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[Role of neurons of the thalamus and striopallidar complex of the human brain in ensuring the constancy of visual perception].

The neuronal impulse activity during visual testing for orientation sensitivity in different head tilts was recorded in parkinsonian++ patients diagnosed and treated with long-term intracerebral electrodes implanted into different nuclei of the thalamus and striopallidar complex. It was revealed that some neuronal populations responded only to the definite orientation of the stimuli. The "preferable" orientations were not changed for the most orientation-selective neurons during left and right head positions differing by 90 degrees.

Electrodes, Implanted↗

Visual perception during phacoemulsification cataract surgery under subtenons anaesthesia.

AIM: The aim of this study was to record the subjective visual experience of patients during phacoemulsification and intraocular lens implantation under subtenons anaesthesia. METHODS: Prospective, nonrandomised, cohort, postoperative questionnaire based study. Patients selected underwent routine phacoemulsification and intraocular lens implantation under regional subtenons anaesthesia. chi(2) and Fisher's exact tests (two-tail) were used to evaluate the data. RESULTS: A total of 104 patients were selected, 38 (36.5%) were male and 66 (63.5%) were female. The mean age of patients was 74.0+/-8.8 years. In all, 87.5% saw light during the operation with 9.6% finding this painful. Photophobia was highest among younger patients (P=0.002). Coloured lights were seen by 56.7% and 13.5% found the visual experience frightening. Frightening visual experiences were significantly associated with the perception of colour (P=0.005) and photophobia (P=0.003). A volume of anaesthetic greater than 4 m was associated with a significant reduction in anxiety as a result of the visual experience (P=0.003). None of the other visual phenomena recorded were associated with a frightening visual experience. CONCLUSIONS: Patients undergoing regional anaesthesia experience a wide variety of visual sensations during cataract surgery. Perception of colour and volumes of anaesthetic less than 4 m appear to be associated with the visual experience being more frightening. Detailed preoperative counselling is mandatory. It should include comprehensive information about visual perception during the procedure relieving the patients from unnecessary distress.

Aged↗

Visual perception during phacoemulsification cataract surgery under topical and regional anaesthesia.

PURPOSE: To compare the subjective visual experiences of patients during phacoemulsification and intraocular lens (IOL) implantation using regional and topical anaesthesia. DESIGN: A prospective, cohort, questionnaire-based study. METHODS: The study cohort consisted of 247 patients without pre-existing ocular pathology who underwent routine phacoemulsification and IOL implantation. The mean age of the subjects was 75.4 +/- 9.4 years and 34.5% of them had a history of cataract surgery. Three different methods of local anaesthesia were used: 66 (26.7%) of the patients were given topical anaesthesia (TA); 74 (30.0%) were given sub-Tenon's anaesthesia (SA), and 107(43.3%) were given peribulbar anaesthesia (PA). The patients were interviewed immediately after surgery by theatre staff using a standardized questionnaire that investigated their intraoperative visual experiences. RESULTS: There was no significant difference between the three methods of anaesthesia regarding light perception during the surgery. However, patients undergoing surgery under TA experienced brighter light intensity levels (78.3%) than those given SA (50.0%) and PA (55.7%) (p = 0.02). A total of 69.6% of subjects who received TA reported visual perception of colours during surgery, as opposed to 56.8% of SA recipients and 49.0% of PA recipients (p = 0.02). In addition, patients under TA were more aware of surgical instruments (26.1%) than those under SA (10.8%) and PA (15.9%) (p = 0.08). The vast majority of patients in all three groups found the visual experience to be non-frightening. There were no associations between intraoperative visual impression and age or sex. Although not statistically significant (p = 0.06), prior cataract surgery appeared to alleviate some of the anxiety associated with the visual experience. CONCLUSION: Patients undergoing regional and topical anaesthesia experience a wide variety of visual sensations during surgery. The differences in visual impressions between the groups may reflect the varying degrees of optic nerve blockade that result from the different anaesthetics.

Aged↗

Functional representations common to visual perception and imagination.

Subjects determined whether probe dots appearing in component squares of a 5 X 5 grid fell on a figure that, depending on the condition, was (a) visually presented as a pattern of darkened squares, (b) only remembered from a preceding presentation of such a pattern, or (c) imaginally generated from a verbal code. The speed and accuracy of the responses to the probes as well as the functional dependencies of the reaction times on structural variables were essentially the same whether the figural pattern was imagined, remembered, or actually seen. Reaction times averaged between 400 and 500 msec and were consistently faster (a) for on-figure than for off-figure responses, (b) for simpler figures that had fewer squares, (c) for off-figure probes that were more distant from the figure, and (d) for on-figure probes that consisted either of more dots on the figure or of a dot at the intersection of a horizontal and a vertical bar. The reults were consistent with a model in which a subject's perceptual or imaginal representations of these forms contain barlike units that respond independently to the probes.

Discrimination, Psychological↗

Selective temporal attention enhances the temporal resolution of visual perception: Evidence from a temporal order judgment task.

We investigated whether attending to a particular point in time affects temporal resolution in a task in which participants judged which of two visual stimuli had been presented first. The results showed that temporal resolution can be improved by attending to the relevant moment as indicated by the temporal cue. This novel finding is discussed in terms of the differential effects of spatial and temporal attention on temporal resolution.

Attention↗

Direction selectivity in human visual perception, investigated with low contrast gratings.

Velocity thresholds (VT's) of direction selective mechanism were measured with coarse low contrast gratings, visible only when moving. direction of movement was detected only in a movement perception domain (MPD), limited by upper and lower VT's and a minimum exposure time of movement. MPD expanded with increasing contrast or increasing stimulus area. MPD shifted towards higher velocities with lower spatial frequencies or with larger stimulus eccentricities. Form perception in MPD was best at optimal velocities; the spatial structure of the gratings was not evident at the VT level. These observations suggest a velocity tuned sensitivity of direction selective mechanisms and an association of movement and form perception with the activity of movement analysing neurons.

Differential Threshold↗

Auditory and auditory-visual perception of clear and conversational speech.

Research has shown that speaking in a deliberately clear manner can improve the accuracy of auditory speech recognition. Allowing listeners access to visual speech cues also enhances speech understanding. Whether the nature of information provided by speaking clearly and by using visual speech cues is redundant has not been determined. This study examined how speaking mode (clear vs. conversational) and presentation mode (auditory vs. auditory-visual) influenced the perception of words within nonsense sentences. In Experiment 1, 30 young listeners with normal hearing responded to videotaped stimuli presented audiovisually in the presence of background noise at one of three signal-to-noise ratios. In Experiment 2, 9 participants returned for an additional assessment using auditory-only presentation. Results of these experiments showed significant effects of speaking mode (clear speech was easier to understand than was conversational speech) and presentation mode (auditory-visual presentation led to better performance than did auditory-only presentation). The benefit of clear speech was greater for words occurring in the middle of sentences than for words at either the beginning or end of sentences for both auditory-only and auditory-visual presentation, whereas the greatest benefit from supplying visual cues was for words at the end of sentences spoken both clearly and conversationally. The total benefit from speaking clearly and supplying visual cues was equal to the sum of each of these effects. Overall, the results suggest that speaking clearly and providing visual speech information provide complementary (rather than redundant) information.

Adult↗