Magnocellular and parvocellular pathway mediated luminance contrast discrimination in amblyopia

Loss and enhancement of layer-selective signals in geniculostriate and corticotectal pathways of adult human amblyopia

How abnormal visual experiences early in life influence human subcortical pathways is poorly understood. Using high-resolution fMRI and pathway-selective visual stimuli, we investigate the influence of amblyopia on response properties and the effective connectivity of subcortical visual pathways of the adult human brain. Compared to the normal and fellow eyes, stimuli presented to the amblyopic eye show selectively reduced response in the parvocellular layers of the lateral geniculate nucleus and weaker effective connectivity to V1. Compared to the normal eye, the response of the amblyopic eye to chromatic stimulus decreases in the superficial layers of the superior colliculus, while response of the fellow eye robustly increases in the deep SC with stronger connectivity from the visual cortex. Therefore, amblyopia leads to selective parvocellular alterations of the geniculostriate and corticotectal pathways. These findings provide the neural basis for amblyopic deficits in visual acuity, ocular motor control, and attention.

Visual contrast perception in visual snow syndrome reveals abnormal neural gain but not neural noise

Visual snow syndrome is a neurological condition characterised by a persistent visual disturbance, visual snow, in conjunction with additional visual symptoms. Cortical hyperexcitability is a potential pathophysiological mechanism, which could be explained by increased gain in neural responses to visual input. Alternatively, neural noise in the visual pathway could be abnormally elevated. We assessed these two potential competing neural mechanisms in our studies of visual contrast perception. Cortical hyperexcitation also occurs in migraine, which commonly co-occurs with visual snow syndrome. Therefore, to determine whether the effect of visual snow syndrome can be distinguished from interictal migraine, we recruited four participant groups: controls, migraine alone, visual snow syndrome alone, visual snow syndrome with migraine. In the first experiment, we estimated internal noise in 20 controls, 21 migraine participants, 32 visual snow syndrome participants (16 with migraine) using a luminance increment detection task. In the second experiment, we estimated neural contrast gain in 21 controls, 22 migraine participants, 35 visual snow syndrome participants (16 with migraine) using tasks assessing sensitivity to changes in contrast from a reference. Contrast gain and sensitivity were measured for the putative parvocellular and ON and OFF magnocellular pathways, respectively. We found that luminance increment thresholds and internal noise estimates were normal in both visual snow syndrome and migraine. Contrast gain measures for putative parvocellular processing and contrast sensitivity for putative OFF magnocellular processing were abnormally increased in visual snow syndrome, regardless of migraine status. Therefore, our results indicate that visual snow syndrome is characterised by increased neural contrast gain but not abnormal neural noise within the targeted pathways.

The Functional Field of View of Older Adults is Associated With Contrast Discrimination in the Magnocellular not Parvocellular Pathway

OBJECTIVES

As we age, the functional field of view (FFOV) declines and these declines predict falls and motor vehicle accidents in older adults (Owsley, C. (2013). Visual processing speed. Vision Research, 90, 52-56. doi:10.1016/j.visres.2012.11.014). To increase understanding of possible causes of this decline, the current study explored whether the FFOV in older adults is associated with the sensitivity of the magnocellular and parvocellular sub-cortical pathways.

METHOD

Forty-four younger (M = 27.18, SD = 5.40 years) and 44 older (M = 72.18, SD = 5.82 years) adults completed an FFOV test and the steady- and pulsed-pedestal paradigms of Pokorny and Smith (Pokorny, J., & Smith, V. C. (1997). Psychophysical signatures associated with magnocellular and parvocellular pathway contrast gain. Journal of the Optical Society of America. A, Optics, Image Science, and Vision, 14, 2477-2486. doi:10.1364/josaa.14.002477) as measures of magnocellular and parvocellular pathways, respectively.

RESULTS

Older adults made more FFOV errors and had higher contrast discrimination thresholds in both the steady- and pulsed-pedestal paradigms, than younger adults. FFOV errors in the younger group were not related to contrast discrimination thresholds. In multiple regression, older group FFOV errors showed a strong unique association with contrast discrimination thresholds mediated via the magnocellular, but not the parvocellular pathway.

DISCUSSION

We infer that reduced magnocellular pathway contrast sensitivity may contribute to reduced functional vision in older adults.

Magnocellular and Parvocellular Mediated Luminance Contrast Discrimination in Severe Alcohol Use Disorder

BACKGROUND

Severe alcohol use disorder (SAUD) is associated with widespread cognitive impairments, including low-level visual processing deficits that persist after prolonged abstinence. However, the extent and characteristics of these visual deficits remain largely undetermined, impeding the identification of their underlying mechanisms and influence on higher-order processing. In particular, little work has been conducted to assess the integrity of the magnocellular (MC) and parvocellular (PC) visual pathways, namely the 2 main visual streams that convey information from the retina up to striate, extrastriate, and dorsal/ventral cerebral regions.

METHODS

We investigated achromatic luminance contrast processing mediated by inferred MC and PC pathways in 33 patients with SAUD and 32 matched healthy controls using 2 psychophysical pedestal contrast discrimination tasks that promote responses of inferred MC or PC pathways. We relied on a staircase procedure to assess participants' ability to detect small changes in luminance within an array of 4 gray squares that were either continuously presented (steady pedestal, MC-biased) or briefly flashed (pulsed pedestal, PC-biased).

RESULTS

We replicated the expected pattern of MC and PC contrast responses in healthy controls. We found preserved dissociation of MC and PC contrast signatures in SAUD but higher MC-mediated mean contrast discrimination thresholds combined with a steeper PC-mediated contrast discrimination slope compared with healthy controls.

CONCLUSION

These findings indicate altered MC-mediated contrast sensitivity and PC-mediated contrast gain, confirming the presence of early sensory disturbances in individuals with SAUD. Such low-level deficits, while usually overlooked, might influence higher-order abilities (e.g., memory, executive functions) in SAUD by disturbing the "coarse-to-fine" tuning of the visual system, which relies on the distinct functional properties of MC and PC pathways and ensures proper and efficient monitoring of the environment.

Objective Assessment of the Effect of Optical Treatment on Magnocellular and Parvocellular-biased Visual Response in Anisometropic Amblyopia

Purpose

Optical treatment can improve visual function in anisometropic amblyopia, but there is no electrophysiological evidence, and the underlying change in visual pathway remains unknown. Our aims were to characterize the functional loss in magnocellular and parvocellular visual pathways in anisometropic amblyopia at baseline and to investigate the effect of optical treatment on the 2 visual pathways.

Methods

Using isolated-check visual-evoked potential, we measured the magnocellular- and parvocellular-biased contrast response functions in 15 normal controls (20.13 ± 3.93 years; mean ± standard deviation), 16 patients with anisometropic amblyopia (18.00 ± 6.04 years) who were fully refractive corrected before and 29 (19.41 ± 7.41 years) who had never been corrected. Twelve previously uncorrected amblyopes received optical treatment for more than 2 months and finished the follow-up measurement.

Results

Both the magnocellular- and parvocellular-biased contrast response functions in the amblyopic eye exhibited significantly reduced response and weaker contrast gains. We also found that the uncorrected amblyopes showed a more severe response reduction in magnocellular-biased, but not parvocellular-biased condition when compared with those corrected, with a weaker initial contrast gain and lower maximal response. After optical treatment, 12 uncorrected amblyopes demonstrated improved visual acuity of the amblyopic eye and a significant response gain to magnocellular-biased but not parvocellular-biased stimuli.

Conclusions

We demonstrated deficits to both magnocellular- and parvocellular-biased stimuli in subjects with anisometropic amblyopia. Optical treatment could produce neurophysiological changes in visual pathways even in older children and adults, which may be mediated through the magnocellular pathway.

Binocular treatment in adult amblyopia is based on parvocellular or magnocellular pathway

INTRODUCTION

Amblyopia is speculated to be an untreatable disease in the patient, who is beyond the critical period of vision; however, currently, it is treatable in adults.

PURPOSE

This study aimed to elucidate whether the treatment is useful in both anisometropic amblyopia and strabismic amblyopia. In addition, the differences were detected between anisometropic amblyopia and strabismic amblyopia after the same perceptual treatment and whether the suppression in anisometropic amblyopia or strabismic amblyopia could be decreased before and after the treatment.

METHODS

A binocular perceptual learning was applied for the treatment, the suppression was measured, and the patients were followed up for 2 months after training. Anisometropic amblyopia and strabismic amblyopia groups were subjected to the assessment of stereo, visual acuity, contrast sensitivity, and suppression before and after the training.

RESULTS

After 6 weeks of "Diploma Gabor Orientation Coherence" training, in the anisometropic amblyopia group, the outcomes of visual acuity (t = 3.114, p = 0.026) and contrast sensitivity (t = 7.786, p = 0.001) were increased significantly. While in the strabismic amblyopia group, the outcomes of stereo (t = 2.987, p = 0.040) and contrast sensitivity (t = 3.638, p = 0.022) were increased significantly.

CONCLUSION

After Diploma Gabor Orientation Coherence training in the same frequency and in the same duration, the anisometropic amblyopia group got an improvement in visual acuity, but the strabismic amblyopia group got an improvement in stereo. As there are evidences to show that anisometropic amblyopia and strabismic amblyopia were injured in different pathways, we think the diverse results might come from the different pathway injury in anisometropic amblyopia and strabismic amblyopia.

Comparison of isolated-check visual evoked potential and standard automated perimetry in early glaucoma and high-risk ocular hypertension

AIM

To compare the diagnostic performance of isolated-check visual evoked potential (icVEP) and standard automated perimetry (SAP), for evaluating the application values of icVEP in the detection of early glaucoma.

METHODS

Totally 144 subjects (288 eyes) were enrolled in this study. icVEP testing was performed with the Neucodia visual electrophysiological diagnostic system. A 15% positive-contrast (bright) condition pattern was used in this device to differentiate between glaucoma patients and healthy control subjects. Signal-to-noise ratios (SNR) were derived based on a multivariate statistic. The eyes were judged as abnormal if the test yielded an SNR≤1. SAP testing was performed with the Humphrey Field Analyzer II. The visual fields were deemed as abnormality if the glaucoma hemifield test results outside normal limits; or the pattern standard deviation with P<0.05; or the cluster of three or more non-edge points on the pattern deviation plot in a single hemifield with P<0.05, one of which must have a P<0.01. Disc photographs were graded as either glaucomatous optic neuropathy or normal by two experts who were masked to all other patient information. Moorfields regression analysis (MRA) used as a separate diagnostic classification was performed by Heidelberg retina tomograph (HRT).

RESULTS

When the disc photograph grader was used as diagnostic standard, the sensitivity for SAP and icVEP was 32.3% and 38.5% respectively and specificity was 82.3% and 77.8% respectively. When the MRA Classifier was used as the diagnostic standard, the sensitivity for SAP and icVEP was 48.6% and 51.4% respectively and specificity was 84.1% and 78.0% respectively. When the combined structural assessment was used as the diagnostic standard, the sensitivity for SAP and icVEP was 59.2% and 53.1% respectively and specificity was 84.2% and 84.6% respectivlely. There was no statistical significance between the sensitivity or specificity of SAP and icVEP, regardless of which diagnostic standard was based on.

CONCLUSION

The diagnostic performance of icVEP is not better than that of SAP in the detection of early glaucoma.

Strabismic amblyopia disrupts the hemispheric asymmetry for spatial stimuli in cortical visual processing

Hemispheric asymmetry in processing visual stimuli was assessed in anisometropic and strabismic amblyopia and control subjects. Measurements of contrast sensitivity for low and high spatial frequencies were performed psychophysically and tested under functional magnetic resonance imaging (fMRI) using a stimulus configuration that generates measurements for each temporal and nasal hemifield. The fMRI and the psychophysics results showed a marked hemispheric asymmetry in processing spatial frequencies for normal and anisometropic adults, in which low spatial frequencies were mainly processed in the left visual field – right hemisphere (LVF-RH: 0.3 cycles per degree [cpd]; F = 12.548; p = .002) and the high spatial frequencies were predominating processed in the right visual field – left hemisphere (RVF-LH: 2.0 cpd; F = 4.582; p = .021 and 8.3 cpd; F = 8.561; p = .001). No asymmetry was present in the amblyopic and the fellow eye of the strabismic amblyopia subjects. We conclude that the developmental organization of visual cortex in strabismic amblyopia is impaired differently from what happens in the anisometropic amblyopia and support the impairment of high-level visual-related functions observed in strabismic children.

Efficiently Measuring Magnocellular and Parvocellular Function in Human Clinical Studies

PURPOSE

Pokorny and Smith (J Opt Soc Am A Opt Image Sci Vis. 1997;14:2477-2486) described a laboratory method to behaviorally measure magnocellular and parvocellular pathway sensitivity. We investigated whether their method may be more efficiently applied to clinical populations by reducing adaptation times.

METHODS

We measured contrast detection thresholds to a 30-ms increment on a 30 cd/m² background every 2 seconds after a 1-minute preadaptation to either a bright (90 cd/m²) or dim (3 cd/m²) luminance, in four observers. We also measured increment thresholds atop a steady 60 cd/m² luminous pedestal (30 cd/m² above the background) that remained on for 80 seconds, and tracked thresholds for 60 seconds after pedestal offset. We also assessed the minimum number of stimulus presentations required to reliably estimate thresholds using our four alternative forced choice (4-AFC) zippy estimation by sequential testing (ZEST) procedure.

RESULTS

Detection thresholds between the bright and dim preadaptation conditions were identical within seconds after the offset of the preadaptation luminance. Thresholds on the steady luminance pedestal reached stable values within approximately 10 seconds from pedestal onset, and recovered within 2 seconds of pedestal offset. Analysis of the 4-AFC ZEST procedure found little decrease in threshold variability after approximately 14 stimulus presentations.

CONCLUSIONS

Preadaptation and stimulus adaptation times may be reduced dramatically from those described by Pokorny and Smith, without altering thresholds.

TRANSLATIONAL RELEVANCE

Experimental time with clinical populations often is limited. Increasing the efficiency of the method of Pokorny and Smith allows for either shorter test sessions, or for a more extensive range of experimental parameters to be explored in disease.

Assessment of neuroretinal function in a group of functional amblyopes with documented LGN deficits

PURPOSE

In this study we examine neuroretinal function in five amblyopes, who had been shown in previous functional MRI (fMRI) studies to have compromised function of the lateral geniculate nucleus (LGN), to determine if the fMRI deficit in amblyopia may have its origin at the retinal level.

METHODS

We used slow flash multifocal ERG (mfERG) and compared averaged five ring responses of the amblyopic and fellow eyes across a 35 deg field. Central responses were also assessed over a field which was about 6.3 deg in diameter. We measured central retinal thickness using optical coherence tomography. Central fields were measured using the MP1-Microperimeter which also assesses ocular fixation during perimetry. MfERG data were compared with fMRI results from a previous study.

RESULTS

Amblyopic eyes had reduced response density amplitudes (first major negative to first positive (N1-P1) responses) for the central and paracentral retina (up to 18 deg diameter) but not for the mid-periphery (from 18 to 35 deg). Retinal thickness was within normal limits for all eyes, and not different between amblyopic and fellow eyes. Fixation was maintained within the central 4° more than 80% of the time by four of the five participants; fixation assessed using bivariate contour ellipse areas (BCEA) gave rankings similar to those of the MP-1 system. There was no significant relationship between BCEA and mfERG response for either amblyopic or fellow eye. There was no significant relationship between the central mfERG eye response difference and the selective blood oxygen level dependent (BOLD) LGN eye response difference previously seen in these participants.

CONCLUSIONS

Retinal responses in amblyopes can be reduced within the central field without an obvious anatomical basis. Additionally, this retinal deficit may not be the reason why the LGN BOLD (blood oxygen level dependent) responses are reduced for amblyopic eye stimulation.

Differential effects of alcohol on contrast processing mediated by the magnocellular and parvocellular pathways

This study investigated how acute alcohol intake affects contrast processing mediated by inferred magnocellular (MC) and parvocellular (PC) pathways. Achromatic contrast discrimination thresholds were measured in 16 young healthy participants using a steady-pedestal, pulsed-pedestal or pedestal-Δ-pedestal paradigm designed to favor the inferred MC or the PC pathway. Each participant completed two randomized sessions that included consumption of either 0.8 g/kg alcohol or a placebo beverage, with each session consisting of contrast discrimination measurements at baseline and at 60 min following beverage consumption. The results showed that, compared to placebo, alcohol significantly reduced MC contrast sensitivity and PC contrast gain but had no effect on PC contrast sensitivity for the majority of the participants; and did not alter MC contrast gain consistently across participants. The decrease in contrast gain in the PC pathway can be interpreted as a degradation of the postretinal signal-to-noise ratio, whereas the decrease of sensitivity in the MC pathway likely results from a change of cortical processing.

Functional loss in the magnocellular and parvocellular pathways in patients with optic neuritis

PURPOSE

To evaluate contrast threshold and contrast gain in patients with optic neuritis under conditions designed to favor mediation by either the inferred magnocellular (MC) or parvocellular (PC) pathway.

METHODS

Achromatic and chromatic contrast discrimination was measured in 11 patients with unilateral or bilateral optic neuritis and in 18 age-matched controls with normal vision, using achromatic steady- and pulsed-pedestal paradigms to bias performance toward the MC or PC pathway, respectively. In addition, L-M chromatic discrimination at equiluminance was evaluated using the steady-pedestal paradigm. A physiologically plausible model could describe the data with parameters accounting for contrast gain and contrast sensitivity in the inferred MC or PC pathway. The fitted parameters from the eye affected by optic neuritis were compared with those from the normal eye using generalized estimation equation (GEE) models that can account for within-subject correlations.

RESULTS

Compared with normal eyes, the affected eyes had significantly higher saturation parameters when measured with both the achromatic pulsed-pedestal paradigm (GEE: β [SE] = 0.35 [0.06]; P < 0.001) and the chromatic discrimination paradigm (β [SE] = 0.18 [0.08]; P = 0.015), suggesting that contrast gain in the inferred PC pathway is reduced; the affected eyes also had reduced absolute sensitivity in the inferred MC pathway measured with the achromatic steady-pedestal paradigm (β [SE] = 0.12 [0.04]; P = 0.005).

CONCLUSIONS

Optic neuritis produced large sensitivity losses mediated by the MC pathway and contrast gain losses in the inferred PC pathway. A clinical framework is presented for interpreting contrast sensitivity and gain loss to chromatic and achromatic stimuli in terms of retinal and postretinogeniculate loci contributions to detection and discrimination.