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Ghasia F, Tychsen L. Inter-Ocular Fixation Instability of Amblyopia: Relationship to Visual Acuity, Strabismus, Nystagmus, Stereopsis, Vergence, and Age. Am J Ophthalmol 2024; 267:230-248. [PMID: 38944136 DOI: 10.1016/j.ajo.2024.06.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 03/21/2024] [Accepted: 06/14/2024] [Indexed: 07/01/2024]
Abstract
PURPOSE Amblyopia damages visual sensory and ocular motor functions. One manifestation of the damage is abnormal fixational eye movements. Tiny fixation movements are normal; however, when these exceed a normal range, the behavior is labeled "fixation instability" (FI). Here we compare FI between normal and amblyopic subjects, and evaluate the relationship between FI and severity of amblyopia, strabismus angle, nystagmus, stereopsis, vergence, and subject age. METHODS Fixation eye movements were recorded using infrared video-oculography from 47 controls (15.3 ± 12.2 years of age) and 104 amblyopic subjects (13.3 ± 11.2 years of age) during binocular and monocular viewing. FI and vergence instability were quantified as the bivariate contour ellipse area (BCEA). We also calculated the ratio of FI between the 2 eyes: right eye/left eye for controls, amblyopic eye/fellow eye for amblyopes. Multiple regression analysis evaluated how FI related to a range of visuo-motor measures. RESULTS During binocular viewing, the FI of fellow and amblyopic eye, vergence instability, and inter-ocular FI ratios were least in anisometropic and most in mixed amblyopia (P < .05). Each correlated positively with the strabismus angle (P < .01). During monocular viewing, subjects with deeper amblyopia (P < .01) and larger strabismus angles (P < .05) had higher inter-ocular FI ratios. In all, 27% of anisometropic and >65% of strabismic/mixed amblyopes had nystagmus. Younger age and nystagmus increased FI and vergence instability (P < .05) but did not affect the inter-ocular FI ratios (P > .05). CONCLUSIONS Quantitative recording of perturbed eye movements in children reveal a major functional deficit linked to amblyopia. Imprecise fixation, measured as inter-ocular FI ratios, may be used as a robust marker for amblyopia and strabismus severity. NOTE: Publication of this article is sponsored by the American Ophthalmological Society.
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Affiliation(s)
- Fatema Ghasia
- From the Neurosciences and Ocular Motility Laboratory (F.G.), Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, USA.
| | - Lawrence Tychsen
- Department of Ophthalmology and Visual Sciences (L.T.), St Louis Children's Hospital at Washington University School of Medicine, St. Louis, Missouri, USA
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Dang RM, Watt K, Kang P. Impact of age on measurement variability for axial length in myopic children. Clin Exp Optom 2024; 107:428-433. [PMID: 37674270 DOI: 10.1080/08164622.2023.2236124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 07/10/2023] [Indexed: 09/08/2023] Open
Abstract
CLINICAL RELEVANCE Axial length is a primary outcome in the management of progressive myopia. However, young children may have difficulty fixating during these measurements compared to older children, which can result in higher measurement variability. This may affect perceived axial length progression, leading to inappropriate management. BACKGROUND This study assessed the impact of patient age on measurement variability for axial length measurements taken with the IOLMaster 700 and IOLMaster 500 in myopic children. METHODS A retrospective review of records was undertaken at a university optometry clinic. Five axial length measurements captured at the same visit were collected with the IOLMaster 700 and IOLMaster 500 for myopic patients ≤16 years. The within-subject standard deviation and R2 were calculated for each instrument to examine the effects of age on instrument variability. RESULTS Data was collected for 51 patients (30 female and 21 male), and the mean age was 10.98 ± 2.77 years. Mean axial length measured with the IOLMaster 700 was longer compared to the IOLMaster 500 (difference -0.02 ± 0.02 mm; p < 0.001). There was no effect of age on within-person variability for the measurement of axial lengths with either instrument, with R2 values of 0.021 (p = 0.305) and 0.13 (p = 0.420) for the IOLMaster 700 and IOLMaster 500, respectively. The within-subject variability of axial measurements with the IOLMaster 700 was significantly lower than that with the IOLMaster 500 (p < 0.001). CONCLUSION Measurement variability of axial length measurements with the IOLMaster 700 and IOLMaster 500 was not dependent on age. However, axial length measurements captured with the IOLMaster 700 were significantly longer and less variable than those with the IOLMaster 500. Eye health care practitioners should be aware of the differences between the two instruments and refrain from using them interchangeably, especially for myopia control where small changes in axial length can affect patient management.
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Affiliation(s)
- Rebecca M Dang
- School of Optometry and Vision Science, University of New South Wales, Sydney, Australia
| | - Kathleen Watt
- School of Optometry and Vision Science, University of New South Wales, Sydney, Australia
| | - Pauline Kang
- School of Optometry and Vision Science, University of New South Wales, Sydney, Australia
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Shurupova MA, Latanov AV. Oculomotor Impairments in Children After Posterior Fossa Tumors Treatment. CEREBELLUM (LONDON, ENGLAND) 2024; 23:444-454. [PMID: 37000368 DOI: 10.1007/s12311-023-01553-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/21/2023] [Indexed: 04/01/2023]
Abstract
Posterior fossa tumors (PFT) are the most common pediatric brain tumors, and the study of the somatic and cognitive status of PFT survivors still remains a critical problem. Since cerebellar damage can affect eye movement centers located in the vermis and hemispheres, such patients suffer from disturbances in visual perception, visual-spatial functions, reading, etc. Our investigation aimed at describing oculomotor impairments in PFT survivors linked to core oculomotor functions assessed through eye tracking method: gaze holding, reflexive saccades, and organization of voluntary saccades and their dependency on age at tumor diagnosis. Also, we investigated the relationship between oculomotor functions and ataxia measured with International Cooperative Ataxia Rating Scale (ICARS). A total of 110 children (patients and age-matched healthy controls, aged 9-17 years old) participated in the study. We found that the earlier the child had a tumor, the more impaired gaze holding (p = 0.0031) and fewer isometric saccades (p = 0.035) were observed at the time of examination. The above-mentioned functions in healthy controls improved with age. Visual scanning was also impaired compared to controls but was not related to age at diagnosis. A positive correlation between ICARS scores and number of hypermetric saccades (r = 0.309, p = 0.039), but no correlation with the number of hypometric saccades (r = - 0.008, p = 0.956). Furthermore, number of hypometric saccades did not differ between patients and controls (p = 0.238). Thus, primarily hypermetric saccades can be considered a prominent oculomotor symptom of cerebellar tumors. Our study provides basis for new methods of PFT diagnosis and rehabilitation procedure evaluation, both playing essential roles in modern pediatric neurooncology.
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Affiliation(s)
- Marina A Shurupova
- Neurocognitive Laboratory, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology, and Immunology, 117997, Moscow, Russia.
- Department of Neurobiology, Faculty of Biology, Lomonosov Moscow State University, 119234, Moscow, Russia.
- Department of Rehabilitation, Federal Center of Brain research and Neurotechnologies of the Federal Medical Biological Agency, 117513, Moscow, Russia.
| | - Alexander V Latanov
- Department of Neurobiology, Faculty of Biology, Lomonosov Moscow State University, 119234, Moscow, Russia
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Heitkotter H, Allphin MT, Untaroiu A, Min H, Warr E, Wynne N, Cooper RF, Carroll J. Peak Cone Density Predicted from Outer Segment Length Measured on Optical Coherence Tomography. Curr Eye Res 2024; 49:314-324. [PMID: 38146597 PMCID: PMC10922793 DOI: 10.1080/02713683.2023.2289853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 11/27/2023] [Indexed: 12/27/2023]
Abstract
PURPOSE To compare peak cone density predicted from outer segment length measured on optical coherence tomography with direct measures of peak cone density from adaptive optics scanning light ophthalmoscopy. METHODS Data from 42 healthy participants with direct peak cone density measures and optical coherence tomography line scans available were used in this study. Longitudinal reflectivity profiles were analyzed using two methods of identifying the boundaries of the ellipsoid and interdigitation zones to estimate maximum outer segment length: peak-to-peak and the slope method. These maximum outer segment length values were then used to predict peak cone density using a previously described geometrical model. A comparison between predicted and direct peak cone density measures was then performed. RESULTS The mean bias between observers for estimating maximum outer segment length across methods was less than 2 µm. Cone density predicted from the peak-to-peak method against direct cone density measures showed a mean bias of 6,812 cones/mm2 with 50% of participants displaying a 10% difference or less between predicted and direct cone density values. Cone density derived from the slope method showed a mean bias of -17,929 cones/mm2 relative to direct cone density measures, with only 41% of participants demonstrating less than a 10% difference between direct and predicted cone density values. CONCLUSION Predicted foveal cone density derived from peak-to-peak outer segment length measurements using commercial optical coherence tomography show modest agreement with direct measures of peak cone density from adaptive optics scanning light ophthalmoscopy. The methods used here are imperfect predictors of cone density, however, further exploration of this relationship could reveal a clinically relevant marker of cone structure.
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Affiliation(s)
- Heather Heitkotter
- Department of Cell Biology, Neurobiology & Anatomy, Medical College of Wisconsin, Milwaukee, USA
| | - Mitchell T. Allphin
- Department of Ophthalmology & Visual Sciences, Medical College of Wisconsin, Milwaukee, USA
| | - Ana Untaroiu
- School of Medicine, Medical College of Wisconsin, Milwaukee, USA
| | - Heun Min
- School of Medicine, Medical College of Wisconsin, Milwaukee, USA
| | - Emma Warr
- Department of Ophthalmology & Visual Sciences, Medical College of Wisconsin, Milwaukee, USA
| | - Niamh Wynne
- Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USA
| | - Robert F. Cooper
- Department of Ophthalmology & Visual Sciences, Medical College of Wisconsin, Milwaukee, USA
- Joint Department of Biomedical Engineering Marquette University and Medical College of Wisconsin, Milwaukee, USA
| | - Joseph Carroll
- Department of Cell Biology, Neurobiology & Anatomy, Medical College of Wisconsin, Milwaukee, USA
- Department of Ophthalmology & Visual Sciences, Medical College of Wisconsin, Milwaukee, USA
- Joint Department of Biomedical Engineering Marquette University and Medical College of Wisconsin, Milwaukee, USA
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Chen X, Wang S, Yang X, Yu C, Ni F, Yang J, Tian Y, Ye J, Liu H, Luo R. Utilizing artificial intelligence-based eye tracking technology for screening ADHD symptoms in children. Front Psychiatry 2023; 14:1260031. [PMID: 38034916 PMCID: PMC10682190 DOI: 10.3389/fpsyt.2023.1260031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 10/26/2023] [Indexed: 12/02/2023] Open
Abstract
Objective To explore the potential of using artificial intelligence (AI)-based eye tracking technology on a tablet for screening Attention-deficit/hyperactivity disorder (ADHD) symptoms in children. Methods We recruited 112 children diagnosed with ADHD (ADHD group; mean age: 9.40 ± 1.70 years old) and 325 typically developing children (TD group; mean age: 9.45 ± 1.59 years old). We designed a data-driven end-to-end convolutional neural network appearance-based model to predict eye gaze to permit eye-tracking under low resolution and sampling rates. The participants then completed the eye tracking task on a tablet, which consisted of a simple fixation task as well as 14 prosaccade (looking toward target) and 14 antisaccade (looking away from target) trials, measuring attention and inhibition, respectively. Results Two-way MANOVA analyses demonstrated that diagnosis and age had significant effects on performance on the fixation task [diagnosis: F(2, 432) = 8.231, ***p < 0.001; Wilks' Λ = 0.963; age: F(2, 432) = 3.999, *p < 0.019; Wilks' Λ = 0.982], prosaccade task [age: F(16, 418) = 3.847, ***p < 0.001; Wilks' Λ = 0.872], and antisaccade task [diagnosis: F(16, 418) = 1.738, *p = 0.038; Wilks' Λ = 0.938; age: F(16, 418) = 4.508, ***p < 0.001; Wilks' Λ = 0.853]. Correlational analyses revealed that participants with higher SNAP-IV score were more likely to have shorter fixation duration and more fixation intervals (r = -0.160, 95% CI [0.250, 0.067], ***p < 0.001), poorer scores on adjusted prosaccade accuracy, and poorer scores on antisaccade accuracy (Accuracy: r = -0.105, 95% CI [-0.197, -0.011], *p = 0.029; Adjusted accuracy: r = -0.108, 95% CI [-0.200, -0.015], *p = 0.024). Conclusion Our AI-based eye tracking technology implemented on a tablet could reliably discriminate eye movements of the TD group and the ADHD group, providing a potential solution for ADHD screening outside of clinical settings.
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Affiliation(s)
- Xiaolu Chen
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
| | | | - Xiaowen Yang
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
| | - Chunmei Yu
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
| | - Fang Ni
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
| | - Jie Yang
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
| | - Yu Tian
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
| | - Jiucai Ye
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
| | - Hao Liu
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
| | - Rong Luo
- Key Laboratory of Development and Maternal and Child Diseases of Sichuan Province, Department of Pediatrics, Sichuan University, Chengdu, China
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Pueyo V, Yam JCS, Perez-Roche T, Balasanyan V, Ortin M, Garcia G, Prieto E, Pham C, Gutierrez D, Castillo O, Masia B, Alejandre A, Bakkali M, Ciprés M, Esteban-Ibañez E, Fanlo-Zarazaga A, Gonzalez I, Gutiérrez-Luna IZK, Pan X, Pinilla J, Romero-Sanz M, Sanchez-huerto V, Vilella M, Tinh NX, Hiep NX, Zhang X. Development of oculomotor control throughout childhood: A multicenter and multiethnic study. J Vis 2022; 22:4. [DOI: 10.1167/jov.22.13.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
- Victoria Pueyo
- Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | | | | | | | - Marta Ortin
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
- I3A Institute for Research in Engineering, Universidad de Zaragoza, Zaragoza, Spain
| | - Gerardo Garcia
- Hospital Luis Sánchez Bulnes, Asociación Para Evitar la Ceguera (APEC), Mexico DF, Mexico
| | - Esther Prieto
- Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | - Chau Pham
- National Institute of Ophthalmology, Hanoi, Vietnam
| | - Diego Gutierrez
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
- I3A Institute for Research in Engineering, Universidad de Zaragoza, Zaragoza, Spain
| | - Olimpia Castillo
- Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | - Belen Masia
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
- I3A Institute for Research in Engineering, Universidad de Zaragoza, Zaragoza, Spain
| | - Adrian Alejandre
- I3A Institute for Research in Engineering, Universidad de Zaragoza, Zaragoza, Spain
| | - Mohamed Bakkali
- Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | - Marta Ciprés
- Lozano Blesa University Hospital, Zaragoza, Spain
| | | | - Alvaro Fanlo-Zarazaga
- Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | - Inmaculada Gonzalez
- Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | | | - Xian Pan
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | - Juan Pinilla
- Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | - María Romero-Sanz
- Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
| | - Valeria Sanchez-huerto
- Hospital Luis Sánchez Bulnes, Asociación Para Evitar la Ceguera (APEC), Mexico 21 DF, Mexico
| | - Marina Vilella
- Aragon Institute for Health Research (IIS Aragón), Zaragoza, Spain
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Ocular-following responses in school-age children. PLoS One 2022; 17:e0277443. [DOI: 10.1371/journal.pone.0277443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 10/26/2022] [Indexed: 11/12/2022] Open
Abstract
Ocular following eye movements have provided insights into how the visual system of humans and monkeys processes motion. Recently, it has been shown that they also reliably reveal stereoanomalies, and, thus, might have clinical applications. Their translation from research to clinical setting has however been hindered by their small size, which makes them difficult to record, and by a lack of data about their properties in sizable populations. Notably, they have so far only been recorded in adults. We recorded ocular following responses (OFRs)–defined as the change in eye position in the 80–160 ms time window following the motion onset of a large textured stimulus–in 14 school-age children (6 to 13 years old, 9 males and 5 females), under recording conditions that closely mimic a clinical setting. The OFRs were acquired non-invasively by a custom developed high-resolution video-oculography system, described in this study. With the developed system we were able to non-invasively detect OFRs in all children in short recording sessions. Across subjects, we observed a large variability in the magnitude of the movements (by a factor of 4); OFR magnitude was however not correlated with age. A power analysis indicates that even considerably smaller movements could be detected. We conclude that the ocular following system is well developed by age six, and OFRs can be recorded non-invasively in young children in a clinical setting.
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Ghasia F, Wang J. Amblyopia and fixation eye movements. J Neurol Sci 2022; 441:120373. [DOI: 10.1016/j.jns.2022.120373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 07/05/2022] [Accepted: 07/31/2022] [Indexed: 11/29/2022]
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Galli J, Loi E, Molinaro A, Calza S, Franzoni A, Micheletti S, Rossi A, Semeraro F, Fazzi E. Age-Related Effects on the Spectrum of Cerebral Visual Impairment in Children With Cerebral Palsy. Front Hum Neurosci 2022; 16:750464. [PMID: 35308614 PMCID: PMC8924515 DOI: 10.3389/fnhum.2022.750464] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Accepted: 01/17/2022] [Indexed: 11/30/2022] Open
Abstract
Background Cerebral Visual Impairment (CVI) is a very common finding in children affected by Cerebral Palsy (CP). In this paper we studied the characteristics of CVI of a large group of children with CP and CVI, describing their neurovisual profiles according to three different age subgroups (subgroup 1: infants 6 months–2 years; subgroup 2: pre-school age 3–5 years; subgroup 3: school age ≥ 6 years). Methods We enrolled 180 subjects (104 males, mean age 66 ± 42.6 months; range 6–192 months) with CP and CVI for the study. We carried out a demographic and clinical data collection, neurological examination, developmental or cognitive assessment, and a video-recorded visual function assessment including an evaluation of ophthalmological characteristics, oculomotor functions, and basic visual functions. In school-aged children, we also performed an evaluation of their cognitive-visual profiles. Results There were signs of CVI in all the three subgroups. Subgroup 1 (62 children) and subgroup 2 (50 children) were different for fixation (p = 0.02), visual acuity (p = 0.03) and contrast sensitivity (p < 0.01), being more frequently impaired in younger children. Comparing subgroup 2 with subgroup 3 (68 children), the older children presented more frequently myopia (p = 0.02) while the younger ones esotropia (p = 0.02) and alteration in smooth pursuit (p = 0.03) and saccades (p < 0.01). Furthermore, fixation, smooth pursuit, visual acuity, contrast sensitivity and visual filed (p < 0.01) were more frequently impaired in younger children (subgroup 1) compared to the older ones. Multiple correspondence analysis (MCA) confirmed the different neurovisual profiles according to age: younger children with CP showed more signs of CVI compared to the older ones. 34 out of 68 children belonging to subgroup 3 underwent the cognitive visual evaluation; an impairment of cognitive visual skills was detected in 21 subjects. Conclusion Younger children with CP showed more signs of CVI compared to the older ones, likely for the physiological maturation of visual system and mechanisms of neuroplasticity. In this direction, we suggest an early neurovisual evaluation to detect any weak visual functions.
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Affiliation(s)
- Jessica Galli
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
- Unit of Child Neurology and Psychiatry, ASST Spedali Civili of Brescia, Brescia, Italy
- *Correspondence: Jessica Galli,
| | - Erika Loi
- Unit of Child Neurology and Psychiatry, ASST Spedali Civili of Brescia, Brescia, Italy
- Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy
| | - Anna Molinaro
- Unit of Child Neurology and Psychiatry, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Stefano Calza
- BDbiomed, BODaI Lab, University of Brescia, Brescia, Italy
| | - Alessandra Franzoni
- Department of Neurological and Vision Sciences, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Serena Micheletti
- Unit of Child Neurology and Psychiatry, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Andrea Rossi
- Unit of Child Neurology and Psychiatry, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Francesco Semeraro
- Department of Neurological and Vision Sciences, ASST Spedali Civili of Brescia, Brescia, Italy
- Eye Clinic, University of Brescia, Brescia, Italy
| | - Elisa Fazzi
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
- Unit of Child Neurology and Psychiatry, ASST Spedali Civili of Brescia, Brescia, Italy
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Implementation of Kiosk-Type System Based on Gaze Tracking for Objective Visual Function Examination. Symmetry (Basel) 2022. [DOI: 10.3390/sym14030499] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
To demonstrate that the near-point-of-convergence (npc) examination is performed subjectively, the visual fixation and four-prism diopter (Δ) base-out (BO) examinations can be conducted with a kiosk-type objective examination method based on gaze tracking, and can be compared with the existing method. Objective examination equipment was used to verify effectiveness. Fifteen adult men and women in their 20s and 30s (26.87 ± 3.31 years) with visual acuity of 0.8 (logMAR: 0.1, Snellen: 20/25(6/7.5)) or higher (corrected vision in the case of ametropia) underwent the npc, visual fixation, and 4 Δ BO examinations based on the existing examination method followed by the gaze-tracking-based kiosk-type examination method. Three examinations were performed, and a comparative analysis was conducted. The gaze tracking method used a method of extracting eye feature points, and it was judged that the ocular moved when the movement of 30 eye feature points at the edge of the iris was detected. In the comparison between the existing method and the kiosk-type method, there were no statistically significant differences in npc, visual fixation, and 4 Δ BO examinations. Npc examinations were performed extensively by the existing subjective method, however, it seems that these can be conducted objectively using the kiosk-type method. Visual fixation and 4 Δ BO examinations require high-examination proficiency because finely moving ocular movements need to be observed, but it is judged that examinations can be performed more easily and accurately when combined with the kiosk-type method. The symmetrical characteristics between the two test results are expected to serve as a basis for using the kiosk-type examination method in clinical practice.
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Evaluation of Fixational Behavior throughout Life. Brain Sci 2021; 12:brainsci12010019. [PMID: 35053764 PMCID: PMC8774210 DOI: 10.3390/brainsci12010019] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 12/20/2021] [Accepted: 12/21/2021] [Indexed: 11/17/2022] Open
Abstract
Background: To quantify development of gaze stability throughout life during short and long fixational tasks using eye tracking technology. Methods: Two hundred and fifty-nine participants aged between 5 months and 77 years were recruited along the study. All participants underwent a complete ophthalmological assessment. Fixational behavior during long and short fixational tasks was analyzed using a DIVE (Device for an Integral Visual Examination), a digital test assisted with eye tracking technology. The participants were divided into ten groups according to their age. Group 1, 0–2 years; group 2, 2–5 years; group 3, 5–10 years; group 4, 10–20 years; group 5, 20–30 years; group 6, 30–40 years; group 7, 40–50 years; group 8, 50–60 years; group 9, 60–70 years; and group 10, over 70 years. Results: Gaze stability, assessed by logBCEA (log-transformed bivariate contour ellipse area), improved with age from 5 months to 30 years (1.27 vs. 0.57 deg2 for long fixational task, 0.73 vs. −0.04 deg2 for short fixational task), while fixations tend to be longer (1.95 vs. 2.80 msec for long fixational tasks and 0.80 vs. 1.71 msec for short fixational tasks). All fixational outcomes worsened progressively from the fifth decade of life. Log-transformed bivariate contour ellipse area (0.79, 0.83, 0.91, 1.42 deg2 for long fixational task and 0.01, 0.18, 0.28, 0.44 deg2 for short fixational task, for group 7, 8, 9, and 10 respectively). Stimuli features may influence oculomotor performance, with smaller stimuli providing prolonged fixations. Conclusions: Fixational behavior can be accurately assessed from 5 months of age using a DIVE. We report normative data of gaze stability and duration of fixations for every age group. Currently available technology may increase the accuracy of our visual assessments at any age.
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Theimann A, Kuzmina E, Hansen P. Verb-Mediated Prediction in Bilingual Toddlers. Front Psychol 2021; 12:719447. [PMID: 34858259 PMCID: PMC8631997 DOI: 10.3389/fpsyg.2021.719447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Accepted: 10/18/2021] [Indexed: 11/24/2022] Open
Abstract
Prediction is an important mechanism for efficient language processing. It has been shown that as a part of sentence processing, both children and adults predict nouns based on semantically constraining verbs. Language proficiency is said to modulate prediction: the higher proficiency, the better the predictive skill. Children growing up acquiring two languages are often more proficient in one of them, and as such, investigation of the predictive ability in young bilingual children can shed light on the role of language proficiency. Furthermore, according to production-based models, the language production system drives the predictive ability. The present study investigates whether bilingual toddlers predict upcoming nouns based on verb meanings in both their languages, and whether this ability is associated with expressive vocabulary. Seventeen Norwegian-English bilingual toddlers (aged 2;5-3;3), dominant in Norwegian, participated in the study. Verb-mediated predictive ability was measured via a visual world paradigm (VWP) experiment, including sentences with semantically constraining and neutral verbs. Expressive vocabulary was measured by MacArthur-Bates CDI II. The results suggested that the toddler group predicted upcoming noun arguments in both their dominant and non-dominant languages, but were faster in their dominant language. This finding highlights the importance of language dominance for predictive processing. There was no significant relationship between predictive ability and expressive vocabulary in either language.
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Affiliation(s)
- Ane Theimann
- Department of Linguistics and Scandinavian Studies, University of Oslo, Oslo, Norway
| | - Ekaterina Kuzmina
- Center for Multilingualism in Society Across the Lifespan, University of Oslo, Oslo, Norway
| | - Pernille Hansen
- Center for Multilingualism in Society Across the Lifespan, University of Oslo, Oslo, Norway
- Department of Humanities, Inland Norway University of Applied Sciences, Hamar, Norway
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Ryu HK, Shin SY. Clinical Reliability of IOL Master 700 in Measurement of Pupil Diameter and Corneal Curvature. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2021. [DOI: 10.3341/jkos.2021.62.8.1022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Purpose: To compare IOL Master 700 with autokeratometer and video pupillometer in measurement of pupil diameter and corneal curvature.Methods: Pupil diameter were measured with IOL Master 700 and video pupilometer, horizontal keratometry and vertical keratometry were measured with IOL Master 700 and autokeratometer in 100 eyes of 50 children. Paired t-test and Pearson's correlation analysis were used to compare the differences among the devices. Agreement between measurement was analyzed using Bland Altman plot and intraclass correlation coefficient.Results: Comparing IOL Master 700 and video pupilometer for pupil diameter, there was no significant difference (p > 0.05). There was also no significant difference between IOL Master 700 and autokeratometer in measurement of vertical keratometry (p > 0.05). However, regarding horizontal keratometry there was significant difference between IOL Master 700 and autokeratometer, horizontal keratometry measured with IOL Master 700 was steeper than with auto keratometer, +0.105 diopters (D) in right eye and +0.130 D in left eye (p < 0.05).Conclusions: There was good agreement between IOL Master 700 and comparator instruments in regards to pupil diameter and corneal curvature. IOL Master 700 can be helpful in uncooperative children for measuring pupil diameter and corneal curvature at the same time.
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Differential diagnosis of vergence and saccade disorders in dyslexia. Sci Rep 2020; 10:22116. [PMID: 33335200 PMCID: PMC7747706 DOI: 10.1038/s41598-020-79089-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Accepted: 11/26/2020] [Indexed: 12/03/2022] Open
Abstract
Previous studies suggest vergence and saccade abnormalities in dyslexic adolescents. However, these studies are mainly clinically based and do not provide objective measurements of eye movements, but rather subjectively evaluate vergence using haplosopic conditions in which the two eyes are dissociated (via polarizers, prisms, or intermittent spectacles). Other studies have identified deficits with binocular coordination during reading in dyslexics. Yet, there are few studies that provide objective measurements of eye movements in the dyslexic population to help provide more information regarding if these deficits could be due to an intrinsic motor problem or if they are the consequence of poor reading. 47 dyslexic adolescents (18 female, 29 male; mean age 15.5) and 44 non-dyslexic adolescents (22 female, 22 male; mean age 14.8) wore a head-based eye tracker (PupilCore, Pupil Labs, Berlin) which recorded wide angle saccade and vergence eye movements at 200 Hz. Tests were run using the REMOBI device, which produced a saccade or vergence audiovisual target. Analysis of eye movements was performed with lab-developed software, AIDEAL. The results showed statistically significant abnormalities in vergence and saccades. In vergence, dyslexics displayed a reduced amplitude of the visually driven portion of convergence and a longer duration in the initial phase of divergence. In saccades, dyslexic adolescents demonstrated slower saccades in both directions. They also had an increased disconjugate drift in the first 80 or 160 ms following saccades to the right, suggesting poor binocular coordination. For both vergence and saccades, the peak velocity and time to peak velocity was higher and earlier, respectively, in non-dyslexics compared to dyslexics; yet the average velocity of both movements was lower in dyslexics. Thus, these results indicate peculiar velocity profiles in dyslexics, particularly a slow deceleration phase in both vergence and saccades. The study provides an objective method to diagnose vergence and saccade abnormalities while viewing targets in the real three-dimensional space in a dyslexic population. Vergence abnormalities are demonstrated to be a problem in dyslexics, occurring independently from reading. We hypothesize these disconjugate drifts following saccades are the result of slow vergence capacity. Rehabilitation programs, such as those using REMOBI, should aim to target these deficits in vergence velocity, as this has been shown to improve binocular control.
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Farzaneh A, Riazi A, Khabazkhoob M, Doostdar A, Farzaneh M, Falavarjani KG. Location and stability of the preferred retinal locus in native Persian-speaking patients with age-related macular degeneration. Clin Exp Optom 2020; 104:194-200. [PMID: 32869411 DOI: 10.1111/cxo.13132] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
CLINICAL RELEVANCE The findings of this study can be used in the selection of the preferred retinal locus to establish better rehabilitation services such as eccentric viewing training for patients with age-related macular degeneration. BACKGROUND The aim of this study was to determine the characteristics of the preferred retinal locus in native Persian-speaking patients with age-related macular degeneration. METHODS In this non-interventional case series, all patients with a diagnosis of age-related macular degeneration referred to the Retina Clinic of the Rassoul Akram Hospital, Tehran, Iran, were evaluated. The fixation characteristics were evaluated monocularly using the MP1 microperimeter (Nidek Technologies, Padua, Italy). Optical coherence tomography was used to determine the location of the central fovea. The images were overlaid and the preferred retinal locus-fovea distance was measured using Image J software. RESULTS Fifty-one eyes of 35 patients with a mean age of 73.8 ± 7.7-years were evaluated in this study. Inferior-field, left-field, central-field, right-field, and superior-field preferred retinal locus were detected in 49 per cent, 33.3 per cent, 7.8 per cent, 5.9 per cent, and 3.9 per cent of the subjects, respectively. Fixation was stable in 70.6 per cent, relatively unstable in 15.7 per cent, and unstable in 13.7 per cent of the participants. Significant differences were not found in the mean values of logMAR visual acuity between different fields of the preferred retinal locus after Bonferroni correction (p = 0.031). Analysis of co-variance showed no significant difference in mean sensitivity values between different locations of the preferred retinal locus (p = 0.07). The mean preferred retinal locus-fovea distance was not significantly different between different fields of the preferred retinal locus (p = 0.063). CONCLUSIONS Native Persian-speaking patients with central scotoma secondary to age-related macular degeneration place their self-selected preferred retinal locus most frequently in the inferior and left visual field, which would result in scotoma displacement to the superior and right visual field. Fixation stability was statistically similar in different locations of preferred retinal locus, but it improved with decreasing the preferred retinal locus-fovea distance.
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Affiliation(s)
- Abdollah Farzaneh
- Rehabilitation Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Abbas Riazi
- Rehabilitation Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Mehdi Khabazkhoob
- Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Asgar Doostdar
- Rehabilitation Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Mehrnaz Farzaneh
- Rehabilitation Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Khalil Ghasemi Falavarjani
- Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
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Verrecchia L, Galle Barrett K, Karltorp E. The feasibility, validity and reliability of a child friendly vestibular assessment in infants and children candidates to cochlear implant. Int J Pediatr Otorhinolaryngol 2020; 135:110093. [PMID: 32422368 DOI: 10.1016/j.ijporl.2020.110093] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Revised: 05/05/2020] [Accepted: 05/05/2020] [Indexed: 11/19/2022]
Abstract
OBJECTIVES The pediatric vestibular assessment has developed significantly in the past two decades, especially in terms of assessment of cochlear implant (CI) candidates. Different methods and test protocols have been applied, however without a general consensus. We present here the feasibility, validity and reliability of a child friendly vestibular testing in use at our department for the assessment of pediatric CI candidates. METHODS The test battery consisted of head impulse test (HIT), video head impulse test (vHIT), cervical evoked myogenic potentials (cVEMP) and mini ice water caloric test (mIWC), all adapted from previous methods, mentioned in literature. We defined specific criteria for test feasibility, for test validity and test positivity (i.e. indicating vestibular insufficiency). The reliability of the whole protocol was assessed with test agreement analysis. RESULTS Complete data from 35 children, all CI candidates, age ranging 4-79 months (67% under 2 years) and recruited over two years, were obtained. All but one child could complete at least one test with valid responses bilaterally, with the best compliance for HIT (97,1%) and least for cVEMP (68,6%). Feasibility did not appear to be affected by age or hearing loss etiology. Among the valid responses there was a substantial test agreement between HIT and vHIT, moderate agreement between vHIT/HIT and mIWC and no apparent agreement between the canal tests and cVEMP. Simple clinical guidelines were introduced to solve the tests' disagreement and to improve the protocol reliability: a) a pathological response had to be confirmed in at least two different canal tests and in at least three cVEMP trials; b) a canal/otolith disagreement was interpreted as a partial vestibular loss to be opposed to a complete vestibular insufficiency. CONCLUSIONS The search for vestibular insufficiency in infants and young children can be attained with an opportunely adapted vestibular assessment, such the test battery proposed here. That assessment resulted easy to conduct and to interpret in a representative sample of CI candidates in preschool age, the most of whom were younger than 2 years. This method appears to particularly suit the demands of a vestibular assessment in young children CI candidates.
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Affiliation(s)
- Luca Verrecchia
- Hearing and Balance Section, Ear Nose and Throat Department, Karolinska University Hospital, Sweden; ENT Section, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Sweden.
| | | | - Eva Karltorp
- Ear and Neck Surgery, Ear Nose and Throat Department, Karolinska University Hospital, Sweden; ENT Section, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Sweden
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视觉正常的自闭症儿童双眼注视点间距的特点及其意义. ACTA PSYCHOLOGICA SINICA 2019. [DOI: 10.3724/sp.j.1041.2019.01018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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18
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Burggraaf R, van der Geest JN, Hooge ITC, Frens MA. Developmental changes in visual search are determined by changing visuospatial abilities and task repetition: A longitudinal study in adolescents. APPLIED NEUROPSYCHOLOGY-CHILD 2019; 10:133-143. [PMID: 31268363 DOI: 10.1080/21622965.2019.1627211] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Using a longitudinal study design, a group of 94 adolescents participated in a visual search task and a visuospatial ability task yearly for four consecutive years. We analyzed the association between changes in visuospatial ability and changes in visual search performance and behavior and estimated additional effects of age and task repetition. Visuospatial ability was measured with the Design Organization Test (DOT). Search performance was analyzed in terms of reaction time and response accuracy. Search behavior was analyzed in terms of the number of fixations per trial, the saccade amplitude, and the distribution of fixations over different types of elements. We found that both the increase in age and the yearly repetition of the DOT had a positive effect on visuospatial ability. We show that the acceleration of visual search during childhood can be explained by the increase in visuospatial abilities with age during adolescence. With the yearly task repetition, visual search became faster and more accurate, while fewer fixations were made with larger saccade amplitudes. The combination of increasing visuospatial ability and task repetition makes visual search more effective and might increase the performance of many daily tasks during adolescence.
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Affiliation(s)
- Rudolf Burggraaf
- Neuroscience, Erasmus MC, Rotterdam, Netherlands.,Experimental Psychology, Utrecht University, Utrecht, Netherlands
| | | | - Ignace T C Hooge
- Experimental Psychology, Utrecht University, Utrecht, Netherlands
| | - Maarten A Frens
- Neuroscience, Erasmus MC, Rotterdam, Netherlands.,Erasmus University College, Rotterdam, Netherlands
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Kooiker MJG, Verbunt HJM, van der Steen J, Pel JJM. Combining visual sensory functions and visuospatial orienting functions in children with visual pathology: A longitudinal study. Brain Dev 2019; 41:135-149. [PMID: 30301589 DOI: 10.1016/j.braindev.2018.09.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 09/05/2018] [Accepted: 09/18/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Peripheral and central visual processing development highly depends on the integrity of the visual sensory system and the allocation of visuospatial attention. METHOD We quantitatively followed visual sensory functions (VSF) and visuospatial orienting functions (VOF) over two years in 77 children (1-13 years) with different types of visual pathology. RESULTS Within the clinical groups, VSF were relatively constant over two years, except visual acuity, and VOF were characterized by longer reaction time, shorter fixation duration, and lower fixation accuracy than normal for their age. Children with peripheral pathology had high rates of abnormal VSF, of changes to abnormal visual acuity at 1-6 years, and larger and more abnormal VOF (fixation inaccuracy). Children with central pathology had relatively good VSF, whereas two-third had delayed orienting reaction times that differed from other groups mainly at 1-6 years. CONCLUSION The distinct patterns of quantitative VSF and VOF over time between the visual pathology groups, and the finding that both methods provided complementary information, argues for combining both types of assessments to provide comprehensive monitoring of visual functioning in children from a young age.
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Affiliation(s)
- Marlou J G Kooiker
- Vestibular and Oculomotor Research Group, Dept. Neuroscience, Erasmus MC, Rotterdam, the Netherlands.
| | - Hélène J M Verbunt
- Royal Dutch Visio, Centre of Expertise for Partially Sighted and Blind People, Huizen, the Netherlands
| | - Johannes van der Steen
- Vestibular and Oculomotor Research Group, Dept. Neuroscience, Erasmus MC, Rotterdam, the Netherlands; Royal Dutch Visio, Centre of Expertise for Partially Sighted and Blind People, Huizen, the Netherlands
| | - Johan J M Pel
- Vestibular and Oculomotor Research Group, Dept. Neuroscience, Erasmus MC, Rotterdam, the Netherlands
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Krishna O, Helo A, Rämä P, Aizawa K. Gaze distribution analysis and saliency prediction across age groups. PLoS One 2018; 13:e0193149. [PMID: 29474378 PMCID: PMC5825055 DOI: 10.1371/journal.pone.0193149] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Accepted: 02/04/2018] [Indexed: 11/18/2022] Open
Abstract
Knowledge of the human visual system helps to develop better computational models of visual attention. State-of-the-art models have been developed to mimic the visual attention system of young adults that, however, largely ignore the variations that occur with age. In this paper, we investigated how visual scene processing changes with age and we propose an age-adapted framework that helps to develop a computational model that can predict saliency across different age groups. Our analysis uncovers how the explorativeness of an observer varies with age, how well saliency maps of an age group agree with fixation points of observers from the same or different age groups, and how age influences the center bias tendency. We analyzed the eye movement behavior of 82 observers belonging to four age groups while they explored visual scenes. Explorative- ness was quantified in terms of the entropy of a saliency map, and area under the curve (AUC) metrics was used to quantify the agreement analysis and the center bias tendency. Analysis results were used to develop age adapted saliency models. Our results suggest that the proposed age-adapted saliency model outperforms existing saliency models in predicting the regions of interest across age groups.
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Affiliation(s)
- Onkar Krishna
- Dept. of Information and Communication Engineering, The University of Tokyo, Tokyo, Japan
- * E-mail:
| | - Andrea Helo
- Laboratoire Psychologie de la Perception, Université Paris Descartes, Paris, France
- Departamento de Fonoaudiología, Universidad de Chile, Santiago, Chile
| | - Pia Rämä
- Laboratoire Psychologie de la Perception, Université Paris Descartes, Paris, France
- CNRS (UMR 8242), Paris, France
| | - Kiyoharu Aizawa
- Dept. of Information and Communication Engineering, The University of Tokyo, Tokyo, Japan
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Le Meur O, Coutrot A, Liu Z, Rama P, Le Roch A, Helo A. Visual Attention Saccadic Models Learn to Emulate Gaze Patterns From Childhood to Adulthood. IEEE TRANSACTIONS ON IMAGE PROCESSING : A PUBLICATION OF THE IEEE SIGNAL PROCESSING SOCIETY 2017; 26:4777-4789. [PMID: 28682255 DOI: 10.1109/tip.2017.2722238] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
How people look at visual information reveals fundamental information about themselves, their interests and their state of mind. While previous visual attention models output static 2D saliency maps, saccadic models aim to predict not only where observers look at but also how they move their eyes to explore the scene. In this paper, we demonstrate that saccadic models are a flexible framework that can be tailored to emulate observer's viewing tendencies. More specifically, we use fixation data from 101 observers split into five age groups (adults, 8-10 y.o., 6-8 y.o., 4-6 y.o., and 2 y.o.) to train our saccadic model for different stages of the development of human visual system. We show that the joint distribution of saccade amplitude and orientation is a visual signature specific to each age group, and can be used to generate age-dependent scan paths. Our age-dependent saccadic model does not only output human-like, age-specific visual scan paths, but also significantly outperforms other state-of-the-art saliency models. We demonstrate that the computational modeling of visual attention, through the use of saccadic model, can be efficiently adapted to emulate the gaze behavior of a specific group of observers.
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Shaikh AG, Ghasia FF. Fixational saccades are more disconjugate in adults than in children. PLoS One 2017; 12:e0175295. [PMID: 28406944 PMCID: PMC5391133 DOI: 10.1371/journal.pone.0175295] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2016] [Accepted: 03/23/2017] [Indexed: 11/18/2022] Open
Abstract
PURPOSE Fixational eye movements are of particular interest for three reasons. They are critical for preventing visual fading and enhancing visual perception; their disconjugacy allows scanning in three dimensions, and their neural correlates span through the cortico-striatal, striato-collicular and brainstem networks. Fixational eye movements are altered in various pediatric ophthalmologic and neurologic disorders. The goal of this study was to compare the dynamics of fixational eye movements in normal children and adults. METHODS We measured the fixational saccades and inter-saccadic drifts in eye positions using infrared video-oculography in children and adults. We assessed the frequency, amplitude, main-sequence, and disconjugacy of fixational saccades as well as the intra-saccadic drift velocity and variance between these two groups. RESULTS We found a similar frequency but an increase in the amplitude of fixational saccades in children compared to adults. We also found that the fixational saccades were more conjugate in children than in adults. The inter-saccadic drifts were comparable between the two groups. DISCUSSION This study provides normative values of dynamics of fixational eye movement in children and adults. The greater disconjugacy of fixational saccades in adults suggests the existence of neural mechanisms that can independently regulate the movements of two eyes. The differences between adult and pediatric populations could be due to completion of the development of binocularly independent regulation of fixational saccades nearing adulthood. The alternate possibility is that the increased disconjugacy between the two eyes may represent a deficiency in the eye movement performance as a function of increasing age.
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Affiliation(s)
- Aasef G. Shaikh
- Department of Neurology, Case Western Reserve University, Cleveland, OH, United States of America
- Neurology service, Louis Stokes Cleveland VA medical center, Cleveland, OH, United States of America
- Daroff-Del’Osso Ocular Motility Laboratory, Louis Stokes Cleveland VA medical center, Cleveland, OH, United States of America
| | - Fatema F. Ghasia
- Daroff-Del’Osso Ocular Motility Laboratory, Louis Stokes Cleveland VA medical center, Cleveland, OH, United States of America
- Cole Eye Institute, Cleveland Clinic, Cleveland, OH, United States of America
- * E-mail:
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Larsen DA, Bek T. The frequency of small saccades during fixation is age independent in children between 5 and 16 years of age. Acta Ophthalmol 2017; 95:79-84. [PMID: 27535612 DOI: 10.1111/aos.13222] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2016] [Accepted: 07/11/2016] [Indexed: 12/12/2022]
Abstract
PURPOSE Fixational eye movements are necessary for maintaining normal vision by preventing a stabilized image on the retina that would result in visual fading. The movements can be divided into tremor, drifts and saccades that may be related to movements of gaze and to fixation. It has previously been shown that the frequency of fixational saccades with an amplitude larger than 3° depends on age. The purpose of this study was to investigate whether other parameters describing fixational saccades also depend on age which necessitates age correction in studies of fixation during visual development. METHODS Fixational eye movements were recorded in 36 normal children aged 5-16 years. Parameters describing fixational saccades were characterized using a standardized algorithm and were correlated with age. RESULTS There was a significant linear relation between the amplitude and duration of fixational saccades (r2 = 0.37, p < 0.0001). The relation between the number of saccadic movements and the amplitude was unimodal and showed no correlation with age. However, the number of saccades per examination with an amplitude larger than 1° showed a negative correlation with age (r2 = 0.23, p = 0.003). CONCLUSIONS The overall frequency and amplitude of fixational saccades show no correlation with age that necessitates correction in clinical studies of visual development. The decreasing frequency of large saccadic eye movements with increasing child age may be due to improved attention.
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Affiliation(s)
| | - Toke Bek
- Department of Ophthalmology; Aarhus University Hospital; Aarhus Denmark
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Kooiker MJG, Pel JJM, Verbunt HJM, de Wit GC, van Genderen MM, van der Steen J. Quantification of visual function assessment using remote eye tracking in children: validity and applicability. Acta Ophthalmol 2016; 94:599-608. [PMID: 27130515 DOI: 10.1111/aos.13038] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Accepted: 01/28/2016] [Indexed: 11/28/2022]
Abstract
PURPOSE Measurements of visual and oculomotor functions are essential for providing tailored support to visually impaired children. In young or intellectually disabled children these measurements can be difficult or even impossible to perform. Recordings of orienting gaze in response to specific visual information, made with eye tracking, may offer a solution. The aim of this study was to observe and quantify eye tracking (ET)-based gaze responses to provide information about visual and oculomotor functioning, and to compare this information with standard visual function assessments (VFA). METHODS One hundred and twenty-six visually impaired children from 1-14 years underwent a VFA. Next they underwent a remote ET test. Four aspects of oculomotor control (nystagmus, fixation, saccades, pursuit) and three visual functions (visual field, contrast, colour) were selected to compare both methods. Performance was assessed (1) during VFA using standard behavioural observation and test scores and (2) after ET by observing and scoring the eye movement recordings. Validity, in terms of agreement between results, was measured by correlation analyses. From the orienting gaze responses, quantitative parameters (gain, fixation duration and directional saccades) were calculated to characterize visual performance. RESULTS Good agreement between the two test methods was found for observational assessment of oculomotor control and visual functions (correlations ranging from rs = 0.39 to rs = 0.69). The quantitative parameters of visual performance showed distinct results between children with and without specific functional impairments, both in children aged 1-6 and 7-14 years. CONCLUSION Eye tracking-based gaze recordings are a promising tool to assess oculomotor and visual performance in a communication-free manner. Calculating quantitative parameters from specific gaze responses could assist in the characterization of functional visual performance in children, independent of age. Gaze responses are a useful addition to standard VFA in clinical practice.
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Affiliation(s)
- Marlou J. G. Kooiker
- Vestibular and oculomotor research group; Department of Neuroscience; Erasmus Medical Center; Rotterdam the Netherlands
| | - Johan J. M. Pel
- Vestibular and oculomotor research group; Department of Neuroscience; Erasmus Medical Center; Rotterdam the Netherlands
| | - Hélène J. M. Verbunt
- Royal Dutch Visio; Centre of Expertise for Blind and Partially Sighted People; Huizen the Netherlands
| | - Gerard C. de Wit
- Bartiméus; Diagnostic Centre for Complex Visual Disorders; Zeist the Netherlands
| | | | - Johannes van der Steen
- Vestibular and oculomotor research group; Department of Neuroscience; Erasmus Medical Center; Rotterdam the Netherlands
- Royal Dutch Visio; Centre of Expertise for Blind and Partially Sighted People; Huizen the Netherlands
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Interference between oculomotor and postural tasks in 7–8-year-old children and adults. Exp Brain Res 2016; 234:1667-77. [DOI: 10.1007/s00221-016-4565-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2015] [Accepted: 01/18/2016] [Indexed: 10/22/2022]
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Raffa LH, Hellström A, Aring E, Andersson S, Andersson Grönlund M. Ocular dimensions in relation to auxological data in a sample of Swedish children aged 4-15 years. Acta Ophthalmol 2014; 92:682-8. [PMID: 24447816 DOI: 10.1111/aos.12310] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2013] [Accepted: 10/08/2013] [Indexed: 01/14/2023]
Abstract
PURPOSE The purpose was to characterize normal growth patterns of ocular and optical components and to relate them to auxological data in a sample of Swedish children aged 4-15 years. METHODS A prospective cross-sectional study was carried out in 143 Swedish children with a mean age of 9.8 years. Variables including gestational age (GA), weight, length and head circumference (HCF) at birth and at the time of assessment were registered. Visual acuity (VA), cycloplegic refraction and biometric measures were obtained. Palpebral fissure length and inner canthal distance were measured. Optic disc morphology as seen on fundus photographs was analysed. RESULTS Children born more mature, with male predilection, were found to have deeper anterior and vitreous chamber depths, longer axial lengths and thinner crystalline lens thickness. No correlations were found between ocular biometric measurements and VA or refraction after adjustment for confounding variables. Inner canthal distance was significantly correlated with birth length (p = 0.03), height, weight, BMI and HCF (p = 0.0008, p = 0.0007, p = 0.037, and p = 0.04, respectively) at time of assessment. Total axial length was found to be significantly correlated with GA (p = 0.0226) and length at assessment in girls (p = 0.0084). Right optic disc and rim areas decreased with increasing age (p = 0.0078 and p = 0.0107, respectively); however, optic disc parameters were not dependent on any other variable. CONCLUSION These normative values may serve as a basis for the ocular findings and their relationship to auxological data in Caucasian children aged 4-15 years, as well as for future comparison in patients with paediatric ocular pathologies.
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Affiliation(s)
- Lina H. Raffa
- Institute of Neuroscience and Physiology/Ophthalmology; The Sahlgrenska Academy at the University of Gothenburg; Gothenburg Sweden
- Department of Ophthalmology; King Abdulaziz University Hospital; Jeddah Saudi Arabia
| | - Ann Hellström
- Institute of Neuroscience and Physiology/Ophthalmology; The Sahlgrenska Academy at the University of Gothenburg; Gothenburg Sweden
| | - Eva Aring
- Institute of Neuroscience and Physiology/Ophthalmology; The Sahlgrenska Academy at the University of Gothenburg; Gothenburg Sweden
| | - Susann Andersson
- Institute of Neuroscience and Physiology/Ophthalmology; The Sahlgrenska Academy at the University of Gothenburg; Gothenburg Sweden
| | - Marita Andersson Grönlund
- Institute of Neuroscience and Physiology/Ophthalmology; The Sahlgrenska Academy at the University of Gothenburg; Gothenburg Sweden
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Helo A, Pannasch S, Sirri L, Rämä P. The maturation of eye movement behavior: Scene viewing characteristics in children and adults. Vision Res 2014; 103:83-91. [DOI: 10.1016/j.visres.2014.08.006] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Revised: 08/03/2014] [Accepted: 08/04/2014] [Indexed: 10/24/2022]
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Felius J, Busettini C, Lynn MJ, Hartmann EE, Lambert SR. Nystagmus and related fixation instabilities following extraction of unilateral infantile cataract in the Infant Aphakia Treatment Study (IATS). Invest Ophthalmol Vis Sci 2014; 55:5332-7. [PMID: 25097243 DOI: 10.1167/iovs.14-14710] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
PURPOSE To study eye movements in a large group of children after the removal of unilateral infantile cataract, and to compare fixation instabilities between treatment groups with or without IOL implantation. METHODS The Infant Aphakia Treatment Study (IATS) is a randomized, multicenter clinical trial comparing IOL to contact lens (CL) treatment with a unilateral infantile cataract in participants who underwent cataract surgery at 1 to 6 months of age. At age 4.5 years, eye movements were recorded in 103 participants, using a high-speed video camera while the child performed a fixation task. The recordings were inspected by masked readers for the presence of fixation instabilities (nystagmus and saccadic oscillations). RESULTS Overall, fixation instabilities were observed in 50 (60%) of 83 children who had evaluable recordings, with no differences between treatment groups (27 [64%] of 42 in the IOL group, 23 [56%] of 41 in the CL group; P = 0.51). Nystagmus was seen in 38% and saccadic oscillations in 31%, with no differences between treatment groups (P > 0.33). Children without a fixation instability had better visual acuity (P = 0.04). CONCLUSIONS Nystagmus and saccadic oscillations are well-known consequences of infantile cataracts, presumably the result of visual deprivation during the critical period of visual development. After early cataract extraction, successful optical correction may reduce further form deprivation and minimize the incidence of these fixation instabilities. In this study, no differences in the presence of fixation instabilities were found between the two treatment strategies (CL or IOL) for optical correction after cataract removal. (ClinicalTrials.gov number, NCT00212134.).
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Affiliation(s)
- Joost Felius
- Retina Foundation of the Southwest, Dallas, Texas, United States Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, United States
| | - Claudio Busettini
- Department of Vision Sciences, University of Alabama at Birmingham, Birmingham, Alabama, United States
| | - Michael J Lynn
- Department of Biostatistics and Bioinformatics, Emory University, Atlanta, Georgia, United States
| | - E Eugenie Hartmann
- Department of Vision Sciences, University of Alabama at Birmingham, Birmingham, Alabama, United States
| | - Scott R Lambert
- Department of Ophthalmology, Emory University, Atlanta, Georgia, United States
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Kooiker MJ, van der Steen J, Pel JJ. Reliability of visual orienting response measures in children with and without visual impairments. J Neurosci Methods 2014; 233:54-62. [DOI: 10.1016/j.jneumeth.2014.06.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2014] [Revised: 06/04/2014] [Accepted: 06/05/2014] [Indexed: 11/25/2022]
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Damyanovich EV, Baziyan BK, Sagalov MV, Kumskova GA. Saccadic Movements of the Eyes in Children with Attention Deficit and Hyperactivity Syndrome. Bull Exp Biol Med 2013; 156:25-8. [PMID: 24319719 DOI: 10.1007/s10517-013-2268-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- E V Damyanovich
- Center of Neurology, the Russian Academy of Medical Sciences; Krestyanskaya Zastava Center of Psychological and Pedagogical Rehabilitation and Correction, Moscow, Russia.
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Olsson M, Fahnehjelm KT, Rydberg A, Ygge J. Ocular motor score a novel clinical approach to evaluating ocular motor function in children. Acta Ophthalmol 2013; 91:564-70. [PMID: 22672231 DOI: 10.1111/j.1755-3768.2012.02468.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
PURPOSE Ocular motility disturbances are common in a number of neuropaediatric and neurometabolic disorders. Assessment of ocular motor function can be a source of information for diagnosis and follow-up of these patients. AIM To evaluate a new clinical ocular motor function test: ocular motor score (OMS) and provide reference values in children and young adults without known ocular or neurological disorders. MATERIAL AND METHODS A total of 233 children and young adults, 103 males and 130 females between the ages of 6 months and 19 years, were assessed according to a specific OMS protocol. They were divided into four different age groups: 0.5-3, 4-6, 7-10 and 11-19 years. The OMS protocol consists of 15 different subtests evaluating ocular motor function, and a total score of minimum 0 up to max 15 can be obtained: the minimum score, 0, is considered normal while 1 represents an abnormal function. RESULTS The median OMS in the whole reference group was 0.3 (range 0-4.8). The median OMS in the different age groups, starting with the youngest, was: 0.9 (range 0.3-4.8), 0.3 (range 0-3.4), 0.3 (range 0-2.3) and 0 (range 0-3.5), respectively. The youngest subjects, aged 0.5-3, showed a significantly higher total OMS compared with the other age groups (p < 0.001). CONCLUSION This study provides reference values for the OMS test in a population aged 0.5-19 years. The test may be valuable as a screening tool for identification and follow-up of ocular motor dysfunction in children and young adults.
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Affiliation(s)
- Monica Olsson
- Division of Ophthalmology and Vision, Department of Clinical Neuroscience, Karolinska Institutet and St. Erik Eye Hospital, Stockholm, Sweden.
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Abstract
Cognitive control of behavior continues to improve through adolescence in parallel with important brain maturational processes including synaptic pruning and myelination, which allow for efficient neuronal computations and the functional integration of widely distributed circuitries supporting top-down control of behavior. This is also a time when psychiatric disorders, such as schizophrenia and mood disorders, emerge reflecting a particularly vulnerability to impairments in development during adolescence. Oculomotor studies provide a unique neuroscientific approach to make precise associations between cognitive control and brain circuitry during development that can inform us of impaired systems in psychopathology. In this review, we first describe the development of pursuit, fixation, and visually-guided saccadic eye movements, which collectively indicate early maturation of basic sensorimotor processes supporting reflexive, exogenously-driven eye movements. We then describe the literature on the development of the cognitive control of eye movements as reflected in the ability to inhibit a prepotent eye movement in the antisaccade task, as well as making an eye movement guided by on-line spatial information in working memory in the oculomotor delayed response task. Results indicate that the ability to make eye movements in a voluntary fashion driven by endogenous plans shows a protracted development into adolescence. Characterizing the transition through adolescence to adult-level cognitive control of behavior can inform models aimed at understanding the neurodevelopmental basis of psychiatric disorders.
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Affiliation(s)
- Beatriz Luna
- Laboratory of Neurocognitive Development, Department of Psychology and the Center for the Neural Basis of Cognition, University of Pittsburgh, Pittsburgh, PA 15213, USA.
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