Second-order spatial summation in amblyopia

Desenvolvimento e validação de medidas psicofísicas de sensibilidade ao contraste de segunda-ordem

A medida de sensibilidade ao contraste (SC) de primeira ordem é frequentemente utilizada para avaliação da percepção espacial. Nosso objetivo foi desenvolver e validar um teste de SC de segunda ordem para aplicação clínica. Modificações metodológicas foram realizadas na rotina psicofísica para redução do tempo de testagem e no primeiro experimento validamos a nova metodologia. Em um segundo experimento, dezesseis participantes foram testados nas mesmas condições do primeiro experimento. As medidas de consistência interna por alfa de Cronbach foram robustas para a medida de primeira ordem sendo α= 0,788, segunda ordem por ruído branco α= 0,668 e por ruído rosa α= 0,717. O desenvolvimento e validação deste novo experimento para medidas de SC de segunda ordem permitirá avançar nos estudos dos mecanismos básicos da percepção de espaço para estímulos complexos, assim como a aplicação clínica em diversas doenças.

Early monocular defocus disrupts the normal development of receptive-field structure in V2 neurons of macaque monkeys

Experiencing different quality images in the two eyes soon after birth can cause amblyopia, a developmental vision disorder. Amblyopic humans show the reduced capacity for judging the relative position of a visual target in reference to nearby stimulus elements (position uncertainty) and often experience visual image distortion. Although abnormal pooling of local stimulus information by neurons beyond striate cortex (V1) is often suggested as a neural basis of these deficits, extrastriate neurons in the amblyopic brain have rarely been studied using microelectrode recording methods. The receptive field (RF) of neurons in visual area V2 in normal monkeys is made up of multiple subfields that are thought to reflect V1 inputs and are capable of encoding the spatial relationship between local stimulus features. We created primate models of anisometropic amblyopia and analyzed the RF subfield maps for multiple nearby V2 neurons of anesthetized monkeys by using dynamic two-dimensional noise stimuli and reverse correlation methods. Unlike in normal monkeys, the subfield maps of V2 neurons in amblyopic monkeys were severely disorganized: subfield maps showed higher heterogeneity within each neuron as well as across nearby neurons. Amblyopic V2 neurons exhibited robust binocular suppression and the strength of the suppression was positively correlated with the degree of hereogeneity and the severity of amblyopia in individual monkeys. Our results suggest that the disorganized subfield maps and robust binocular suppression of amblyopic V2 neurons are likely to adversely affect the higher stages of cortical processing resulting in position uncertainty and image distortion.

Linking assumptions in amblyopia

Over the last 35 years or so, there has been substantial progress in revealing and characterizing the many interesting and sometimes mysterious sensory abnormalities that accompany amblyopia. A goal of many of the studies has been to try to make the link between the sensory losses and the underlying neural losses, resulting in several hypotheses about the site, nature, and cause of amblyopia. This article reviews some of these hypotheses, and the assumptions that link the sensory losses to specific physiological alterations in the brain. Despite intensive study, it turns out to be quite difficult to make a simple linking hypothesis, at least at the level of single neurons, and the locus of the sensory loss remains elusive. It is now clear that the simplest notion-that reduced contrast sensitivity of neurons in cortical area V1 explains the reduction in contrast sensitivity-is too simplistic. Considerations of noise, noise correlations, pooling, and the weighting of information also play a critically important role in making perceptual decisions, and our current models of amblyopia do not adequately take these into account. Indeed, although the reduction of contrast sensitivity is generally considered to reflect "early" neural changes, it seems plausible that it reflects changes at many stages of visual processing.

Spatial summation of first-order and second-order motion in human vision

This study assessed spatial summation of first-order (luminance-defined) and second-order (contrast-defined) motion. Thresholds were measured for identifying the drift direction of 1c/deg., luminance-modulated and contrast-modulated dynamic noise drifting at temporal frequencies of 0.5, 2 and 8Hz. Image size varied from 0.125 degrees to 16 degrees . The effects of increasing image size on thresholds for luminance-modulated noise were also compared to those for luminance-defined gratings. In all cases, performance improved as image size increased. The rate at which performance improved with increasing image size was similar for all stimuli employed although the slopes corresponding to the initial improvement were steeper for first-order compared to second-order motion. The image sizes at which performance for first-order motion asymptote were larger than for second-order motion. In addition, findings showed that the minimum image size required to support reliable identification of the direction of moving stimuli is greater for second-order than first-order motion. Thus, although first-order and second-order motion processing have a number of properties in common, the visual system's sensitivity to each type of motion as a function of image size is quite different.

Making perceptual learning practical to improve visual functions

Task-specific improvement in performance after training is well established. The finding that learning is stimulus-specific and does not transfer well between different stimuli, between stimulus locations in the visual field, or between the two eyes has been used to support the notion that neurons or assemblies of neurons are modified at the earliest stage of cortical processing. However, a debate regarding the proposed mechanism underlying perceptual learning is an ongoing issue. Nevertheless, generalization of a trained task to other functions is an important key, for both understanding the neural mechanisms and the practical value of the training. This manuscript describes a structured perceptual learning method that previously used (amblyopia, myopia) and a novel technique and results that were applied for presbyopia. In general, subjects were trained for contrast detection of Gabor targets under lateral masking conditions. Training improved contrast sensitivity and diminished the lateral suppression when it existed (amblyopia). The improvement was transferred to unrelated functions such as visual acuity. The new results of presbyopia show substantial improvement of the spatial and temporal contrast sensitivity, leading to improved processing speed of target detection as well as reaction time. Consequently, the subjects, who were able to eliminate the need for reading glasses, benefited. Thus, here we show that the transfer of functions indicates that the specificity of improvement in the trained task can be generalized by repetitive practice of target detection, covering a sufficient range of spatial frequencies and orientations, leading to an improvement in unrelated visual functions. Thus, perceptual learning can be a practical method to improve visual functions in people with impaired or blurred vision.

Crowding between first- and second-order letters in amblyopia

To test whether first- and second-order stimuli are processed independently in amblyopic vision, we measured thresholds for identifying a target letter flanked by two letters for all combinations of first- and second-order targets and flankers. We found that (1) the magnitude of crowding is greater for second- than for first-order letters for target and flankers of the same order type; (2) substantial but asymmetric cross-over crowding occurs such that stronger crowding is found for a second-order letter flanked by first-order letters than for the converse; (3) the spatial extent of crowding is independent of the order type of the letters. Our findings are consistent with the hypothesis that crowding results from an abnormal integration of target and flankers beyond the stage of feature detection, which takes place over a large distance in amblyopic vision.

Image segregation in strabismic amblyopia

Humans with naturally occurring amblyopia show deficits thought to involve mechanisms downstream of V1. These include excessive crowding, abnormal global image processing, spatial sampling and symmetry detection and undercounting. Several recent studies suggest that humans with naturally occurring amblyopia show deficits in global image segregation. The current experiments were designed to study figure-ground segregation in amblyopic observers with documented deficits in crowding, symmetry detection, spatial sampling and counting, using similar stimuli. Observers had to discriminate the orientation of a figure (an "E"-like pattern made up of 17 horizontal Gabor patches), embedded in a 7x7 array of Gabor patches. When the 32 "background" patches are vertical, the "E" pops-out, due to segregation by orientation and performance is perfect; however, if the background patches are all, or mostly horizontal, the "E" is camouflaged, and performance is random. Using a method of constant stimuli, we varied the number of "background" patches that were vertical and measured the probability of correct discrimination of the global orientation of the E (up/down/left/right). Surprisingly, amblyopes who showed strong crowding and deficits in symmetry detection and counting, perform normally or very nearly so in this segregation task. I therefore conclude that these deficits are not a consequence of abnormal segregation of figure from background.

Separate first- and second-order processing is supported by spatial summation estimates at the fovea and eccentrically

We estimated spatial summation areas for the detection of luminance-modulated (LM) and contrast-modulated (CM) blobs at the fovea, 2.5, 5 and 10 deg eccentrically. Gaussian profiles were added or multiplied to binary white noise to create LM and CM blob stimuli and these were used to psychophysically estimate detection thresholds and spatial summation areas. The results reveal significantly larger summation areas for detecting CM than LM blobs across eccentricity. These differences are comparable to receptive field size estimates made in V1 and V2. They support the notion that separate spatial processing occurs for the detection of LM and CM stimuli.

Spatial interactions reveal inhibitory cortical networks in human amblyopia

Humans with amblyopia have a well-documented loss of sensitivity for first-order, or luminance defined, visual information. Recent studies show that they also display a specific loss of sensitivity for second-order, or contrast defined, visual information; a type of image structure encoded by neurons found predominantly in visual area A18/V2. In the present study, we investigate whether amblyopia disrupts the normal architecture of spatial interactions in V2 by determining the contrast detection threshold of a second-order target in the presence of second-order flanking stimuli. Adjacent flanks facilitated second-order detectability in normal observers. However, in marked contrast, they suppressed detection in each eye of the majority of amblyopic observers. Furthermore, strabismic observers with no loss of visual acuity show a similar pattern of detection suppression. We speculate that amblyopia results in predominantly inhibitory cortical interactions between second-order neurons.