Age-related deterioration of motion perception and detection

Visual motion detection thresholds can be reliably measured during walking and standing

Introduction

In upright standing and walking, the motion of the body relative to the environment is estimated from a combination of visual, vestibular, and somatosensory cues. Associations between vestibular or somatosensory impairments and balance problems are well established, but less is known whether visual motion detection thresholds affect upright balance control. Typically, visual motion threshold values are measured while sitting, with the head fixated to eliminate self-motion. In this study we investigated whether visual motion detection thresholds: (1) can be reliably measured during standing and walking in the presence of natural self-motion; and (2) differ during standing and walking.

Methods

Twenty-nine subjects stood on and walked on a self-paced, instrumented treadmill inside a virtual visual environment projected on a large dome. Participants performed a two-alternative forced choice experiment in which they discriminated between a counterclockwise ("left") and clockwise ("right") rotation of a visual scene. A 6-down 1-up adaptive staircase algorithm was implemented to change the amplitude of the rotation. A psychometric fit to the participants' binary responses provided an estimate for the detection threshold.

Results

We found strong correlations between the repeated measurements in both the walking (R = 0.84, p < 0.001) and the standing condition (R = 0.73, p < 0.001) as well as good agreement between the repeated measures with Bland-Altman plots. Average thresholds during walking (mean = 1.04°, SD = 0.43°) were significantly higher than during standing (mean = 0.73°, SD = 0.47°).

Conclusion

Visual motion detection thresholds can be reliably measured during both walking and standing, and thresholds are higher during walking.

Processing of translational, radial and rotational optic flow in older adults

Aging impacts human observer's performance in a wide range of visual tasks and notably in motion discrimination. Despite numerous studies, we still poorly understand how optic flow processing is impacted in healthy older adults. Here, we estimated motion coherence thresholds in two groups of younger (age: 18-30, n = 42) and older (70-90, n = 42) adult participants for the three components of optic flow (translational, radial and rotational patterns). Stimuli were dynamic random-dot kinematograms (RDKs) projected on a large screen. Participants had to report their perceived direction of motion (leftward versus rightward for translational, inward versus outward for radial and clockwise versus anti-clockwise for rotational patterns). Stimuli had an average speed of 7°/s (additional recordings were performed at 14°/s) and were either presented full-field or in peripheral vision. Statistical analyses showed that thresholds in older adults were similar to those measured in younger participants for translational patterns, thresholds for radial patterns were significantly increased in our slowest condition and thresholds for rotational patterns were significantly decreased. Altogether, these findings support the idea that aging does not lead to a general decline in visual perception but rather has specific effects on the processing of each optic flow component.

Detection of scene-relative object movement and optic flow parsing across the adult lifespan

Moving around safely relies critically on our ability to detect object movement. This is made difficult because retinal motion can arise from object movement or our own movement. Here we investigate ability to detect scene-relative object movement using a neural mechanism called optic flow parsing. This mechanism acts to subtract retinal motion caused by self-movement. Because older observers exhibit marked changes in visual motion processing, we consider performance across a broad age range (N = 30, range: 20–76 years). In Experiment 1 we measured thresholds for reliably discriminating the scene-relative movement direction of a probe presented among three-dimensional objects moving onscreen to simulate observer movement. Performance in this task did not correlate with age, suggesting that ability to detect scene-relative object movement from retinal information is preserved in ageing. In Experiment 2 we investigated changes in the underlying optic flow parsing mechanism that supports this ability, using a well-established task that measures the magnitude of globally subtracted optic flow. We found strong evidence for a positive correlation between age and global flow subtraction. These data suggest that the ability to identify object movement during self-movement from visual information is preserved in ageing, but that there are changes in the flow parsing mechanism that underpins this ability. We suggest that these changes reflect compensatory processing required to counteract other impairments in the ageing visual system.

Differential aging effects in motion perception tasks for central and peripheral vision

The perception of motion is considered critical for performing everyday tasks, such as locomotion and driving, and relies on different levels of visual processing. However, it is unclear whether healthy aging differentially affects motion processing at specific levels of processing, or whether performance at central and peripheral spatial eccentricities is altered to the same extent. The aim of this study was to explore the effects of aging on hierarchically different components of motion processing: the minimum displacement of dots to perceive motion (Dmin), the minimum contrast and speed to determine the direction of motion, spatial surround suppression of motion, global motion coherence (translational and radial), and biological motion. We measured motion perception in both central vision and at 15° eccentricity, comparing performance in 20 older (60-79 years) and 20 younger (19-34 years) adults. Older adults had significantly elevated thresholds, relative to younger adults, for motion contrast, speed, Dmin, and biological motion. The differences between younger and older participants were of similar magnitude in central and peripheral vision, except for surround suppression of motion, which was weaker in central vision for the older group, but stronger in the periphery. Our findings demonstrate that the effects of aging are not uniform across all motion tasks. Whereas the performance of some tasks in the periphery can be predicted from the results in central vision, the effects of age on surround suppression of motion shows markedly different characteristics between central and peripheral vision.

The Effect of Simulated Visual Field Loss on Optokinetic Nystagmus

Purpose

Assessment of functional vision across the visual field is hampered by a reliance on patients' subjective judgement of the presence of a stimulus, and the accompanying demands (time and attention) this places on them. As a first step toward determining whether an objective measure of an involuntary eye movement (optokinetic nystagmus [OKN]) could provide an objective measure of field loss, we determined how various measures of OKN depend on the extent of simulated visual field loss (SVFL).

Methods

We used infrared eye-tracking to measure the eye movements of 16 healthy participants viewing horizontally translating 2-dimensional noise patterns over trials of varying contrasts and different levels of SVFL. We quantified the strength of OKN by estimating the velocity of tracking eye movements compared to the stimulus (OKN gain). These measurements were made using an open-loop SVFL paradigm, where a varying amount of gaze-contingent peripheral stimuli was occluded.

Results

Full-field stimulation led to an average OKN gain of 0.92 ± 0.15. This value fell steadily with increasing SVFL to a value of 0.38 ± 0.20 when the periphery was not stimulated at all (i.e., the stimulus was a 5-deg. diameter foveal patch). We note considerable individual variation in OKN gain in all conditions.

Conclusions

Measuring the extent of visual field loss using an objective measure of OKN gain is feasible.

Translational Relevance

Simulated visual field loss reduces optokinetic nystagmus, but further refinement of this technique would be required to overcome individual differences and to pick up clinically relevant field defects.

Age-Related Changes in Global Motion Coherence: Conflicting Haemodynamic and Perceptual Responses

Our aim was to use both behavioural and neuroimaging data to identify indicators of perceptual decline in motion processing. We employed a global motion coherence task and functional Near Infrared Spectroscopy (fNIRS). Healthy adults (n = 72, 18-85) were recruited into the following groups: young (n = 28, mean age = 28), middle-aged (n = 22, mean age = 50), and older adults (n = 23, mean age = 70). Participants were assessed on their motion coherence thresholds at 3 different speeds using a psychophysical design. As expected, we report age group differences in motion processing as demonstrated by higher motion coherence thresholds in older adults. Crucially, we add correlational data showing that global motion perception declines linearly as a function of age. The associated fNIRS recordings provide a clear physiological correlate of global motion perception. The crux of this study lies in the robust linear correlation between age and haemodynamic response for both measures of oxygenation. We hypothesise that there is an increase in neural recruitment, necessitating an increase in metabolic need and blood flow, which presents as a higher oxygenated haemoglobin response. We report age-related changes in motion perception with poorer behavioural performance (high motion coherence thresholds) associated with an increased haemodynamic response.

Audiovisual Temporal Perception in Aging: The Role of Multisensory Integration and Age-Related Sensory Loss

Within each sensory modality, age-related deficits in temporal perception contribute to the difficulties older adults experience when performing everyday tasks. Since perceptual experience is inherently multisensory, older adults also face the added challenge of appropriately integrating or segregating the auditory and visual cues present in our dynamic environment into coherent representations of distinct objects. As such, many studies have investigated how older adults perform when integrating temporal information across audition and vision. This review covers both direct judgments about temporal information (the sound-induced flash illusion, temporal order, perceived synchrony, and temporal rate discrimination) and judgments regarding stimuli containing temporal information (the audiovisual bounce effect and speech perception). Although an age-related increase in integration has been demonstrated on a variety of tasks, research specifically investigating the ability of older adults to integrate temporal auditory and visual cues has produced disparate results. In this short review, we explore what factors could underlie these divergent findings. We conclude that both task-specific differences and age-related sensory loss play a role in the reported disparity in age-related effects on the integration of auditory and visual temporal information.

Effects of age on inhibitory control are affected by task-specific features

Older adults have been argued to have impoverished inhibitory control compared to younger adults. However, these effects of age may depend on processing speed and their manifestation may furthermore depend on the type of inhibitory control task that is used. We present two experiments that examine age effects on inhibition across three tasks: a Simon arrow, static flanker and motion flanker task. The results showed overall slower reaction times (RTs) for older adults on all three tasks. However, effects of age on inhibition costs were only found for the Simon task, but not for the two flanker tasks. The motion flanker task furthermore showed an effect of baseline processing speed on the relation between age and inhibition costs. Older adults with slower baseline responses showed smaller inhibition costs, suggesting they were affected less by the flanker items than faster older adults. These findings suggest that effects of age on inhibition are task dependent and can be modulated by task-specific features such as the type of interference, type of stimuli and processing speed.

White matter structure in the right planum temporale region correlates with visual motion detection thresholds in deaf people

The right planum temporale region is typically involved in higher-order auditory processing. After deafness, this area reorganizes to become sensitive to visual motion. This plasticity is thought to support compensatory enhancements to visual ability. In earlier work we showed that enhanced visual motion detection abilities in early-deaf people correlate with cortical thickness in a subregion of the right planum temporale. In the current study, we build on this earlier result by examining the relationship between enhanced visual motion detection ability and white matter structure in this area in the same sample. We used diffusion-weighted magnetic resonance imaging and extracted the measures of white matter structure from a region-of-interest just below the grey matter surface where cortical thickness correlates with visual motion detection ability. We also tested control regions-of-interest in the auditory and visual cortices where we did not expect to find a relationship between visual motion detection ability and white matter. We found that in the right planum temporale subregion, and in no other tested regions, fractional anisotropy, radial diffusivity, and mean diffusivity correlated with visual motion detection thresholds. We interpret this change as further evidence of a structural correlate of cross-modal reorganization after deafness.

Age-related gene expression change of GABAergic system in visual cortex of rhesus macaque

Degradation of visual function is a common phenomenon during aging and likely mediated by change in the impaired central visual pathway. Treatment with GABA or its agonist could recover the ability of visual neurons in the primary visual cortex of senescent macaques. However, little is known about how GABAergic system change is related to the aged degradation of visual function in nonhuman primate. With the use of quantitative PCR method, we measured the expression change of 24 GABA related genes in the primary visual cortex (Brodmann's 17) of different age groups. In this study, both of mRNA and protein of glutamic acid decarboxylase (GAD65) were measured by real-time RT-PCR and Western blot, respectively. Results revealed that the level of GAD65 message was not significantly altered, but the proteins were significantly decreased in the aged monkey. As GAD65 plays an important role in GABA synthesis, the down-regulation of GAD65 protein was likely the key factor leading to the observed GABA reduction in the primary visual cortex of the aged macaques. In addition, 7 of 14 GABA receptor genes were up-regulated and one GABA receptor gene was significantly reduced during aging process even after Banjamini correction for multiple comparisons (P<0.05). These results suggested that the dysregulation of GAD65 protein might contribute to some age-related neural visual dysfunctions and most of GABA receptor genes induce a clear indication of compensatory effect for the reduced GABA release in the healthy aged monkey cortex.

The Right Hemisphere Planum Temporale Supports Enhanced Visual Motion Detection Ability in Deaf People: Evidence from Cortical Thickness

After sensory loss, the deprived cortex can reorganize to process information from the remaining modalities, a phenomenon known as cross-modal reorganization. In blind people this cross-modal processing supports compensatory behavioural enhancements in the nondeprived modalities. Deaf people also show some compensatory visual enhancements, but a direct relationship between these abilities and cross-modally reorganized auditory cortex has only been established in an animal model, the congenitally deaf cat, and not in humans. Using T1-weighted magnetic resonance imaging, we measured cortical thickness in the planum temporale, Heschl's gyrus and sulcus, the middle temporal area MT+, and the calcarine sulcus, in early-deaf persons. We tested for a correlation between this measure and visual motion detection thresholds, a visual function where deaf people show enhancements as compared to hearing. We found that the cortical thickness of a region in the right hemisphere planum temporale, typically an auditory region, was greater in deaf individuals with better visual motion detection thresholds. This same region has previously been implicated in functional imaging studies as important for functional reorganization. The structure-behaviour correlation observed here demonstrates this area's involvement in compensatory vision and indicates an anatomical correlate, increased cortical thickness, of cross-modal plasticity.

Effects of aging on eye movements in the real world

The effects of aging on eye movements are well studied in the laboratory. Increased saccade latencies or decreased smooth-pursuit gain are well established findings. The question remains whether these findings are influenced by the rather untypical environment of a laboratory; that is, whether or not they transfer to the real world. We measured 34 healthy participants between the age of 25 and 85 during two everyday tasks in the real world: (I) walking down a hallway with free gaze, (II) visual tracking of an earth-fixed object while walking straight-ahead. Eye movements were recorded with a mobile light-weight eye tracker, the EyeSeeCam (ESC). We find that age significantly influences saccade parameters. With increasing age, saccade frequency, amplitude, peak velocity, and mean velocity are reduced and the velocity/amplitude distribution as well as the velocity profile become less skewed. In contrast to laboratory results on smooth pursuit, we did not find a significant effect of age on tracking eye-movements in the real world. Taken together, age-related eye-movement changes as measured in the laboratory only partly resemble those in the real world. It is well-conceivable that in the real world additional sensory cues, such as head-movement or vestibular signals, may partially compensate for age-related effects, which, according to this view, would be specific to early motion processing. In any case, our results highlight the importance of validity for natural situations when studying the impact of aging on real-life performance.

The ups and downs of global motion perception: a paradoxical advantage for smaller stimuli in the aging visual system

Recent evidence suggests that normal aging is typically accompanied by impairment in the ability to perceive the global (overall) motion of visual objects in the world. The purpose of this study was to examine the interplay between age-related changes in the ability to perceive translational global motion (up vs. down) and important factors such as the spatial extent (size) over which movement occurs and how cluttered the moving elements are (density). We used random dot kinematograms (RDKs) and measured motion coherence thresholds (% signal elements required to reliably discriminate global direction) for young and older adults. We did so as a function of the number and density of local signal elements, and the aperture area in which they were displayed. We found that older adults’ performance was relatively unaffected by changes in aperture size, the number and density of local elements in the display. In young adults, performance was also insensitive to element number and density but was modulated markedly by display size, such that motion coherence thresholds decreased as aperture area increased (participants required fewer local elements to move coherently to determine the overall image direction). With the smallest apertures tested, young participants’ motion coherence thresholds were considerably higher (~1.5 times worse) than those of their older counterparts. Therefore, when RDK size is relatively small, older participants were actually better than young participants at processing global motion. These findings suggest that the normal (disease-free) aging process does not lead to a general decline in perceptual ability and in some cases may be visually advantageous. The results have important implications for the understanding of the consequences of aging on visual function and a number of potential explanations are explored. These include age-related changes in spatial summation, reduced cortical inhibition, neural blur and attentional resource allocation.

Do older individuals have difficulty processing motion or excluding noise? Implications for safe driving

This study aimed to determine if difficulties extracting signal from noise explained poorer coherent motion thresholds in older individuals, particularly women. In four experimental conditions the contrast of the signal and noise dots used in a random dot kinematogram was manipulated. Coherence thresholds were highest when the signal dots were of a lower contrast than the noise dots and lowest when the signal dots were of a higher contrast than the noise dots. In all conditions the older group had higher coherence thresholds than the younger group, and women had higher thresholds than men. Significant correlations were found between coherence thresholds and self-reported driving difficulties in conditions in which the signal dots had to be extracted from noise only. The results indicate that older individuals have difficulties extracting signal from noise in cluttered visual environments. The implications for safe driving are discussed.

Aging effects on visual evoked potentials (VEPs) for motion direction discrimination

Age-related declines in motion perception have been well documented. We investigated the impact of age on electrophysiological correlates of motion perception, namely the P1 and N2 components of motion onset visual evoked potentials (MO-VEPs). Additionally, we used a model of response times based on the diffusion model to pinpoint the cognitive processes affected by aging. Twelve healthy adults (age <55 years) and 19 elderly (age >55 years) performed a motion direction discrimination task during EEG recording. Behaviorally, younger and older participants had similar, high accuracy rates--98% correct, but older adults exhibited 85 ms longer response times. Fitting behavioral results with a diffusion model revealed differences between young adults and elderly in non-decision time, which we argue reflects an early perceptual stage. Electrophysiologically, aging effects were present at MO-VEPs P1 and N2 components at the posterior sites. For the P1 component, older as compared to younger adults showed greater topographical voltage distribution. For the N2 component of elderly as compared to young adults we found delayed onsets and diminished amplitudes. We did not find any significant correlations between behavioral and MO-VEP measures. However, regression analysis showed that N2 amplitude and latency were significant age predictors. Overall, our results indicate that in motion perception, age-related changes occur in early stages of visual processing, most likely in striate and extrastriate visual cortices.

[Aging affects early stage direction selectivity of MT cells in rhesus monkeys]

The middle temporal area (MT/V5) plays an important role in motion processing. Neurons in this area have a strongly selective response to the moving direction of objects and as such, the selectivity of MT neurons was proposed to be a neural mechanism for the perception of motion. Our previous studies have found degradation in direction selectivity of MT neurons in old monkeys, but this direction selectivity was calculated during the whole response time and the results were not able to uncover the mechanism of motion perception over a time course. Furthermore, experiments have found that direction selectivity was enhanced by attention at a later stage. Therefore, the response should be excluded in experiments with anesthesia. To further characterize the neural mechanism over a time course, we investigated the age-related changes of direction selectivity in the early stage by comparing the proportions of direction selective MT cells in old and young macaque monkeys using in vivo single-cell recording techniques. Our results show that the proportion of early-stage-direction-selective cells is lower in old monkeys than in young monkeys, and that the early stage direction bias (esDB) of old MT cells decreased relative to young MT cells. Furthermore, the proportion of MT cells having strong early stage direction selectivity in old monkeys was decreased. Accordingly, the functional degradation in the early stage of MT cells may mediate perceptual declines of old primates in visual motion tasks.

Functional degradation of the primary visual cortex during early senescence in rhesus monkeys

Visual function in humans degrades during the early stage of senescence beginning from middle 50s to 60s. To identify its underlying neural mechanisms, we investigated the aging effects on the primary visual cortex (V1) cells in early senescent (ES) monkeys (Macaca mulatta). Under anesthesia, receptive field properties of V1 cells were examined by extracellular single-unit recordings in the young adult (YA; 5-6 years old), ES (19-24 years old), and late senescent (LS; 28-32 years old) monkeys. We found clear indications of functional degradation in early senescence, including impaired stimulus selectivities, increased level of spontaneous activity and declined signal-to-noise ratio, and dynamic range of V1 cell responses. Importantly, the functional degradation in early senescence exhibited unique features that were different from the results for the LS animals, such as remarkable individual variability in orientation selectivity and unchanged peak response elicited by visual stimulation. Our results demonstrate that the function of V1 degrades during the early stage of aging in nonhuman primate, suggesting potential neural correlates for functional deficits observed in early senescence in human subjects. Moreover, these results provide new insight into the dynamics of the aging-related functional deterioration, revealing a more complex and heterogeneous picture of this process.

The effects of age on the spatial and temporal integration of global motion

The purpose of this study was to determine the relative contributions of local element speed and/or spatial displacement to age-related deficits in global motion processing. Motion coherence thresholds (79% correct) were measured for discriminating the direction of translational random dot kinematograms (RDKs) as a function of dot speed and spatial displacement across the adult lifespan (20-79 years). Age-related impairments in global motion processing were only apparent in observers 70-79 years of age. In agreement with previous studies, we found an age-related impairment at low (0.625 deg/s) and high speeds (10 deg/s). However, these effects were heavily mediated by dot spatial displacement. Motion coherence thresholds were also most markedly elevated in women aged over 70 years. These findings suggest a prominent role of spatial integration in global motion processing. Moreover, global motion perception appears to be relatively well preserved until around 70 years of age.

Elevated coherent motion thresholds in mild traumatic brain injury

PURPOSE

Individuals with mild traumatic brain injury (mTBI) frequently complain of increased sensitivity to visual motion. Thus, the purpose of this study was to assess the coherent motion threshold (CMT) in subjects with mTBI and reported visual motion sensitivity.

METHODS

Fourteen adult subjects with mTBI and symptoms of motion sensitivity were tested. They were compared with 40 age-matched asymptomatic visually normal individuals. CMT was assessed using a 2-alternative, forced choice paradigm. A symptom rating-scale questionnaire related to motion and light sensitivity, vertigo, and self-reported reading ability was also administered to the mTBI group.

RESULTS

Mean CMTs were significantly elevated in the mTBI (8.81%) versus the normal subjects (6.53%). There was a trend for a progressive increase in mean CMT in mTBI with increased symptoms related to visual motion sensitivity and vertigo. However, there was no apparent relation to either light sensitivity or self-reported reading ability in mTBI. There was no significant age effect in either group.

CONCLUSIONS

The elevated CMT in mTBI suggests damage to the magnocellular pathway, such as extrastriate visual cortical area V5, visual area medial temporal, and the medial superior temporal cortex, which is involved directly in various aspects of motion processing. These findings are consistent with the subjects' symptoms of motion sensitivity and vertigo in their natural environments.

Aging and vision

Given the increasing size of the older adult population in many countries, there is a pressing need to identify the nature of aging-related vision impairments, their underlying mechanisms, and how they impact older adults' performance of everyday visual tasks. The results of this research can then be used to develop and evaluate interventions to slow or reverse aging-related declines in vision, thereby improving quality of life. Here we summarize salient developments in research on aging and vision over the past 25 years, focusing on spatial contrast sensitivity, vision under low luminance, temporal sensitivity and motion perception, and visual processing speed.

Continuous visual field motion impacts the postural responses of older and younger women during and after support surface tilt

The effect of continuous visual flow on the ability to regain and maintain postural orientation was examined. Fourteen young (20-39 years old) and 14 older women (60-79 years old) stood quietly during 3° (30°/s) dorsiflexion tilt of the support surface combined with 30° and 45°/s upward or downward pitch rotations of the visual field. The support surface was held tilted for 30 s and then returned to neutral over a 30-s period while the visual field continued to rotate. Segmental displacement and bilateral tibialis anterior and gastrocnemius muscle EMG responses were recorded. Continuous wavelet transforms were calculated for each muscle EMG response. An instantaneous mean frequency curve (IMNF) of muscle activity, center of mass (COM), center of pressure (COP), and angular excursion at the hip and ankle were used in a functional principal component analysis (fPCA). Functional component weights were calculated and compared with mixed model repeated measures ANOVAs. The fPCA revealed greatest mathematical differences in COM and COP responses between groups or conditions during the period that the platform transitioned from the sustained tilt to a return to neutral position. Muscle EMG responses differed most in the period following support surface tilt indicating that muscle activity increased to support stabilization against the visual flow. Older women exhibited significantly larger COM and COP responses in the direction of visual field motion and less muscle modulation when the platform returned to neutral than younger women. Results on a Rod and Frame test indicated that older women were significantly more visually dependent than the younger women. We concluded that a stiffer body combined with heightened visual sensitivity in older women critically interferes with their ability to counteract posturally destabilizing environments.

Age, eye movement and motion discrimination

Age is known to affect sensitivity to retinal motion. However, little is known about how age might affect sensitivity to motion during pursuit. We therefore investigated direction discrimination and speed discrimination when moving stimuli were either fixated or pursued. Our experiments showed: (1) age influences direction discrimination at slow speeds but has little affect on speed discrimination; (2) the faster eye movements made in the pursuit conditions produced poorer direction discrimination at slower speeds, and poorer speed discrimination at all speeds; (3) regardless of eye-movement condition, observers always combined retinal and extra-retinal motion signals to make their judgements. Our results support the idea that performance in these tasks is limited by the internal noise associated with retinal and extra-retinal motion signals, both of which feed into a stage responsible for estimating head-centred motion. Imprecise eye movement, or later noise introduced at the combination stage, could not explain the results.

Visual determinants of instability and falls in older people

Poor vision (in particular, reduced contrast sensitivity, depth perception and visual field size) reduces postural stability and increases the risk of falls and fractures in older people. Multifocal glasses may add to this risk by impairing distance contrast sensitivity and depth perception. Maximizing vision through cataract surgery and occupational therapy interventions involving home hazards reduction in visually impaired older people are effective strategies for fall prevention. Although interventions involving vision assessment and provision of new spectacles improve visual acuity in older people, this strategy may not reduce, and may even increase, the risk of falls. Further randomized, controlled trials are required to determine whether restriction of use of multifocal glasses and multifaceted visual interventions can significantly reduce falls in older people.

Aging affects the direction selectivity of MT cells in rhesus monkeys

The ability to accurately perceive the direction and speed of moving objects declines during normal aging. This is likely due to functional degradation of cortical neurons. Most neurons in the primate middle temporal area (MT) are direction-selective and their activity is closely linked to the perception of coherent motion. We investigated the mechanisms that underlie this age-related decline by comparing the proportions of direction-selective MT cells in old and young macaque monkeys, using in vivo single-cell recording techniques. Our results showed that the proportion of such cells was lower in old than in young monkeys. Moreover, one type of direction-sensitive cells, pattern cells, was especially sensitive to aging and was affected more severely than another class, component cells. We also found that direction selectivity was affected more severely in MT than in V1 of senescent monkeys. Thus, the functional degradation of MT and V1 cells may mediate perceptual decline in visual motion tasks in old primates.

Differential aging of motion processing mechanisms: evidence against general perceptual decline

While the percentage of older people in our society is steadily increasing, knowledge about perceptual changes during healthy aging is still limited. We investigated age effects on visual motion perception in order to differentiate between general decline and specific vulnerabilities. A total of 119 subjects ranging in age from 20 to 82 years participated in our study. Perceptual thresholds for different types of motion information, including translational motion, expanding radial flow, and biological motion, were determined. Results revealed a substantial increase of thresholds for translational motion with age. Biological motion perception was only moderately affected by age. For both motion types, threshold elevation seemed to develop gradually with age. In contrast, we found stable radial flow analysis across lifespan. There was no evidence that age effects were dependent on gender. Results demonstrate that visual capabilities are not equally prone to age-related decline. Surprisingly, higher motion complexity might not be necessarily associated with more pronounced perceptual constraints. We suggest that differential age effects on the perception of specific motion types might indicate that specialized neuronal processing mechanisms differ in their vulnerability to physiological changes during aging.

Decreased proportion of GABA neurons accompanies age-related degradation of neuronal function in cat striate cortex

Electrophysiological studies indicate that a decline of GABAergic inhibition in the visual cortex may underlie age-related degradation of visual function [A.G. Leventhal, Y. Wang, M. Pu, Y. Zhou, Y. Ma, GABA and its agonists improved visual cortical function in senescent monkeys, Science 300 (2003) 812-815; M.T. Schmolesky, Y. Wang, M. Pu, A.G. Leventhal, Degradation of stimulus selectivity of visual cortical cells in senescent rhesus monkeys, Nat. Neurosci. 3 (2000) 384-390]. To date, there is little direct evidence to support this hypothesis. Using Nissl staining and immunohistochemical techniques, we quantitatively compared the density of total neurons (Nissl-stained neurons) and GABA-immunoreactive neurons as well as the proportion of GABA-immunoreactive neurons to total neurons in the primary visual cortex between 4 young adult (1-3 year old) cats and 4 old (12 year old) cats, which had been previously examined in a single-unit recording study [T. Hua, X. Li, L. He, Y. Zhou, Y. Wang, A.G. Leventhal, Functional degradation of visual cortical cells in old cats, Neurobiol. Aging 27 (2006) 155-162]. In that study, we found the function of V(1) (area 17) neurons in the old cats was significantly degraded relative to young adult cats. Our present results indicate that the density of total neurons in each cortical layer of V(1) exhibit no significant difference in the two age groups of cats. However, the density of GABA-immunoreactive neurons in old cats is significantly lower than in young adults. Further, the ratio of GABA-immunoreactive neurons to total neurons in each layer of V(1) in old cats is also significantly decreased when compared to young adult cats. These results provide direct morphological evidence of decreased GABAergic inhibition in the striate visual cortex of old animals, which accompany the functional degradation of visual cortical neurons.

The effects of aging on motion detection and direction identification

Random dot cinematograms were used to probe motion perception in human observers ranging from 23 to 81 years of age. Stimuli were either broadband directional Noise, which produces no experience of global motion flow, or a narrower band directional Signal, which tended to produce experiences of coherent, global direction flow. On each trial, subjects rated their certainty that a Signal had been presented, and used a computer mouse to indicate the direction of perceived global flow. At all ages, sensitivity to motion and accuracy of perceived direction improved significantly as stimulus duration increased from 75 to 470 ms. However, older subjects (>70 years of age) were significantly less sensitive to motion, and were significantly less accurate at identifying the direction of movement. A control experiment, which found that older subjects accurately perceived and remembered the orientation of a line, ruled out the possibility that the observed deficits in motion perception were due to an inability on the part of older subjects to manipulate the computer mouse. Those control results also showed that both younger and older observers maintained robust visual representations over durations ranging from .24 to 6.0s. The motion detection and identification results obtained from subjects less than 70 years of age were well fit by a simple multichannel model of motion, although different levels of additive internal noise were needed to fit detection data and direction-identification data, suggesting that motion direction and identification are constrained by different mechanisms. To fit the data from the oldest subjects, however, the values of model parameters had to be significantly altered, either by increasing the level of additive internal noise substantially, or by a smaller increase in noise coupled with an increase in the bandwidth of the model's directionally selective channels. These results are qualitatively consistent with recent neurophysiological studies showing weaker directional selectivity and higher spontaneous noise in visual neurons of senescent monkeys and cats.

Gender-specific left-right asymmetries in human visual cortex

The structural correlates of gender differences in visuospatial processing are essentially unknown. Our quantitative analysis of the cytoarchitecture of the human primary visual cortex [V1/Brodmann area 17 (BA17)], neighboring area V2 (BA18), and the cytoarchitectonic correlate of the motion-sensitive complex (V5/MT+/hOc5) shows that the visual areas are sexually dimorphic and that the type of dimorphism differs among the areas. Gender differences exist in the interhemispheric asymmetry of hOc5 volumes and in the right-hemispheric volumetric ratio of hOc5 to BA17, an area that projects to V5/MT+/hOc5. Asymmetry was also observed in the surface area of hOc5 but not in its cortical thickness. The differences give males potentially more space in which to process additional information, a finding consistent with superior male processing in particular visuospatial tasks, such as mental rotation. Gender differences in hOc5 exist with similar volume fractions of cell bodies, implying that, overall, the visual neural circuitry is similar in males and females.

Functional degradation of visual cortical cells in aged rats

Functional degradation of mammalian visual cortex is associated with aging. It has been hypothesized that much of the decline might be mediated by a degradation of cortical inhibitory system during senescence. In the present work, we compared the properties of adaptation, onset latency and signal-to-noise ratio in primary visual cortex of young and old rats using extracellular single-unit techniques. The short-term synaptic plasticity of young and old rats was also studied using field potential recording techniques. We found significant increased adaptation, prolonged onset latency, lower signal-to-noise ratio and decreased short-term synaptic plasticity in aged rats. The results are in accordance with previously reported functional declines in old monkeys and old cats, indicating a universal mechanism of degradation in cortical function that accompanies old age in different mammalian species.

Motion perception in the ageing visual system: minimum motion, motion coherence, and speed discrimination thresholds

We aimed to address two issues: first, to describe how the perception of motion differs in elderly observers as compared to younger ones; and, second, to see if these changes in motion perception could be accounted for by the known changes in the ability of elderly observers to detect patterns (as indexed via contrast sensitivity). The lower threshold of motion, motion coherence, and speed discrimination were measured, alongside contrast sensitivity, in a group of thirty-two older (mean age 61.5 years) and thirty-two younger (mean age 23.2 years) subjects. The older observers showed losses in their ability to detect slow motions as indexed via the lower threshold of motion for random-dot patterns and for gratings of a range of spatial frequencies. They also were impaired on a test of motion coherence, but only for stimuli of a slow to medium speed, whereas faster speeds showed no decline with age. Finally, at all speeds tested the older observers required greater differences in speed in order to discriminate between patterns moving at different speeds. The pattern of losses on motion perception tasks was not predicted by the deficits of the older groups, such as loss of detection thresholds for high spatial and/or temporal frequencies. It is concluded that these hypotheses do not provide an adequate account of the data, and therefore that the losses occurring with age are complex and probably are a result of the loss of several types of cell.

Functional degradation of extrastriate visual cortex in senescent rhesus monkeys

The receptive field properties of striate cortical (V1) cells degrade in senescent macaque monkeys. We have now carried out extracellular single unit studies of the receptive field properties of cells in extrastriate visual cortex (area V2) in very old rhesus (Macaca mulatta) monkeys. This study provides evidence that both the orientation and direction selectivities of V2 cells in old monkeys degrade significantly. Decreased selectivity is accompanied by increased visually driven and spontaneous responses. As a result, V2 cells in old animals exhibit markedly decreased signal-to-noise ratios. A significant degradation of neural function in extrastriate cortex may underlie the declines in higher order visual function that accompany normal aging.

Effects of distance and gaze position on postural stability in young and old subjects

Visual stabilization of posture is known to improve when the distance to target fixation decreases; this is attributed to increased angular size of retinal slip induced by body sway. At near distance, however, the eyes converge and efferent or afferent oculomotor signals could also be involved in posture stabilization. The goal of this study is to test whether the distance effect exists for both young and elderly and to test the role of vergence itself and of gaze position. Eighteen young (25.3 years) and 17 elderly (61.6 years) subjects were asked to fixate a target in quiet stance presented either at close (40 cm) or at far distance (200 cm); the vergence angle was 9 degrees and 2 degrees , respectively. For each distance, three gaze positions were studied straight-ahead (0 degrees ), 15 degrees up or down. We found a decrease in the surface of center of pressure (CoP), of standard deviation of antero-posterior and lateral body sway and of speed variance at near distance that occurs for both young and elderly. At far distance, the surface of CoP is smaller for 15 degrees up or down gaze in comparison with straight-ahead position, but at near distance there is no such gaze position effect. In an additional experiment, subjects fixated a target at far distance (200 cm) but prisms were used to cause the eyes to converge by an amount similar to that required for 40 cm viewing distance. The use of prisms decreased surface of CoP to values similar to those for natural near viewing distance. The effect of gaze position and of convergence (experiment with prisms) leads us to suggest that in addition to retinal slip, the ocular motor signals and perhaps related neck muscle activity are involved in postural stabilization. Finally, the elderly presented higher speed variance of CoP than the young subjects even though the surface itself was similar to adult values. We suggest that increment of speed variance is the first sign of senescence in postural control.

Functional degradation of visual cortical cells in old cats

Visual function declines with age. Using extracellular single-unit in vivo recordings, we compared the function of primary visual cortical (area 17) cells in young and old paralyzed, anesthetized cats. The results reveal that cortical neurons in old cats exhibit higher visually evoked responses, higher spontaneous activities, lower signal-to-noise ratios, and weaker orientation and direction selectivity than do cells in young adult cats. These findings are consistent with previously reported age related declines in cortical function in senescent macaque monkeys. Thus, similar declines in cortical function accompany old age in different mammalian species with well developed cortices.

Psychophysical estimation of speed discrimination. II. Aging effects

We studied the effects of aging on a speed discrimination task using a pair of first-order drifting luminance gratings. Two reference speeds of 2 and 8 deg/s were presented at stimulus durations of 500 ms and 1000 ms. The choice of stimulus parameters, etc., was determined in preliminary experiments and described in Part I. Thresholds were estimated using a two-alternative-forced-choice staircase methodology. Data were collected from 16 younger subjects (mean age 24 years) and 17 older subjects (mean age 71 years). Results showed that thresholds for speed discrimination were higher for the older age group. This was especially true at stimulus duration of 500 ms for both slower and faster speeds. This could be attributed to differences in temporal integration of speed with age. Visual acuity and contrast sensitivity were not statistically observed to mediate age differences in the speed discrimination thresholds. Gender differences were observed in the older age group, with older women having higher thresholds.

GABA and its agonists improved visual cortical function in senescent monkeys

Human cerebral cortical function degrades during old age. Much of this change may result from a degradation of intracortical inhibition during senescence. We used multibarreled microelectrodes to study the effects of electrophoretic application of gamma-aminobutyric acid (GABA), the GABA type a (GABAa) receptor agonist muscimol, and the GABAa receptor antagonist bicuculline, respectively, on the properties of individual V1 cells in old monkeys. Bicuculline exerted a much weaker effect on neuronal responses in old than in young animals, confirming a degradation of GABA-mediated inhibition. On the other hand, the administration of GABA and muscimol resulted in improved visual function. Many treated cells in area V1 of old animals displayed responses typical of young cells. The present results have important implications for the treatment of the sensory, motor, and cognitive declines that accompany old age.

Prosthetic motility in pegged versus unpegged integrated porous orbital implants

PURPOSE

To objectively measure and compare prosthetic motility in pegged versus unpegged orbital implants and to determine subjective patient assessment of motility after the pegging procedure.

METHODS

A prospective case series of 10 patients with integrated porous orbital implants, who had secondary motility peg placement procedure, were studied. Infrared oculography was used to quantitatively assess pegged and unpegged prosthetic eye motility in horizontal and vertical excursions.

RESULTS

For horizontal excursions, prosthetic motility in unpegged implants retained an average of 49.6% of measured motility of the contralateral normal eye, which increased to 86.5% with peg placement (P<0.05). For vertical excursions, prosthetic motility in unpegged implants retained an average of 51.3% of measured motility of the contralateral normal eye, which increased to 54.3% with peg placement (P>0.3). Nine of 10 patients judged their motility as "significantly improved," and 1 patient gave a rating of "some improvement" after peg placement. Four of 10 patients had granulomas around the peg sites.

CONCLUSIONS

Objective assessment of prosthetic motility shows a significant increase in horizontal gaze after motility peg placement.

Degradation of stimulus selectivity of visual cortical cells in senescent rhesus monkeys

Human visual function declines with age. Much of this decline is probably mediated by changes in the central visual pathways. We compared the stimulus selectivity of cells in primary visual cortex (striate cortex or V1) in young adult and very old macaque monkeys using single-neuron in vivo electrophysiology. Our results provide evidence for a significant degradation of orientation and direction selectivity in senescent animals. The decreased selectivity of cells in old animals was accompanied by increased responsiveness to all orientations and directions as well as an increase in spontaneous activity. The decreased selectivities and increased excitability of cells in old animals are consistent with an age-related degeneration of intracortical inhibition. The neural changes described here could underlie declines in visual function during senescence.