Binocularity in infancy

The relationship between reflex eye realignment and the percept of single vision in young children

Effective binocular vision is dependent on both motor and perceptual function. Young children undergo development of both components while interacting with their dynamic three-dimensional environment. When this development fails, eye misalignment and double vision may result. We compared the range of image disparities over which young children display reflex motor realignment of their eyes with the range over which they report a single versus double percept. In response to step changes in the disparity of a 2.2° wide stimulus, 5-year-olds generated an adult-like reflex vergence velocity tuning function peaking at 2° of disparity, with a mean latency of 210 ms. On average, they reported double vision for stimulus disparities of 3° and larger, compared to 1° in adult reports. Three-year-olds also generated reflex vergence tuning functions peaking at approximately 2° of disparity, but their percepts could not be assessed. These data suggest that, by age 5, reflex eye realignment responses and percepts driven by these brief stimuli are tightly coordinated in space and time to permit robust binocular function around the point of fixation. Importantly, the plastic neural processes maintaining this tight coordination during growth control the stability of visual information driving learning during childhood.

Infants distinguish and represent pattern as an object feature from externally generated patterns superimposed on real, 3-dimensional objects' surfaces

As infants form object representations, the patterns viewed on objects' surfaces may be challenging to decipher because these patterns may be created from the surface reflectance of an object (an object property) or from an external source, such as a cast shadow. We tested 7 ½-month-old infants' use of cues that specify the source of patterns seen on the surfaces of real, 3-dimensional objects to individuate those objects. Results suggest that when forming object representations based on patterns, 7½-month-olds rely heavily on temporal and depth cues to distinguish patterns inherent to the object from other types of patterns.

The Importance of the Interaction Between Ocular Motor Function and Vision During Human Infancy

Numerous studies have demonstrated the impact of imposed abnormal visual experience on the postnatal development of the visual system. These studies have provided fundamental insights into the mechanisms underlying neuroplasticity and its role in clinical care. However, the ocular motor responses of postnatal human infants largely define their visual experience in dynamic three-dimensional environments. Thus, the immature visual system needs to control its own visual experience. This review explores the interaction between the developing motor and sensory/perceptual visual systems, together with its importance in both typical development and the development of forms of strabismus and amblyopia.

A model for discovering 'containment' relations

Rapid developments in the fields of learning and object recognition have been obtained by successfully developing and using methods for learning from a large number of labeled image examples. However, such current methods cannot explain infants' learning of new concepts based on their visual experience, in particular, the ability to learn complex concepts without external guidance, as well as the natural order in which related concepts are acquired. A remarkable example of early visual learning is the category of 'containers' and the notion of 'containment'. Surprisingly, this is one of the earliest spatial relations to be learned, starting already around 3 month of age, and preceding other common relations (e.g., 'support', 'in-between'). In this work we present a model, which explains infants' capacity of learning 'containment' and related concepts by 'just looking', together with their empirical development trajectory. Learning occurs in the model fast and without external guidance, relying only on perceptual processes that are present in the first months of life. Instead of labeled training examples, the system provides its own internal supervision to guide the learning process. We show how the detection of so-called 'paradoxical occlusion' provides natural internal supervision, which guides the system to gradually acquire a range of useful containment-related concepts. Similar mechanisms of using implicit internal supervision can have broad application in other cognitive domains as well as artificial intelligent systems, because they alleviate the need for supplying extensive external supervision, and because they can guide the learning process to extract concepts that are meaningful to the observer, even if they are not by themselves obvious, or salient in the input.

Eye vergence responses to novel and familiar stimuli in young children

Eye vergence is the slow movement of both eyes in opposite directions enabling binocular vision. Recently, it was suggested that vergence could be involved in orienting visual attention and memory having a role in cognitive processing of sensory information. In the present study, we assessed whether such vergence responses are observed in early childhood. We measured eye vergence responses in 43 children (12-37 months of age) while looking at novel and repeated object images. Based on previous research, we hypothesized that visual attention and Visual Short-Term Memory (VSMT) would be evidenced by differential vergence responses for both experimental conditions, i.e. repeated (familiar) vs. novel items. The results show that attention related vergence is present in early childhood and that responses to repeated images differ from the ones to novel items. Our current findings suggest that vergence mechanisms could be linking visual attention with short-term memory recognition.

Infants perceive two-dimensional shape from horizontal disparity

Previous studies observed that responsiveness to horizontal disparity as such emerges at approximately 2 months of age. Moreover, 3- to 4-month-old infants utilize stereoscopic information to perceive object variations in depth. The present study investigated infants' ability to respond to crossed horizontal disparity information that defines two-dimensional shape. Infants 4 and 5 months of age were habituated to either a cross or the outline of a square. During the posthabituation period, they were presented with both shapes. The stimuli were dynamic random dot stereograms shown on an autostereoscopic monitor. The participants 5 but not 4 months of age displayed significant novelty preferences for the unfamiliar shape during the posthabituation period. Five-month-old infants are hence sensitive to horizontal disparity information that specifies shape.

Human infants can generate vergence responses to retinal disparity by 5 to 10 weeks of age

Vergence is defined as a binocular eye movement during which the two eyes move in opposite directions to align to a target in depth. In adults, fine vergence control is driven primarily by interocular retinal image disparity. Although infants have not typically been shown to respond to disparity until 3 to 5 months postpartum, they have been shown to align their eyes from hours after birth. It remains unclear what drives these responses in young infants. In this experiment, 5- to 10-week-old human infants were presented with a dynamic random noise stimulus oscillating in disparity at 0.1 Hz over an amplitude of 2° for 30 s. Fourier transforms of the horizontal eye movements revealed significant disparity-driven responses at the frequency of the stimulus in over half of the tested infants. Because the stimulus updated dynamically, this experiment precluded the possibility of independent monocular fixations to a sustained target. These data demonstrate cortical binocular function in humans by five weeks, the youngest age tested here, which is as much as two months younger than previously believed.

Vergence responses to face stimuli in young children

In line with a possible role of vergence in orienting visual attention, we sought to study this eye movement in young children to provide insights on face perception. For this purpose, we measured the modulation in the angle of eye vergence in a sample of 39 children aged 6-36 months and compared it when presenting static human face images versus their scrambled version. We observed enhanced vergence responses to faces compared with scrambled images. Our data suggest a role of eye vergence in face processing.

Contribution of binocular vision to the performance of complex manipulation tasks in 5-13years old visually-normal children

Individual studies have shown that visuomotor coordination and aspects of binocular vision, such as stereoacuity and dynamic vergence control, continue to improve in normally developing children between birth and early teenage years. However, no study has systematically addressed the relationship between the development of binocular vision and fine manipulation skills. Thus, the aim of this cross-sectional study was to characterize performance of complex manipulation tasks during binocular and monocular viewing. Fifty-two children, between 5 and 13years old, performed 2 manipulation tasks: peg-board and bead-threading under randomized viewing conditions. Results showed that binocular viewing was associated with a significantly greater improvement in performance on the bead-threading task in comparison to the peg-board task and the youngest children showed the greatest decrement in task performance under the monocular viewing condition when performing the bead-threading task. Thus, the role of binocular vision in performance of fine manipulation skills is both task- and age-dependent. These findings have implications for assessment of visuomotor skills in children with abnormal binocular vision, which occurs in 2-3% of otherwise typically developing children.

Amblyopic children read more slowly than controls under natural, binocular reading conditions

BACKGROUND

Recent evidence suggests that amblyopia results in fixation instability and atypical saccades. Reading is a vision-reliant ability that requires sequential eye movements, including forward and regressive saccades. This study investigated reading and associated eye movements in school-age amblyopic children.

METHODS

Amblyopic children with strabismus and/or anisometropia (n = 29) were compared to nonamblyopic children treated for strabismus (n = 23) and normal control children (n = 21). While fitted with the ReadAlyzer, an eye movement recording system, children silently read a grade-level paragraph of text during binocular viewing. Reading rate, number of forward and regressive saccades per 100 words, and fixation duration were determined. Comprehension was evaluated with a 10-item quiz; only data from children with at least 80% correct responses were included.

RESULTS

Amblyopic children read more slowly and had more saccades compared with nonamblyopic children with treated strabismus and normal controls. Fixation duration did not differ significantly for amblyopic children versus normal controls. Treated strabismic children without amblyopia did not differ significantly from normal controls on any reading measure. Amblyopic eye visual acuity was not correlated with any reading measure.

CONCLUSIONS

Amblyopia was associated with slower reading speed in school-age children. Treatment for monocular amblyopia visual acuity impairment could improve reading speed and efficiency.

Loss of binocular vision as direct cause for misrouting of temporal retinal fibers in albinism

In humans, the nasal retina projects to the contralateral hemisphere, whereas the temporal retina projects ipsilaterally. The nasotemporal line that divides the retina into crossed and uncrossed parts coincides with the vertical meridian through the fovea. This normal projection of the retina is severely altered in albinism, in which the nasotemporal line shifted into the temporal retina with temporal retinal fibers cross the midline at the optic chiasm. This study proposes the loss of binocular vision as direct cause for misrouting of temporal retinal fibers and shifting of the nasotemporal line temporally in albinism. It is supported by many observations that clearly indicate that loss of binocular vision causes uncrossed retinal fibers to cross the midline. This hypothesis may alert scientists and clinicians to find ways to prevent or minimize the loss of binocular vision that may occur in some diseases such as albinism and early squint. Hopefully, this will minimize the misrouting of temporal fibers and improve vision in such diseases.

Infants' discrimination of crossed and uncrossed horizontal disparity

In a series of preferential-looking experiments, infants 5 to 6 months of age were tested for their responsiveness to crossed and uncrossed horizontal disparity. In Experiments 1 and 2, infants were presented with dynamic random dot stereograms displaying a square target defined by either a 0.5° crossed or a 0.5° uncrossed horizontal disparity and a square control target defined by a 0.5° vertical disparity. In Experiment 3, infants were presented with the crossed and the uncrossed horizontal disparity targets used in Experiments 1 and 2. According to the results, the participants looked more often at the crossed (Experiment 1), as well as the uncrossed (Experiment 2), horizontal disparity targets than at the vertical disparity target. These results suggest that the infants were sensitive to both crossed and uncrossed horizontal disparity information. Moreover, the participants exhibited a natural visual preference for the crossed over the uncrossed horizontal disparity (Experiment 3). Since prior research established natural looking and reaching preferences for the (apparently) nearer of two objects, this finding is consistent with the hypothesis that the infants were able to extract the depth relations specified by crossed (near) and uncrossed (far) horizontal disparity.

Inferences about infants’ visual brain mechanisms

We discuss hypotheses that link the measurements we can make with infants to inferences about their developing neural mechanisms. First, we examine evidence from the sensitivity to visual stimulus properties seen in infants’ responses, using both electrophysiological measures (transient and steady-state recordings of visual evoked potentials/visual event-related potentials) and behavioral measures and compare this with the sensitivity of brain processes, known from data on mammalian neurophysiology and human neuroimaging. The evidence for multiple behavioral systems with different patterns of visual sensitivity is discussed. Second, we consider the analogies which can be made between infants’ behavior and that of adults with identified brain damage, and extend these links to hypothesize about the brain basis of visual deficits in infants and children with developmental disorders. Last, we consider how these lines of data might allow us to form “inverse linking hypotheses” about infants’ visual experience.

Visual control of manual actions: brain mechanisms in typical development and developmental disorders

Some key stages in the development of manual actions have been discussed in this supplement based on the idea of the dorsal cortical stream as the pathway for translating visual information into action control. We argue that visual information, transmitted through specialized visuomotor dorsal-stream modules, is required in the control of manual actions for selecting and attending to the target object of the action, translating visual spatial information into motor programmes and planning a coordinated sequence of actions so as to reach an optimal end-state. In typical development, we illustrate dorsal-stream processing through results on the use of stereoscopic information to guide infants' reaches, and changes in target selection and detailed kinematics of reaches depending on age, object size, and reaching in darkness (when dorsal-stream information rapidly decays). We hypothesize 'dorsal-stream vulnerability' as a widespread feature of neurodevelopmental disorders, such as autism, Williams syndrome, and children born very preterm. Such deficits, identified as abnormal visuomanual actions, are seen in bimanual coordination, visual guidance of action in the 'postbox' task, and failures in motor planning for end-state comfort. We discuss the possible application of these approaches to a wider range of disorders including developmental coordination disorder.

Why do only some hyperopes become strabismic?

Children with hyperopia greater than +3.5 diopters (D) are at increased risk for developing refractive esotropia. However, only approximately 20% of these hyperopes develop strabismus. This review provides a systematic theoretical analysis of the accommodation and vergence oculomotor systems with a view to understanding factors that could either protect a hyperopic individual or precipitate a strabismus. The goal is to consider factors that may predict refractive esotropia in an individual and therefore help identify the subset of hyperopes who are at the highest risk for this strabismus, warranting the most consideration in a preventive effort.

Dynamic reaching in infants during binocular and monocular viewing

This study examined reaching in 6-, 8-, and 10-month-olds during binocular and monocular viewing in a dynamic reaching situation. Infants were rotated toward a flat vertical board and reached for objects at one of seven positions along a horizontal line at shoulder height. Hand selection, time to contact the object, and reaching accuracy were examined in both viewing conditions. Hand selection was strongly dependent on object location, not on infants' age or whether one eye was covered. Monocular viewing and age did, however, affect time to object contact and contact errors: Infants showed longer contact times when one eye was covered, and 6-month-olds made more contact errors in the monocular condition. For right-hand selection, contact times were longer when the covered right eye was leading during the chair rotation. For left-hand selection, there were no differences in contact time due to whether the covered eye was leading during rotation.

Orientation tuning in the visual cortex of 3-month-old human infants

Sensitivity to orientation is critical for making a whole and complete picture of the world. We measured the orientation tuning of mechanisms in the visual cortex of typically developing 3-month-olds and adults using a nonlinear analysis of the two-input steady-state Visually Evoked Potential (VEP). Two gratings, one a fixed test and the other a variable orientation masker were tagged with distinct temporal frequencies and the corresponding evoked responses were measured at the harmonics of the test and masker frequencies and at a frequency equal to the sum of the two stimulus frequencies. The magnitude of the sum frequency component depended strongly on the relative orientation of the test and masker in both infants and adults. The VEP tuning bandwidths of the 3-month-olds measured at the sum frequency were similar to those of adults, suggesting that behavioral immaturities in functions such as orientation discrimination and contour integration may result from other immaturities in long-range lateral projections or feedback mechanisms.

Postnatal development of disparity sensitivity in visual area 2 (v2) of macaque monkeys

Macaque monkeys do not reliably discriminate binocular depth cues until about 8 wk of age. The neural factors that limit the development of fine depth perception in primates are not known. In adults, binocular depth perception critically depends on detection of relative binocular disparities and the earliest site in the primate visual brain where a substantial proportion of neurons are capable of discriminating relative disparity is visual area 2 (V2). We examined the disparity sensitivity of V2 neurons during the first 8 wk of life in infant monkeys and compared the responses of V2 neurons to those of V1 neurons. We found that the magnitude of response modulation in V2 and V1 neurons as a function of interocular spatial phase disparity was adult-like as early as 2 wk of age. However, the optimal spatial frequency and binocular response rate of these disparity sensitive neurons were more than an octave lower in 2- and 4-wk-old infants than in adults. Consequently, despite the lower variability of neuronal firing in V2 and V1 neurons of infant monkeys, the ability of these neurons to discriminate fine disparity differences was significantly reduced compared with adults. This reduction in disparity sensitivity of V2 and V1 neurons is likely to limit binocular depth perception during the first several weeks of a monkey's life.

Movement training advances the emergence of reaching in infants born at less than 33 weeks of gestational age: a randomized clinical trial

BACKGROUND AND PURPOSE

This study had 2 purposes: (1) to compare the emergence of reaching in infants born full-term and infants born at less than 33 weeks of gestational age and (2) to evaluate the effectiveness of a movement training program on the emergence of reaching in this preterm population.

PARTICIPANTS

Twenty-six infants born at less than 33 weeks of gestational age and with a birth weight less than 2,500 g were randomly assigned to receive 20 minutes of daily movement training (PT-M group) or daily social training (PT-S group) and were compared with 13 infants born full-term (FT-S group).

METHODS

Reaching and hand-object interactions were tested every other week for 8 weeks. At each visit, infants were allowed six 30-second opportunities to contact a midline toy.

RESULTS

The FT-S and PT-M groups reached earlier and more consistently than the PT-S group. Specifically, the subjects in the FT-S group contacted the toy for longer durations and with an open, ventral surface of their hand. The PT-M group demonstrated increases in the number of hand-object contacts, the number of consistent reaches, and the percentage of time interacting with the toy and the surface of hand-object contact.

DISCUSSION AND CONCLUSION

This project demonstrates that there are early gross motor skill differences in infants born at less than 33 weeks of gestational age. A caregiver-based daily training program, however, is effective at lessening some, but not all, of these differences over the short term.

Cortical processing of visual motion in young infants

High-density EEG was used to investigate the cortical processing of a rotating visual pattern in 2-, 3-, and 5-month-old infants and in adults. Motion induced ERP in the parietal and the temporal-occipital border regions (OT) was elicited at all ages. The ERP was discernable in the 2-months-olds, significant and unilateral in the 3-month-olds and significantly bilateral in the 5-month-olds and adults. The motion induced ERP in the primary visual area was absent in the 2-month-olds and later than in the OT area for the 3-month-olds indicating that information to OT may be supplied by the V1 bypass at these ages. The results are in agreement with behavioural and psychophysical data in infants.

Development of multisensory spatial integration and perception in humans

Previous studies have shown that adults respond faster and more reliably to bimodal compared to unimodal localization cues. The current study investigated for the first time the development of audiovisual (A-V) integration in spatial localization behavior in infants between 1 and 10 months of age. We observed infants' head and eye movements in response to auditory, visual, or both kinds of stimuli presented either 25 degrees or 45 degrees to the right or left of midline. Infants under 8 months of age intermittently showed response latencies significantly faster toward audiovisual targets than toward either auditory or visual targets alone They did so, however, without exhibiting a reliable violation of the Race Model, suggesting that probability summation alone could explain the faster bimodal response. In contrast, infants between 8 and 10 months of age exhibited bimodal response latencies significantly faster than unimodal latencies for both eccentricity conditions and their latencies violated the Race Model at 25 degrees eccentricity. In addition to this main finding, we found age-dependent eccentricity and modality effects on response latencies. Together, these findings suggest that audiovisual integration emerges late in the first year of life and are consistent with neurophysiological findings from multisensory sites in the superior colliculus of infant monkeys showing that multisensory enhancement of responsiveness is not present at birth but emerges later in life.

NO SINGLE FACTOR HAS PRIORITY IN ACTION DEVELOPMENT A TRIBUTE TO ESTHER THELEN'S LEGACY

Among Esther Thelen's most important contributions to developmental theory is that there is no single factor that has priority in driving development. In this paper, we discuss how this notion influenced our research on perceptual-motor development. We show that multiple factors constrain perceptual-motor development, but that a relatively minor change in one of them may lead to significant changes in the observed perceptual-motor behavior.

Three- to eight-month-old infants’ catching under monocular and binocular vision

We report a cross-sectional and a longitudinal experiment that examined developmental changes in the relative contribution of monocular and binocular variables in the guidance of interceptive arm movements. Three- to eight-month-old infants were observed while presented with differently sized balls that approached frontally with a constant velocity under both monocular and binocular viewing conditions. Movement onset indicated that with age infants increasingly came to rely on binocular variables in controlling the timing of the interceptive arm movements. That is, from 7 to 8 months of age movement onset was independent from object size under binocular but not under monocular viewing. In contrast, binocular viewing enhanced the spatial accuracy of the interceptive arm movements at all ages. We concluded that attunement to binocular information is a key process in infants' gaining adaptive control of goal-directed arm movements. However, interceptive arm movements entail the formation of multiple on-line couplings between optic and movement variables, each of which appears to develop at its own pace.

Amblyopia characterization, treatment, and prophylaxis

Amblyopia has a 1.6-3.6% prevalence, higher in the medically underserved. It is more complex than simply visual acuity loss and the better eye has sub-clinical deficits. Functional limitations appear more extensive and loss of vision in the better eye of amblyopes more prevalent than previously thought. Amblyopia screening and treatment are efficacious, but cost-effectiveness concerns remain. Refractive correction alone may successfully treat anisometropic amblyopia and it, minimal occlusion, and/or catecholamine treatment can provide initial vision improvement that may improve compliance with subsequent long-duration treatment. Atropine penalization appears as effective as occlusion for moderate amblyopia, with limited-day penalization as effective as full-time. Cytidin-5'-diphosphocholine may hold promise as a medical treatment. Interpretation of much of the amblyopia literature is made difficult by: inaccurate visual acuity measurement at initial visit, lack of adequate refractive correction prior to and during treatment, and lack of long-term follow-up results. Successful treatment can be achieved in at most 63-83% of patients. Treatment outcome is a function of initial visual acuity and type of amblyopia, and a reciprocal product of treatment efficacy, duration, and compliance. Age at treatment onset is not predictive of outcome in many studies but detection under versus over 2-3 years of age may be. Multiple screenings prior to that age, and prompt treatment, reduce prevalence. Would a single early cycloplegic photoscreening be as, or more, successful at detection or prediction than the multiple screenings, and more cost-effective? Penalization and occlusion have minimal incidence of reverse amblyopia and/or side-effects, no significant influence on emmetropization, and no consistent effect on sign or size of post-treatment changes in strabismic deviation. There may be a physiologic basis for better age-indifferent outcome than tapped by current treatment methodologies. Infant refractive correction substantially reduces accommodative esotropia and amblyopia incidence without interference with emmetropization. Compensatory prism, alone or post-operatively, and/or minus lens treatment, and/or wide-field fusional amplitude training, may reduce risk of early onset esotropia. Multivariate screening using continuous-scale measurements may be more effective than traditional single-test dichotomous pass/fail measures. Pigmentation may be one parameter because Caucasians are at higher risk for esotropia than non-whites.

Multiple sensitive periods in human visual development: Evidence from visually deprived children

Psychophysical studies of children deprived of early visual experience by dense cataracts indicate that there are multiple sensitive periods during which experience can influence visual development. We note three sensitive periods within acuity, each with different developmental time courses: the period of visually-driven normal development, the sensitive period for damage, and the sensitive period for recovery. Moreover, there are different sensitive periods for different aspects of vision. Relative to the period of visually driven normal development, the sensitive period for damage is surprisingly long for acuity, peripheral vision, and asymmetry of optokinetic nystagmus, but surprisingly short for global motion. A comparison of results from unilaterally versus bilaterally deprived children provides insights into the complex nature of interactions between the eyes during normal visual development.

Normal and anomalous development of visual motion processing: motion coherence and 'dorsal-stream vulnerability'

Directional motion processing is a pervasive and functionally important feature of the visual system. Behavioural and VEP studies indicate that it appears as a cortical function after about 7 weeks of age, with global processing, motion based segmentation, and the use of motion in complex perceptual tasks emerging shortly afterwards. A distinct, subcortical motion system controls optokinetic nystagmus (OKN) from birth, showing characteristic monocular asymmetries which disappear as binocular cortical function takes over in normal development. Asymmetries in cortical responses are linked to this interaction in a way that is not yet fully understood. Beyond infancy, a range of developmental disorders show a deficit of global motion compared to global form processing which we argue reflects a general 'dorsal-stream vulnerability'.

Motion processing asymmetries and stereopsis in infants

These experiments used forced-choice preferential looking to test infants for preferences between pairs of random-dot patterns that moved in opposite directions. With monocularly-viewed horizontally moving patterns, 6-12-week-old infants showed a preference for nasalwards motion. With binocularly-viewed vertical motion, there was no overall preference, but the results did show a significant correlation between upwards bias of OKN and preference for downwards motion. In a longitudinal experiment, the nasalwards preference first appeared at 7-8 weeks, and thereafter persisted until the end of testing (23-25 weeks). In this experiment the infants were also tested for stereopsis, under conditions that were as nearly as possible identical to the direction preference test. There was no evidence that the onset of stereopsis had any effect on the directional asymmetry. The directional asymmetries revealed by these experiments appear to be distinct from the asymmetries of OKN and motion VEPs. It is possible that they reflect asymmetrical directional responses in extrastriate visual cortex (e.g. area V5/MT).

Development of the response AC/A ratio over the first year of life

This study investigated the development of the link from accommodation to vergence in infants by occluding one eye thus removing binocular cues. Occluded adults continue to converge partially demonstrating that the accommodative drive to vergence (the AC/A link) and proximal cues are sufficient to drive vergence. For infants of all ages, AC/A ratios were found to be in the normal adult range. We conclude that infants can use monocular cues to drive vergence and that this occurs before the age when there is a substantial increase in the accuracy of oculomotor processes. There is flexibility in the developing visual system which is able to produce early vergence responses by relying upon alternative cues.

Progress and paradigm shifts in spatial vision over the 20 years of ECVP

In the beginning there was light, and form, and visual mechanisms. This paper traces developments in research on spatial vision over the 20 years of ECVP, with particular emphasis on (1) hyperacuity, (2) peripheral vision, (3) amblyopia and development, and (4) learning and plasticity.

Where is the naso-temporal asymmetry? Motion processing

Strabismic (cross-eyed) humans and animals show an imbalance between opposite directions of eye movement. Both midbrain and cortical origins for this asymmetry have been proposed, but there is no sign of it in the main motion-processing area of visual cortex.

Two infant vision screening programmes: prediction and prevention of strabismus and amblyopia from photo- and videorefractive screening

Two infant vision screening programmes on total populations in the Cambridge Health District have been designed to identify manifest strabismus and strabismogenic and amblyogenic refractive errors at 7-9 months of age. The first, completed, programme used the isotropic photorefractor with cycloplegia together with a standard orthoptic examination. The second, current, programme uses the VRP-1 isotropic videorefractor to identify infants with accommodative lags which are followed up by refraction under cycloplegia. Both programmes show good agreement between infants identified at screening and retinoscopic refractions at follow-up, showing that photo- and videorefraction (with or without cycloplegia) can be effective methods for screening for ametropia in infants and young children. In each programme 5-6% of infants showed abnormal levels of hyperopia (> or = 3.5 D in any meridian), less than 1% showed anisometropia > or = 1.5 D; very few infants (0.25%) showed -3D myopia or greater. Less than 1% showed manifest strabismus. Hyperopic and anisometropic children entered a randomised controlled trial of partial refractive correction. All children identified at screening, alongside appropriate control groups, are extensively followed up to age 4 years. The first programme has found that children who were hyperopic in infancy were 13 times more likely to become strabismic, and 6 times more likely to show measurable acuity deficits by 4 years, compared with controls. Wearing a partial spectacle correction reduced these risk ratios to 4:1 and 2.5:1 respectively. The impaired acuity can be attributed, in part, to meridional amblyopia resulting from persisting astigmatism. Both hyperopic and myopic infants showed refractive changes in the direction of emmetropia between 9 months and 4 years. Wearing a partial spectacle correction did not affect this process of emmetropisation, but does provide the possibility of reducing the incidence of common pre-school vision problems.