Binocular non-stereoscopic cues can deceive clinical tests of stereopsis

Stereo-anomaly is found more frequently in tasks that require discrimination between depths

Within the population of humans with otherwise normal vision, there exists some proportion whose ability to perceive depth from binocular disparity is poor or absent. The prevalence of this "stereo-anomaly" has been reported to be as small as 2%, or as great as 30%. We set out to investigate this discrepancy. We used a digital tool to measure stereoacuity in tasks requiring either the detection of disparity or the discrimination of the direction of disparity. In a cohort of 228 participants, we found that 98% were able to consistently perform the detection task. Of these, only 69% consistently performed the discrimination task. The 31% of participants who had difficulty with the discrimination task could further be divided into 17% who were consistently unable to perform the task and 14% who showed limited ability. This suggests that identification of the direction of disparity requires further processing beyond merely detecting its presence.

Behind mouse eyes: The function and control of eye movements in mice

The mouse visual system has become the most popular model to study the cellular and circuit mechanisms of sensory processing. However, the importance of eye movements only started to be appreciated recently. Eye movements provide a basis for predictive sensing and deliver insights into various brain functions and dysfunctions. A plethora of knowledge on the central control of eye movements and their role in perception and behaviour arose from work on primates. However, an overview of various eye movements in mice and a comparison to primates is missing. Here, we review the eye movement types described to date in mice and compare them to those observed in primates. We discuss the central neuronal mechanisms for their generation and control. Furthermore, we review the mounting literature on eye movements in mice during head-fixed and freely moving behaviours. Finally, we highlight gaps in our understanding and suggest future directions for research.

A comparative study of stereopsis measurements: analyzing natural conditions versus dichoptic presentation using smartphones and ultraviolet printer technology

Background

Accurate differentiation between stereopsis assessments in the natural and dichoptic presentation states has proven challenging with commercial stereopsis measurement tools. This study proposes a novel method to delineate these differences more precisely.

Methods

We instituted two stereopsis test systems predicated on a pair of 4K smartphones and a modified Frisby Near Stereotest (FNS) version. Stereoacuity was evaluated both in the natural environment state (via the modified FNS) and the dichoptic state (via smartphones). Thirty subjects aged 20 to 28 years participated in the study with the best-corrected visual acuity (VA) of each eye no less than 0 logMAR and stereoauity of no worse than 40″. Varying degrees of monocular VA loss were induced using the fogging method, while this study does not explore conditions where the VA of both eyes is worse than 0 logMAR.

Results

When the VA difference between the two eyes did not exceed 0.2 logMAR, the modified FNS produced lower stereoacuity values compared to the 4K smartphones (Wilcoxon signed-rank test: difference = 0 logMAR, Z = -3.879, P < 0.001; difference = 0.1 logMAR, Z = -3.478, P = 0.001; difference = 0.2 logMAR, Z = -3.977, P < 0.001). Conversely, no significant differences were observed when the binocular vision difference exceeded 0.2 logMAR (difference = 0.3 logMAR, Z = -1.880, P = 0.060; difference = 0.4 logMAR, Z = -1.784, P = 0.074; difference = 0.5 logMAR, Z = -1.812, P = 0.070).

Conclusion

The findings suggest that stereoacuity values measurements taken in the natural environment state surpass those derived from the dichoptic presentation. However, the observed difference diminishes as stereopsis decreases, corresponding to an increase in induced anisometropia.

Comparison of stereopsis thresholds measured with conventional methods and a new eye tracking method

PURPOSE

Stereopsis is the ability to perceive depth using the slightly different views from two eyes. This study aims to conduct innovative stereopsis tests using the objective data outputted by eye tracking technology.

METHODS

A laptop and an eye tracker were used to establish the test system. Anaglyphic glasses were employed to execute the stereopsis assessment. The test symbol employed was devised to emulate the quantitative measurement component of the Random Dot 3 Stereo Acuity Test. Sub-pixel technology was used to increase the disparity accuracy of test pages. The tested disparities were: 160″, 100″, 63″, 50″, 40″, 32″, 25″, 20″, 16″, and 12.5″. The test was conducted at a distance of 0.65m. Conventional and eye tracking stereopsis assessments were conducted on 120 subjects. Wilcoxon signed-rank test was used to test the difference, while the Bland-Altman method was used to test the consistency between the two methods.

RESULTS

The Wilcoxon signed-rank test showed no significant difference between conventional and eye tracking thresholds of stereopsis (Z = -1.497, P = 0.134). There was a high level of agreement between the two methods using Bland- Altman statistical analysis (The 95 per cent limits of agreement were -0.40 to 0.47 log arcsec).

CONCLUSIONS

Stereoacuity can be evaluated utilizing an innovative stereopsis measurement system grounded in eye tracking technology.

Amblyopic stereo vision is efficient but noisy

People with amblyopia demonstrate a reduced ability to judge depth using stereopsis. Our understanding of this deficit is limited, as standard clinical stereo tests may not be suited to give a quantitative account of the residual stereo ability in amblyopia. In this study we used a stereo test designed specifically for that purpose. Participants identified the location of a disparity-defined odd-one-out target within a random-dot display. We tested 29 amblyopic (3 strabismic, 17 anisometropic, 9 mixed) participants and 17 control participants. We obtained stereoacuity thresholds from 59% of our amblyopic participants. There was a factor of two difference between the median stereoacuity of our amblyopic (103 arcsec) and control (56 arcsec) groups. We used the equivalent noise method to evaluate the role of equivalent internal noise and processing efficiency in amblyopic stereopsis. Using the linear amplifier model (LAM), we determined the threshold difference was due to a greater equivalent internal noise in the amblyopic group (238 vs 135 arcsec), with no significant difference in processing efficiency. A multiple linear regression determined 56% of the stereoacuity variance within the amblyopic group was predicted by the two LAM parameters, with equivalent internal noise predicting 46% alone. Analysis of control group data aligned with our previous work, finding that trade-offs between equivalent internal noise and efficiency play a greater role. Our results allow a better understanding of what is limiting amblyopic performance in our task. We find this to be a reduced quality of disparity signals in the input to the task-specific processing.

The eRDS v6 Stereotest and the Vivid Vision Stereo Test: Two New Tests of Stereoscopic Vision

Purpose

To describe two new stereoacuity tests: the eRDS v6 stereotest, a global dynamic random dot stereogram (dRDS) test, and the Vivid Vision Stereo Test version 2 (VV), a local or "contour" stereotest for virtual reality (VR) headsets; and to evaluate the tests' reliability, validity compared to a dRDS standard, and learning effects.

Methods

Sixty-four subjects passed a battery of stereotests, including perceiving depth from RDS. Validity was evaluated relative to a tablet-based dRDS reference test, ASTEROID. Reliability and learning effects were assessed over six sessions.

Results

eRDS v6 was effective at measuring small thresholds (<10 arcsec) and had a moderate correlation (0.48) with ASTEROID. Across the six sessions, test-retest reliability was good, varying from 0.84 to 0.91, but learning occurred across the first three sessions. VV did not measure stereoacuities below 15 arcsec. It had a weak correlation with ASTEROID (0.27), and test-retest reliability was poor to moderate, varying from 0.35 to 0.74; however, no learning occurred between sessions.

Conclusions

eRDS v6 is precise and reliable but shows learning effects. If repeated three times at baseline, this test is well suited as an outcome measure for testing interventions. VV is less precise, but it is easy and rapid and shows no learning. It may be useful for testing interventions in patients who have no global stereopsis.

Translational Relevance

eRDS v6 is well suited as an outcome measure to evaluate treatments that improve adult stereodepth perception. VV can be considered for screening patient with compromised stereovision.

Mapping residual stereopsis in macular degeneration

Individuals with macular degeneration typically lose vision in the central region of one or both eyes. A binocular scotoma occurs when vision loss occurs in overlapping locations in both eyes, but stereopsis is impacted even in the non-overlapping region wherever the visual field in either eye is affected. We used a novel stereoperimetry protocol to measure local stereopsis across the visual field (up to 25° eccentricity) to determine how locations with functional stereopsis relate to the scotomata in the two eyes. Participants included those with monocular or binocular scotomata and age-matched controls with healthy vision. Targets (with or without depth information) were presented on a random dot background. Depth targets had true binocular disparity of 20' (crossed), whereas non-depth targets were defined by monocular cues such as contrast and dot density. Participants reported target location and whether it was in depth or flat. Local depth sensitivity (d') estimates were then combined to generate a stereopsis map. This stereopsis map was compared to the union of the monocular microperimetry estimates that mapped out the functional extent of the scotoma in each eye. The "union" prediction aligned with residual stereopsis, showing impaired stereopsis within this region and residual stereopsis outside this region. Importantly, the stereoblind region was typically more extensive than the binocular scotoma defined by the intersection (overlap) of the scotomata. This explains why individuals may have intact binocular visual fields but be severely compromised in tasks of daily living that benefit from stereopsis, such as eye-hand coordination and navigation.

Differences in stereoacuity between crossed and uncrossed disparities reduce with practice

INTRODUCTION

Stereoacuity, like many forms of hyperacuity, improves with practice. We investigated the effects of repeated measurements over multiple visits on stereoacuity using two commonly utilised clinical stereotests, for both crossed and uncrossed disparity stimuli.

METHODS

Participants were adults with normal binocular vision (n = 17) aged between 18 and 50 years. Stereoacuity was measured using the Randot and TNO stereotests on five separate occasions over a six week period. We utilised both crossed and uncrossed stimuli to separately evaluate stereoacuity in both disparity directions. A subset of the subject group also completed a further five visits over an additional six week period. Threshold stereoacuity was determined by the lowest disparity level at which the subjects could correctly identify both the position and disparity direction (crossed or uncrossed) of the stimulus. Data were analysed by repeated measures analysis of variance.

RESULTS

Stereoacuity for crossed and uncrossed stimuli improved significantly across the first five visits (F_1,21  = 4.24, p = 0.05). The main effect of disparity direction on stereoacuity was not significant (F₁  = 0.02, p = 0.91). However, a significant interaction between disparity direction and stereotest was identified (F₁  = 7.92, p = 0.01).

CONCLUSIONS

Stereoacuity measured with both the TNO and Randot stereotests improved significantly over the course of five repetitions. Although differences between crossed and uncrossed stereoacuity were evident, they depended on the stereotest used and reduced or disappeared after repeated measurements. A single measure of stereoacuity is inadequate for properly evaluating adult stereopsis clinically.

Learning to see in depth

Stereopsis provides us with a vivid impression of the depth and distance of objects in our 3- dimensional world. Stereopsis is important for a number of everyday visual tasks, including (but not limited to) reaching and grasping, fine visuo-motor control, and navigating in our world. This review briefly discusses the neural substrate for normal binocular vision and stereopsis and its development in primates; outlines some of the issues and limitations of stereopsis tests and examines some of the factors that limit the typical development of stereopsis and the causes and consequences of stereo-deficiency and stereo-blindness. Finally, we review several approaches to improving or recovering stereopsis in both neurotypical individuals and those with stereo-deficiency and stereo-blindness and outline some emerging strategies for improving stereopsis.

Unusual Mathematical Approaches Untangle Nervous Dynamics

The massive amount of available neurodata suggests the existence of a mathematical backbone underlying neuronal oscillatory activities. For example, geometric constraints are powerful enough to define cellular distribution and drive the embryonal development of the central nervous system. We aim to elucidate whether underrated notions from geometry, topology, group theory and category theory can assess neuronal issues and provide experimentally testable hypotheses. The Monge’s theorem might contribute to our visual ability of depth perception and the brain connectome can be tackled in terms of tunnelling nanotubes. The multisynaptic ascending fibers connecting the peripheral receptors to the neocortical areas can be assessed in terms of knot theory/braid groups. Presheaves from category theory permit the tackling of nervous phase spaces in terms of the theory of infinity categories, highlighting an approach based on equivalence rather than equality. Further, the physical concepts of soft-matter polymers and nematic colloids might shed new light on neurulation in mammalian embryos. Hidden, unexpected multidisciplinary relationships can be found when mathematics copes with neural phenomena, leading to novel answers for everlasting neuroscientific questions. For instance, our framework leads to the conjecture that the development of the nervous system might be correlated with the occurrence of local thermal changes in embryo–fetal tissues.

Effect of Impaired Stereoscopic Vision on Large-Scale Resting-State Functional Network Connectivity in Comitant Exotropia Patients

Background

Comitant exotropia (CE) is a common eye movement disorder, characterized by impaired eye movements and stereoscopic vision. CE patients reportedly exhibit changes in the central nervous system. However, it remains unclear whether large-scale brain network changes occur in CE patients.

Purpose

This study investigated the effects of exotropia and stereoscopic vision dysfunction on large-scale brain networks in CE patients via independent component analysis (ICA).

Methods

Twenty-eight CE patients (mean age, 15.80 ± 2.46 years) and 27 healthy controls (HCs; mean age, 16.00 ± 2.68 years; closely matched for age, sex, and education) underwent resting-state magnetic resonance imaging. ICA was applied to extract resting-state networks (RSNs) in both groups. Two-sample’s t-tests were conducted to investigate intranetwork functional connectivity (FC) within RSNs and interactions among RSNs between the two groups.

Results

Compared with the HC group, the CE group showed increased intranetwork FC in the bilateral postcentral gyrus of the sensorimotor network (SMN). The CE group also showed decreased intranetwork FC in the right cerebellum_8 of the cerebellum network (CER), the right superior temporal gyrus of the auditory network (AN), and the right middle occipital gyrus of the visual network (VN). Moreover, functional network connectivity (FNC) analysis showed that CER-AN, SMN-VN, SN-DMN, and DMN-VN connections were significantly altered between the two groups.

Conclusion

Comitant exotropia patients had abnormal brain networks related to the CER, SMN, AN, and VN. Our results offer important insights into the neural mechanisms of eye movements and stereoscopic vision dysfunction in CE patients.

Transfer of Perceptual Learning From Local Stereopsis to Global Stereopsis in Adults With Amblyopia: A Preliminary Study

It has long been debated whether the analysis of global and local stereoscopic depth is performed by a single system or by separate systems. Global stereopsis requires the visual system to solve a complex binocular matching problem to obtain a coherent percept of depth. In contrast, local stereopsis requires only a simple matching of similar image features. In this preliminary study, we recruited five adults with amblyopia who lacked global stereopsis and trained them on a computerized local stereopsis depth task for an average of 12 h. Three out of five (60%) participants recovered fine global stereoscopic vision through training. Those who recovered global stereopsis reached a learning plateau more quickly on the local stereopsis task, and they tended to start the training with better initial local stereopsis performance, to improve more on local stereopsis with training, and to have less severe amblyopia. The transfer of learning from local stereopsis to global stereopsis is compatible with an interacting two-stage model.

ASTEROID stereotest v1.0: lower stereo thresholds using smaller, denser and faster dots

PURPOSE

In 2019, we described ASTEROID, a new stereotest run on a 3D tablet computer which involves a four-alternative disparity detection task on a dynamic random-dot stereogram. Stereo thresholds measured with ASTEROID were well correlated with, but systematically higher than (by a factor of around 1.5), thresholds measured with previous laboratory stereotests or the Randot Preschool clinical stereotest. We speculated that this might be due to the relatively large, sparse dots used in ASTEROID v0.9. Here, we introduce and test the stereo thresholds and test-repeatability of the new ASTEROID v1.0, which uses precomputed images to allow stereograms made up of much smaller, denser dots.

METHODS

Stereo thresholds and test/retest repeatability were tested and compared between the old and new versions of ASTEROID (n = 75) and the Randot Circles (n = 31) stereotest, in healthy young adults.

RESULTS

Thresholds on ASTEROID v1.0 are lower (better) than on ASTEROID v0.9 by a factor of 1.4, and do not differ significantly from thresholds on the Randot Circles. Thresholds were roughly log-normally distributed with a mean of 1.54 log₁₀ arcsec (35 arcsec) on ASTEROID v1.0 compared to 1.70 log₁₀ arcsec (50 arcsec) on ASTEROID v0.9. The standard deviation between observers was the same for both versions, 0.32 log₁₀ arcsec, corresponding to a factor of 2 above and below the mean. There was no difference between the versions in their test/retest repeatability, with 95% coefficient of repeatability = 0.46 log₁₀ arcsec (a factor of 2.9 or 1.5 octaves) and a Pearson correlation of 0.8 (comparable to other clinical stereotests).

CONCLUSION

The poorer stereo thresholds previously reported with ASTEROID v0.9 appear to have been due to the relatively large, coarse dots and low density used, rather than to some other aspect of the technology. Employing the small dots and high density used in ASTEROID v1.0, thresholds and test/retest repeatability are similar to other clinical stereotests.

Perceptual Coupling Based on Depth and Motion Cues in Stereovision-Impaired Subjects

When an object is partially occluded, the different parts of the object have to be perceptually coupled. Cues that can be used for perceptual coupling are, for instance, depth ordering and visual motion information. In subjects with impaired stereovision, the brain is less able to use stereoscopic depth cues, making them more reliant on other cues. Therefore, our hypothesis is that stereovision-impaired subjects have stronger motion coupling than stereoscopic subjects. We compared perceptual coupling in 8 stereoscopic and 10 stereovision-impaired subjects, using random moving dot patterns that defined an ambiguous rotating cylinder and a coaxially presented nonambiguous half cylinder. Our results show that, whereas stereoscopic subjects exhibit significant coupling in the far plane, stereovision-impaired subjects show no coupling and under our conditions also no stronger motion coupling than stereoscopic subjects.

Predicting Stereopsis in Macular Degeneration

Each of our eyes sees a slightly different view of the physical world. Disparity is the small difference in position of features in the retinal images; stereopsis is the percept of depth from disparity. A distance between corresponding features in the retinal images of the two eyes smaller than the "upper disparity limit" yields a percept of depth; distances greater than this limit cause the two unfused monocular features to appear flattened into the fixation plane. This behavioral disparity limit is consistent with neurophysiological estimates of the largest disparity scale in primate, allowing us to relate physiological limits on plausible binocular interactions to separation between retinal locations. Here we test the hypothesis that this upper disparity limit predicts the presence of coarse stereopsis in humans with macular degeneration (MD), which affects the central retina but typically spares the periphery. The pattern of vision loss can be highly asymmetric, such that an intact location in one eye has a corresponding point in the other eye that lies within affected retina. Nevertheless, some individuals with MD have coarse stereopsis that is useful for eye-hand coordination. Our results show that individuals with MD (n = 25, male and female) have coarse stereopsis when the distance between intact retinal locations is less than the behavioral and physiological upper disparity limit at the corresponding eccentricity. Furthermore, for those without stereopsis, we can predict whether they can achieve stereopsis by using alternate retinal loci at further eccentricities whose separation is below the upper disparity limit.SIGNIFICANCE STATEMENT We show that the largest separation between features in the two eyes that yields a percept of depth in humans is related to the largest disparity scale in macaque medial temporal area and to the estimated size of the receptive fields in human depth-sensitive cortical regions. This upper disparity limit also predicts whether individuals with retinal damage due to macular degeneration will have stereopsis. Individuals have stereopsis when the separation between intact retinal locations in the two eyes is smaller than the upper disparity limit measured behaviorally. Our results indicate the importance of the behavioral upper disparity limit as a predictor for stereopsis in populations with retinal damage.