Objective specification of tritanopic confusion lines using visual evoked potentials

Chromatic visual evoked potentials: A review of physiology, methods and clinical applications

Objective assessment of the visual system can be performed electrophysiologically using the visual evoked potential (VEP). In many clinical circumstances, this is performed using high contrast achromatic patterns or diffuse flash stimuli. These methods are clinically valuable but they may only assess a subset of possible physiological circuitries within the visual system, particularly those involved in achromatic (luminance) processing. The use of chromatic VEPs (cVEPs) in addition to standard VEPs can inform us of the function or dysfunction of chromatic pathways. The chromatic VEP has been well studied in human health and disease. Yet, to date our knowledge of their underlying mechanisms and applications remains limited. This likely reflects a heterogeneity in the methodology, analysis and conclusions of different works, which leads to ambiguity in their clinical use. This review sought to identify the primary methodologies employed for recording cVEPs. Furthermore cVEP maturation and application in understanding the function of the chromatic system under healthy and diseased conditions are reviewed. We first briefly describe the physiology of normal colour vision, before describing the methodologies and historical developments which have led to our understanding of cVEPs. We thereafter describe the expected maturation of the cVEP, followed by reviewing their application in several disorders: congenital colour vision deficiencies, retinal disease, glaucoma, optic nerve and neurological disorders, diabetes, amblyopia and dyslexia. We finalise the review with recommendations for testing and future directions.

Color and Temporal Frequency Sensitive Eye Growth in Chick

Purpose

Longitudinal chromatic aberration can provide luminance and chromatic signals for emmetropization. A previous experiment examined the role of temporal sensitivity to luminance flicker in the emmetropization response. In the current experiment, we investigate the role of temporal sensitivity to color flicker.

Methods

Five-day-old chicks were exposed to sinusoidal color modulation of blue/yellow (N = 73) or red/green LEDs (N = 84) at 80% contrast for 3 days. The modulation frequencies used were as follows: 0, 0.2, 1, 2, 5, and 10 Hz. There were 5 to 16 chicks per condition. Mean illumination was 680 lux. Changes in ocular components were measured using Lenstar, and refraction was measured with a Hartinger refractometer.

Results

Eyes grew less when exposed to high temporal frequencies and more at low temporal frequencies. With blue/yellow modulation, the temporal variation was small; eyes grew 268 ± 15 μm at 0 Hz and 224 ± 12 μm at 10 Hz, representing a 16.4% growth reduction. With red/green modulation, eyes grew 336 ± 31 μm at 0 Hz and 218 ± 20 μm at 10 Hz, representing a 35% growth reduction. Choroidal and anterior chamber changes compensated for eye growth, reducing refractive effects; blue/yellow refraction changes ranged from −0.63 to 1.04 diopters.

Conclusions

At high temporal frequencies, color is not a factor, but at low temporal frequencies, red/green modulation produced maximal growth. The pattern of changes observed in each ocular component with changes in the temporal frequency and/or the color of the stimulus was consistent with the idea that the natural sunlight spectrum may be optimal for emmetropization.

Source localization of S-cone and L/M-cone driven signals using silent substitution flash stimulation

This study aimed to analyze the neuronal sources of the visual evoked potentials after flash stimulation of the S- and the L/M-cone driven channels of the visual system. For 11 volunteers a 64-channel electroencephalography (EEG) was recorded during selective excitation of both color opponent channels. Individual and grand average data were analyzed topographically. Source localization was carried out using a realistically shaped three compartment boundary element model (BEM) and a mirrored moving dipole model. We found two main components (N1, P1) in all subjects, as well as a third late component in most subjects. For these components significant latency differences (N1=33 ms, P1=22 ms; p<0.05) between both color opponent channels were found. The results showed no differences in the topography and no differences in dipole localization between both color channels. Talairach coordinates of grand averages indicated activation in area 18. Comparison of results of separately stimulated eyes revealed no differences. Our findings showed that neural processing occurs in the same areas of the visual cortex for stimuli with different spectral properties. The signals of S- and L/M-cone driven channels are transmitted in distinct pathways to the cortex. Thus, the observed latency differences might be caused by different anatomical and functional properties of these pathways.

Blue Light Protects Against Temporal Frequency Sensitive Refractive Changes

PURPOSE

Time spent outdoors is protective against myopia. The outdoors allows exposure to short-wavelength (blue light) rich sunlight, while indoor illuminants can be deficient at short-wavelengths. In the current experiment, we investigate the role of blue light, and temporal sensitivity, in the emmetropization response.

METHODS

Five-day-old chicks were exposed to sinusoidal luminance modulation of white light (with blue; N = 82) or yellow light (without blue; N = 83) at 80% contrast, at one of six temporal frequencies: 0, 0.2, 1, 2, 5, 10 Hz daily for 3 days. Mean illumination was 680 lux. Changes in ocular components and corneal curvature were measured.

RESULTS

Refraction, eye length, and choroidal changes were dependent on the presence of blue light (P < 0.03, all) and on temporal frequency (P < 0.03, all). In the presence of blue light, refraction did not change across frequencies (mean change -0.24 [diopters] D), while in the absence of blue light, we observed a hyperopic shift (>1 D) at high frequencies, and a myopic shift (>-0.6 D) at low frequencies. With blue light there was little difference in eye growth across frequencies (77 μm), while in the absence of blue light, eyes grew more at low temporal frequencies and less at high temporal frequencies (10 vs. 0.2 Hz: 145 μm; P < 0.003). Overall, neonatal astigmatism was reduced with blue light.

CONCLUSIONS

Illuminants rich in blue light can protect against myopic eye growth when the eye is exposed to slow changes in luminance contrast as might occur with near work.

The effects of luminance contribution from large fields to chromatic visual evoked potentials

Though useful from a clinical and practical standpoint uniform, large-field chromatic stimuli are likely to contain luminance contributions from retinal inhomogeneities. Such contribution can significantly influence psychophysical thresholds. However, the degree to which small luminance artifacts influence the chromatic VEP has been debated. In particular, claims have been made that band-pass tuning observed in chromatic VEPs result from luminance intrusion. However, there has been no direct evidence presented to support these claims. Recently, large-field isoluminant stimuli have been developed to control for intrusion from retinal inhomogeneities with particular regard to the influence of macular pigment. We report here the application of an improved version of these full-field stimuli to directly test the influence of luminance intrusion on the temporal tuning of the chromatic VEP. Our results show that band-pass tuning persists even when isoluminance is achieved throughout the extent of the stimulus. In addition, small amounts of luminance intrusion affect neither the shape of the temporal tuning function nor the major components of the VEP. These results support the conclusion that the chromatic VEP can depart substantially from threshold psychophysics with regard to temporal tuning and that obtaining a low-pass function is not requisite evidence of selective chromatic activation in the VEP.

Objective assessment of chromatic and achromatic pattern adaptation reveals the temporal response properties of different visual pathways

The aim was to investigate the temporal response properties of magnocellular, parvocellular, and koniocellular visual pathways using increment/decrement changes in contrast to elicit visual evoked potentials (VEPs). Static achromatic and isoluminant chromatic gratings were generated on a monitor. Chromatic gratings were modulated along red/green (R/G) or subject-specific tritanopic confusion axes, established using a minimum distinct border criterion. Isoluminance was determined using minimum flicker photometry. Achromatic and chromatic VEPs were recorded to contrast increments and decrements of 0.1 or 0.2 superimposed on the static gratings (masking contrast 0–0.6). Achromatic increment/decrement changes in contrast evoked a percept of apparent motion when the spatial frequency was low; VEPs to such stimuli were positive in polarity and largely unaffected by high levels of static contrast, consistent with transient response mechanisms. VEPs to finer achromatic gratings showed marked attenuation as static contrast was increased. Chromatic VEPs to R/G or tritan chromatic contrast increments were of negative polarity and showed progressive attenuation as static contrast was increased, in keeping with increasing desensitization of the sustained responses of the color-opponent visual pathways. Chromatic contrast decrement VEPs were of positive polarity and less sensitive to pattern adaptation. The relative contribution of sustained/transient mechanisms to achromatic processing is spatial frequency dependent. Chromatic contrast increment VEPs reflect the sustained temporal response properties of parvocellular and koniocellular pathways. Cortical VEPs can provide an objective measure of pattern adaptation and can be used to probe the temporal response characteristics of different visual pathways.

Psychophysical channels and ERP population responses in human visual cortex: area summation across chromatic and achromatic pathways

In the early stages of vision, information is transmitted through distinct physiologically defined pathways. These may be related with three post-receptoral detection mechanisms defined psychophysically in humans. Accordingly, the parvocellular pathway is very sensitive to L-M-cone contrast, processes mainly foveal information and underlies fine discrimination of visual features. The magnocellular pathway is most sensitive to luminance contrast and is important for visuo-spatial and motion processing. The less understood koniocellular pathway responds to S-cone modulation outside the foveola. As such, the three pathways process visual information in a different manner, with the L-M-cone psychophysical channel being more devoted to central vision and the two other channels responding significantly to peripheral information. We measured size response functions of these three processing channels using event related potential (ERP/EEG) recordings and stimuli with various sizes and contrasts with the aim of studying coding of stimulus properties within each of these channels. The effect of stimulus size was significantly smaller for the L-M-cone channel consistent with its dominance in the central visual field. Furthermore, for this pathway, the effect of size was not modulated by stimulus contrast. In contrast, both the S-cone and achromatic channels showed a strong effect of size that was significantly modulated by contrast. Interestingly, both the S-cone and achromatic channels responded proportionally to the area of cortex activated, suggesting that the S-cone channel represents space in a similar manner to the achromatic channel. In conclusion, a fundamental relation exists between previously identified psychophysical mechanisms and population responses in the visual cortex.

Latency characteristics of the short-wavelength-sensitive cones and their associated pathways

There are many distinct types of retinal ganglion and LGN cells that have opponent cone inputs and which may carry chromatic information. Of interest are the asymmetries in those LGN cells that carry S-cone signals: in S-ON cells, S+ signals are opposed by (L + M) whereas, in many S-OFF cells, L+ signals are opposed by (S + M), giving -S + L - M (C. Tailby, S. G. Solomon, & P. Lennie, 2008). However, the S-opponent pathway is traditionally modeled as +/-[S - (L + M)]. A phase lag of the S-cone signal has been inferred from psychophysical thresholds for discriminating combinations of simultaneous sinusoidal modulations along +/-[L - M] and +/-[S - (L + M)] directions (C. F. Stromeyer, R. T. Eskew, R. E. Kronauer, & L. Spillmann, 1991). We extend this experiment, measuring discrimination thresholds as a function of the phase delay between pairs of orthogonal component modulations. When one of the components isolates the tritan axis, there are phase delays at which discrimination is impossible; when neither component is aligned with the tritan axis, discrimination is possible at all delays. The data imply that the S-cone signal is delayed by approximately 12 ms relative to (L - M) responses. Given that post-receptoral mechanisms show diverse tuning around the tritan axis, we suggest that the delay arises before the S-opponent channels are constructed, possibly in the S-cones themselves.

Measurement of macular pigment optical density and distribution using the steady-state visual evoked potential

The purpose of this study was to specify isoluminance at different retinal eccentricities and to characterize macular pigment optical density (MPOD) and distribution using the steady-state visual evoked potential (VEP). Redgreen (B/G) gratings were generated within two circular stimulus fields (radius = 0.55 or 1.1 deg) and within four annular fields (maximum mean radius = 6.0 deg) on a color monitor. Temporal frequency was 15 Hz. Isoluminance was determined for each stimulus using minimum flicker photometry. Steady-state onset-offset VEPs were recorded to the same annular stimuli as the luminance ratio between adjacent chromatic components was changed from 0.25 to 0.85 in 11 automated steps (0.5 representing photometric isoluminance). Fourier analysis showed that the power of the first harmonic was minimized at the isoluminant ratio specific to each subject. Relative OD was computed by comparing the isoluminant ratio at any location with that for the most eccentric annulus. To compensate for the broadband characteristics of the monitor, OD values were corrected according to minimum flicker measurements made through known concentrations of carotenoid solution. MPOD was additionally measured using minimum motion photometry.There was high correlation between the isoluminant ratios determined by minimum flicker and VEPs for both R/G and B/G stimulation (r = 0.91, P < 0.005, slope = 1). Calibrated OD values computed from VEP estimates of B/G isoluminance correlated with those derived from minimum flicker (r = 0.96, P < 0.0005, slope = 0.85) and motion photometry (r = 0.94, P < 0.0005, slope = 0.88). OD values derived from B/G VEPs increased toward the fovea and corresponded closely with minimum flicker and minimum motion assessment of MP distribution profiles. The steady-state VEP can be used to determine isoluminance at different retinal eccentricities. MPOD and distribution can be measured by steady-state VEPs to B/G stimuli.

Chromatic VEP assessment of human macular pigment: comparison with minimum motion and minimum flicker profiles

To assess the effects of macular pigment optical density (MPOD) on isoluminant stimuli and to quantify MPOD electrophysiologically, MPOD distribution profiles were obtained in normal subjects using minimum motion and minimum flicker photometry. Isoluminance of VEP stimuli was determined using minimum flicker and tritan confusion lines were determined using a minimum distinct border criterion. Onset-offset and reversal VEPs to isoluminant red/green, blue/green, and subject-specific tritan gratings of different diameters were recorded from the same 14 subjects tested psychophysically. VEPs were additionally recorded to annular gratings. Chromatic VEP selectivity was assessed by Fourier analysis and as an index; onset negativity/(onset negativity + onset positivity). Peak MPOD varied between 0.2-0.8. Chromatic onset VEPs to all isoluminant 3-deg fields were predominantly negative. Larger blue/green and tritan stimuli elicited VEPs with additional positive, achromatic components; for 9-deg gratings, peak MPOD showed negative correlation with the power of the VEP fundamental (r = -0.70) and with the selectivity index (r = -0.83). Annular gratings elicited chromatic-specific B/G VEPs but only when isoluminance was determined for the annulus. Chromatic selectivity loss in VEPs to large B/G or Tritan gratings can be used to estimate subject-specific MPOD. An important implication is that isoluminant Tritan stimuli with short-wavelength components must be restricted in size in order to optimize koniocellular selectivity.

Visual evoked potentials for red–green gratings reversing at different temporal frequencies: Asymmetries with respect to isoluminance

Human visual evoked potentials (VEPs) were recorded for abrupt reversals of 2 cycles/deg (c/deg) square-wave gratings combining high red–green contrast with different levels of luminance contrast. Response characteristics—2nd harmonic amplitudes and peak latencies as a function of luminance contrast—were compared for four different reversal rates ranging from 6.25 Hz to 12.5 Hz. At every reversal frequency, the VEP amplitude and latency plots were nonsymmetrical with respect to isoluminance. The amplitude dropped to a minimum within a region of rapid phase change, always at a red–green luminance contrast for which the green color had the higher luminance, at about 40% or 50% Michelson luminance contrast. The rapid phase shift around this contrast suggested a sudden change in the relative impact of VEP generators with different latencies, possibly dominated by parvocellular or magnocellular input. The most prominent VEP waveform through most of the luminance contrast range, P110, is interpreted in terms of a parvo-mediated response that is attenuated with increasing reversal frequency. Contrast-dependent changes in the P110 amplitude appear to be responsible for the VEP asymmetries reported here.

Scalp VEPs and intra-cortical responses to chromatic and achromatic stimuli in primates

We propose asimple method of monitoring separate visual pathways inlightly sedated monkeys using chromatic and achromatic gratings of low contrast, which are known to activate predominantly either parvo- or magno-systems. The scalp Visual Evoked Potentials (VEPs) are compared with simultaneously recorded intra-cortical VEPs which in turn are compared with multi-unit and single-unit responses. At isoluminance, the onset of low contrast, coarse chromatic square wave spatial profile gratings generates negative scalp VEPs which exhibit properties consistent with the activation of sustained, parvocellular-chromatic mechanisms (e.g. low-pass spatio-temporal characteristics). In monkeys, most components of chromatic onset VEPs have latencies comparable to neuronal activity within the supragranular layers of V1. Corresponding coarse achromatic gratings elicit positive VEPs which exhibit properties consistent with the activation of transient-type magnocellular mechanisms (e.g. temporal tuning to higher temporal frequencies) and which have a more complex morphology. Achromatic onset VEPs may contain early components of similar timing to activity recorded in monkey V1, but later components cannot be related to V1 generators; other sources are not known. Achromatic reversal VEPs are similar to achromatic onset, chromatic reversal and both chromatic and achromatic offset VEPs and all differ from chromatic onset VEPs. It is observed that early components of scalp-recorded chromatic-onset VEPs are related in time to some intra-cortical potentials. These VEPs are generated by low spatial frequencies and have low pass temporal characteristics. Other scalp potentials, apparently unrelated to V1 field potential activity must be generated by other sources such as extra-striate areas.

Selective reduction of the S-cone component of the electroretinogram in Posner-Schlossman syndrome

PURPOSE

The changes in short wavelength sensitive (S-) cone electroretinograms (ERGs) to ganzfeldt flash stimuli were examined in patients with Posner-Schlossman syndrome to study the differences in S-cone action in both the acute attack phase and the remission phase.

METHODS

Ganzfeldt colour flashes under bright white background illumination were used to elicit short wavelength (S-), and mixed long- (L) and middle- (M) wavelength sensitive cone ERGs. Three subjects with unilateral Posner-Schlossman syndrome and 18 age-matched normal controls were compared. To compare the media opacity we obtained the L,M-cone balance, namely, the log density units of the neutral density filter required to produce the L,M-cone b-wave elicited with red stimuli which is identical to those with blue stimuli.

RESULTS

Selective reduction of the S-cone ERG b-wave in acute attacks of Posner-Schlossman syndrome was found. Two of three cases showed the recovery of the S-cone b-wave with a decrease in the intraocular pressure. With regard to the implicit time, significant delay of the S-cone b-wave could not be detected in all subjects.

CONCLUSION

Selective reduction of the S-cone component of the ERG during raised intraocular pressure was found. The S-cone pathway is thought to be more vulnerable to damage than the L,M-cone systems following elevations of intraocular pressure.

Red--green and blue--yellow mechanisms are matched in sensitivity for temporal and spatial modulation

The spatial and temporal properties of human colour vision are examined using isoluminant, red--green and blue--yellow tritanopic gratings. Chromatic sensitivity is found to be low-pass as a function of both spatial and temporal frequency along all the chromatic axes investigated, including the tritanopic confusion lines employed to examine the properties of the S-cone driven mechanism. Comparison of sensitivity to on-off and contrast reversing stimuli indicates that transient mechanisms contribute to the detection of red--green patterns but that the detection of S-cone specific patterns is governed by sustained mechanisms. By compensating for transient contributions to red--green sensitivity, it is shown that sensitivity of chromatic mechanisms dominated by L- and M-cone input are closely matched to those with S-cone input.