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Kao LY, Liu CH, Yang ML. Management of diplopia with visual-field defects. Taiwan J Ophthalmol 2017; 7:22-27. [PMID: 29018750 PMCID: PMC5525597 DOI: 10.4103/tjo.tjo_5_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
PURPOSE: The management of diplopia can be challenging in patients with a concurrent visual-field (VF) defect. We conducted a retrospective chart review to analyze and compare treatment outcomes for different types of VF defects. METHODS: A retrospective chart review. RESULTS: Seven patients with diplopia and VF defects were identified during the study. Four had bitemporal hemianopia, one had homonymous hemianopia, and two had a constricted central VF. A favorable or satisfactory outcome was achieved in all but two patients with bitemporal hemianopia. CONCLUSIONS: The hemifield-slide diplopia may develop in patients with bitemporal hemianopia or heteronymous altitudinal visual defects. Sensory abnormalities usually persist, even after elimination of ocular misalignment.
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Affiliation(s)
- Ling-Yuh Kao
- Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
| | - Chun-Hsiu Liu
- Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
| | - Meng-Ling Yang
- Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
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Abstract
Recent evidence suggests that people can simultaneously activate attentional control setting for two distinct colors. However, it is unclear whether both attentional control settings must operate globally across the visual field or whether each can be constrained to a particular spatial location. Using two different paradigms, we investigated participants' ability to apply independent color attentional control settings to distinct regions of space. In both experiments, participants were told to identify red letters in one hemifield and green letters in the opposite hemifield. Additionally, some trials used a "relevant distractor"-a letter that matched the opposite side's target color. In Experiment 1, eight letters appeared (four per hemifield) simultaneously for a brief amount of time and then were masked. Relevant distractors increased the error rate and resulted in a greater number of distractor intrusions than irrelevant distractors. Similar results were observed in Experiment 2 in which red and green targets were presented in two rapid serial visual presentation streams. Relevant distractors were found to produce an attentional blink similar in magnitude to an actual target. The results of both experiments suggest that letters matching either attentional control setting were selected by attention and were processed as if they were targets, providing strong evidence that both attentional control settings were applied globally, rather than being constrained to a particular location.
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Alekseenko SV. Neuronal Representation of 3-D Space in the Primary Visual Cortex and Control of Eye Movements. Perception 2015; 44:995-1006. [PMID: 26562914 DOI: 10.1177/0301006615594930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The aim of this article is to consider the correlations between the structure of the primary visual cortical area V1 and control of coordinated movements of the two eyes. Using the anatomical data available, a schematic map of 3-D space representation in the layer IV of area V1 containing only monocular cells has been constructed. The analysis of this map revealed that binocular neurons of V1, which are formed by convergence of monocular cells, should encode the absolute disparity. Participation of monocular and binocular neurons of V1 in the control of convergence, divergence, and version eye movements is discussed. It is proposed that synchronous contraction of corresponding extraocular muscles of both eyes for vergence might be ensured by duplicated transmission of information from the central part of retina to visual cortex of both hemispheres.
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Affiliation(s)
- Svetlana V Alekseenko
- Laboratory of Visual Physiology, Pavlov Institute of Physiology of the Russian Academy of Sciences, St. Petersburg, Russia
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Shigihara Y, Zeki S. Parallel processing of face and house stimuli by V1 and specialized visual areas: a magnetoencephalographic (MEG) study. Front Hum Neurosci 2014; 8:901. [PMID: 25426050 PMCID: PMC4224090 DOI: 10.3389/fnhum.2014.00901] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Accepted: 10/21/2014] [Indexed: 11/25/2022] Open
Abstract
We used easily distinguishable stimuli of faces and houses constituted from straight lines, with the aim of learning whether they activate V1 on the one hand, and the specialized areas that are critical for the processing of faces and houses on the other, with similar latencies. Eighteen subjects took part in the experiment, which used magnetoencephalography (MEG) coupled to analytical methods to detect the time course of the earliest responses which these stimuli provoke in these cortical areas. Both categories of stimuli activated V1 and areas of the visual cortex outside it at around 40 ms after stimulus onset, and the amplitude elicited by face stimuli was significantly larger than that elicited by house stimuli. These results suggest that “low-level” and “high-level” features of form stimuli are processed in parallel by V1 and visual areas outside it. Taken together with our previous results on the processing of simple geometric forms (Shgihara and Zeki, 2013; Shigihara and Zeki, 2014), the present ones reinforce the conclusion that parallel processing is an important component in the strategy used by the brain to process and construct forms.
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Affiliation(s)
| | - Semir Zeki
- Wellcome Laboratory of Neurobiology, University College London London, UK
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Verleger R, Dittmer M, Smigasiewicz K. Cooperation or competition of the two hemispheres in processing characters presented at vertical midline. PLoS One 2013; 8:e57421. [PMID: 23451226 PMCID: PMC3579854 DOI: 10.1371/journal.pone.0057421] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2012] [Accepted: 01/21/2013] [Indexed: 11/18/2022] Open
Abstract
Little is known about how the hemispheres interact in processing of stimuli presented at vertical midline. Processing might be mutually independent or cooperative. Here we measured target identification and visually evoked EEG potentials while stimulus streams containing two targets, T1 and T2, were either presented at vertical midline above and below fixation, or laterally, left and right. With left and right streams, potentials evoked by filler stimuli and by T2 were earlier at the right than the left visual cortex, and T2 was better identified left than right, confirming earlier results and suggesting better capabilities of the right hemisphere in this task. With streams above and below fixation, EEG potentials evoked by filler stimuli and by T2 were likewise earlier at the right than the left hemisphere, and T2 was generally identified as well as, but not better than left T2, in one target constellation even worse (T2 in lower stream preceded by T1 in upper stream). These results suggest right-hemisphere preference for this task even with stimuli at vertical midline, and no added value through hemispheric cooperation. Lacking asymmetry for T1 amidst asymmetries for filler stimuli and for T2 might indicate alternating access of the hemispheres to midline stimuli as one means of hemispheric division of labor.
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Affiliation(s)
- Rolf Verleger
- Department of Neurology, University of Lübeck, Lübeck, Germany.
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Jordan TR, Fuggetta G, Paterson KB, Kurtev S, Xu M. An ERP assessment of hemispheric projections in foveal and extrafoveal word recognition. PLoS One 2011; 6:e23957. [PMID: 21935368 PMCID: PMC3174137 DOI: 10.1371/journal.pone.0023957] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2011] [Accepted: 08/02/2011] [Indexed: 11/19/2022] Open
Abstract
Background The existence and function of unilateral hemispheric projections within foveal vision may substantially affect foveal word recognition. The purpose of this research was to reveal these projections and determine their functionality. Methodology Single words (and pseudowords) were presented to the left or right of fixation, entirely within either foveal or extrafoveal vision. To maximize the likelihood of unilateral projections for foveal displays, stimuli in foveal vision were presented away from the midline. The processing of stimuli in each location was assessed by combining behavioural measures (reaction times, accuracy) with on-line monitoring of hemispheric activity using event-related potentials recorded over each hemisphere, and carefully-controlled presentation procedures using an eye-tracker linked to a fixation-contingent display. Principal Findings Event-related potentials 100–150 ms and 150–200 ms after stimulus onset indicated that stimuli in extrafoveal and foveal locations were projected unilaterally to the hemisphere contralateral to the presentation hemifield with no concurrent projection to the ipsilateral hemisphere. These effects were similar for words and pseudowords, suggesting this early division occurred before word recognition. Indeed, event-related potentials revealed differences between words and pseudowords 300–350 ms after stimulus onset, for foveal and extrafoveal locations, indicating that word recognition had now occurred. However, these later event-related potentials also revealed that the hemispheric division observed previously was no longer present for foveal locations but remained for extrafoveal locations. These findings closely matched the behavioural finding that foveal locations produced similar performance each side of fixation but extrafoveal locations produced left-right asymmetries. Conclusions These findings indicate that an initial division in unilateral hemispheric projections occurs in foveal vision away from the midline but is not apparent, or functional, when foveal word recognition actually occurs. In contrast, the division in unilateral hemispheric projections that occurs in extrafoveal locations is still apparent, and is functional, when extrafoveal word recognition takes place.
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Affiliation(s)
- Timothy R Jordan
- Faculty of Medicine and Biological Sciences, University of Leicester, Leicester, United Kingdom.
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Luo B, Shan C, Zhu R, Weng X, He S. Functional foveal splitting: evidence from neuropsychological and multimodal MRI investigations in a Chinese patient with a splenium lesion. PLoS One 2011; 6:e23997. [PMID: 21887360 PMCID: PMC3162595 DOI: 10.1371/journal.pone.0023997] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2011] [Accepted: 08/02/2011] [Indexed: 11/27/2022] Open
Abstract
It remains controversial and hotly debated whether foveal information is double-projected to both hemispheres or split at the midline between the two hemispheres. We investigated this issue in a unique patient with lesions in the splenium of the corpus callosum and the left medial occipitotemporal region, through a series of neuropsychological tests and multimodal MRI scans. Behavioral experiments showed that (1) the patient had difficulties in reading simple and compound Chinese characters when they were presented in the foveal but left to the fixation, (2) he failed to recognize the left component of compound characters when the compound characters were presented in the central foveal field, (3) his judgments of the gender of centrally presented chimeric faces were exclusively based on the left half-face and he was unaware that the faces were chimeric. Functional MRI data showed that Chinese characters, only when presented in the right foveal field but not in the left foveal field, activated a region in the left occipitotemporal sulcus in the mid-fusiform, which is recognized as visual word form area. Together with existing evidence in the literature, results of the current study suggest that the representation of foveal stimuli is functionally split at object processing levels.
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Affiliation(s)
- Benyan Luo
- Department of Neurology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Chunlei Shan
- Department of Rehabilitation Medicine, First Affiliated Hospital of Nanjing Medical University, Nanjing, China
- * E-mail:
| | - Renjing Zhu
- Department of Neurology, Zhongshan Hospital, Xiamen University, Xiamen, China
| | - Xuchu Weng
- Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- The Center for Human Brain Research, Hangzhou Normal University, Hangzhou, China
| | - Sheng He
- Department of Psychology, University of Minnesota, Minneapolis, Minnesota, United States of America
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Almabruk AAA, Paterson KB, McGowan V, Jordan TR. Evaluating effects of divided hemispheric processing on word recognition in foveal and extrafoveal displays: the evidence from Arabic. PLoS One 2011; 6:e18131. [PMID: 21559084 PMCID: PMC3084692 DOI: 10.1371/journal.pone.0018131] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2010] [Accepted: 02/23/2011] [Indexed: 11/30/2022] Open
Abstract
Background Previous studies have claimed that a precise split at the vertical midline of each fovea causes all words to the left and right of fixation to project to the opposite, contralateral hemisphere, and this division in hemispheric processing has considerable consequences for foveal word recognition. However, research in this area is dominated by the use of stimuli from Latinate languages, which may induce specific effects on performance. Consequently, we report two experiments using stimuli from a fundamentally different, non-Latinate language (Arabic) that offers an alternative way of revealing effects of split-foveal processing, if they exist. Methods and Findings Words (and pseudowords) were presented to the left or right of fixation, either close to fixation and entirely within foveal vision, or further from fixation and entirely within extrafoveal vision. Fixation location and stimulus presentations were carefully controlled using an eye-tracker linked to a fixation-contingent display. To assess word recognition, Experiment 1 used the Reicher-Wheeler task and Experiment 2 used the lexical decision task. Results Performance in both experiments indicated a functional division in hemispheric processing for words in extrafoveal locations (in recognition accuracy in Experiment 1 and in reaction times and error rates in Experiment 2) but no such division for words in foveal locations. Conclusions These findings from a non-Latinate language provide new evidence that although a functional division in hemispheric processing exists for word recognition outside the fovea, this division does not extend up to the point of fixation. Some implications for word recognition and reading are discussed.
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Affiliation(s)
- Abubaker A. A. Almabruk
- College of Medicine, Biological Sciences, and Psychology, University of Leicester, Leicester, United Kingdom
| | - Kevin B. Paterson
- College of Medicine, Biological Sciences, and Psychology, University of Leicester, Leicester, United Kingdom
- * E-mail:
| | - Victoria McGowan
- College of Medicine, Biological Sciences, and Psychology, University of Leicester, Leicester, United Kingdom
| | - Timothy R. Jordan
- College of Medicine, Biological Sciences, and Psychology, University of Leicester, Leicester, United Kingdom
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Evaluating hemispheric divisions in processing fixated words: the evidence from Arabic. Cortex 2011; 47:992-7. [PMID: 21457952 DOI: 10.1016/j.cortex.2011.02.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2010] [Revised: 01/17/2011] [Accepted: 02/01/2011] [Indexed: 11/23/2022]
Abstract
Some studies have claimed that, when fixating a word, a precise split in foveal processing produces substantial effects on word recognition because all letters to the left and right of fixation project to different, contralateral hemispheres. Recently in this Journal, Jordan, Paterson, Kurtev, and Xu (2010, Cortex, 46, 298-309) evaluated this claim using precisely-controlled procedures of fixation and stimulus presentation and found no evidence of split-foveal processing. However, in line with other research in this area, these findings were obtained using a Latinate alphabetic language (in this case English) which may induce specific effects on performance. Consequently, here we report a further study which used stimuli from a fundamentally different, non-Latinate alphabetic language (Arabic) with characteristics better suited to revealing effects of split-foveal processing, if they exist. Participants made lexical decisions to five-letter Arabic words (and nonwords) when fixations were made immediately to the right (location 1) or left (location 6) of each stimulus, or at one of the four possible inter-letter locations (locations 2-5). Fixation location was carefully controlled using an eye-tracker linked to a fixation-contingent display and all stimuli were presented within foveal vision to avoid confounding influences of extrafoveal projections. Performance was equally poorest when fixating locations 1 and 6 (i.e., when words were shown entirely to either the left or right of fixation), equally intermediate for locations 2 and 5, and equally superior for locations 3 and 4 (i.e., the centre of words). Moreover, additional, word-specific analyses showed no evidence of the effects of fixation location on individual word recognition also predicted by split-foveal processing. These findings from a non-Latinate language complement those reported previously for English to provide further evidence that while fixation location influences word recognition, these influences occur with no functional division in hemispheric processing at the point of fixation.
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