processes that integrate visual motion signals from neighbouring locations in the visual field, which should have the effect of smoothing out spatial variations in velocity. However, we also require motion processing to be very sensitive to local velocity differences, so that moving objects appear sharply distinct from their background and specific differential properties of optic flow associated with the observer's motion can be detected. Perceptual experiments give evidence both for integrative processes, which lead to spreading of perceived motion, and for differential processes, which lead to motion contrast and segmentation. Current and future experiments might allow tests of theoretical schemes that employ adaptive networks and/or multiple representations in order to reconcile the conflicting demands of integration and segmentation.

Animals↗

Possible blindsight in infants lacking one cerebral hemisphere.

Patients with damage to the striate cortex have a subjectively blind region of the visual field, but may still be able to detect and localize targets within this region. But the relative roles in this 'blindsight' of subcortical neural systems, and of pathways to extra-striate visual areas, have been uncertain. Here we report results on two infants in whom one cerebral hemisphere, including both striate and extra-striate visual cortex, needed surgical removal in their first year. Single conspicuous targets in the half-field contralateral to the lesion could elicit fixations, implying detection and orienting by a subcortical system. In contrast, binocular optokinetic nystagmus (OKN), for which a subcortical pathway has often been thought adequate, showed a marked asymmetry. In normal neonates, fixation shifts and OKN have both been taken to reflect subcortical control; our results are consistent with subcortical control for fixation but not for OKN.

Brain↗

Visual segmentation of oriented textures by infants.

The infant's visual system contains orientation-sensitive mechanisms from the first weeks of life. Differences in texture orientation can serve as a basis for rapid preattentive localization and segmentation in adults. We tested whether infants could use their orientation-sensitive mechanisms in the same way, by forced-choice preferential looking, using displays of line segments oriented at 45 degrees in a rectangular patch and 135 degrees in the surrounding region. Performance was compared with that for displays of similar elements with uniform orientation but with the patch defined by luminance contrast. Infants of 14-18 weeks old showed consistent preference for both orientation- and contrast-defined patches, indicating the ability to segment the field by orientation. Infants of 8-12 weeks performed comparably to the older infants on contrast-based segmentation but did not show a statistically significant preference with orientation-based segmentation. In a second experiment, preference was also tested for a region of mixed orientation versus a region of uniform orientation. The 14-18-week-olds did not show this preference, suggesting that their preference for the discrepant texture patch genuinely reflected texture segmentation and not simply the presence of two different orientations on one side of the display. The results are discussed in terms of the possible maturation of intracortical connections subserving texture grouping and segmentation.

Aging↗

Orientation selectivity in infancy: behavioural evidence for temporal sensitivity.

One-month-old infants were tested with a habituation-recovery paradigm to determine whether they could discriminate phase-shifting grating patterns that switched between two orientations, three or eight times a second, from grating patterns that only shifted in phase. The infants were found to discriminate patterns switching orientation at the lower temporal rate of 3 reversals s-1, but not 8 reversals s-1. This finding supports the idea that orientation-selective mechanisms improve in their temporal sensitivity during early infancy. Where they can be compared, the results from behavioural and electrophysiological studies agree as to the course of this development.

Child↗

Changes in infants' ability to switch visual attention in the first three months of life.

The abilities of 1-month-old and 3-month-old infants to shift their gaze from a central target to a peripheral target were compared in four experiments. In experiment 1 targets matched in mean luminance to the background were presented to infants in the periphery at varying levels of contrast. The contrast thresholds for target detection were found to be significantly different for 1-month-olds compared with 3-month-olds. With targets set close to these contrast thresholds, correct refixations and the latency for shifting attention were examined in experiment 2. Two conditions were used: a peripheral target was presented against a homogeneous background (noncompetition); and in the second condition, the patterned target appeared at one of two lighter peripheral windows set against a darker background (competition). Although there was no difference between the two age groups in the latency for shifting visual attention, 1-month-olds were found to make more directional errors in the competition condition. The competition effect of two potential targets on latencies was examined in experiment 3. In the competition condition, two identical peripheral patterned targets were presented to the infants. The 3-month-olds refixated more quickly to one of the double targets in the competition condition than to a single peripheral target, whereas 1-month-olds were slowed down by a double target display. Finally, in experiment 4 the ability of the infants to process and disengage from a central stimulus and to refixate towards a similar peripheral target was examined. This type of competition disrupted both the direction of the first eye movement and the latency to shift attention in both age groups. However, the effect was significantly greater for the 1-month-olds. Taken together, the results of these experiments demonstrate the greater disruption of fixation-shift behaviour in 1-month-olds compared with 3-month-olds when competing visual stimuli are used. This developmental change is explained in terms of maturation of executive cortical orienting systems over the first months of life.

Age Factors↗