Variation in vernier acuity with age

The Clinical Use of Vernier Acuity: Resolution of the Visual Cortex Is More Than Meets the Eye

Vernier acuity measures the ability to detect a misalignment or positional offset between visual stimuli, for example between two vertical lines when reading a vernier scale. It is considered a form of visual hyperacuity due to its detectable thresholds being considerably smaller than the diameter of a foveal cone receptor, which limits the spatial resolution of classical visual acuity. Vernier acuity relies heavily on cortical processing and is minimally affected by optical media factors, making it a useful indicator of cortical visual function. Vernier acuity can be measured, usually in seconds of arc, by freely available automated online tools as well as via analysis of steady state visual-evoked potentials, which allows measurement in non- or pre-verbal subjects such as infants. Although not routinely measured in clinical practice, vernier acuity is known to be reduced in amblyopia, glaucoma and retinitis pigmentosa, and has been explored as a measure of retinal or neural visual function in the presence of optical media opacities. Current clinical utility includes a home-based vernier acuity tool, preferential hyperacuity perimetry, which is used for screening for choroidal neovascularisation in age-related macular degeneration. This review will discuss the measurement of vernier acuity, provide a current understanding of its neuro-ophthalmic mechanisms, and finally explore its utility through a clinical lens, along with our recommendations for best practice.

Reduced sampling efficiency causes degraded Vernier hyperacuity with normal aging: Vernier acuity in position noise

Vernier acuity, a form of visual hyperacuity, is amongst the most precise forms of spatial vision. Under optimal conditions Vernier thresholds are much finer than the inter-photoreceptor distance. Achievement of such high precision is based substantially on cortical computations, most likely in the primary visual cortex. Using stimuli with added positional noise, we show that Vernier processing is reduced with advancing age across a wide range of noise levels. Using an ideal observer model, we are able to characterize the mechanisms underlying age-related loss, and show that the reduction in Vernier acuity can be mainly attributed to the reduction in efficiency of sampling, with no significant change in the level of internal position noise, or spatial distortion, in the visual system.

Age-related changes in visually evoked electrical brain activity

Whereas much is known about the degenerative effects of aging on cortical tissue, less is known about how aging affects visually evoked electrical activity, and at what latencies. We compared visual processing in elderly and young controls using a visual masking paradigm, which is particularly sensitive to detect temporal processing deficits, while recording EEG. The results show that, on average, elderly have weaker visual evoked potentials than controls, and that elderly show a distinct scalp potential topography (microstate) at around 150 ms after stimulus onset. This microstate occurred irrespective of the visual stimulus presented. Electrical source imaging showed that the changes in the scalp potential resulted from decreased activity in lateral occipital cortex and increases in fronto-parietal areas. We saw, however, no evidence that increased fronto-parietal activity enhanced performance on the discrimination task, and no evidence that it compensated for decreased posterior activity. Our results show qualitatively different patterns of visual evoked potentials (VEPs) in the elderly, and demonstrate that increased fronto-parietal activity arises during visual processing in the elderly already between 150 and 200 ms after stimulus onset. The microstate associated with these changes is a potential diagnostic tool to detect age-related cortical changes.

Decline of selectivity of V1 neurons to visual stimulus spatial frequencies in old cats

OBJECTIVE

To examine whether the selectivity of visual cortical neurons to stimulus spatial frequencies would be affected by aging in cats.

METHODS

In vivo extracellular single-unit recording techniques were employed to record the tuning responses of V1 neurons to different stimulus spatial frequencies in old and young adult cats.

RESULTS

Statistical analysis showed that the mean optimal spatial frequency of grating stimuli that evoked the maximal response of V1 neurons in old cats was significantly lower than that in young adult cats. Furthermore, the mean high cut-off spatial frequency of grating stimuli that evoked the half amplitude of the maximal response of V1 neurons in old cats was also significantly lower than that in young adult cats.

CONCLUSION

These results are consistent with those reported in the V1 of old monkeys, suggesting that the age-related decline in the selectivity of visual cortical cells to spatial frequency could be generalized to all mammalian species and might contribute to visual acuity reduction in senescent individuals.

Combining vernier acuity and visual backward masking as a sensitive test for visual temporal deficits in aging research

Performance in many everyday situations slows down when age increases. The causes of slowing down may be found on any stage of information processing. Here, we show that the combination of a vernier acuity task and the shine-through backward masking paradigm is a good paradigm to determine temporal processing deficits. The paradigm is relatively robust to optical blur and unlikely affected by motor dysfunctions. Strong masking deficits are found from an age of about 50 years on.

Aging and visual counting

Background

Much previous work on how normal aging affects visual enumeration has been focused on the response time required to enumerate, with unlimited stimulus duration. There is a fundamental question, not yet addressed, of how many visual items the aging visual system can enumerate in a “single glance”, without the confounding influence of eye movements.

Methodology/Principal Findings

We recruited 104 observers with normal vision across the age span (age 21–85). They were briefly (200 ms) presented with a number of well- separated black dots against a gray background on a monitor screen, and were asked to judge the number of dots. By limiting the stimulus presentation time, we can determine the maximum number of visual items an observer can correctly enumerate at a criterion level of performance (counting threshold, defined as the number of visual items at which ≈63% correct rate on a psychometric curve), without confounding by eye movements. Our findings reveal a 30% decrease in the mean counting threshold of the oldest group (age 61–85: ∼5 dots) when compared with the youngest groups (age 21–40: 7 dots). Surprisingly, despite decreased counting threshold, on average counting accuracy function (defined as the mean number of dots reported for each number tested) is largely unaffected by age, reflecting that the threshold loss can be primarily attributed to increased random errors. We further expanded this interesting finding to show that both young and old adults tend to over-count small numbers, but older observers over-count more.

Conclusion/Significance

Here we show that age reduces the ability to correctly enumerate in a glance, but the accuracy (veridicality), on average, remains unchanged with advancing age. Control experiments indicate that the degraded performance cannot be explained by optical, retinal or other perceptual factors, but is cortical in origin.

Aging and the interaction of sensory cortical function and structure

Even the healthiest older adults experience changes in cognitive and sensory function. Studies show that older adults have reduced neural responses to sensory information. However, it is well known that sensory systems do not act in isolation but function cooperatively to either enhance or suppress neural responses to individual environmental stimuli. Very little research has been dedicated to understanding how aging affects the interactions between sensory systems, especially cross-modal deactivations or the ability of one sensory system (e.g., audition) to suppress the neural responses in another sensory system cortex (e.g., vision). Such cross-modal interactions have been implicated in attentional shifts between sensory modalities and could account for increased distractibility in older adults. To assess age-related changes in cross-modal deactivations, functional MRI studies were performed in 61 adults between 18 and 80 years old during simple auditory and visual discrimination tasks. Results within visual cortex confirmed previous findings of decreased responses to visual stimuli for older adults. Age-related changes in the visual cortical response to auditory stimuli were, however, much more complex and suggested an alteration with age in the functional interactions between the senses. Ventral visual cortical regions exhibited cross-modal deactivations in younger but not older adults, whereas more dorsal aspects of visual cortex were suppressed in older but not younger adults. These differences in deactivation also remained after adjusting for age-related reductions in brain volume of sensory cortex. Thus, functional differences in cortical activity between older and younger adults cannot solely be accounted for by differences in gray matter volume.

Aging and the detection of observer and moving object collisions

The authors examined age-related differences in the detection of collision events. Older and younger observers were presented with displays simulating approaching objects that would either collide or pass by the observer. In 4 experiments, the authors found that older observers, as compared with younger observers, had less sensitivity in detecting collisions with an increase in speed, at shorter display durations, and with longer time-to-contact conditions. Older observers also had greater difficulty when the scenario simulated observer motion, suggesting that older observers have difficulty discriminating object motion expansion from background expansion from observer motion. The results of these studies support the expansion sensitivity hypothesis-that age-related decrements in detecting collision events involving moving objects are the result of a decreased sensitivity to recover expansion information.

Aging and mfERG topography

AIM

To study the effect of aging retina on the multifocal electroretinogram (mfERG).

METHODS

A total of 18 young subjects (age 18-24 years) and 36 elderly subjects (aged 60-85 years) with intraocular lenses (IOLs) were recruited for this study. No subjects had significant eye diseases or media opacities. mfERG was measured in standard conditions using the VERIS system (version 4.1). There were three groups of 18 subjects: (1) 18-25 years, (2) 60-70 years, and (3) 75-85 years. mfERG responses were grouped into central, paracentral, and peripheral regions for analysis. The N1 amplitude, P1 amplitude, N1 latency, and P1 latency of the first-order responses were analysed.

RESULTS

Age had no effect on P1 latency, N1 amplitude, and P1 amplitude; however, N1 latencies from central to peripheral regions were significantly longer for group 3 than for group 1.

CONCLUSIONS

This study suggests that measured age-related decreases in mfERG responses are due to optical factors (decrease in retinal light levels, scatter) before the age of 70 years, but neural factors significantly affect mfERG topography after the age of 70 years.

A comparison of the effects of ageing upon vernier and bisection acuity

While most positional acuity tasks exhibit an age-related decline in performance, the effect of ageing upon vernier acuity continues to be the subject of some debate. In the present study we employed a stimulus design that enabled the simultaneous determination of bisection and vernier acuities in 36 subjects, aged between 22 and 84 years. This approach provided a means for directly testing the hypothesis that ageing affects bisection acuity but not vernier acuity by ensuring that differences in stimulus configuration and in the subject's task were kept to an absolute minimum. Optimum thresholds increased as a function of age for both bisection and vernier tasks. Inter-subject threshold variability also increased with age. Issues surrounding the comparison of absolute vernier thresholds across different studies are discussed and two important methodological factors are identified: the precise statistical method used to estimate thresholds, and the magnitude, in angular terms, of the smallest spatial offset of the elements of the vernier stimulus which can be displayed. Comparison with previously published data indicates that the discrepancy between this study and most previous investigations with respect to the effect of age upon vernier performance can be at least partly accounted for by differences in the minimum displayable vernier offset. Vernier thresholds do increase with age. The increased variability of vernier thresholds in older subjects would appear to limit the diagnostic value of the test as a means of enabling normal ageing to be distinguished from visual loss due to pathology of the eye or visual system.

Potential vision testing--the relationship between visual acuity and Vernier acuity in the presence of simulated cataract

To evaluate the utility of a computer controlled two-bar Vernier acuity measurement as a predictor of visual function in the presence of cataract we measured logMAR visual acuity and Vernier acuity in a group of 40 young normal observers under various levels of dioptric blur (0-3 D in dioptre steps). The Vernier thresholds were resistant to dioptric blur up to 2 D, but performance degraded with blur of 3 D for non-optimised Vernier stimulus parameters. The stimulus parameters, bar length and bar separation, were further investigated in two subjects under conditions of blur. By extending the Vernier bar length and increasing the bar separation the effect of blur could be further reduced even under the most blurred condition. The relationship between visual acuity and Vernier acuity was determined. Vernier acuity was measured in the presence of Vistech cataract simulating lenses and a prediction of visual acuity was made for three observers, two with no ocular abnormality and one with age-related maculopathy. The cataract simulating lenses affected the measured visual acuity in all three subjects, but had less effect on Vernier acuity. Predicted visual acuities were all within six letters (0.12 log units) of the visual acuity without the simulated cataract. As expected, the subject sufferng from age-related maculopathy, whilst showing similar levels of Vernier acuity to the two ocularly healthy subjects at 1.5 degrees of retinal eccentricity, showed much poorer Vernier acuity for stimuli presented at fixation.

Aging effects on vernier hyperacuity: a function of oscillation rate but not target contrast

PURPOSE

Most previous studies have shown static vernier acuity for high-contrast targets to be largely unaffected by aging; those examining adult age differences on oscillatory displacement thresholds have consistently reported marked age deficits. The goals of this study were to (1) measure the age deficit on oscillatory discrimination beyond that attributable to any change in spatial discrimination by using the same target configuration for both task types and (2) determine whether an age-related change in the contrast response of the visual system contributes to age differences on static or oscillatory discrimination.

METHODS

The displacement thresholds of young and old observers for a vernier task configuration were determined at two target contrast levels (0.08 and 0.64) for static and oscillating targets (2 and 6 Hz)

RESULTS

No age differences were seen on static displacement thresholds at either high or low contrast. A marked age deficit that emerged when oscillation was increased was unrelated to target contrast or observer contrast sensitivity.

CONCLUSIONS

Age-related declines in oscillatory discrimination beyond those attributable to spatial discrimination do not appear to be attributable to optical factors nor to a decline in the contrast response of the senescent visual system. These findings are discussed in terms of a functional decline in the magnocellular pathway, or "neural entropy," possibly due to random cell loss.

Diminished spatial summation contributes to the age deficit in the discrimination of low-contrast vernier oscillation

PURPOSE

This study sought to determine whether a decline in spatial summation contributes to age-related deficits on oscillatory displacement thresholds (ODT's). A secondary goal was to evaluate the extent of spatial summation on a dynamic version of vernier hyperacuity.

METHODS

The ODT's and contrast sensitivity functions (CSF's) of optimally corrected young and old observers were compared as a function of vernier target length (4, 8, or 32 min), contrast level (5 or 30%), and oscillation rate (2 or 8 Hz).

RESULTS

Age deficits on ODT's were related directly to rate of oscillation, but not target contrast. No age difference was seen in ODT's for short low-contrast targets; as target length increased thresholds improved more rapidly for young than old observers; this pattern was reversed at high contrast. ODT's were related strongly and consistently to contrast sensitivity for old but not young observers.

CONCLUSIONS

Diminished spatial summation appears to contribute to the aging visual system's loss of temporal discrimination for low contrast oscillating targets. Spatial summation contributes more importantly to the displacement discrimination of oscillating than to static vernier targets.