Asymmetry in visual information processing depends on the strength of eye dominance

Short-Term Modulation of Online Monocular Visuomotor Function

Previous literature suggests that correcting ongoing movements is more effective when using the dominant limb and seeing with the dominant eye. Specifically, individuals are more effective at adjusting their movement to account for an imperceptibly perturbed or changed target location (i.e., online movement correction), when vision is available to the dominant eye. However, less is known if visual-motor functions based on monocular information can undergo short-term neuroplastic changes after a bout of practice, to improve online correction processes. Participants (n = 12) performed pointing movements monocularly and their ability to correct their movement towards an imperceptibly displaced target was assessed. On the first day, the eye associated with smaller correction amplitudes was exclusively trained during acquisition. While correction amplitude was assessed again with both eyes monocularly, only the eye with smaller correction amplitudes in the pre-test showed significant improvement in delayed retention. These results indicate that monocular visuomotor pathways can undergo short-term neuroplastic changes.

Is the prolongation latency of visual evoked potentials a pathological sign in children with Down’s syndrome without ocular abnormalities? Case–control study of children with Down’s syndrome

Objective

To evaluate retino-cortical function in children with Down’s syndrome (DS) and no evident ocular abnormalities beyond mild refractive error, by recording visual evoked potentials (VEP) in response to pattern-reversal stimuli and comparing to those of age-matched healthy controls.

Methods and analysis

All the children with DS registered at Split-Dalmatia County who met inclusion criteria of no ocular abnormalities and with refraction error between −0.5 and +2.0 D, and their age-matched healthy controls were included in the study (n=36 children, N=72 eyes, for both groups, respectively, with the same age of 9±2 years). Transient VEP was recorded and the waves with a positive peak as a response to a pattern-reversal stimulus, were analysed. The peak P100 latency, defined as the time from the stimulus onset to the main positive peak, and peak to peak amplitudes were measured.

Results

While P100 wave amplitudes were comparable between two groups (p=0.804), P100 latencies were from 4.3 to 28.5 ms longer in children with DS (p<0.001). Interocular latency difference between a VEP dominant and an inferior eye was pronounced in healthy (1.2 ms (0.2–4.0), but was almost diminished in children with DS (0.3 ms (0.1–0.5), p<0.001).

Conclusion

Our study has demonstrated that VEP response is divergent in children with DS compared with their age-matched healthy controls, indicating possible structural or functional abnormalities of the visual cortex. As VEP results are helpful in the diagnosis and treatment planning of vision-related disorders, we should reconsider the use of common VEP diagnostic criteria in subpopulation of children with DS.

Distractor-induced saccade trajectory curvature reveals visual contralateral bias with respect to the dominant eye

The functional consequences of the visual system lateralization referred to as "eye dominance" remain poorly understood. We previously reported shorter hand reaction times for targets appearing in the contralateral visual hemifield with respect to the dominant eye (DE). Here, we further explore this contralateral bias by studying the influence of laterally placed visual distractors on vertical saccade trajectories, a sensitive method to assess visual processing. In binocular conditions, saccade trajectory curvature was larger toward a distractor placed in the contralateral hemifield with respect to the DE (e.g., in the left visual hemifield for a participant with a right dominant eye) than toward one presented in the ipsilateral hemifield (in the right visual hemifield in our example). When two distractors were present at the same time, the vertical saccade showed curvature toward the contralateral side. In monocular conditions, when one distractor was presented, a similar larger influence of the contralateral distractor was observed only when the viewing eye was the DE. When the non dominant eye (NDE) was viewing, curvature was symmetric for both distractor sides. Interestingly, this curvature was as large as the one obtained for the contralateral distractor when the DE was viewing, suggesting that eye dominance consequences rely on inhibition mechanisms present when the DE is viewing. Overall, these results demonstrate that DE influences visual integration occurring around saccade production and support a DE-based contralateral visual bias.

Horizontal Heterophoria Modifications by Means of Thin Proprioceptive Stimulations Applied on the Foot Sole: A Randomised Study

Some authors have demonstrated that proprioceptive stimuli applied on the feet soles can interfere on the ocular muscles. However, these studies do not clarify possible functional differences between the dominant eye and the non-dominant eye. The purpose of this randomised study is to establish if the positioning of an Internal Heel Wedge (IHW) and an External Heel Wedge (EHW) can modify horizontal heterophoria, determine dissimilar behaviours between the dominant eye and the non-dominant eye. Forty-two healthy subjects, with a right dominant eye, were tested. The 1.5 mm-thick proprioceptive stimuli were shaped out of a cork half-moon. The experimental group was divided into two groups: IHW group and EHW group. Both groups performed the "Baseline" (without mechanical stimulation) and "After 15'" (following a fitting period of 15 minutes on a treadmill with mechanical stimulation) trials. The control group performed the same trials without any podalic stimulation. Meaningful changes were observed on the horizontal heterophoria of the non-dominating eye with an IHW. Non-statistically significant variations were observed with an EHW and in the Control group. A thin heel wedge applied on the foot sole was able to generate functional changes in the non-dominant eye and could help health professionals develop increasingly personalised rehabilitation programmes.

Preventing the Development of Dyslexia: A Premature Writing Hypothesis

It has been argued that dyslexia may develop in strongly left eye dominant children through learning to write using ipsilateral, right hemisphere motor pathways. New light on this theory has been cast by recent findings of atypical enhanced corpus callosum white matter in children with dyslexia, reflecting right to left hemisphere communication that is resistant to intensive remedial reading intervention. Enhanced corpus callosum white matter is consistent with uninhibited right to left hemisphere ipsilateral mirror-motor innervation, manifested as frequent mirror-letter writing errors in children with dyslexia. Delaying writing instruction until 7-8 years of age may prevent these errors and as well as the development of dyslexia. During the 7-8 year age period, visual-proprioceptive integration enables a child to mentally map whole word visual images onto kinaesthetic/proprioceptive letter engrams (memory representations). Hypothetically, this process is facilitated by anterior commissure activity involving inter-hemispheric transfer of ipsilateral mirror-to-non mirror motor movement. This postulate, involving delayed writing instruction pending further maturation, also receives indirect support from the remarkable proficiency leap among second graders reading Hebrew as Hebrew involves a leftward orthography in which ipsilateral right to left hemisphere innervation is uninhibited. Additionally, and more directly, normal reading comprehension for learning English among children with agenesis of the corpus callosum suggests that letter-sound decoding is not the sole route to proficient reading comprehension. In this paper, I make recommendations for obtaining empirical evidence of premature writing as a cause of dyslexia.

Impact of ocular dominance on circumpapillary and macular retinal nerve fibre layer thickness and ganglion cell layer thickness in a healthy pediatric population

OBJECTIVE

This study was designed to evaluate potential differences in circumpapillary retinal nerve fibre layer (cpRNFL) thickness and segmented macular retinal layers between dominant and nondominant eyes on spectral-domain optical coherence tomography in a pediatric population.

DESIGN

Cross-sectional study.

PARTICIPANTS

89 healthy children attending a general pediatric clinic.

METHODS

Participants underwent sighting dominant testing and macular and cpRNFL spectral-domain optical coherence tomography. Segmented macular layer thicknesses and cpRNFL thickness were compared for individual patients based on their ocular dominance.

RESULTS

Ocular dominance occurred particularly in the right eye (64.7%). Dominant and nondominant eyes did not differ significantly in axial length or spherical equivalent refraction; axial length: 22.99 ± 1.17 mm versus 22.98 ± 1.19 mm; p = 0.51 and spherical equivalent refraction: -0.09 ± 2.68 D versus 0.32 ± 2.93 D; p = 0.41. In the comparison of the macular ganglion layer the average thickness in the 1 mm central Early Treatment Diabetic Retinopathy Study area was significantly different between the dominant and nondominant eye (16.56 ± 6.02 μm vs 17.58 ± 8.32 μm; p = 0.02). However, when compensating with Bonferroni, this difference was no longer statistically significant. There were no differences in the analyses of average global and sectorial cpRNFL thickness in dominant and nondominant eyes.

CONCLUSION

Dominant eyes demonstrated no significantly thicker average macular retinal nerve fiber layer (mRNFL), Ganglion cell layer (GCL) thickness or cpRNFL thickness. No ocular characteristic was found to be associated with the relative dominance of an eye in eyes with low anisometropia.

A modality selective effect of functional laterality in pain detection sensitivity

The ability to detect environmental changes is essential to determine the appropriate reaction when facing potential threats. Both detection and reaction functions are critical to survival, and the superior performance of motor reaction for the dominant hand is well recognized in humans. However, it is not clear whether there exists laterality in sensitivity to detect external changes and whether the possible laterality is associated with sensory modality and stimulus intensity. Here, we tested whether the perceptual sensitivity and electrophysiological responses elicited by graded sensory stimuli (i.e., nociceptive somatosensory, non-nociceptive somatosensory, auditory, and visual) that were delivered on/near the left and right hands would be different for right-handed individuals. We observed that perceived intensities and most brain responses were significantly larger when nociceptive stimuli were delivered to the left side (i.e., the non-dominant hand) than to the right side (i.e., the dominant hand). No significant difference was observed between the two sides for other modalities. The higher sensitivity to detect nociceptive stimuli for the non-dominant hand would be important to provide a prompt reaction to noxious events, thus compensating for its worse motor performance. This laterality phenomenon should be considered when designing experiments for pain laboratory studies and evaluating regional sensory abnormalities for pain patients.

Strong fixation preference in patients with manifest exotropia: Does it matter or not?

PURPOSE

To evaluate the influence of strong fixation preference on clinical and surgical outcomes, in non-amblyopic patients with basic-type intermittent exotropia (IXT).

MATERIALS AND METHODS

The records of patients were retrospectively investigated. Non-amblyopic patients with the diagnosis of basic-type IXT were enrolled and divided into two groups according to the presence of strong fixation preference (SFP). Best-corrected visual acuity, refractive errors, deviations in near and distance, convergence patterns, motor fusion, stereopsis were evaluated and compared. Patients who underwent surgery in each group composed subgroups and postoperative deviations, convergence patterns, motor fusion, and stereopsis were compared.

RESULTS

Seventy-seven patients were enrolled and divided into two groups according to the presence of SFP: patients with SFP composed Group 1 and patients with alternating fixation composed Group 2. Statistically significant difference was seen between groups in terms of motor fusion (p: 0.02). Other parameters did not differ between groups. Data obtained from patients in subgroups of each group were not statistically different.

CONCLUSION

The evaluation of basic-type exotropic patients according to their fixation preference revealed us that motor fusion might be affected by strong fixation preference. We also observed that SFP did not affect surgical success rates, convergence patterns, and stereopsis of exotropic patients.

(Side) effects of the rule of the road and neurophysiology on traffic safety: A hypothesis

Nowadays, the roots of left-hand traffic (LHT) and right-hand traffic (RHT) - including fighting on horse-back and whipping horses that are drawing carriages - are at an all-time low; thus, it is time to assess and appreciate the nexus of road-safety practices and human neurophysiology. We hypothesize that safety of LHT and RHT can be associated with neurophysiology. We summarize scattered empirical research into plausible links between neurophysiological aspects such as handedness, eye movement bias, and hemispheric lateralisation and how safe, in theory, LHT vs. RHT may be for whom. The scarcity and limitations of empirical data into road traffic accidents associated with LHT or RHT are surprising. Even though it was claimed that countries with LHT have lower collision rates than countries with RHT some 50 years ago, we lack informative analyses of traffic accidents in countries with either LHT or RHT which consider plausibly associated neurophysiology. Overall, we predict that LHT (with the driver sitting on the right) is safer than RHT. As 'the rule of the road' and neurophysiology may have important unrecognized "side" effects, we suggest that (and how) this rationale should be tested.

Saccade accuracy as an indicator of the competition between functional asymmetries in vision

Hemispheric specialization refers to the fact that cerebral hemispheres are not equivalent and that cognitive processes are lateralized in the brain. Although the potential links between handedness and the left hemisphere specialization for language have been widely studied, little attention has been paid to other motor preferences, such as eye dominance, that also are lateralized in the brain. For example, saccadic accuracy is higher in the hemifield contralateral to the dominant eye compared to the ipsilateral hemifield. Saccade accuracy is, however, also known to be sensitive to other functional asymmetries, such as the lateralization of visuo-spatial attention in the right hemisphere of the brain. Using a global effect paradigm in three different saccade latency ranges, we here propose to use saccade accuracy as an indicator of visual functional asymmetries. We show that for the shortest latencies, saccade accuracy is higher in the left than in the right visual hemifield, which could be due to the lateralization of visuo-spatial attention in the right hemisphere. For the longest latencies, however, saccade accuracy is higher toward the right than the left hemifield, probably due to the lateralization of local and global processing in the left and right hemispheres, respectively. These results could have a major impact on studies designed to measure the degree of lateralization of individuals. We here discuss both the theoretical and clinical contributions of these results.

Asymmetries of the visual system and their influence on visual performance and oculomotor dynamics

Our representation of the visual field is not homogenous. There are differences in resolution not only between the fovea and regions eccentric to it, but also between the nasal and temporal hemiretinae, that can be traced to asymmetric distributions of photoreceptors and ganglion cells. We review evidence for differences in visual and attentional processing and oculomotor behaviour that can be traced to asymmetries of the visual system, mainly emphasising nasal-temporal asymmetries. Asymmetries in the visual system manifest in various measures, in basic psychophysical tests of visual performance, attentional processing, choice behaviour, saccadic peak velocity, and latencies. Nasal-temporal asymmetries on saccadic latency seem primarily to occur for express saccades. Neural asymmetries between the upper and lower hemifields are strong and cause corresponding differences in performance between the hemifields. There are interesting individual differences in asymmetric processing which seem to be related to the strength of eye dominance. These neurophysiological asymmetries and the corresponding asymmetries in visual performance and oculomotor behaviour can strongly influence experimental results in vision and must be considered during experimental design and the interpretation of results.