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PubMed1987

Contrast sensitivity in multiple sclerosis. A study in 35 patients with and without optic neuritis.

Binocular and monocular contrast sensitivity (CS) functions were determined for 35 patients with multiple sclerosis (MS) of whom only 21 had a history of optic neuritis. CS was abnormal in all 21 of these patients; alterations of CS affected all spatial frequencies, not only for the eye with optic neuritis, but also for the clinically unaffected eye (p less than 0.01). Approximately one third of the 14 patients with MS but without any history of past visual disturbances showed an optic nerve involvement. Our results show that (1) clinically visual impairment is bilateral, even if optic neuritis seems unilateral, and (2) CS can detect silent lesions of the visual pathways in MS and may prove to be more sensitive than visual evoked potentials.

Adult↗
PubMedDate not supplied

Effects of ketamine on ocular movements of the cat.

We studied the effects of ketamine, an antagonist of the N-methyl-D-aspartate receptors, on (1) the spontaneous saccades, (2) the vestibulo-ocular reflex (VOR), and (3) the optokinetic nystagmus (OKN) in 8 cats. Ketamine was given intramuscularly at four dosages (1, 2, 8, and 16 mg/kg). Eye movements were measured using the magnetic field-search coil technique. Ketamine did not prevent the occurrence of saccades, but each of them was followed by a centripetal postsaccadic drift. The time-constant of the drift induced by ketamine was 1.0 s when the given dosage was 1 mg/kg and 0.35 s when the given dosage was 16 mg/kg. Post-saccadic drift caused by a low dosage of ketamine may reflect only a mismatch between the pulse and the step commands that create saccades. The highest used dosages of ketamine aggravated the post-saccadic drift probably by disturbing the oculomotor neural integrator. To elicit the horizontal VOR, the head was submitted either to sinusoidal rotations (+/- 20 degrees; 0.05 to 1 Hz) or to a rotation at a constant velocity (100 degrees/s during 40 s). In darkness, the VOR step gain was reduced by ketamine in a dosage-dependent manner. VOR phase lead at 0.10 Hz oscillation in darkness increased from 4.0 degrees +/- 2.4 degrees to 51.6 degrees +/- 7.5 degrees after administration of ketamine at 16 mg/kg. This suggests that ketamine, at least at higher dosages, induces a failure of the neural integrator. Chemical blockade of the vestibular commissure by ketamine may also be responsible for the reduction of the VOR gain. Horizontal OKN was tested using a step stimulus (30 degrees/s during 40 s). When ketamine was given at 1 mg/kg, the average steady-state gain of the OKN diminished from 0.6 +/- 0.2 to 0.3 +/- 0.1. After administration of ketamine at 2 mg/kg, the OKN was abolished. The sensitivity of OKN to ketamine is explained at least partly by the fact that ketamine acts against the visual pathways in the retina, in the geniculate nucleus, and in the visual cortex. The time course of the optokinetic afternstagmus (OKAN) and that of the decrease of the prerotatory and postrotatory VOR were not reduced by ketamine administered at 1 or 2 mg/kg. This shows that ketamine does not affect the velocity-storage mechanism at these dosages.

Animals↗
PubMed1989

Quantitative evaluation of electroretinogram before cataract surgery.

The ERGs (electroretinogram) of dense mature cataractous eyes were compared with those of the fellow eyes with good visual acuity in 22 senile patients who showed normal preoperative ERG. The mean amplitudes of the a- and b-waves were slightly reduced in the cataractous eyes as compared to those of the fellow eyes, but the difference was not significant. The light-absorbing effect of the cataract based on the a- and b-wave amplitudes was 0.5 log units. Another group of 13 eyes with senile mature cataract showed abnormal preoperative ERG. Chorioretinal atrophy was the most common cause of the subnormal ERG. Postoperative visual acuity was lower in cataractous eyes with subnormal ERGs than in eyes with normal ERGs. Despite the fact that it does not always reflect the macular function and the visual pathway, the ERG still remains a reliable guide in evaluating the visual prognosis before cataract surgery.

Aged↗
PubMed1987

Neuro-ophthalmologic features of pituitary tumors.

The pituitary adenomas are one of the more common and prognostically favorable intracranial tumors. Because of their anatomic proximity to the anterior visual pathways, these tumors should be suspected in every patient with unexplained visual loss. The value of meticulous neuro-ophthalmic examination, especially formal perimetry, cannot be overemphasized. If findings point to optic nerve or chiasmal compression, appropriate radiologic studies should be undertaken without delay. Late diagnosis will often result in irreversible visual loss. The major cause of delay in diagnosis is frequently an inadequate examination. On the other hand, observation of recovery of vision after prompt diagnosis and treatment is a very gratifying experience in neuro-ophthalmology.

Humans↗
PubMed1994

Spatial and temporal response properties of residual vision in a case of hemianopia.

Residual vision in subjects with damage of the primary visual cortex (striate cortex) has been demonstrated in many previous studies and is taken to reflect the properties of known subcortical and extrastriate visual pathways. In this report we describe psychophysical experiments carried out on a subject clinically blind in half of his visual field (i.e. homonymous hemianopia) caused by striate cortex damage. They reveal the existence of two distinct channels mediating such vision. One channel responds to spatial structure and the other to light flux changes. The spatially tuned channel has a peak response at about 1.2 cycles per degree and shows rapid loss of sensitivity at both high and low spatial frequencies. This channel does not respond to diffuse illumination. The light flux channel, however, responds only to sudden increments in light flux levels on the retina and shows extensive spatial summation. Both channels require transient inputs, with a peak sensitivity at about 10 cycles per second and show virtually complete attenuation at temporal frequencies below 2 cycles per second. The spatiotemporal characteristics of these two channels account for much of the reported limits of visual performance attributed to subcortical or extrastriate pathways in some patients, and especially for their relatively good sensitivity for the detection of abrupt, transient stimuli or fast-moving targets. A new method is also applied to the measurement of the amount of light scatter in the eye. The measurements show that light scatter into the sighted hemifield could not account for the results obtained with the stimuli used to characterized the residual vision of this subject.

Accidents, Traffic↗
PubMed1990

Normal and abnormal visual field maps in albinos. Central effects of non-matching maps.

The abnormal chiasmatic crossing characteristic of all albino mammals brings two discordant representations of the visual field to the central visual relays. The representation from the nasal retina is normal whereas the one from the temporal retina is disrupted, a part representing the contralateral visual field as is normal and a part coming from the ipsilateral visual field as a mirror image of a part of the normal representation. Experiments that were designed to define the rules on the basis of which the abnormal representations can be established in the lateral geniculate nucleus and visual cortex are described. These experiments are related to more recent studies of albino cats, and the observations of the visual pathways are related speculatively to abnormalities seen in the auditory pathways of albinos. The possibility is raised that the auditory abnormalities are secondary to the visual abnormalities, produced by a failure of the two systems to establish normally matching maps of sensory space.

Albinism↗
PubMed1996

Glutamate receptor blockade at cortical synapses disrupts development of thalamocortical and columnar organization in somatosensory cortex.

The segregation of thalamocortical inputs into eye-specific stripes in the developing cat or monkey visual cortex is prevented by manipulations that perturb or abolish neural activity in the visual pathway. Such findings show that proper development of the functional organization of visual cortex is dependent on normal patterns of neural activity. The generalisation of this conclusion to other sensory cortices has been questioned by findings that the segregation of thalamocortical afferents into a somatotopic barrel pattern in developing rodent primary somatosensory cortex (S1) is not prevented by activity blockade. We show that a temporary block of N-methyl-D-aspartate (NMDA) and non-NMDA glutamate receptors in rat S1 during the critical period for barrel development disrupts the topographic refinement of thalamocortical connectivity and columnar organization. These effects are evident well after the blockade is ineffective and thus may be permanent. Our findings show that neural activity and specifically the activation of postsynaptic cortical neurons has a prominent role in establishing the primary sensory map in S1, as well as the topographic organization of higher order synaptic connections.

2-Amino-5-phosphonovalerate↗
PubMedDate not supplied

A common mammalian plan of accessory optic system organization revealed in all primates.

The accessory optic system (AOS), which was described as early as 1870 by Gudden, constitutes a distinct midbrain visual pathway in all classes of vertebrates. In non-primate mammals, retinal fibres of this system project to a set of three nuclei: the dorsal (DTN), the lateral (LTN) and the medial (MTN) terminal nuclei. Whereas all AOS cells respond to the slow motion of large visual stimuli, the neurons are tuned to complementary directions of movement: horizontal temporo-nasal direction for the DTN, vertical up and down for the LTN and vertical down for the MTN. It has thus been suggested that these nuclei establish a system of retinal coordinates for the detection of whole field motion. As the AOS provides direct and indirect pathways to both oculomotor and vestibular structures, each of these nuclei is thought to be an essential link in the co-ordination of eye and head movements in relation to movement within the visual-field. One problem for the generalization of this theory is that the medial terminal nucleus has never been found in primates. In this report we establish both the existence of this nucleus and its afferent input from the retina in all major groups of primates (prosimians, New and Old World monkeys and apes), indicating a common anatomical plan of organization of the AOS in mammals.

Animals↗
PubMed2002

Left-right and upper-lower visual field asymmetries for face matching, letter naming, and lexical decision.

The relation between left-right and upper-lower visual field (VF) asymmetries was examined for face matching, letter naming, and lexical decision. Stimuli were flashed in the VF quadrants. Face matching resulted in a lower left and upper right VF advantage. Letter-naming resulted in a distinct upper-right VF advantage. For lexical decision, no upper/lower asymmetries were found. Words were processed faster in the right than in the left VF, while nonwords were processed equally fast in both VFs. The results are discussed in terms of hypothesized structural connections of the lower versus upper visual field to dorsal versus ventral visual pathways and in terms of attentional mechanisms related to the processing of visual information in the VF quadrants.

Adult↗
PubMed1984

Intermodulation components of the visual evoked potential: responses to lateral and superimposed stimuli.

Nonlinear interactions in the human visual system were studied using visual evoked potentials (VEPs). In one experiment (superimposed condition), all segments of a dartboard pattern were contrast reversed in time by a sum of two sinusoidal signals. In a second experiment (lateral condition), segments in some regions of the dartboard pattern were contrast reversed by a single sinusoid of one frequency, while segments in other (contiguous) regions of the pattern were contrast reversed by a single sinusoid of another frequency. An identical set of ten frequency pairs was used in each experiment. The frequency pairs were chosen such that the difference between frequencies in each pair was 2Hz. Amplitudes and phases of the sum and difference frequency components of the VEP (intermodulation terms) were retrieved by Fourier analysis and served as measures of nonlinear interactions. The use of input pairs with a fixed separation in frequency enabled the estimation of the temporal characteristics of the visual pathways prior to a second linear stage. The use of superimposed and lateral conditions revealed antagonistic contributions to the VEP, possibly reflecting direct-through excitatory and lateral inhibitory pathways, respectively.

Evoked Potentials, Visual↗
PubMed2006

Fourier-analysed steady-state VEPs in pre-school children with and without normal binocularity.

Pre-school children aged 4-5 were examined with steady-state VEP in response to a sinusoidal grating pattern with a spatial frequency of 4 c/deg, reversing at rates 5, 10, and 15 Hz. Normal children (n = 10) were compared with subjects lacking stereo perception (n = 6) and with subjects showing significant unilateral amblyopia with visual acuity in the worse eye <0.5 (n = 7). Fast Fourier Transform was used for analysis of the crude steady-state VEP responses. Compared to normals, the subjects lacking stereo perception showed a significantly lower power of the second harmonic in the response evoked by binocular stimulation with gratings reversed at 15 Hz. The amblyopic group showed a significant difference between the dominant and the non-dominant eye regarding the first harmonic power in the responses evoked by gratings reversed at 5 and 10 Hz. These findings are discussed in relation to the magnocellular and parvocellular visual pathways and suggested models for linear and non-linear processing of visual signals.

Amblyopia↗
PubMed2005

Aging reduces center-surround antagonism in visual motion processing.

Discriminating the direction of motion of a low-contrast pattern becomes easier with increasing stimulus area. However, increasing the size of a high-contrast pattern makes it more difficult for observers to discriminate motion. This surprising result, termed spatial suppression, is thought to be mediated by a form of center-surround suppression found throughout the visual pathway. Here, we examine the counterintuitive hypothesis that aging alters such center-surround interactions in ways that improve performance in some tasks. We found that older observers required briefer stimulus durations than did younger observers to extract information about stimulus direction in conditions using large, high-contrast patterns. We suggest that this age-related improvement in motion discrimination may be linked to reduced GABAergic functioning in the senescent brain, which reduces center-surround suppression in motion-selective neurons.

Adult↗
PubMed2000

Perceptual learning in visual search generalizes over tasks, locations, and eyes.

In a visual search task, targets containing elementary features are detected in parallel, while a serial search is necessary for the detection of a target without a feature, or for targets containing conjunctions of features. In this study, we re-investigated the role of practice in visual search tasks, using an uncued visual search paradigm. Under some circumstances, initially serial tasks can become parallel with practice. Perceptual learning of feature search tasks is rapid (a few hundreds of trials are sufficient to transform serial into parallel search), long-lasting (a learned task is retained over several months), but far less specific than learning of other visual tasks (see also Sireteanu & Rettenbach, 1995a [Vision Research, 35, 2037-2043]). Learning transfers from one task to another, from one location in the visual field to another, and between the two eyes of a given subject, even if the subject has reduced stereopsis. Search for a conjunction of orientation and colour becomes more efficient, suggesting that a different search strategy emerges after prolonged practice. These results suggest that learning of visual search tasks modifies neural structures located at a high level in the visual pathway, involving different, presumably more central neural circuits, than the learning of visual discriminations and hyperacuity.

Analysis of Variance↗
PubMedDate not supplied

Perceptual and cognitive visual functions of parietal and temporal cortices in the cat.

We used reversible cooling deactivation to compare the functions of cortices lining the middle suprasylvian (MS) sulcus and forming the ventral portion of the posterior suprasylvian (vPS) gyrus. A battery of attentional, motion and mnemonic processing tasks were used and performance was examined during deactivation of each region. The results show a clear dissociation of functions. Deactivation of MS cortex resulted in profound deficits on a visual orienting task and on the discrimination of direction of motion, whereas deactivation of vPS cortex severely impaired both retention and learning of novel and overlearned object discriminations. In addition, deactivation of either MS or vPS cortex impaired discrimination of learned patterns when components of the patterns were in motion, whereas only deactivation of vPS cortex impaired the discrimination when all components were static. Together, these results show that a region of parietal cortex contributes to the processing of visual motion and to attentional processes, whereas a region of temporal cortex contributes to the learning and recognition of three-dimensional objects and two-dimensional patterns. This functional dissociation is linked to differences in underlying visual pathways, which have many features in common with the parietal and temporal visual processing streams previously identified in monkeys and humans. Furthermore, the broad similarity in neural operations carried out in parietal and temporal cortices of cats, monkeys and humans suggests the existence of a common plan for cortical processing machinery within mammals with well developed cerebral cortices.

Animals↗
PubMed2004

Radionecrosis of the inferior occipital lobes with altitudinal visual field loss after gamma knife radiosurgery.

A patient had bilateral superior altitudinal visual field defects because of radionecrosis of the inferior occipital lobes after gamma knife radiosurgery for a recurrent atypical cerebellar meningioma. Although radionecrosis of the anterior visual pathway has been well-documented, this is the first report of visual field loss associated with occipital lobe radionecrosis. The treatment dose this patient received is within the range of predicted tolerable radiosurgical dosing, although this patient was at increased risk for radionecrosis secondary to previous external beam radiotherapy. By offering an effective, noninvasive treatment, radiosurgery has changed the management of intracranial lesions. Radiosurgery targets a discrete volume of tissue and relatively spares the surrounding normal tissue. Radiation injury, or radionecrosis, is the only significant complication of radiosurgery (). We present a case of bilateral occipital lobe radionecrosis after gamma knife surgery that resulted in bilateral superior altitudinal defects.

Brain Diseases↗
PubMed1994

Red square test for visual field screening. A sensitive and simple bedside test.

A reliable bedside test for screening of visual field defects is a valuable tool in the examination of patients with a putative disease affecting the sensory visual pathways. Conventional methods such as Donders' confrontation method, counting fingers in the visual field periphery, of two-hand confrontation are not sufficiently sensitive to detect minor but nevertheless serious visual field defects. More sensitive methods requiring only simple tools are also described. In this study, a test card with four red squares surrounding a fixation target, a black dot, with a total test area of about 11 x 12.5 degrees at a distance of 30 cm, was designed for testing experience of red colour saturation in four quadrants, red square test. The Goldmann visual field was used as reference. 125 consecutive patients with pituitary adenoma (159 eyes), craniopharyngeoma (9 eyes), meningeoma (21 eyes), vascular hemisphere lesion (40 eyes), hemisphere tumour (10 eyes) and hemisphere abscess (2 eyes) were examined. The Goldmann visual field and red square test were pathological in pituitary adenomas in 35%, in craniopharyngeomas in 44%, in meningeomas in 52% and in hemisphere tumours or abscess in 100% of the eyes. Among these, no false-normal or false-pathological tests were found. However, in vascular hemisphere disease the corresponding figures were Goldmann visual field 90% and red square test 85%. The 5% difference (4 eyes) was due to Goldmann visual field defects strictly peripheral to the central 15 degrees. These defects were easily diagnosed with two-hand confrontation and

Adult↗
PubMed1983

Psychophysical assessment of a patient with Tolosa-Hunt syndrome.

Patients may complain of impaired vision and yet exhibit no abnormalities when tested with conventional tests of visual acuity. Some sensitive psychophysical tests used by psychologists and neurophysiologists to examine the function of the normal visual system are beginning to gain recognition as useful tools in clinical situations. They are particularly sensitive indicators of damage to the visual pathways. The results are presented of one such application which characterises the visual defects of a patient with a suspected diagnosis of Tolosa-Hunt Syndrome.

Discrimination Learning↗
PubMed2003

Value of electrodiagnostic assessment in nonsyndromic microcephaly.

PURPOSE: To evaluate the value of electroretinogram (ERG) and visual evoked potentials (VEP) in children with nonsyndromic microcephaly. METHODS: In this observational case series, six children with nonsyndromic microcephaly aged 8.5 to 158 months were examined. Main outcome measures included the amplitude of the flash ERG (photopic, flickering, scotopic, and dark-adapted responses), the amplitude and latency of the VEP (flash or pattern-reversal stimulus), visual acuity, slit-lamp biomicroscopy, and indirect ophthalmoscopy. RESULTS: Three children demonstrated normal fundus appearances, ERG, and VEP responses: two in this group demonstrated poor vision and brain computed tomography in the third showed schizencephaly. The remaining three children demonstrated abnormal ERG with predominant reduction in photopic amplitudes. Retinal pigmentary granularities were detected in two children in this group, one of whom has poor vision, generalized brain atrophy, and 40% reduction in VEP amplitudes. CONCLUSIONS: Abnormal ERG is not uncommon among children with nonsyndromic microcephaly. Although cone photoreceptors are affected more than rods, this does not anticipate poor vision. It appears that defects in posterior visual pathway or developmental malformations of the brain should be responsible for poor visual function in nonsyndromic microcephaly.

Atrophy↗