Vection in patients with glaucoma

Visual motion detection thresholds can be reliably measured during walking and standing

Introduction

In upright standing and walking, the motion of the body relative to the environment is estimated from a combination of visual, vestibular, and somatosensory cues. Associations between vestibular or somatosensory impairments and balance problems are well established, but less is known whether visual motion detection thresholds affect upright balance control. Typically, visual motion threshold values are measured while sitting, with the head fixated to eliminate self-motion. In this study we investigated whether visual motion detection thresholds: (1) can be reliably measured during standing and walking in the presence of natural self-motion; and (2) differ during standing and walking.

Methods

Twenty-nine subjects stood on and walked on a self-paced, instrumented treadmill inside a virtual visual environment projected on a large dome. Participants performed a two-alternative forced choice experiment in which they discriminated between a counterclockwise ("left") and clockwise ("right") rotation of a visual scene. A 6-down 1-up adaptive staircase algorithm was implemented to change the amplitude of the rotation. A psychometric fit to the participants' binary responses provided an estimate for the detection threshold.

Results

We found strong correlations between the repeated measurements in both the walking (R = 0.84, p < 0.001) and the standing condition (R = 0.73, p < 0.001) as well as good agreement between the repeated measures with Bland-Altman plots. Average thresholds during walking (mean = 1.04°, SD = 0.43°) were significantly higher than during standing (mean = 0.73°, SD = 0.47°).

Conclusion

Visual motion detection thresholds can be reliably measured during both walking and standing, and thresholds are higher during walking.

Perceptual Grouping During Binocular Rivalry in Mild Glaucoma

Purpose

This study tested perceptual grouping during binocular rivalry to probe the strength of neural connectivity of the visual cortex involved in early visual processing in patients with mild glaucoma.

Methods

Seventeen patients with mild glaucoma with no significant visual field defects and 14 healthy controls participated. Rivalry stimuli were 1.8°-diameter discs, containing horizontal or vertical sine-wave gratings, viewed dichoptically. To test the grouping, two spatially separated identical stimuli were presented eccentrically to the same or different eyes and to the same or different hemifields. The outcome measures were the time of exclusive dominance of the grouped percept (i.e., percept with synchronized orientations), the rivalry rate, and the epochs of exclusive dominance.

Results

For both groups, the grouping occurred primarily for the matching orientations in the same eye/same hemifield (MO SE/SH) and for the matching orientations in the same eye/different hemifield (MO SE/DH) conditions. Time dominance of the grouped percept of the glaucoma group was similar to that of the control group in all conditions. The rivalry rates in the MO SE/SH and MO SE/DH conditions were significantly larger in the control group than in the glaucoma group. The epochs of exclusive dominance of the grouped percept in the MO SE/SH condition were a median of 48-ms longer for the control group, but a median of 116-ms shorter for the glaucoma group when compared to those in the MO SE/DH condition.

Conclusion

Patients with mild glaucoma show clear impairments in binocular rivalry while evidence for deficits in perceptual grouping could be inferred only indirectly. If these deficits truly exist, they may have implications for higher levels of visual processing, such as object recognition and scene segmentation, but these predictions remain to be tested in future studies.

Contribution of Retinal Motion to the Impulse Control of Target-Directed Aiming

Contemporary models of sensorimotor control contend that visually regulated movement adjustments may unfold early during a target-directed limb movement through an impulse control process that makes use of anticipatory forward models. To date, evidence surrounding impulse control has involved adjustments to a purported misperception in limb velocity following the unexpected onset of a moving background. That is, the limb is perceived to move faster and undershoots more when there is an incongruent moving background and vice versa. However, this particular behavior may manifest from an independent oculo-manual-following response. The present study aimed to deconstruct these proposals and, with them, the processes that underlie impulse control. Participants had to rapidly reach upward to land their index finger accurately on a target. On 33% of trials, the background, over which the movement was made, moved either up, down, right, or left. Displacements in the primary and perpendicular directions of movement showed spatial trajectories that were consistent with the directions of the moving backgrounds. This behavior was most prevalent in measurements taken at the movements’ peak negative acceleration and endpoints. Moreover, analysis of standardized displacements in the moving background conditions indicated no significant differences in the extent of the movements toward each of the moving backgrounds. These findings indicate that movement adjustments can manifest from an oculo-manual-following response rather than a misperception of limb velocity. We suggest that the anticipatory forward model that comprises impulse control may incorporate features of the environment that surround the vicinity of the limb.

Dominance wave propagation during binocular rivalry in mild glaucoma

Glaucoma is both a progressive optic neuropathy and a neurodegenerative disease affecting structures in the primary visual pathway. Other vision-associated areas may also be affected, including the corpus callosum which is involved in inter-hemispheric transfer. This study evaluated dominance wave propagation during binocular rivalry to probe the efficacy of the inter-hemispheric transfer in 20 patients with mild open angle glaucoma and 25 age-matched controls. The two groups were matched for functional measures such as stereo-acuity, binocular visual acuity, and visual field mean deviation. Monocular functional and structural measures were equivalent for the left and right eye of each participant. Using Wilson et al.'s travelling wave paradigm [Nature, 412 (2001) 907-910], intra- and inter-hemispheric failure rates of traveling wave transmission and the travelling wave propagation times were recorded for the two groups. For the control group, the wave propagation failure rate was significantly greater for the inter- than for the intra-hemispheric condition, but for the glaucoma group, the failure rates were equally high for the two conditions. The wave propagation time was significantly longer for the inter- than for the intra-hemispheric condition for the control group, while the opposite was true for the glaucoma group. These results reveal changes in the wave dynamics of rivalry dominance in patients with mild glaucoma who otherwise have normal performance on standard functional measures.