Extrageniculate vision in hemianopic humans: saccade inhibition by signals in the blind field

Neurologically Healthy Humans' Ability to Make Saccades Toward Unseen Targets

Some patients with a visual field loss due to a lesion in the primary visual cortex (V1) can shift their gaze to stimuli presented in their blind visual field. The extent to which a similar "blindsight" capacity is present in neurologically healthy individuals remains unknown. Using retinotopically navigated transcranial magnetic stimulation (TMS) of V1 (Experiment 1) and metacontrast masking (Experiment 2) to suppress conscious vision, we examined neurologically healthy humans' ability to make saccadic eye movements toward visual targets that they reported not seeing. In the TMS experiment, the participants were more likely to initiate a saccade when a stimulus was presented, and they reported not seeing it, than in trials which no stimulus was presented. However, this happened only in a very small proportion (∼8%) of unseen trials, suggesting that saccadic reactions were largely based on conscious perception. In both experiments, saccade landing location was influenced by unconscious information: When the participants denied seeing the target but made a saccade, the saccade was made toward the correct location (TMS: 68%, metacontrast: 63%) more often than predicted by chance. Signal detection theoretic measures suggested that in the TMS experiment, saccades toward unseen targets may have been based on weak conscious experiences. In both experiments, reduced visibility of the target stimulus was associated with slower and less precise gaze shifts. These results suggest that saccades made by neurologically healthy humans may be influenced by unconscious information, although the initiation of saccades is largely based on conscious vision.

Is the primary visual cortex necessary for blindsight-like behavior? Review of transcranial magnetic stimulation studies in neurologically healthy individuals

The visual pathways that bypass the primary visual cortex (V1) are often assumed to support visually guided behavior in humans in the absence of conscious vision. This conclusion is largely based on findings on patients: V1 lesions cause blindness but sometimes leave some visually guided behaviors intact-this is known as blindsight. With the aim of examining how well the findings on blindsight patients generalize to neurologically healthy individuals, we review studies which have tried to uncover transcranial magnetic stimulation (TMS) induced blindsight. In general, these studies have failed to demonstrate a completely unconscious blindsight-like capacity in neurologically healthy individuals. A possible exception to this is TMS-induced blindsight of stimulus presence or location. Because blindsight in patients is often associated with some form of introspective access to the visual stimulus, and blindsight may be associated with neural reorganization, we suggest that rather than revealing a dissociation between visually guided behavior and conscious seeing, blindsight may reflect preservation or partial recovery of conscious visual perception after the lesion.

The presence of placeholders modulates the naso-temporal asymmetry in the remote distractor effect

The remote distractor effect (RDE) is a well-known and robust phenomenon whereby latencies of saccades are increased when a distractor is presented simultaneously along with the saccade target. Studies of the RDE in patients with a loss of vision in one visual field (hemianopia) following damage to primary visual cortex have provided conflicting results. Rafal, Smith, Krantz, Cohen, and Brennan (1990) reported a naso-temporal asymmetry in the RDE in patients with hemianopias, with a greater influence of distractors presented in their blind temporal visual field. This asymmetry was not observed in typically sighted controls. By contrast, Walker, Mannan, Maurer, Pambakian, and Kennard (2000) observed no effect of distractors presented to either the blind nasal or blind temporal hemifield of hemianopes, but the naso-temporal asymmetry was observed in typically sighted controls. The present study addressed one potential methodological differences between the two studies by investigating the inhibitory effect of a distractor on saccade latency in neurotypical participants. Here participants were tested monocularly and the effect of a nasal/temporal hemifield distractor on saccade latency observed in the presence or absence of peripheral placeholders. Our results showed a naso-temporal asymmetry in the magnitude of the RDE in the no placeholder condition, with a greater RDE when the distractor was presented in the temporal visual field. However, in the placeholder condition the opposite asymmetry was observed, that is an increased RDE when the distractor was presented in the nasal visual field. Our results suggest that the presence/absence of a placeholder might be the critical factor explaining the discrepancy between Rafal et al. (1990) and Walker et al. (2000) in participants without visual field loss. The current results can be interpreted in terms of additional inhibitory or attentional processes that bias selection towards stimuli in the nasal hemifield in the presence of placeholders, still, the mechanisms underlying these effects remain unclear.

Shaping the visual system: cortical and subcortical plasticity in the intact and the lesioned brain

Visual system is endowed with an incredibly complex organization composed of multiple visual pathway affording both hierarchical and parallel processing. Even if most of the visual information is conveyed by the retina to the lateral geniculate nucleus of the thalamus and then to primary visual cortex, a wealth of alternative subcortical pathways is present. This complex organization is experience dependent and retains plastic properties throughout the lifespan enabling the system with a continuous update of its functions in response to variable external needs. Changes can be induced by several factors including learning and experience but can also be promoted by the use non-invasive brain stimulation techniques. Furthermore, besides the astonishing ability of our visual system to spontaneously reorganize after injuries, we now know that the exposure to specific rehabilitative training can produce not only important functional modifications but also long-lasting changes within cortical and subcortical structures. The present review aims to update and address the current state of the art on these topics gathering studies that reported relevant modifications of visual functioning together with plastic changes within cortical and subcortical structures both in the healthy and in the lesioned visual system.

Asymmetries of the visual system and their influence on visual performance and oculomotor dynamics

Our representation of the visual field is not homogenous. There are differences in resolution not only between the fovea and regions eccentric to it, but also between the nasal and temporal hemiretinae, that can be traced to asymmetric distributions of photoreceptors and ganglion cells. We review evidence for differences in visual and attentional processing and oculomotor behaviour that can be traced to asymmetries of the visual system, mainly emphasising nasal-temporal asymmetries. Asymmetries in the visual system manifest in various measures, in basic psychophysical tests of visual performance, attentional processing, choice behaviour, saccadic peak velocity, and latencies. Nasal-temporal asymmetries on saccadic latency seem primarily to occur for express saccades. Neural asymmetries between the upper and lower hemifields are strong and cause corresponding differences in performance between the hemifields. There are interesting individual differences in asymmetric processing which seem to be related to the strength of eye dominance. These neurophysiological asymmetries and the corresponding asymmetries in visual performance and oculomotor behaviour can strongly influence experimental results in vision and must be considered during experimental design and the interpretation of results.

Functional reorganization of population receptive fields in a hemispherectomy patient with blindsight

Blindsight refers to the ability of some patients with destruction of the primary visual cortex (V1) to respond to stimuli presented in their clinically blind visual field despite lack of visual awareness. Here we tested a rare and well-known patient with blindsight following hemispherectomy, DR, who has had the entire cortex in the right hemisphere removed, and in whom the right superior colliculus is the only post-chiasmatic visual structure remaining intact. Compared to more traditional cases of blindsight after damage confined to V1, the study of blindsight in hemispherectomy has offered the invaluable opportunity to examine directly two outstanding questions: the contribution of the intact hemisphere to visual processing without awareness, and the nature of plastic and compensatory changes in these remaining contralesional visual areas. Population receptive field (pRF) mapping was used to define retinotopic maps, delineate the boundaries between the visual areas, examine changes in the sizes of receptive field centres within each visual area, and their variability as a function of eccentricity. Aside from the dorsal visual areas showing blurred borders between V2d and V3d, not otherwise detected with perimetric mapping, the retinotopic maps of DR did not differ substantially from those of three matched healthy controls. Interestingly, those dorsal compartments showed a significant increase in the RF sizes toward values typical of higher-order processing cortices, while no differences were observed in the corresponding ventral visual areas. Findings showed that whereas receptive field sizes at foveal and parafoveal eccentricities (≤ 4°) were not measurably altered, the pRF size increased by ~ 270% at 4-6° of eccentricity, and the size difference reached ~ 300% between 8° and 10°. We interpret these findings to suggest that an increase in pRF sizes could be indicative of cerebral plasticity involving the retinotopic reorganization of the dorsal visual areas.

Parallel programming of exogenous and endogenous components in the antisaccade task

In the antisaccade task subjects are required to suppress the reflexive tendency to look at a peripherally presented stimulus and to perform a saccade in the opposite direction instead. The present studies aimed at investigating the inhibitory mechanisms responsible for successful performance in this task, testing a hypothesis of parallel programming of exogenous and endogenous components: A reflexive saccade to the stimulus is automatically programmed and competes with the concurrently established voluntary programme to look in the opposite direction. The experiments followed the logic of selectively manipulating the speed of processing of these components and testing the prediction that a selective slowing of the exogenous component should result in a reduced error rate in this task, while a selective slowing of the endogenous component should have the opposite effect. The results provide evidence for the hypothesis of parallel programming and are discussed in the context of alternative accounts of antisaccade performance.

ERP responses greater for faces in the temporal compared to the nasal visual field

The distribution of retino-tectal projections is dissimilar depending on whether the receptors are situated in the nasal and temporal visual hemiretinas. Indeed, it has been claimed that the superior colliculus receives a greater proportion of its input from the temporal visual hemifield (nasal hemi-retina) relative to the nasal hemifield (temporal hemi-retina). In order to investigate whether these subcortical projections influence face processing, we investigated the early cortical ERP responses to faces and houses presented in the temporal and nasal retinas using monocular viewing. Neutral or fearful faces were presented concurrently with houses on either side of a central fixation cross, while participants were asked to discriminate changes in luminance at the center. Results showed that the lateralized N170, computed as the contralateral-ipsilateral electrode difference, was greater for faces appearing in the nasal relative to the temporal visual hemifield. This was due to a greater ipsilateral N170 for temporal relative to nasal presentations. By contrast, no difference was found across emotional expressions. The enhanced ERP response to faces appearing in the temporal visual field, suggests that the retinotectal pathway modulates cortical processing, most likely through activation of a colliculo-pulvino-amygdalar pathway, with subsequent back-projections from the amygdala to visual cortical regions. However, unattended facial expressions do not seem to modulate the response, at least at these angles of eccentricity.

Intact hemisphere and corpus callosum compensate for visuomotor functions after early visual cortex damage

Unilateral damage to the primary visual cortex (V1) leads to clinical blindness in the opposite visual hemifield, yet nonconscious ability to transform unseen visual input into motor output can be retained, a condition known as "blindsight." Here we combined psychophysics, functional magnetic resonance imaging, and tractography to investigate the functional and structural properties that enable the developing brain to partly overcome the effects of early V1 lesion in one blindsight patient. Visual stimuli appeared in either the intact or blind hemifield and simple responses were given with either the left or right hand, thereby creating conditions where visual input and motor output involve the same or opposite hemisphere. When the V1-damaged hemisphere was challenged by incoming visual stimuli, or controlled manual responses to these unseen stimuli, the corpus callosum (CC) dynamically recruited areas in the visual dorsal stream and premotor cortex of the intact hemisphere to compensate for altered visuomotor functions. These compensatory changes in functional brain activity were paralleled by increased connections in posterior regions of the CC, where fibers connecting homologous areas of the parietal cortex course.

Speeded saccadic and manual visuo-motor decisions: Distinct processes but same principles

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Core architecture of visuo-motor selection model generalises across effectors.

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Hand and eyes show very different response times, but similar decision times.

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Longer non-decision time for visuo-manual responses accounts for longer response times.

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Stronger faster transient visual inputs for saccades account for different selection dynamics.

Action decisions are considered an emergent property of competitive response activations. As such, decision mechanisms are embedded in, and therefore may differ between, different response modalities. Despite this, the saccadic eye movement system is often promoted as a model for all decisions, especially in the fields of electrophysiology and modelling. Other research traditions predominantly use manual button presses, which have different response distribution profiles and are initiated by different brain areas. Here we tested whether core concepts of action selection models (decision and non-decision times, integration of automatic and selective inputs to threshold, interference across response options, noise, etc.) generalise from saccadic to manual domains. Using two diagnostic phenomena, the remote distractor effect (RDE) and ‘saccadic inhibition', we find that manual responses are also sensitive to the interference of visual distractors but to a lesser extent than saccades and during a shorter time window. A biologically-inspired model (DINASAUR, based on non-linear input dynamics) can account for both saccadic and manual response distributions and accuracy by simply adjusting the balance and relative timings of transient and sustained inputs, and increasing the mean and variance of non-decisional delays for manual responses. This is consistent with known neurophysiological and anatomical differences between saccadic and manual networks. Thus core decision principles appear to generalise across effectors, consistent with previous work, but we also conclude that key quantitative differences underlie apparent qualitative differences in the literature, such as effects being robustly reported in one modality and unreliable in another.

Impaired visual competition in patients with homonymous visual field defects

Intense visual training can lead to partial recovery of visual field defects caused by lesions of the primary visual cortex. However, the standard visual detection and discrimination tasks, used to assess this recovery process tend to ignore the complexity of the natural visual environment, where multiple stimuli continuously interact. Visual competition is an essential component for natural search tasks and detecting unexpected events. Our study focused on visual decision-making and to what extent the recovered visual field can compete for attention with the 'intact' visual field. Nine patients with visual field defects who had previously received visual discrimination training, were compared to healthy age-matched controls using a saccade target-selection paradigm, in which participants actively make a saccade towards the brighter of two flashed targets. To further investigate the nature of competition (feed-forward or feedback inhibition), we presented two flashes that reversed their intensity difference during the flash. Both competition between recovered visual field and intact visual field, as well as competition within the intact visual field, were assessed. Healthy controls showed the expected primacy effect; they preferred the initially brighter target. Surprisingly, choice behaviour, even in the patients' supposedly 'intact' visual field, was significantly different from the control group for all but one. In the latter patient, competition was comparable to the controls. All other patients showed a significantly reduced preference to the brighter target, but still showed a small hint of primacy in the reversal conditions. The present results indicate that patients and controls have similar decision-making mechanisms but patients' choices are affected by a strong tendency to guess, even in the intact visual field. This tendency likely reveals slower integration of information, paired with a lower threshold. Current rehabilitation should therefore also include training focused on improving visual decision-making of the defective and the intact visual field.

Naso-Temporal Asymmetries: Suppression of Emotional Faces in the Temporal Visual Hemifield

An ongoing debate exists regarding the possible existence of a retino-tectal visual pathway projecting to the amygdala, which would rapidly process information involving threatening or behaviorally-relevant stimuli. It has been suggested that this route might be responsible for the involuntary capture of attention by potentially dangerous stimuli. In separate studies, anatomical evidence has suggested that the retino-tectal pathway relies essentially on projections from the nasal hemiretina (temporal visual field). In this study, we chose to take advantage of this anatomical difference to further investigate whether emotional facial expressions are indeed processed through a subcortical pathway. Using EEG, participants performed a monocular spatial attention paradigm in which lateralized, task-irrelevant distractors were presented, followed by a target. The distractors were fearful faces that appeared either in nasal or temporal visual hemifield (by virtue of their monocular presentations), while the neutral face was presented simultaneously on the opposite side. Participants were asked to identify a target letter that appeared subsequently in the nasal or temporal visual hemifield. Event-related potentials (ERPs) results revealed that fearful faces appearing in the temporal visual hemifield produced a strong inhibitory response, while a negative deflection reflecting attentional capture followed presentations of fear in the nasal hemifield. These effects can be explained by a greater sensitivity of the subcortical pathway for emotional stimuli. Fearful faces conveyed through this route are processed more effectively, consequently necessitating more vigorous suppression in order for targets to be dealt with adequately.

Behavioral Consequences and Cortical Reorganization in Homonymous Hemianopia

The most common visual defect to follow a lesion of the retrochiasmal pathways is homonymous hemianopia (HH), whereby, in each eye, patients are blind to the contralesional visual field. From a behavioral perspective, in addition to exhibiting a severe deficit in their contralesional visual field, hemianopic patients can also present implicit residual capacities, now usually referred to collectively as blindsight. It was recently demonstrated that HH patients can also suffer from a subtle deficit in their ipsilesional visual field, called sightblindness (the reverse case of blindsight). Furthermore, the nature of the visual deficit in the contralesional and ipsilesional visual fields, as well as the pattern of functional reorganization in the occipital lobe of HH patients after stroke, all appear to depend on the lesion side. In addition to their contralesional and ipsilesional visual deficits, and to their residual capacities, HH patients can also experience visual hallucinations in their blind field, the physiopathological mechanisms of which remain poorly understood. Herein we review blindsight in terms of its better-known aspects as well as its less-studied clinical signs such as sightblindness, hemispheric specialization and visual hallucinations. We also discuss the implications of recent experimental findings for rehabilitation of visual field defects in hemianopic patients.

The superior colliculus is sensitive to gestalt-like stimulus configuration in hemispherectomy patients

Patients with cortical blindness following a lesion to the primary visual cortex (V1) may retain nonconscious visual abilities (blindsight). One intriguing, though largely unexplored question, is whether nonconscious vision in the blind hemifield of hemianopic patients can be sensitive to higher-order perceptual organization, and which V1-independent structure underlies such effect. To answer this question, we tested two rare hemianopic patients who had undergone hemispherectomy, and in whom the only post-chiasmatic visual structure left intact in the same side of the otherwise damaged hemisphere was the superior colliculus (SC). By using a variant of the redundant target effect (RTE), we presented single dots, patterns composed by the same dots organized in quadruple gestalt-like configurations, or patterns of four dots arranged in random configurations, either singly to the intact visual hemifield or bilaterally to both hemifields. As reported in a number of prior studies on blindsight patients, we found that bilateral stimulation yielded faster reaction times (RTs) than single stimulation of the intact field for all conditions (i.e., there was an implicit RTE). In addition to this effect, both patients showed a further speeding up of RTs when the gestalt-like, but not the random shape, quadruple patterns were projected to their blind hemifield during bilateral stimulation. Because other retino-recipient subcortical and cortical structures in the damaged hemisphere are absent, the SC on the lesioned side seems solely responsible for such an effect. The present results provide initial support to the notion that nonconscious vision might be sensitive to perceptual organization and stimulus configuration through the pivotal contribution of the SC, which can enhance the processing of gestalt-like or structured stimuli over meaningless or randomly assembled ones and translate them into facilitatory motor outputs.

Lack of multisensory integration in hemianopia: no influence of visual stimuli on aurally guided saccades to the blind hemifield

In patients with visual hemifield defects residual visual functions may be present, a phenomenon called blindsight. The superior colliculus (SC) is part of the spared pathway that is considered to be responsible for this phenomenon. Given that the SC processes input from different modalities and is involved in the programming of saccadic eye movements, the aim of the present study was to examine whether multimodal integration can modulate oculomotor competition in the damaged hemifield. We conducted two experiments with eight patients who had visual field defects due to lesions that affected the retinogeniculate pathway but spared the retinotectal direct SC pathway. They had to make saccades to an auditory target that was presented alone or in combination with a visual stimulus. The visual stimulus could either be spatially coincident with the auditory target (possibly enhancing the auditory target signal), or spatially disparate to the auditory target (possibly competing with the auditory tar-get signal). For each patient we compared the saccade endpoint deviation in these two bi-modal conditions with the endpoint deviation in the unimodal condition (auditory target alone). In all seven hemianopic patients, saccade accuracy was affected only by visual stimuli in the intact, but not in the blind visual field. In one patient with a more limited quadrantano-pia, a facilitation effect of the spatially coincident visual stimulus was observed. We conclude that our results show that multisensory integration is infrequent in the blind field of patients with hemianopia.

Cholinergic modulation of stimulus-driven attentional capture

Distraction is one of the main problems encountered by people with degenerative diseases that are associated with reduced cortical cholinergic innervations. We examined the effects of donepezil, a cholinesterase inhibitor, on stimulus-driven attentional capture. Reflexive attention shifts to a distractor are usually elicited by abrupt peripheral changes. This bottom-up shift of attention to a salient item is thought to be the result of relatively inflexible hardwired mechanisms. Thirty young male participants were randomly allocated to one of two groups: placebo first/donepezil second session or the opposite. They were asked to locate a target appearing above and below fixation whilst a peripheral distractor moved abruptly (motion-jitter attentional capture condition) or not (baseline condition). A classical attentional capture effect was observed under placebo: moving distractors interfered with the task in slowing down response times as compared to the baseline condition with fixed distractors. Increased interference from moving distractors was found under donepezil. We suggest that attentional capture in our paradigm likely involved low level mechanisms such as automatic reflexive orienting. Peripheral motion-jitter elicited a rapid reflexive orienting response initiated by a cholinergic signal from the brainstem pedunculo-pontine nucleus that activates nicotinic receptors in the superior colliculus.

Nasotemporal ERP differences: evidence for increased inhibition of temporal distractors

Previous research has demonstrated behavioral advantages for stimuli in the temporal relative to the nasal visual hemifield. To investigate whether this nasotemporal asymmetry reflects a genuinely attentional bias, we recorded event-related potentials in a task where participants identified a color-defined target digit in one visual hemifield that was accompanied by an irrelevant distractor in the opposite hemifield (experiment 1). To dissociate the processing of stimuli in nasal and temporal visual hemifields, an eye-patching procedure was used. Targets triggered N2pc components that marked their attentional selection. Unexpectedly, these N2pc components were larger and emerged earlier for nasal relative to temporal targets. Experiment 2 provided evidence that this nasotemporal asymmetry for the N2pc is linked to an increased attentional inhibition of temporal distractors. Relative to nasal distractors, temporal distractors elicited an increased inhibition-related contralateral positivity, resulting in more pronounced differences between contralateral and ipsilateral event-related potentials on trials with temporal distractors and nasal targets. These results provide novel evidence for a genuinely attentional contribution to nasotemporal asymmetries and suggest that such asymmetries are associated with top-down controlled distractor inhibition.

The Timing and Neuroanatomy of Conscious Vision as Revealed by TMS-induced Blindsight

Following damage to the primary visual cortex, some patients exhibit “blindsight,” where they report a loss of awareness while retaining the ability to discriminate visual stimuli above chance. Transient disruption of occipital regions with TMS can produce a similar dissociation, known as TMS-induced blindsight. The neural basis of this residual vision is controversial, with some studies attributing it to the retinotectal pathway via the superior colliculus whereas others implicate spared projections that originate predominantly from the LGN. Here we contrasted these accounts by combining TMS with visual stimuli that either activate or bypass the retinotectal and magnocellular (R/M) pathways. We found that the residual capacity of TMS-induced blindsight occurs for stimuli that bypass the R/M pathways, indicating that such pathways, which include those to the superior colliculus, are not critical. We also found that the modulation of conscious vision was time and pathway dependent. TMS applied either early (0–40 msec) or late (280–320 msec) after stimulus onset modulated detection of stimuli that did not bypass R/M pathways, whereas during an intermediate period (90–130 msec) the effect was pathway independent. Our findings thus suggest a prominent role for the R/M pathways in supporting both the preparatory and later stages of conscious vision. This may help resolve apparent conflict in previous literature by demonstrating that the roles of the retinotectal and geniculate pathways are likely to be more nuanced than simply corresponding to the unconscious/conscious dichotomy.

The effects of constrained left versus right monocular viewing on the autonomic nervous system

Asymmetrical activation of right and left hemispheres differentially influences the autonomic nervous system. Additionally, each hemisphere primarily receives retinocollicular projections from the contralateral eye. To learn if asymmetrical hemispheric activation induced by monocular viewing would influence relative pupillary size and respiratory hippus variability (RHV), a measure of parasympathetic activity, healthy participants had their left, right or neither eye patched. Pupillary sizes were then recorded with infrared pupillography. Pupillary dilation was significantly greater with left than right eye viewing. RHV, however, was not different between eye viewing conditions. These differences in pupil dilatation may have been caused by relatively greater activation of the right hemispheric-mediated sympathetic activity induced by left monocular viewing or relatively greater deactivation of the left hemispheric-mediated parasympathetic activity induced by right eye patching. The absence of an asymmetry in RHV, however, suggests that hemispheric asymmetry of sympathetic activation was primarily responsible for this ocular asymmetry of pupil dilation.

Lack of automatic attentional orienting by gaze cues following a bilateral loss of visual cortex

In social interactions, the location of relevant stimuli is often indicated by the orientation of gaze. It has been proposed that the direction of gaze might produce an automatic cueing of attention, similar to what is observed with exogenous cues. However, several reports have challenged this claim by demonstrating that the behavioral gain that arises with gaze cueing could be explained by shifts of attention, which are intentional and not automatic. We reasoned that if cueing by gaze was truly automatic, it should occur without awareness and should be sustained by subcortical circuits, including the amygdalae, independently of the main geniculo-striate visual pathway. We presented a cross-modal version of the Posner cueing paradigm to a patient (TN) with bilateral lesions of occipital cortex (Burra et al., 2013; Pegna, Khateb, Lazeyras, & Seghier, 2005). TN was asked to localize a sound using a key press. The location of the sound was congruent or incongruent with the direction of gaze of a face-cue. In groups of healthy young and age-matched participants, we observed significantly longer response times for incongruent than congruent sounds, suggesting that gaze direction interfered with processing of localized sounds. By contrast, TN׳s performance was not affected by sound-gaze congruence. The results suggest that the processing of gaze orientation cannot occur in the absence of geniculo-striate processing, suggesting that it is not automatic.

Spontaneous recovery and treatment effects in patients with homonymous visual field defects: a meta-analysis of existing literature in terms of the ICF framework

Homonymous visual field defects (HVFDs) are a common consequence of posterior brain injury. Most patients do not recover spontaneously and require rehabiliation. To determine whether a certain intervention may help an individual patient, it is necessary to predict the patient's level of functioning and the effect of specific training. We provide an overview of both the existing literature on HVFDs in terms of the International Classification of Functioning, Disability, and Health (ICF) components and the variables predicting the functioning of HVFD patients or the effect of treatment. We systematically analyzed 221 publications on HVFD. All variables included in these articles were classified according to the ICF, as developed by the World Health Organization, and checked for their predictive value. We found that ICF helps to clarify the scope of the existing literature and provides a framework for designing future studies, which should consider including more outcome measures related to Activities and Participation. Although several factors have been described that predict HVFD patients' level of functioning or the effects of training, additional research is necessary to identify more.

Unconscious Priming Requires Early Visual Cortex at Specific Temporal Phases of Processing

Although examples of unconscious shape priming have been well documented, whether such priming requires early visual cortex (V1/V2) has not been established. In the current study, we used TMS of V1/V2 at varying temporal intervals to suppress the visibility of preceding shape primes while the interval between primes and targets was kept constant. Our results show that, although conscious perception requires V1/V2, unconscious priming can occur without V1/V2 at an intermediate temporal interval but not at early (5–25 msec) or later (65–125 msec) stages of processing. Because the later time window of unconscious priming suppression has been proposed to interfere with feedback processing, our results further suggest that feedback processing is also essential for unconscious priming and may not be a sufficient condition for conscious vision.

Endogenously generated and visually guided saccades after lesions of the human frontal eye fields

Abstract Nine patients with chronic, unilateral lesions of the dorso-lateral prefrontal cortex including the frontal eye fields (FEF) made saccades toward contralesional and ipsilesional fields. The saccades were either voluntarily directed in response to arrows in the center of a visual display, or were reflexively summoned by a peripheral visual signal. Saccade latencies were compared to those made by seven neurologic control patients with chronic, unilateral lesions of dorsolateral prefrontal cortex sparing the FEF, and by 13 normal control subjects. In both the normal and neurologic control subjects, reflexive saccades had shorter Latencies than voluntary saccades. In the FEF lesion patients, voluntary saccades had longer latencies toward the contralesional field than toward the ipsilesional field. The opposite pattern was found for reflexive saccades: latencies of saccades to targets in the contralesional field were shorter than saccades summoned to ipsilesional targets. Reflexive saccades toward the ipsilesional field had abnormally prolonged latencies; they were comparable to the latencies observed for voluntary Saccades. The effect of FEF lesions on saccacles contrasted with those observed in a second experiment requiring a key press response: FEF lesion patients were slower in making key press responses to signals detected in the contralesional field. To assess covert attention and preparatory set the effects of precues providing advance information were measured in both saccade and key press experiments. Neither patient group showed any deficiency in using precues to shift attention or to prepare saccades. The FEF facilitates the generation of voluntary saccatles and also inhibits reflexive saccades to exogenous signals. FEF lesions may disinhibit the ipsilesional midbrain which in turn may inhibit the opposite colliculus to slow reflexive saccades toward the ipsilesional field.

Attention modulates saccadic inhibition magnitude

Visual transient events during ongoing eye movement tasks inhibit saccades within a precise temporal window, spanning from around 60-120 ms after the event, having maximum effect at around 90 ms. It is not yet clear to what extent this saccadic inhibition phenomenon can be modulated by attention. We studied the saccadic inhibition induced by a bright flash above or below fixation, during the preparation of a saccade to a lateralized target, under two attentional manipulations. Experiment 1 demonstrated that exogenous precueing of a distractor's location reduced saccadic inhibition, consistent with inhibition of return. Experiment 2 manipulated the relative likelihood that a distractor would be presented above or below fixation. Saccadic inhibition magnitude was relatively reduced for distractors at the more likely location, implying that observers can endogenously suppress interference from specific locations within an oculomotor map. We discuss the implications of these results for models of saccade target selection in the superior colliculus.

Color improves speed of processing but not perception in a motion illusion

When two superimposed surfaces of dots move in different directions, the perceived directions are shifted away from each other. This perceptual illusion has been termed direction repulsion and is thought to be due to mutual inhibition between the representations of the two directions. It has further been shown that a speed difference between the two surfaces attenuates direction repulsion. As speed and direction are both necessary components of representing motion, the reduction in direction repulsion can be attributed to the additional motion information strengthening the representations of the two directions and thus reducing the mutual inhibition. We tested whether bottom-up attention and top-down task demands, in the form of color differences between the two surfaces, would also enhance motion processing, reducing direction repulsion. We found that the addition of color differences did not improve direction discrimination and reduce direction repulsion. However, we did find that adding a color difference improved performance on the task. We hypothesized that the performance differences were due to the limited presentation time of the stimuli. We tested this in a follow-up experiment where we varied the time of presentation to determine the duration needed to successfully perform the task with and without the color difference. As we expected, color segmentation reduced the amount of time needed to process and encode both directions of motion. Thus we find a dissociation between the effects of attention on the speed of processing and conscious perception of direction. We propose four potential mechanisms wherein color speeds figure-ground segmentation of an object, attentional switching between objects, direction discrimination and/or the accumulation of motion information for decision-making, without affecting conscious perception of the direction. Potential neural bases are also explored.

Saccade performance in the nasal and temporal hemifields

There are numerous asymmetries in anatomy between the nasal and temporal hemiretinae, which have been connected to various asymmetries in behavioral performance. These include asymmetries in Vernier acuity, saccade selection, and attentional function, in addition to some evidence for latency differences for saccadic eye movements. There is also evidence for stronger retinotectal neural projection from the nasal than the temporal hemiretina. There is, accordingly, good reason to predict asymmetries in saccadic performance depending on which hemifield the saccade trigger stimuli are presented in, but the evidence on this is mixed. We tested for asymmetries in both saccade latency and landing point accuracy in a variety of different saccade tasks. We found no evidence for any asymmetries in saccade latency and only modest evidence for asymmetries in landing point accuracy. While this lack of asymmetry is surprising in light of previous findings of attentional asymmetries, it may reflect that cortical input to midbrain eye control centers mitigates any retinal and retinotectal asymmetry.

Trans-saccadic priming in hemianopia: sighted-field sensitivity is boosted by a blind-field prime

We experience visual stability despite shifts of the visual array across the retina produced by eye movements. A process known as remapping is thought to keep track of the spatial locations of objects as they move on the retina. We explored remapping in damaged visual cortex by presenting a stimulus in the blind field of two patients with hemianopia. When they executed a saccadic eye movement that would bring the stimulated location into the sighted field, reported awareness of the stimulus increased, even though the stimulus was removed before the saccade began and so never actually fell in the sighted field. Moreover, when a location was primed by a blind-field stimulus and then brought into the sighted field by a saccade, detection sensitivity for near-threshold targets appearing at this location increased dramatically. The results demonstrate that brain areas supporting conscious vision are not necessary for remapping, and suggest visual stability is maintained for salient objects even when they are not consciously perceived.

The effect of distractors on saccades and adaptation of saccades in strabismus

This paper reports two experiments to determine the contribution of the suppressing eye to the generation of saccadic eye movements in constant strabismus. Eye movements were recorded using a Skalar infra-red recorder. Experiment 1 tested six participants with constant strabismus, pathological suppression and no clinically demonstrable binocular single vision (BSV). We explored the effect of visual distractors presented monocularly (to either the fixing eye or the strabismic eye) and binocularly, on saccade latency and accuracy. Saccade latency significantly increased when distractors were presented to the strabismic eye compared to the no distractor condition. In all participants the effect on latency, with distractors presented to the strabismic eye, was maximum when distractors were presented towards the location of the anatomical fovea. Saccade accuracy was reduced with ipsilateral distractors to the target when presented binocularly or monocularly to the fixing eye but not affected by distractors presented to the strabismic eye. Experiment 2 investigated fast disconjugate saccade adaptations in six participants with constant strabismus, pathological suppression and no clinically demonstrable BSV and for comparison 8 with normal bifoveal BSV. Saccade disconjugacy was induced using an electronic feedback system in which the calibrated eye movement position signal could be scaled by a factor (the feedback gain) to move the target visible to one eye during binocular viewing. In all BSV participants and 3 of 6 participants with constant strabismus, saccadic adaptation occurred rapidly such that under conditions of visual feedback saccades became increasingly disconjugate. These disconjugacies persisted when normal viewing conditions were restored. The presence of an adaptive mechanism to adjust the binocular co-ordination of saccades in the presence of constant strabismus with suppression and no clinically demonstrable BSV has been demonstrated. Mechanisms that might explain such results are discussed.

Valence resolution of ambiguous facial expressions using an emotional oddball task

Previous research suggests that neural and behavioral responses to surprised faces are modulated by explicit contexts (e.g., "He just found $500"). Here, we examined the effect of implicit contexts (i.e., valence of other frequently presented faces) on both valence ratings and ability to detect surprised faces (i.e., the infrequent target). In Experiment 1, we demonstrate that participants interpret surprised faces more positively when they are presented within a context of happy faces, as compared to a context of angry faces. In Experiments 2 and 3, we used the oddball paradigm to evaluate the effects of clearly valenced facial expressions (i.e., happy and angry) on default valence interpretations of surprised faces. We offer evidence that the default interpretation of surprise is negative, as participants were faster to detect surprised faces when presented within a happy context (Exp. 2). Finally, we kept the valence of the contexts constant (i.e., surprised faces) and showed that participants were faster to detect happy than angry faces (Exp. 3). Together, these experiments demonstrate the utility of the oddball paradigm to explore the default valence interpretation of presented facial expressions, particularly the ambiguously valenced facial expression of surprise.

Saccadic inhibition reveals the timing of automatic and voluntary signals in the human brain

Neurophysiological and phenomenological data on sensorimotor decision making are growing so rapidly that it is now necessary and achievable to capture it in biologically inspired models, for advancing our understanding in both research and clinical settings. However, the main impediment in moving from elegant models with few free parameters to more complex biological models in humans lies in constraining the more numerous parameters with behavioral data (without human single-cell recording). Here we show that a behavioral effect called "saccadic inhibition" (1) is predicted by existing complex (neuronal field) models, (2) constrains crucial temporal parameters of the model, precisely enough to address individual differences, and (3) is not accounted for by current simple decision models, even after significant additions. Visual onsets appearing while an observer plans a saccade knock out a subpopulation of saccadic latencies that would otherwise occur, producing a clear dip in the latency distribution. This overlooked phenomenon is remarkably well time locked across conditions and observers, revealing and characterizing a fast automatic component of visual input to oculomotor competition. The neural field model not only captures this but predicts additional features that are borne out: the dips show spatial specificity, are lawfully modulated in contrast, and occur with S-cone stimuli invisible to the retinotectal route. Overall, we provide a way forward for applying precise neurophysiological models of saccade planning in humans at the individual level.

Visual Consciousness Revisited

Current theoretical approaches to consciousness and vision associate the dorsal cortical pathway, in which magnocellular (M) input is dominant, with nonconscious visual processing and the ventral cortical pathway, in which parvocellular (P) input is dominant, with conscious visual processing. We explored the known differences between M and P contrast-response functions to investigate the roles of these channels in vision. Simulations of contrast-dependent priming revealed that priming effects obtained with unmasked, visible primes were best modeled by equations characteristic of M channel responses, whereas priming effects obtained with masked, invisible primes were best modeled by equations characteristic of P channel responses. In the context of current theoretical approaches to conscious and nonconscious processing, our results indicate a surprisingly significant role of M channels in conscious vision. In a broader discussion of the role of M channels in vision, we propose a neurophysiologically plausible interpretation of the present results: M channels indirectly contribute to conscious object vision via top-down modulation of reentrant activity in the ventral object-recognition stream.