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PubMed1995

[Functional magnetic resonance imaging of the human primary visual cortex during visual stimulation].

Signal changes in the human primary visual cortex during visual stimulation were evaluated using non-invasive functional magnetic resonance imaging (fMRI). The experiments were performed on 10 normal human volunteers and 2 patients with homonymous hemianopsia, including one who was recovering from the exacerbation of multiple sclerosis. The visual stimuli were provided by a pattern generator using the checkerboard pattern for determining the visual evoked potential of full-field and hemifield stimulation. In normal volunteers, a signal increase was observed on the bilateral primary visual cortex during the full-field stimulation and on the contra-lateral cortex during hemifield stimulation. In the patient with homonymous hemianopsia after cerebral infarction, the signal change was clearly decreased on the affected side. In the other patient, the one recovering from multiple sclerosis with an almost normal visual field, the fMRI was within normal limits. These results suggest that it is possible to visualize the activation of the visual cortex during visual stimulation, and that there is a possibility of using this test as an objective method of visual field examination.

Adult↗
PubMed2005

Functional cell classes and functional architecture in the early visual system of a highly visual rodent.

Over the last 50 years, studies of receptive field properties in mammalian visual brain structures such as lateral geniculate nucleus (LGN) and primary visual cortex (V1) have suggested the existence of cell classes with unique functional response properties, and in visual cortex of many mammals these functional response properties show considerable spatial organization termed functional architecture. In recent years, there has been considerable interest in understanding the cellular mechanisms that underlie visual responses and plasticity in intact animals, and studies of individual neurons in brain slices have identified distinct cell classes on the basis of anatomical features, synaptic connectivity, or gene expression. However, the relationships between cell classes identified in studies of brain slices and those in the intact animal remain largely unclear. Rodents offer many advantages for investigating these relationships, as they are appropriate for a wide variety of experimental techniques and genetically modified mice are relatively easy to obtain or produce. Unfortunately, a barrier to using these animals in vision research is a lack of understanding of the relationship of rodent visual systems to the visual systems in more commonly studied mammals such as carnivores and non-human primates. Here we review recent comparative studies of functional response properties in LGN and V1 of a highly visual diurnal rodent, the gray squirrel. In the LGN, our data are consistent with the idea that all mammals have a class of LGN neurons that is sustained, another class that is transient, and a third class of more heterogeneous cells, but some response properties such as linearity of spatial summation, contrast gain, and dependence of receptive field size on eccentricity vary from species to species. In V1, the squirrel has many orientation-selective neurons, and these orientation-selective cells can be further subdivided into simple and complex cells. Despite the fact that squirrel has greater visual acuity and a physically larger V1 than some mammals that have orientation maps in V1, we do not find orientation maps in V1 of squirrel, which is similar to results in other less visual rodents. We suggest that orientation maps are not necessary for high acuity vision or orientation selectivity and that cortical functional architecture can vary greatly from species to species.

Animals↗
PubMed1982

The effects of visual field changes and ocular hypertension on the visual evoked potential.

The effects of visual field changes and ocular hypertension on visual evoked potentials were investigated by photopic ERG and by luminance and pattern-reversal EPs on 116 glaucomatous and on 7 normal eyes. The problem was approached by way of four investigations: Firstly, which nerve structures are affected by glaucoma and how do visual field defects caused by glaucoma influence the EP? The results show a functional diminution of all intraocular nerve structures in which the prelaminary part of the optic nerve is most affected. The EPs, especially the pattern-reversal EPs, are markedly diminished if the visual field defects extend inside the 10 degree boundary. Differences in the visual field defects of both eyes and the course of the sickness can be well observed by the EPs. Secondly, which preoperative prognosis for visual acuity produced by the EP can be given to patients who have a dense cataract in addition to glaucoma? A postoperative improvement of the visual acuity can be expected if the L-EPs are within the standard deviation. If the EP is distinctly diminished and does not increase with increasing stimulus intensity, then there is no hope for an improvement of the visual acuity after the operation. Thirdly, does a decrease of intraocular pressure in chronic and acute glaucoma influence the EP? In acute glaucoma with pressure levels of 50 mmHg or more, and sometimes in chronic glaucoma with pressure levels of about 30 mmHg, an increase of the amplitude of the EP and an improvement of the visual field could be noticed after pressure regulation. Fourthly, what is the behaviour of the EP in normal and glaucomatous eyes at experimentally elevated intraocular pressure? The amplitudes of the ERG components show a gradual decrease in normal as well as in glaucomatous eyes when intraocular pressure is increased and are maintained when intraocular pressure reaches systolic ophthalmic blood pressure. On the other hand, the EPs show a strong decrease in amplitude when intraocular pressure exceeds the mean ophthalmic blood pressure, particularly in the case of glaucomatous eyes.

Evoked Potentials, Visual↗
PubMed2001

An investigation of visual hallucinosis and visual sensory status in dementia.

INTRODUCTION: Visual hallucinosis occurs frequently amongst patients with dementia and there is some evidence of an association between hallucinosis and impaired visual function. This study examined the association between objectively rated visual acuity, ambient illumination levels and hallucinosis in patients with dementia. METHODS: Thirty dementia patients with visual hallucinosis plus 30 non-hallucinating dementia patients were recruited from referrals to community mental health teams in Leicestershire. Data were collected by means of a carer interview (including the Neuro-Psychiatric Inventory (NPI) and Clinical Dementia Rating Scale (CDR)), patient assessment (including Mini-Mental State Examination (MMSE) and measures of corrected visual acuity) and photometric assessment of the room most frequently occupied by the subject. RESULTS: Hallucinators and non-hallucinators did not differ significantly in respect of age, cognitive status or global dementia severity. Fifty per cent of hallucinators had a Snellen visual acuity of 6/24 or worse compared with 27% of non-hallucinators. Comparison of LogMAR transformed values for distance (Snellen chart) and near-vision (Sussex test-types) revealed significantly worse visual acuity for hallucinators on both measures (Mann-Whitney p < 0.05 and p < 0.01, respectively). Ambient illumination in the centre of the room under conditions of natural plus artificial lighting was significantly lower for hallucinating subjects than for non-hallucinators (median values 200 versus 345 Lux respectively; Mann-Whitney p < 0.05). CONCLUSION: These results are consistent with previous findings suggesting an association between visual hallucinations and poor visual acuity in patients with dementia, and introduce environmental illumination as another possible aetiologically relevant factor. Interventions aimed at improving visual function in this patient group now require evaluation.

Aged↗
PubMed1993

The effect of visual similarity on short-term memory for spatial location: implications for the capacity of visual short-term memory.

Evidence from the recency effect suggests that visual short-term memory is limited to preserving information about a single pattern. Three experiments explored the capacity of visual short-term memory using a task which involved presenting a series of patterns in a random spatio-temporal sequence and probing memory for the spatial location of one of them. Experiment 1 used sequences of quasi-random block patterns which were either visually similar or dissimilar. Serial position curves showed a single-item recency effect. However, there was also a deleterious effect of visual similarity for the earlier patterns, indicating that visual short-term memory was supporting their retention. Experiment 2 showed that performance was unaffected by articulatory suppression, confirming that phonological coding is not an important factor in the localisation task. Experiment 3 switched to letter stimuli and, because of the known tendency for this type of stimulus to be phonologically recoded, required articulatory suppression. Letters were shown in a customised form in sequences which were either visually similar or visually dissimilar. The results replicated experiment 1 in showing restricted recency combined with an effect of visual similarity extending across earlier list items. When the same letters were shown in standard form, the recency effect remained but the similarity effect disappeared, ruling out possible interpretations in terms of semantic as well as phonological coding. It is concluded that the recency effect gives a misleading indication of the capacity of visual short-term memory. The visual similarity effect suggests that it is capable of supporting the retention of several patterns.

Adult↗
PubMed2006

Long-time results and associations between subjective visual difficulties with car driving and objective visual function 5 years after cataract surgery.

PURPOSE: To determine results and associations between subjective visual difficulties while driving and objective visual function in drivers who had cataract surgery 5 years previously. SETTING: Norrlands University Hospital, Umeå, Sweden. METHODS: This prospective outcomes study examined 189 active drivers who had cataract surgery 5 years earlier. Visual acuity and low-contrast visual acuity (LCVA) were measured, and a questionnaire with driving-specific questions (VF-14 based) was completed. The results were compared with data before and after surgery. RESULTS: Five years after cataract surgery, only a small proportion of patients (3%) drove without fulfilling the visual requirements. Few patients (5%) reported visual difficulties while driving in daylight, but a large proportion (43%) experienced difficulties in darkness, with glare being the most common problem. There was a statistically significant association between an LCVA of less than 20/50 and reporting subjective visual difficulties while driving (odds ratio [OR], 2.6; 95% confidence interval [CI], 1.1 to 6.8). Women had 1.8 times the odds of reporting visual difficulties compared with men (95% CI, 1.0 to 3.5). CONCLUSIONS: Most active drivers had excellent visual acuity and no difficulty with daytime driving and distance estimation 5 years after cataract surgery. A large proportion of patients experienced difficulties while driving at night. These data suggest an adjusted association between LCVA and self-assessed visual difficulties while driving 5 years after cataract surgery. Our data confirm the importance of LCVA in relation to driving, especially in darkness.

Adult↗
PubMed2004

The influence of visual contrast on visually evoked cerebral blood flow responses.

Transcranial Doppler (TCD) could be used to evaluate the visually evoked cerebral blood flow responses (VEFRs) during graded visual cortex activity. The purpose of the study was to evaluate the effects of visual contrasts on VEFR. The records were made from 30 healthy volunteers aged 38.0 +/- 9.6 years. The stimulus was a black-and-white checkerboard with visual contrasts of 1%, 10% and 100%. The VEFRs were measured in the posterior cerebral artery using TCD. We found that the VEFRs at 100% visual contrast were 36% higher than those at 10% visual contrast (p < 0.01). The VEFRs at 10% visual contrast were 81% higher than those at 1% visual contrast (p < 0.01). The linear regression showed significant relationships between the visual contrast and the VEFR (r = 0.61, p < 0.01). We have concluded that TCD monitoring of VEFR detects the changes of the blood flow in the visual cortex and that TCD could allow an assessment of neurovascular coupling.

Adult↗
PubMed1998

Transient versus sustained visual channels in the visual backward masking deficits of schizophrenia patients.

BACKGROUND: Schizophrenia patients have information-processing deficits that can be quantified using visual backward masking. The visual information processing system is divided functionally and structurally into transient and sustained visual channels. When visual stimuli are presented to a subject, the transient pathway detects the presence and location of the stimulus while the sustained pathway is involved in fine discrimination and identification of the stimulus. While independent subcortically, the transient and sustained visual channels converge cortically into the dorsal and ventral processing streams that assess spatial relationships and object recognition respectively. METHODS: To better understand the underlying mechanisms of the visual backward masking deficits, 16 schizophrenia patients and 17 comparison subjects were tested on two different visual backward masking paradigms that required either locating or identifying a target letter. RESULTS: Schizophrenia patients had visual backward masking deficits in a task that involved locating a target letter while there were no deficits in the task that involved identification of a target letter. CONCLUSIONS: The visual backward masking deficits of schizophrenia patients suggest impairment in the processing of spatial information. These deficits are discussed in the context of our current knowledge of visual information processing and the neuropathophysiology of schizophrenia.

Adult↗
PubMed2003

Combination of conflicting visual and non-visual information for estimating actively performed body turns in virtual reality.

Whereas constant-weight linear models suffice for understanding many phenomena in the domain of perception and action, how the weights given to each sensory input are determined remains an open question. Notably, it has been suggested that weighting depends on the sensory context (e.g. the inconsistency between sensory signals) as well as on the subject. In the present study, the problem of non-linearity in multisensory interaction for estimating actively performed body turns was addressed at the level of group and individual data. Standing subjects viewed a virtual corridor in which forward movements were simulated at a constant linear velocity, and rotations were actually performed. Subjects were asked to learn the trajectory and then reproduce it from memory in total darkness. In the baseline condition, the relative amplitudes of visual and non-visual information for the performed rotations were the same, but were systematically manipulated in six 'sensory conflict' conditions. The subjects performed the task in these seven conditions 10 times (10 sessions), with a delay of at least 2 days between sessions. Five subjects placed more weight on visual than on non-visual information. The other 5 subjects placed more weight on non-visual than on visual information. Interestingly, the difference between 'visual' and 'non-visual' subjects in their use of conflicting information seemed to be accentuated by the fact of becoming aware of the sensory conflict. In all subjects, conflicting sensory inputs were combined in a linear way in order to estimate the angular displacements. However, signatures of non-linearity were detected when the data corresponding to the day on which subjects became aware of the conflict were considered in isolation. The present findings support the hypothesis that subjects used conflicting visual and non-visual information differently according to individual 'perceptive styles' (bottom-up processes) and that these 'perceptive styles' were made more observable by the subjects changing their perceptive strategy, i.e. re-weighting (top-down processes).

Adult↗
PubMed2005

Estimating visual acuity by character counting using the Snellen visual acuity chart.

PURPOSE: This study examines visual acuity estimation with character counting, which can be used in subjects with nonorganic visual loss. METHODS: The right eyes of 35 healthy subjects were fogged with plus lenses and tested with the Snellen visual acuity chart (Reichert 11180). Visual acuity and counting level were assessed under various degrees of fogging, up to a maximal fogged acuity of 20/200. Counting level was defined as the smallest line that subjects could count the number of characters correctly. For each counting level, the visual acuity that 95% of subjects could see equal to or better than was determined. RESULTS: A counting level of 20/10 estimates (ie 95% chance) a visual acuity equal to or better than 20/30. Counting levels 20/15, 20/20, and 20/25 estimate visual acuities of at least 20/50, 20/80, and 20/80, respectively. Counting levels 20/30-20/60 estimate a visual acuity of at least 20/200. CONCLUSIONS: Character counting appears to be a useful technique of obtaining a rough estimate of visual acuity in subjects unable to be tested by standard methods, such as those with non-organic visual loss.

Adult↗
PubMed1977

Visual acuity and contrast sensitivity in multiple sclerosis--hidden visual loss: an auxiliary diagnostic test.

In 48 patients with multiple sclerosis sine-wave gratings were used to test visual sensitivity for coarse, medium, and fine detail rather than measuring visual acuity for fine detail only, as in conventional clinical tests. In 20/48 patients the test revealed a visual defect of neural origin, qualitatively different from that caused by refractive error. In 11 of these 20 patients, visual sensitivity to detail of medium coarseness was markedly degraded, even though sensitivity to both coarse and fine detail was unimpaired. In 3 of these 20 patients visual sensitivity to coarse detail was selectively degraded. These visual defects could not be detected by the Snellen test, yet the patient might experience visual problems in everyday life and also experience distorted visual perception. Possible neural bases for these visual impairments are discussed. Since 8 of the 14 patients with selective loss showed no clinical evidence of visual involvement, the test can aid the earlier diagnosis of multiple sclerosis.

Adolescent↗
PubMed2001

Visual search remains efficient when visual working memory is full.

Many theories of attention have proposed that visual working memory plays an important role in visual search tasks. The present study examined the involvement of visual working memory in search using a dual-task paradigm in which participants performed a visual search task while maintaining no, two, or four objects in visual working memory. The presence of a working memory load added a constant delay to the visual search reaction times, irrespective of the number of items in the visual search array. That is, there was no change in the slope of the function relating reaction time to the number of items in the search array, indicating that the search process itself was not slowed by the memory load. Moreover, the search task did not substantially impair the maintenance of information in visual working memory. These results suggest that visual search requires minimal visual working memory resources, a conclusion that is inconsistent with theories that propose a close link between attention and working memory.

Adult↗
PubMed1998

Aurally and visually guided visual search in a virtual environment.

We investigated the time participants took to perform a visual search task for targets outside the visual field of view using a helmet-mounted display. We also measured the effectiveness of visual and auditory cues to target location. The auditory stimuli used to cue location were noise bursts previously recorded from the ear canals of the participants and were either presented briefly at the beginning of a trial or continually updated to compensate for head movements. The visual cue was a dynamic arrow that indicated the direction and angular distance from the instantaneous head position to the target. Both visual and auditory spatial cues reduced search time dramatically, compared with unaided search. The updating audio cue was more effective than the transient audio cue and was as effective as the visual cue in reducing search time. These data show that both spatial auditory and visual cues can markedly improve visual search performance. Potential applications for this research include highly visual environments, such as aviation, where there is risk of overloading the visual modality with information.

Adult↗
PubMed1990

Visual acuity loss in retinitis pigmentosa. Relationship to visual field loss.

We compared visual acuity with visual field radius in 235 patients with typical retinitis pigmentosa and no evidence of other visual acuity-limiting problems (such as cataract or foveal cystoid edema). Results show a strong relationship between visual acuity loss and proximity to the fovea of the visual field border (shortest distance from the foveal center to the border of the V-4-e isopter) for these patients. Ninety-six percent of patients with central visual field radii greater than 30 degrees have visual acuities of 20/40 or better; 32% of patients with central visual field radii smaller than 10 degrees have visual acuity of 20/40 or better.

Humans↗
PubMed1983

The effects of lesions of telencephalic visual structures on visual discriminative performance in turtles (Chrysemys picta picta).

Ascending thalamotelencephalic visual pathways that terminate in specific telencephalic regions have been described in all reptiles studied. Although the anatomical data suggests that such telencephalic regions may play a role in visual processing in reptiles, few behavioral data are available. In the present study, the effects of destruction of either the core nucleus (CN) of the dorsal ventricular ridge (telencephalic terminus of the tectothalamofugal pathway) or the dorsal cortex (telencephalic terminus of the retinothalamofugal pathway) on visual discriminative performance in the turtle were examined. Following extensive bilateral destruction of the CN, turtles were severely impaired in their performance of both a simultaneous pattern discrimination and a simultaneous visual intensity discrimination. The extent of the discriminative impairment was found to be specifically correlated with the amount of CN damage. In contrast to the effects of CN lesions, lesions of the dorsal cortex had no evident effect on the performance of either a simultaneous pattern discrimination or a simultaneous visual intensity discrimination. The present results suggest that, as in birds and mammals, telencephalic visual areas play an important role in visual functions in reptiles. As in at least some birds (such as pigeons), the telencephalic terminus of the tectothalamofugal visual pathway appears to play a larger, or at least more readily measurable, role in visual discrimination than does the telencephalic terminus of the retinothalamofugal pathway.

Animals↗
PubMed2006

Objective measurement of human visual acuity by visual evoked potentials.

Electrophysiological studies were performed to measure the threshold (upper end of range) spatial frequency using visual evoked potentials and comparison with visual acuity neuron 26 healthy subjects. The aim of the present work was to create a method for objective measurement of visual acuity. This was addressed by initial measurements using a universally accepted method of visual stimulation and processing of electroencephalograms, which allows errors due to individual differences in visual system function to be minimized. These experiments yielded a strong correlation between the threshold spatial frequency of the test grid yielding an evoked potential on presentation and visual acuity, in degrees, expressed as the resolving ability of the visual system for this optotype. A logarithmic relationship was found between these values and an equation allowing automated calculation of visual acuity (resolving ability) from electrophysiological data was derived. The results were independent of the subject's responses and therefore provides a maximally objective assessment of visual acuity.

Adolescent↗
PubMed2001

Rate of visual field loss and long-term visual outcome in primary open-angle glaucoma.

PURPOSE: To evaluate long-term visual field outcome in primary open-angle glaucoma. METHODS: In this retrospective cohort study, 40 eyes of 40 patients with primary open-angle glaucoma with elevated intraocular pressure and a minimum of 8-year longitudinal series of visual fields were plotted with Goldmann perimeter. Eyes with any other ocular disease except cataract were excluded. Manual grid templates were used to quantify the visual fields. Linear regression was performed to estimate the rate of visual field decline. Pertinent clinical factors were evaluated for statistical association with the rate of decline. Long-term clinical outcome including visual acuity, rate of legal blindness, and rate of medical and surgical interventions was also measured. RESULTS: In the 40 eyes studied, with a mean follow-up of 14 years, the visual field score decreased at the rate of -1.5% per year. Overall, 68% showed significant decrease, and the rate of decrease among these eyes was -2.1% per year. Five eyes became legally blind from glaucoma; the cumulative rate of blindness from glaucoma was 19% at 22 years. Higher intraocular pressure and greater number of antiglaucoma medications on initial presentation were associated with faster and slower deterioration of visual field (compared with the average), respectively. CONCLUSIONS: With standard glaucoma therapy, the rate of visual field loss in primary open-angle glaucoma is slow. Lower intraocular pressure and more antiglaucoma medications are associated with slower visual field decline. Legal blindness from glaucoma is 19% over a follow-up of 22 years.

Adult↗
PubMed2002

Abnormal visual projection in a human albino studied with functional magnetic resonance imaging and visual evoked potentials.

The albino visual pathway is abnormal in that many fibres from the temporal retina project to the contralateral visual cortex. The visual projections in a human albino and a control have been investigated with fMRI and VEP during independent visual stimulation of both hemifields. Activity in the occipital cortex in the normal was contralateral to the stimulated visual field, whereas it was contralateral to the stimulated eye in the albino, independent of the stimulated visual field. Thus, the albino visual cortex is activated not only by stimulation in the contralateral visual field, but also by abnormal input representing the ipsilateral visual field. These novel findings help elucidate the nature of albino misrouting.

Albinism, Oculocutaneous↗