On Sensory Eye Dominance Revealed by Binocular Integrative and Binocular Competitive Stimuli

Binocular Visual Deficits at Low to High Spatial Frequency in Intermittent Exotropia After Surgery

Purpose

To investigate binocular visual deficits at low to high spatial frequencies in patients with intermittent exotropia (IXT) after surgical correction, using the binocular orientation combination task.

Methods

Thirteen patients whose IXT has been aligned surgically (17 ± 4.8 years old; 7 females) and 13 normal individuals (21.8 ± 2.5 years old; 6 females) were recruited. All participants had normal or corrected-to-normal visual acuity. The IXT patients had undergone surgery at least one month prior to the study and achieved successful eye alignment post-surgery. We measured participants' balance points (BPs), defined as the interocular contrast ratio (nondominant eye/dominant eye) when both eyes contributed equally to binocular combination, using the binocular orientation combination task at three spatial frequencies (0.5, 4.0, and 8.0 cycles/degree). The absolute values of log10(BP) (i.e., |logBP|) and the area under of the |logBP| versus spatial frequency curve were used to quantify the extent of binocular imbalance.

Results

Surgery aligned the eye position of patients with IXT, with a postoperative exodeviation of -4.92 ± 4.29 prism diopters at distance. Participants' |logBP| values showed significant differences between groups, F(1,24) = 9.175, P = 0.006, and across spatial frequencies, F(2,48) = 7.127, P = 0.002. However, the interaction between group and spatial frequency was not significant, F(2,48) = 0.379, P = 0.687.

Conclusions

Patients whose IXT has been alighted surgically experience binocular imbalance across a wide range of spatial frequencies, with greater binocular imbalance occurring at high spatial frequencies than low spatial frequencies.

Binocular balance across spatial frequency in anisomyopia

Purpose

Anisomyopia is prevalent in myopia and studies have reported it exhibits impaired binocular function. We investigated the binocular balance across spatial frequency in adults with anisomyopia and compared it to in individuals with less differences in refractive error, and examined whether ocular characteristics can predict binocular balance in anisomyopia.

Methods

Fifteen anisomyopes, 15 isomyopes and 12 emmetropes were recruited. Binocular balance was quantitatively measured at 0.5, 1, 2 and 4 c/d. The first two groups of the observers were tested with and without optical correction with contact lenses. Emmetropes were tested without optical correction.

Results

Binocular balance across spatial frequency in optically corrected anisomyopes and isomyopes, as well as emmetropes were found to be similar. Their binocular balance nevertheless still got worse as a function of spatial frequency. However, before optical correction, anisomyopes but not isomyopes showed significant imbalance at higher spatial frequencies. There was a significant correlation between the dependence on spatial frequency of binocular imbalance in uncorrected anisomyopia and interocular difference in visual acuity, and between the dependence and interocular difference in spherical equivalent refraction.

Conclusion

Anisomyopes had intact binocular balance following correction across spatial frequency compared to those in isomyopes and emmetropes. Their balance was weakly correlated with their refractive status after optical correction. However, their binocular balance before correction and binocular improvement following optical correction were strongly correlated with differences in ocular characteristics between eyes.

The duration effect of short-term monocular deprivation measured by binocular rivalry and binocular combination

The ocular dominance shift observed after short-term monocular deprivation is a widely used measure of visual homeostatic plasticity in adult humans. Binocular rivalry and binocular combination techniques are used interchangeably to characterize homeostatic plasticity, sometimes leading to contradictory results. Here we directly compare the effect of short-term monocular deprivation on ocular dominance measured by either binocular rivalry or binocular combination and its dependence on the duration of deprivation (15 or 120 min) in the same group of participants. Our results show that both binocular rivalry and binocular combination provide reliable estimates of ocular dominance, which are strongly correlated across techniques both before and after deprivation. Moreover, while 15 min of monocular deprivation induce a larger shift of ocular dominance when measured using binocular combination compared to binocular rivalry, for both techniques, the shift in ocular dominance exhibits a strong dependence on the duration of monocular deprivation, with longer deprivation inducing a larger and longer-lasting shift in ocular dominance. Taken together, our results indicate that both binocular rivalry and binocular combination offer very consistent and reliable measurements of both ocular dominance and the effect short-term monocular deprivation.

Refining Clinical Quantification of Depth of Suppression in Amblyopia through Synoptophore Measurement

BACKGROUND

Amblyopia is associated with unbalanced suppression between the two eyes. Existing clinical measures of suppression, such as the Worth 4 Dot test, provide qualitative information about suppression but cannot precisely quantify it. The Synoptophore, a well-established instrument in binocular vision clinics, has historically been used to gauge suppression qualitatively as well but has the capability to quantify suppression. We extended the capability of the Synoptophore through the development of a systematic protocol of illumination manipulation to quantify suppression in amblyopia.

METHODS

Twenty-six previously treated adult amblyopes underwent our protocol on the Synoptophore to measure the illumination balance needed to obtain fusion responses. Separately, these same amblyopes were tested with Worth 4 Dot as it is classically performed in the United States, utilizing different test distances and room illuminations to qualify the suppression response.

RESULTS

Smaller, more central targets revealed larger magnitudes of suppression for both the Synoptophore and Worth 4 Dot tests (Synoptophore: χ25,26 = 25.538, p < 0.001; Worth 4 Dot: χ23,26 = 39.020, p < 0.001). There was a significant correlation between the two tests for depth of suppression measurements (rΤ > 0.345, p < 0.036), with more sensitivity measured by the Synoptophore, as suppression could be graded on a quantitative scale. Strabismic amblyopes demonstrated more suppression than non-strabismic amblyopes (z > 2.410, p < 0.016). Additionally, depth of suppression was correlated with interocular difference in both visual acuity (rΤ = 0.604, p < 0.001) and stereoacuity (rΤ = 0.488, p = 0.001).

CONCLUSIONS

We extended the utility of the Synoptophore by measuring its illuminance outputs and developing a suppression testing protocol that compared favorably with Worth 4 Dot (clinic standard) while improving upon the latter through more sensitive quantification of suppression.

Design guidelines for limiting and eliminating virtual reality-induced symptoms and effects at work: a comprehensive, factor-oriented review

Virtual reality (VR) can induce side effects known as virtual reality-induced symptoms and effects (VRISE). To address this concern, we identify a literature-based listing of these factors thought to influence VRISE with a focus on office work use. Using those, we recommend guidelines for VRISE amelioration intended for virtual environment creators and users. We identify five VRISE risks, focusing on short-term symptoms with their short-term effects. Three overall factor categories are considered: individual, hardware, and software. Over 90 factors may influence VRISE frequency and severity. We identify guidelines for each factor to help reduce VR side effects. To better reflect our confidence in those guidelines, we graded each with a level of evidence rating. Common factors occasionally influence different forms of VRISE. This can lead to confusion in the literature. General guidelines for using VR at work involve worker adaptation, such as limiting immersion times to between 20 and 30 min. These regimens involve taking regular breaks. Extra care is required for workers with special needs, neurodiversity, and gerontechnological concerns. In addition to following our guidelines, stakeholders should be aware that current head-mounted displays and virtual environments can continue to induce VRISE. While no single existing method fully alleviates VRISE, workers' health and safety must be monitored and safeguarded when VR is used at work.

Neural Correlates of Sensory Eye Dominance in Human Visual White Matter Tracts

A significant proportion of the human neurotypical population exhibits some degree of sensory eye dominance (SED), referring to the brain's preferential processing of one eye's input versus another. The neural substrates underlying this functional imbalance are not well known. Here, we investigated the relationship between visual white matter tract properties and SED in the human neurotypical population. Observers' performance on two commonly used dichoptic tasks were used to index SED, along with performance on a third task to address a functional implication of binocular imbalance: stereovision. We show that diffusivity metrics of the optic radiations (ORs) well predict behavioral SED metrics. We found no relationship between SED and stereosensitivity. Our data suggest that SED is not simply reflected by gray matter structural and functional alterations, as often suggested, but relates, at least in part to the microstructural properties of thalamocortical white matter.

A clinically convenient test to measure binocular balance across spatial frequency in amblyopia

Amblyopia is a visual disorder that originates from the brain. It exhibits no pathology in the eye. Studies have shown that measuring both visual acuity and binocular balance for assessing amblyopia could be more helpful. However, tests that measure binocular balance are time-consuming, often exceeding 30 min. Their long test durations prevent them from being used in the clinic. For this reason, we have developed a quick (i.e., about 7 min) and precise tool that quantitatively measures binocular balance of patients with amblyopia. The new test can capture binocular imbalance that is typically exhibited at high spatial frequency in amblyopes. In addition, it has an excellent test-retest reliability and repeatability between two experimental sessions. We hope that our newly developed test can pave the road for physicians and researchers to better assess and diagnose amblyopia and other visual disorders that disrupt binocular balance beyond the laboratory.

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Measuring binocular balance of amblyopes is difficult and time-consuming (>30 min)

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We introduce a psychophysical test that is reliable and quick (7 min)

Balanced Binocular Inputs Support Superior Stereopsis

Purpose

Our visual system compares the inputs received from the two eyes to estimate the relative depths of features in the retinal image. We investigated how an imbalance in the strength of the input received from the two eyes affects stereopsis. We also explored the level of agreement between different measurements of sensory eye imbalance.

Methods

We measured the sensory eye imbalance and stereoacuity of 30 normally sighted participants. We made our measurements using a modified amblyoscope. The sensory eye imbalance was assessed through three methods: the difference between monocular contrast thresholds, the difference in dichoptic masking weight, and the contribution of each eye to a fused binocular percept. We referred them as the “threshold imbalance,” “masking imbalance,” and “fusion imbalance,” respectively. The stereoacuity threshold was measured by having subjects discriminate which of four circles were displaced in depth. All of our tests were performed using stimuli of the same spatial frequency (2.5 cycles/degree).

Results

We found a relationship between stereoacuity and sensory eye imbalance. However, this was only the case for fusion imbalance measurement (ρ = 0.52; P = 0.003). Neither the threshold imbalance nor the masking imbalance was significantly correlated with stereoacuity. We also found the threshold imbalance was correlated with both the fusion and masking imbalances (r = 0.46, P = 0.011 and r = 0.49, P = 0.005, respectively). However, a nonsignificant correlation was found between the fusion and masking imbalances.

Conclusions

Our findings suggest that there exist multiple types of sensory eye dominance that can be assessed by different tasks. We find only imbalances in dominance that result in biases to fused percepts are correlated with stereoacuity.

Binocular visual deficits at mid to high spatial frequency in treated amblyopes

Amblyopia (lazy eye) is a neurodevelopmental disorder of vision with no ocular pathology. The loss of vision in the amblyopic eye is assumed to be the main deficit in amblyopia, which has resulted in visual acuity (VA) being the primary outcome measure for treatment. Here we used a binocular orientation combination task to quantitatively assess the binocular status by measuring the binocular balance. We set out to determine whether amblyopes who reach the acuity-based end point have a residual binocular imbalance. Our results suggest that even amblyopes who have regained normal acuity have residual binocular deficits over a wide range of spatial frequencies. A further control study suggests that these binocular deficits could not be explained by any residual contrast sensitivity deficits of the amblyopic eye. Consequently, amblyopia is not the primary problem and VA is not the appropriate end point measure.

Effect of physiological aging on binocular vision

We see the world with two eyes. Binocular vision provides more ample information through interocular interaction. Previous studies have shown that aging impairs a variety of visual functions, but how aging affects binocular vision is still unclear. In this study, we measured three typical binocular functions-binocular combination, binocular rivalry, and stereo vision-to investigate aging-related effects on binocular vision in a relatively large sample (48 younger adults and 27 older adults) with normal or corrected-to-normal distance vision and no ophthalmological and mental diseases. We found that there were no consistent aging-related declines in binocular vision, with the worst effect on alternation frequency in binocular rivalry and no effect on binocular phase combination and stereo vision tested by Titmus. In addition, aging changed the correlation pattern among some of these binocular functions. These results reflected (at least partially) different aging-related mechanism(s) in binocular vision.

Evidence in Support of the Border-Ownership Neurons for Representing Textured Figures

We presented one eye with a monocular-boundary-contour (MBC) square, created by phase-shifting a central region of grating relative to a larger uniform grating surround, and the fellow eye with the larger uniform grating. In addition, the grating within the MBC region was rendered with lower contrast relative to the remaining stimulus. Despite this, we found the lower contrast MBC region dominated the perceived cyclopean contrast, with the corresponding region in the fellow eye being suppressed. Secondly, we found for dichoptic stimuli with half-images having square grating regions of different BC strengths, the interocular BC strength ratio determined the perceived contrast of the cyclopean square. Thirdly, we found perceived spatial phase of the cyclopean square was dominated by the spatial phase of the MBC half-image. Altogether, these psychophysical findings provided evidence for a border-to-interior representation strategy, that constructing surface begins at the boundary contour (BC), in binocular contrast and phase integration.

Abnormal Monocular and Dichoptic Temporal Synchrony in Adults with Amblyopia

Purpose

We investigate temporal synchrony within one eye and between both eyes in adults with amblyopia.

Methods

Eight adult amblyopes (range, 19.88-27.81 years old; median, 22.86 years old) and 12 age-matched adults with normal vision (range, 21.2-50.30 years old; median, 23.78 years old) participated in the experiment. We showed two pairs of Gaussian blobs flickering at 1 Hz as visual stimuli, one pair with the same temporal phase modulation (i.e., the reference) and another pair with a distinct temporal phase (i.e., the signal). We employed the constant stimuli method to measure the minimum degree of temporal phase (temporal synchrony threshold), at which participants were able to discriminate the signal pair under binocular, monocular, and dichoptic viewing configurations.

Results

The temporal synchrony threshold was different across the six configurations (P = 0.001). There was also an interaction between the configuration and the group (P = 0.004). The synchrony threshold was significantly higher in amblyopes than in controls under the configurations where two pairs of blobs were presented to the amblyopic eye (136.52 ± 50.19 vs. 97.08 ± 22.02 ms, P = 0.027) and where the paired blobs were presented to different eyes (163.15 ± 80.85 vs. 111.61 ± 22.46 ms, P = 0.049). The visual deficits in these two configurations were significantly correlated (r = 0.824, P = 0.012).

Conclusions

The threshold for detecting temporal asynchrony increased when the stimuli were presented only to the amblyopic eye and when they were dichoptically presented to the amblyopic and fellow eyes.

Sensory Eye Dominance: Relationship Between Eye and Brain

Eye dominance refers to the preference to use one eye more than the fellow eye to accomplish a task. However, the dominant eye revealed can be task dependent especially when the tasks are as diverse as instructing the observer to sight a target through a ring, or to report which half-image is perceived more of during binocular rivalry stimulation. Conventionally, the former task is said to reveal motor eye dominance while the latter task reveals sensory eye dominance. While the consensus is that the motor and sensory-dominant eye could be different in some observers, the reason for it is still unclear and has not been much researched. This review mainly focuses on advances made in recent studies of sensory eye dominance. It reviews studies conducted to quantify and relate sensory eye dominance to other visual functions, in particular to stereopsis, as well as studies conducted to explore its plasticity. It is recognized that sensory eye dominance in observers with clinically normal vision shares some similarity with amblyopia at least at the behavioral level, in that both exhibit an imbalance of interocular inhibition. Furthermore, sensory eye dominance is probably manifested at multiple sites along the visual pathway, perhaps including the level of ocular dominance columns. But future studies with high-resolution brain imaging approaches are required to confirm this speculation in the human visual system.

Individual variation in inter-ocular suppression and sensory eye dominance

The competitive and inhibitory interactions between the two eyes' images are a pervasive aspect of binocular vision. Over the last decade, our understanding of the neural processes underpinning binocular rivalry (BR) and continuous flash suppression (CFS) has increased substantially, but we still have little understanding of the relationship between these two effects and their variation in the general population. Studies that pool data across individuals and eyes risk masking substantial variations in binocular vision that exist in the general population. To investigate this issue we compared the depth of inter-ocular suppression evoked by BR with that elicited by CFS, in a group (N = 25) of visually normal individuals. A noise pattern (either static for BR or dynamic for CFS) was presented to one eye and its suppressive influence on a probe grating presented simultaneously to the other eye was measured. We found substantial individual differences in the magnitude of suppression (a 10-fold variation in probe detection threshold) evoked by each task, but performance on BR was a significant predictor of performance on the CFS task. However many individuals showed marked asymmetries between the two eyes' ability to detect a suppressed target, that were not necessarily the same for the two tasks. There was a tendency for the magnitude of the asymmetry to increase as the refresh rate of the dynamic noise increased. The results suggest a common underlying mechanism is likely to be responsible, at least in part, for driving inter-ocular suppression under BR and CFS. The marked asymmetries in inter-ocular suppression at higher noise refresh rates, may be indicative of a difference in temporal processing between the eyes.

Effect of Interocular Contrast Difference on Stereopsis in Observers With Sensory Eye Dominance

Purpose

We investigated how sensory eye dominance (SED) affects stereopsis when the half-images of random-dot-stereo stimuli had different interocular contrast.

Methods

We measured crossed and uncrossed stereo disparity thresholds and reaction time to seeing random-dot-stereograms with variable interocular contrast differences (ICD), where ICD = (log10 [CLE] - log10 [CRE]) = -0.4, -0.2, 0, 0.2, or 0.4 log unit. The mean contrast of the stimuli, (log10 [CLE] + log10 [CRE])/2, remained constant at 1.2 log unit to ensure that the measured effect was solely due to ICD. We also measured SED using, respectively, dichoptic horizontal sine wave gratings with different phases (revealing SEDcombo) and dichoptic vertical and horizontal gratings (revealing SEDinhibition).

Results

Both measures of SEDinhibition and SEDcombo revealed the observers had the same eye as dominant although the magnitudes differed. The observers had lower stereo thresholds and shorter stereo reaction time on stimuli with unequal interocular contrast when the non-sensory-dominant eye viewed the higher contrast half-image, suggesting a stimulus-compensating effect. We then estimated the ICD of random-dot-stereo half-images (compensating stimuli) that would lead to minimum stereo threshold (SEDstereo-threshold) and reaction time (SEDstereo-RT) based on the stereo performance and ICD relationship, and found that they were significantly smaller than SEDinhibition and SEDcombo.

Conclusions

By linking SEDinhibition and SEDcombo with the effect of ICD on stereopsis, we provided further support for the notion that the stimulus-compensating effect is mediated by the interocular inhibitory and interocular gain control mechanisms. Furthermore, the interocular contrast for SEDstereo-threshold and SEDstereo-RT can be potentially applied for improving stereopsis in individuals with SED.

Psychophysical Tests Do Not Identify Ocular Dominance Consistently

Classical sighting or sensory tests are used in clinical practice to identify the dominant eye. Several psychophysical tests were recently proposed to quantify the magnitude of dominance but whether their results agree was never investigated. We addressed this question for the two most common psychophysical tests: The perceived-phase test, which measures the cyclopean appearance of dichoptically presented sinusoids of different phase, and the coherence-threshold test, which measures interocular differences in motion perception when signal and noise stimuli are presented dichoptically. We also checked for agreement with three classical tests (Worth 4-dot, Randot suppression, and Bagolini lenses). Psychophysical tests were administered in their conventional form and also using more dependable psychophysical methods. The results showed weak correlations between psychophysical measures of strength of dominance with inconsistent identification of the dominant eye across tests: Agreement on left-eye dominance, right-eye dominance, or nondominance by both tests occurred only for 11 of 40 observers (27.5%); the remaining 29 observers were classified differently by each test, including 14 cases (35%) of opposite classification (left-eye dominance by one test and right-eye dominance by the other). Classical tests also yielded conflicting results that did not agree well with classification based on psychophysical tests. The results are discussed in the context of determination of ocular dominance for clinical decisions.