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PubMed2002

The Advanced Glaucoma Intervention Study (AGIS): 12. Baseline risk factors for sustained loss of visual field and visual acuity in patients with advanced glaucoma.

PURPOSE: To examine the relationships between baseline risk factors and sustained decrease of visual field (SDVF) and sustained decrease of visual acuity (SDVA). DESIGN: Cohort study of participants in the Advanced Glaucoma Intervention Study (AGIS). METHODS: This multicenter study enrolled patients between 1988 and 1992 and followed them until 2001; 789 eyes of 591 patients with advanced glaucoma were randomly assigned to one of two surgical sequences, argon laser trabeculoplasty (ALT)-trabeculectomy-trabeculectomy (ATT) or trabeculectomy-ALT-trabeculectomy (TAT). This report is based on data from 747 eyes. Eyes were offered the next intervention in the sequence upon failure of the previous intervention. Failure was based on recurrent intraocular pressure elevation, visual field defect, and disk rim criteria. Study visits occurred every 6 months; potential follow-up ranged from 8 to 13 years. For each intervention sequence, Cox multiple regression analyses were used to examine the baseline characteristics for association with two vision outcomes: SDVF and SDVA. The magnitude of the association is measured by the hazard ratio (HR), where HR for binary variables is the relative change in the hazard (or risk) of the outcome in eyes with the factor divided by the hazard in eyes without the factor, and HR for continuous variables is the relative change in the hazard (or risk) of the outcome in eyes with a unit increase in the factor. RESULTS: Characteristics associated with increased SDVF risk in the ATT sequence are: less baseline visual field defect (hazard ratio [HR] = 0.86, P <.001, 95% CI = 0.82-0.90), male gender (HR = 2.23, P <.001, 1.54-3.23), and worse baseline visual acuity (HR = 0.96, P =.001, 0.94-0.98); in the TAT sequence: less baseline visual field defect (HR = 0.93, P =.001, 0.89-0.97) and diabetes (HR = 1.87, P =.007, 1.18-2.97). Characteristics associated with increased SDVA risk in both treatment sequences are better baseline acuity (ATT: HR = 1.05, P <.001, 1.02-1.09; TAT: HR = 1.06, P <.001, 1.03-1.08), older age (ATT: HR = 1.05, P =.001, 1.02-1.08; TAT: HR = 1.04, P =.002, 1.01-1.06), and less formal education (ATT: HR = 1.92, P =.001, 1.29-2.88; TAT: HR = 1.77, P =.002, 1.22-2.54). CONCLUSIONS: For SDVF, risk factors were better baseline visual field in both treatment sequences, male gender, and worse baseline visual acuity in the ATT sequence, and diabetes in the TAT sequence. For SDVA, risk factors in both treatment sequences were better baseline visual acuity, older age, and less formal education.

Aged↗
PubMed1993

The visual-evoked response in infants with central visual impairment.

We studied ten children with central visual impairment with a known neurologic defect and an abnormal visual-evoked response who had results of repeat electrophysiologic testing evaluated at the Children's Hospital of Philadelphia from December 1989 through July 1991. Central visual impairment is defined as poor visual function with a normal anterior visual pathway. Age at first examination ranged from 5 to 48 months with a followup of two to 31 months. Repeat visual-evoked response testing showed improvement in seven patients and no change in three. Grating acuity as measured by the Teller acuity card procedure, performed in nine of ten patients, improved in seven, showed no change in one, and declined in one. We found a potentially favorable prognosis for those infants with central visual impairment, despite an initially abnormal visual-evoked response. We used a clinical approach to this disorder to improve diagnostic categorization and prognostic capabilities in central visual impairment.

Brain Diseases↗
PubMed1991

Visual recovery in patients with optic neuritis and visual loss to no light perception.

We reviewed the records of 151 patients with optic neuritis examined over an eight-year period. Of these patients, 12 developed visual acuity of no light perception during the first episode of optic neuritis in the affected eye. Eight of the 12 patients recovered visual acuity of 20/40 or better. Of these, five patients had visual acuity of 20/20 or better, one had visual acuity of 20/25, one had visual acuity of 20/30, and one had visual acuity of 20/40. Four of the 12 patients recovered peripheral visual fields but had dense central scotomas and visual acuity of less than 20/400. Dyschromatopsia persisted after visual recovery in 11 of 12 patients.

Adolescent↗
PubMed2003

Postoperative haptic training facilitates the retrieval of visual-based memories after visual cortex lesions in rats.

Two experiments examined the effects of postoperative haptic discrimination training on the relearning of a maze visual discrimination in rats with visual cortex lesions. In the first experiment, rats learned a visual intensity discrimination prior to ablation of the lateral Oc2L cortex. Lesion rats were exposed to either a rough/smooth haptic discrimination training condition, a random training condition, or a no-training condition prior to relearning the visual task. Lesion rats relearned the visual task faster after haptic training than after other postoperative experiences. The second experiment replicated these procedures but with rats in which most of the visual cortex was removed. The lesion-induced relearning deficits in the second experiment were similar to the deficits seen for the smaller Oc2L lesions in the first experiment, supporting the hypothesis that the lateral visual cortex is critical for intensity discrimination. Haptic training also reduced these deficits, but the magnitude of this effect was related to the characteristics of the haptic cue. Postoperative training with haptic cues can produce specific and nonspecific information transfer from the intact somatosensory system to the damaged visual system that can facilitate the visual relearning. Possible implications for neuropsychological rehabilitation are also discussed.

Animals↗
PubMed2006

Visual masking approaches to visual awareness.

In visual masking, visible targets are rendered invisible by modifying the context in which they are presented, but not by modifying the targets themselves. Here I summarize a decade of experimentation using visual masking illusions in which my colleagues and I have begun to establish the minimal set of conditions necessary to maintain the awareness of the visibility of simple unattended stimuli. We have established that spatiotemporal edges must be present for targets to be visible. These spatiotemporal edges must be encoded by transient bursts of spikes in the early visual system. If these bursts are inhibited, visibility fails. Target-correlated activity must rise within the visual hierarchy at least to the level of V3, and be processed within the occipital lobe, to achieve visibility. The specific circuits that maintain visibility are not yet known, but we have deduced that lateral inhibition plays a critical role in sculpting our perception of visibility, both by causing interactions between stimuli positioned across space, and also by shaping the responses to stimuli across time. Further, the studies have served to narrow the number of possible theories to explain visibility and visual masking. Finally, we have discovered that lateral inhibition builds iteratively in strength throughout the visual hierarchy, for both monoptic and dichoptic stimuli. Since binocular information is not integrated until inputs from the two eyes reach the primary visual cortex, it follows that the early visual areas contain differential levels of monoptic and dichoptic lateral inhibitions. We exploited this fact to discover that excitatory integration of binocular inputs occurs at an earlier level than interocular suppression. These findings are potentially fundamental to our understanding of all forms of binocular vision and to determining the role of binocular rivalry in visual awareness.

Animals↗
PubMed2000

Graded sparing of visually-guided orienting following primary visual cortex ablations within the first postnatal month.

We compared the abilities of intact cats and cats that incurred lesions of areas 17 and 18 in adulthood, at one month of age (P28), or on the day of birth (P1), to detect and orient towards visual stimuli either moved into or illuminated in the periphery of the visual field, and to detect and orient towards a stationary, broad-band white-noise auditory stimulus. For all groups of cats, movement of a stimulus into the visual field was a more potent stimulus for evoking visually-guided orienting movements than illumination of a static light-emitting diode (LED). The potency of the auditory stimulus was also extremely high. Proficiency on both visual tasks was graded according to the age at which areas 17 and 18 were ablated in the sequence: adult, P1, P28 and intact in the sequence worst-->best performance. The superior performance of the P1- and P28-groups provided evidence for sparing of visually-guided orienting, but the sparing was incomplete because it did not match performance of intact cats. Lesions of areas 17 and 18 incurred in adulthood had no significant impact on orienting to auditory white-noise stimuli. However, orienting performance to auditory stimuli presented in the peripheral quadrants was slightly superior in the P28 group and reduced in the P1 group. Thus, the visual sparing exhibited by the P1 group may be at the expense of highly proficient orienting to auditory cues. Overall, these results extend our knowledge by showing that in addition to P1-cats, cats that incur lesions of areas 17 and 18 at one month-of-age also exhibit sparing of visually-guided orienting, and that the sparing is not confined to a single stimulation paradigm. Finally, the covariation in the magnitude of pathway modifications with the scale of the orienting proficiency in P1- and P28 cats helps to solidify the linkage between rewired brain pathways and spared visually-guided behaviors.

Age Factors↗
PubMed1998

Shifts of visual spatial attention modulate a steady-state visual evoked potential.

Although the effects of static allocations of visual spatial attention have been investigated using event-related potentials, most studies of shifts in visual spatial attention have been limited to behavioural measures. This study applied electroencephalographic measures to shifts in visual spatial attention in an effort to elucidate the time courses of such shifts. Using a custom-developed steady-state evoked potential analysis system, we analysed amplitude changes in EEG responses to rapid, periodic visual stimulation during a behavioural task that required rapid, repetitive shifts in visual spatial attention. Both stimulus-evoked oscillations (that is, those signals whose phases matched the phase of the steady-state stimulus) and ongoing, background (non-phase-locked) oscillations were measured. This analysis revealed a transient increase in phase-locked amplitude, in the interval 0-300-ms post-stimulus, contralateral to the visual hemifield in which an attended target appeared. The magnitude of this increase varied with the length of the interval since the previous shift. In addition, by about 600-ms post-stimulus, phase-locked amplitude increased in the hemisphere contralateral to the newly-attended visual hemifield and decreased in the ipsilateral hemisphere. In the case of long inter-target intervals, phase-locked amplitude increased in the right hemisphere regardless of the laterality of the target. Non-phase-locked amplitude exhibited a complementary pattern of modulation: it decreased contralaterally to the newly-attended visual hemifield and increased ipsilaterally. These components may be electrophysiological concomitants of both transient and long-lasting alterations in neural function that implement shifts in visual spatial attention. In particular, we suggest that they may reflect orienting to a target stimulus, and reorienting to a cued location.

Adult↗
PubMed2004

Observations on intraoperative monitoring of visual pathways using steady-state visual evoked potentials.

BACKGROUND AND OBJECTIVE: Former studies revealed conflicting information on the usefulness of intraoperative monitoring of visual evoked potentials. This study was designed to evaluate the characteristics of visual evoked potential recording in surgically anaesthetized patients using the modality of steady-state visual evoked potentials. METHODS: In 30 cases with non-cranial surgery steady-state visual evoked potentials were recorded in the awake and surgically anaesthetized patient using total intravenous anaesthesia. For stimulation, goggles with red light-emitting diodes at a frequency of 8.5 Hz were used. A two-channel recording with silver cup electrodes at Oz to Fz and Oz to earlobe was used. All traces were analysed for the presence of the characteristically sinusoidal waveform and amplitudes and latencies of the main peaks were measured. RESULTS: Recordings during surgery demonstrated a minor latency prolongation of 16% and a more pronounced amplitude attenuation of 67% compared to the recordings in the awake patients. These differences were statistically significant (paired t-test, P < 0.001). In surgically anaesthetized patients steady-state visual evoked potentials showed a relatively high intra- and interindividual variability. In four of 30 patients completely stable recordings were obtained, whereas in 14 patients identifiable waves were recordable in only less than 50% of the intraoperative traces. Of the total 1360 traces recorded intraoperatively clearly identifiable steady-state visual evoked potentials patterns were present in 56% of the traces. There was no correlation between the magnitude of the evoked potential amplitude and its stability in intraoperative recordings. CONCLUSIONS: We conclude from this study, that steady-state visual evoked potential recordings in the surgically anaesthetized patient appeared to be more stable compared to our earlier findings using transient visual evoked potentials. However, further efforts are necessary to improve the stability of the recordings during surgery and thus allow for a more reliable intraoperative monitoring of visual pathways in routine clinical practice.

Adult↗
PubMed1988

Visual masking and visual integration across saccadic eye movements.

The visual world appears unified, stable, and continuous despite rapid changes in eye position. How this is accomplished has puzzled psychologists for over a century. One possibility is that visual information from successive eye fixations is fused in memory according to environmental or spatiotopic coordinates. Evidence supporting this hypothesis was provided by Davidson, Fox, and Dick (1973). They presented a letter array in one fixation and a mask at one letter position in a subsequent fixation and found that the mask inhibited report of the letter that shared its retinal coordinates but appeared to occupy the same position as the letter that shared its spatial coordinates. This suggests the existence of a retinotopic visual persistence at which transsaccadic masking occurs and a spatiotopic visual persistence at which transsaccadic integration, or fusion, occurs. Using a similar procedure, we found retinotopic masking and retinotopic integration: The mask interfered with the letter that shared its retinal coordinates, but also appeared to cover that letter. In another experiment, instead of a mask we presented a bar marker over one letter position, and subjects reported the letter that appeared underneath the bar; subjects usually reported the letter with the same retinal coordinates as the bar, again suggesting retinotopic rather than spatiotopic integration across saccades. In Experiment 3 a bar marker was again presented over one letter position, but in addition a visual landmark was presented after the saccade so that subjects could localize the bar's spatial position; subjects still reported that the letter that shared the bar's retinal coordinates appeared to be under it, but they were also able to accurately specify the bar's spatial position. This ability could have been based on retinal information (the visual landmark) present in the second fixation only, however, rather than spatiotopic visual persistence. Because such a visual landmark was present in the Davidson et al. (1973) experiments, we conclude that their findings can be explained solely in retinotopic terms and provide no convincing evidence for spatiotopic visual persistence. But the exposure parameters that Davidson et al. (1973) and we used were biased in favor of retinotopic, rather than spatiotopic, coding: The stimuli were presented very briefly just before a saccadic eye movement, and subjects are poor at spatially localizing stimuli under these conditions. Thus, in Experiment 4 we presented the letter array about 200 ms before the saccade; then, subjects reported that the letter with the same spatial coordinates as the bar appeared under it.(ABSTRACT TRUNCATED AT 400 WORDS)

Attention↗
PubMed1996

Global plasticity in adult visual cortex following reversal of visual input.

The reversal or displacement of the retinal image by prism spectacles leads to extreme disruption of visually guided behaviour, but after an extended period of visual transformation normal behaviour is gradually restored. It is unclear whether this adaptation involves a change in visual perception, the learning of new motor responses, a modification of the sensori-motor control system or a proprioceptive change in the perceived positions of the body parts. Here I describe the effects of visual field reversal on neuronal activity in the monkey visual cortex. After a few months of wearing reversing spectacles, some cells in the primary visual cortex began to respond to stimuli presented not only in the contralateral visual field but also in the ipsilateral field. These cells were not selective for orientation or direction of motion, but responded well to a light flash. This result suggests that adaptation to visual field reversal is mediated, at least in part, by a large-scale functional reorganization at an early stage in the visual processing pathway.

Adaptation, Physiological↗
PubMed1992

On the relation between visual spatial attention and visual field asymmetries.

In the typical visual laterality experiment, words and letters are more rapidly and accurately identified in the right visual field than in the left. However, while such studies usually control fixation, the deployment of visual attention is rarely restricted. The present studies investigated the influence of visual attention on the visual field asymmetries normally observed in single-letter identification and lexical decision tasks. Attention was controlled using a peripheral cue that provided advance knowledge of the location of the forthcoming stimulus. The time period between the onset of the cue and the onset of the stimulus (Stimulus Onset Asynchrony--SOA) was varied, such that the time available for attention to focus upon the location was controlled. At short SOAs a right visual field advantage for identifying single letters and for making lexical decisions was apparent. However, at longer SOAs letters and words presented in the two visual fields were identified equally well. It is concluded that visual field advantages arise from an interaction of attentional and structural factors and that the attentional component in visual field asymmetries must be controlled in order to approximate more closely a true assessment of the relative functional capabilities of the right and left cerebral hemispheres.

Attention↗
PubMed2006

Contrasting blue-on-yellow with white-on-white visual fields: Roles of visual adaptation for healthy peri- or postmenopausal women younger than 70 years of age.

PURPOSE: To test the hypothesis that differences between short-wavelength automated perimetry (SWAP) and white-on-white visual field sensitivities are related to between-individual variation in the visual adaptation properties of SWS cone pathways. METHODS: Twenty-six healthy amenorrheic (peri- or postmenopausal) women not using hormonal medication were tested. Subjects ranged in age from 48 to 68 years. They were tested by using foveal increment-threshold techniques and also with two types of 24-2 visual field tests: a full-threshold SWAP blue-on-yellow (B/Y) test and a white-on-white (W/W) test obtained using a Swedish Interactive Threshold Algorithm (SITA Standard). The age-corrected sensitivity differences between the two types of visual fields were compared against foveal measures of visual sensitivity and adaptation, which were obtained psychophysically using dim and bright yellow backgrounds. All measurements for each subject were made at a single testing session. The comparisons were made for the entire visual field and for separate portions of the visual field. The analyses also included pupil size data obtained during visual field testing. RESULTS: The B/Y minus W/W (B/Y - W/W) mean deviation difference was described (R = 0.80) by a multilinear model with three significant factors: (1) an adaptation factor and (2) a baseline sensitivity factor, each derived from the foveal psychophysical data for short-wavelength test stimuli, and (3) a pupil size factor, as recorded for SWAP. The total deviation differences in the periphery of the visual field (approximately 22 degrees from fixation) were described (R = 0.87) by a model with four significant factors, the fourth being an "eccentricity factor" describing the rate of change of the B/Y - W/W total deviation difference measured as a function of increasing retinal eccentricity approximately 9 degrees -17 degrees from fixation. More than 40% of the variance in the B/Y - W/W mean deviation differences was accounted for either directly or indirectly (via effects of pupil size) by variations in adaptation to the yellow background used for SWAP. CONCLUSIONS: Much of the extra variability in SWAP sensitivities for a select group of healthy women can be accounted for by differences in the degree of desensitization induced by the yellow background used for SWAP. For clinical practice, pupil status (dilated or undilated) should be altered only with caution from one SWAP testing session to another.

Adaptation, Ocular↗
PubMed1999

Association among visual hallucinations, visual acuity, and specific eye pathologies in Alzheimer's disease: treatment implications.

OBJECTIVE: Studies suggest a link between visual acuity and visual hallucinations in dementia, but links with specific eye pathologies have not been evaluated. METHOD: Fifty patients (20 with visual hallucinations, 30 without) with probable Alzheimer's disease had an evaluation of psychotic symptoms. Visual acuity was measured before and after refractions, and ophthalmological examinations included standardized assessments for cataracts and macular degeneration. RESULTS: Impaired visual acuity and the severity of cognitive impairments were significantly associated with visual hallucinations. No patients with normal acuity (6/5 or 6/6 on the Snellen chart) experienced these symptoms. Impaired acuity improved with refraction in 60% (N = 12) of the patients with visual hallucinations. Of specific eye pathologies, only cataracts were significantly associated with visual hallucinations. Descriptive follow-up information suggests that an optician's assessment for glasses improves outcome. CONCLUSIONS: Glasses and cataract surgery need evaluation as prophylactic or adjunctive treatments for visual hallucinations in patients with probable Alzheimer's disease.

Aged↗
PubMed2004

Test-retest reliability of swept visual evoked potential measurements of infant visual acuity and contrast sensitivity.

The aim of the study was to describe variations in swept visual evoked potential (SWEEP-VEP) assessment of visual acuity and contrast sensitivity in infants and to evaluate the best way to estimate visual performance from obtained SWEEP-VEP data. The visual performance of 92 infants (6-40 wk of age) was measured in two separate visits. Results were verified with repeated tests in seven adults. There was a strong association between the two measurements of infant visual acuity (r = 0.91, p < 0.001), with no constant bias and an inter-assay coefficient of variation of 8.4%. The intra-assay coefficient of variation was 17% and in repeated sessions all obtained acuity measures were normally distributed, indicating that the mean and not the maximum threshold best estimates visual acuity. This estimate of visual acuity also had lower test-retest variability than those calculated from the maximum threshold or threshold from the average EEG signals (p = 0.001). Test-retest measures of infant contrast sensitivity had a correlation coefficient of 0.72 (p < 0.001) and an inter-assay coefficient of variation of 23%. With the observed test-retest variability, SWEEP-VEP is less valid for estimating the visual performance of individual subjects, but it can give reliable group means. This method was well suited to describe visual development in the infants, which for acuity as well as contrast sensitivity increased by 0.64 octave per doubling in age. However, the variability of the SWEEP-VEP method can be a limiting factor, for example, in the assessment of the potential effect of dietary docosahexaenoic acid in a homogeneous group of infants.

Adult↗
PubMed1994

Visual search among items of different salience: removal of visual attention mimics a lesion in extrastriate area V4.

In more than one respect, visual search for the most salient or the least salient item in a display are different kinds of visual tasks. The present work investigated whether this difference is primarily one of perceptual difficulty, or whether it is more fundamental and relates to visual attention. Display items of different salience were produced by varying either size, contrast, color saturation, or pattern. Perceptual masking was employed and, on average, mask onset was delayed longer in search for the least salient item than in search for the most salient item. As a result, the two types of visual search presented comparable perceptual difficulty, as judged by psychophysical measures of performance, effective stimulus contrast, and stability of decision criterion. To investigate the role of attention in the two types of search, observers attempted to carry out a letter discrimination and a search task concurrently. To discriminate the letters, observers had to direct visual attention at the center of the display and, thus, leave unattended the periphery, which contained target and distractors of the search task. In this situation, visual search for the least salient item was severely impaired while visual search for the most salient item was only moderately affected, demonstrating a fundamental difference with respect to visual attention. A qualitatively identical pattern of results was encountered by Schiller and Lee (1991), who used similar visual search tasks to assess the effect of a lesion in extrastriate area V4 of the macaque.

Animals↗
PubMed2006

Assessment of patients with suspected non-organic visual loss using pattern appearance visual evoked potentials.

BACKGROUND: The aim of the study was to validate the use of the short duration pattern onset visual evoked potential (PappVEP) in the objective assessment of visual acuity (VA) in patients referred with presumed non-organic visual loss. METHODS: The combination of minimum check size and minimum contrast required to elicit a consistently discernible PappVEP (amplitude >or=5 microV) were measured in ten normal subjects under conditions of induced optical blur (0 to +3 dioptres) and the relationship to Snellen VA established. The data from 100 consecutive patients (167 eyes) referred for possible non-organic visual loss (NOVL) and 20 patients with confirmed visual pathway dysfunction were reviewed in relation to the results in normal subjects. RESULTS: Snellen VA, under conditions of blur, could be predicted in normal subjects from the check size and contrast required to elicit a criterion PappVEP. These data were tabulated and a quantitative guideline established for the estimation of VA in the patients referred with suspected NOVL. Most (88%) patients referred with suspected NOVL had normal electrophysiology and PappVEPs consistent with normal Snellen VA. In others, they suggested a degree of non-organic overlay. In 20 cases of organic visual loss, PappVEPs were in close agreement with subjective VA. CONCLUSIONS: The short duration pattern onset visual-evoked potential is confirmed as a clinically useful tool in the objective assessment of patients with suspected non-organic visual loss.

Adolescent↗
PubMed2001

Pattern visual evoked potential in the diagnosis of functional visual loss.

OBJECTIVE: To study the pattern visual evoked potential (P-VEP) in the diagnosis of functional visual loss. STUDY DESIGN: Retrospective study of observational case series. PARTICIPANTS: Seventy-two subjects whose best corrected visual acuity (VA) was 20/50 or worse, with or without visual field defect, and whose visual abnormalities could not be explained by the findings of ophthalmologic and neurologic examination were included in this study. MAIN OUTCOME MEASURES: To compare the P-VEP estimated acuity to the initial subjective VA and to the best-performed VA. RESULTS: Seventy-two subjects with functional visual loss had normal P-VEPs. The initial subjective VA was 20/50 in 9 subjects and < or =20/200 in 42 subjects. After clinical examination and reassurance, the best-performed VA was > or =20/50 in 53 subjects and < or =20/200 in 8 subjects. The discrepancy between the P-VEP estimated acuity and the best-performed VA was less than 3 lines of Snellen acuity in 63 of 72 (87.5%) subjects and more than 4 lines in 6 subjects. These six subjects were three women with loss of vision of unknown origin and three men with injury-related visual loss. CONCLUSIONS: P-VEP has the advantage of objectively predicting VA and is a useful test in the diagnosis of functional visual loss.

Adolescent↗
PubMed1988

Electrophysiological evidence for a shared representational medium for visual images and visual percepts.

Does mental imagery involve the activation of representations in the visual system? Systematic effects of imagery on visual signal detection performance have been used to argue that imagery and the perceptual processing of stimuli interact at some common locus of activity (Farah, 1985). However, such a result is neutral with respect to the question of whether the interaction occurs during modality-specific visual processing of the stimulus. If imagery affects stimulus processing at early, modality-specific stages of stimulus representation, this implies that the shared stimulus representations are visual, whereas if imagery affects stimulus processing only at later, amodal stages of stimulus representation, this implies that imagery involves more abstract, postvisual stimulus representations. To distinguish between these two possibilities, we repeated the earlier imagery-perception interaction experiment while recording event-related potentials (ERPs) to stimuli from 16 scalp electrodes. By observing the time course and scalp distribution of the effect of imagery on the ERP to stimuli, we can put constraints on the locus of the shared representations for imagery and perception. An effect of imagery was seen within 200 ms following stimulus presentation, at the latency of the first negative component of the visual ERP, localized at the occipital and posterior temporal regions of the scalp, that is, directly over visual cortex. This finding provides support for the claim that mental images interact with percepts in the visual system proper and hence that mental images are themselves visual representations.

Adult↗