Blur Unblurred-A Mini Tutorial

The FreiBurger: a new optotype for P300-based acuity estimation

PURPOSE

Accurate objective assessment of visual acuity is crucial, particularly in cases of suspected malingering, or when the patient's inability to cooperate makes standard psychophysical acuity tests unreliable. The P300 component of the event-related potentials offers a potential solution and even allows for the use of standard optotypes like the Landolt C. However, low-vision patients with large eccentric visual field defects often struggle to locate the Landolt C gap quickly enough for a P300 to be reliably produced.

METHODS

Addressing this challenge, we introduce a novel optotype (the "FreiBurger") with a critical detail that extends through the optotype's center. Two experiments, with 16 and 12 participants, respectively, were conducted. In the first, psychophysical acuity estimates were obtained with both the FreiBurger and the Landolt C. In the second, we tested the performance of the FreiBurger, relative to the Landolt C, in eliciting a P300 with undegraded vision, simulated low vision, and in a simulated combination of low vision and visual field constriction.

RESULTS

Comparable psychophysical acuity values (average difference 0.03 logMAR) were obtained for both optotypes. In the P300 recordings, both optotypes produced similar P300 responses under conditions of undegraded vision and low vision. However, with the combination of low vision and constricted visual field, the P300 could only be reliably obtained with the FreiBurger, while the amplitude was drastically reduced with the Landolt C (9.1 µV vs. 2.2 µV; p < 0.0005).

CONCLUSION

The new optotype extends the applicability of P300-based acuity estimation to the frequently encountered combination of low vision and constricted visual field, where Landolt C optotypes fail. Although impairments were simulated in the present study, we assume that the advantages of the new optotype will also manifest in patients with such impairments. We furthermore expect the advantages to apply to time-sensitive psychophysical examinations as well.

Seeing the truck, but missing the cyclist: effects of blur on duration thresholds for road hazard detection

Drivers must respond promptly to a wide range of possible road hazards, from trucks veering into their lane to pedestrians stepping onto the road. While drivers' vision is tested at the point of licensure, visual function can degrade, and drivers may not notice how these changes impact their ability to notice and respond to events in the world in a timely fashion. To safely examine the potential consequences of visual degradation on hazard detection, we performed two experiments examining the impact of simulated optical blur on participants' viewing duration thresholds in a hazard detection task, as a proxy for eyes-on-road duration behind the wheel. Examining this question with older and younger participants, across two experiments, we found an overall increase in viewing duration thresholds under blurred conditions, such that younger and older adults were similarly impacted by blur. Critically, in both groups, we found that the increment in thresholds produced by blur was larger for non-vehicular road hazards (pedestrians, cyclists and animals) compared to vehicular road hazards (cars, trucks and buses). This work suggests that blur poses a particular problem for drivers detecting non-vehicular road users, a population considerably more vulnerable in a collision than vehicular road users. These results also highlight the importance of taking into account the type of hazard when considering the impacts of blur on road hazard detection.

The Parameters Governing the Anti-Myopia Efficacy of Chromatically Simulated Myopic Defocus in Tree Shrews

Purpose

We previously showed that exposing tree shrews (Tupaia belangeri, small diurnal mammals closely related to primates) to chromatically simulated myopic defocus (CSMD) counteracted small-cage myopia and instead induced hyperopia (approximately +4 diopters [D]). Here, we explored the parameters of this effect.

Methods

Tree shrews were exposed to the following interventions for 11 days: (1) rearing in closed (n = 7) or open (n = 6) small cages; (2) exposed to a video display of Maltese cross images with CSMD combined with overhead lighting (n = 4); (3) exposed to a video display of Maltese cross images with zero blue contrast ("flat blue," n = 8); and (4) exposed to a video display of black and white grayscale tree images with different spatial filtering (blue pixels lowpass <1 and <2 cycles per degree [CPD]) for the CSMD.

Results

(1) Tree shrews kept in closed cages, but not open cages, developed myopia. (2) Overhead illumination reduced the hyperopia induced by CSMD. (3) Zero-blue contrast produced hyperopia but slightly less than the CSMD. (4) Both of the CSMD tree images counteracted small cage myopia, but the one low pass filtering blue <1 CPD was more effective at inducing hyperopia.

Conclusions

Any pattern with reduced blue contrast at and below approximately 1 CPD counteracts myopia/promotes hyperopia, but maximal effectiveness may require that the video display be the brightest object in the environment.

Translational Relevance

Chromatically simulated myopic blur might be a powerful anti-myopia therapy in children, but the parameter selection could be critical. Issues for translation to humans are discussed.

In primary visual cortex fMRI responses to chromatic and achromatic stimuli are interdependent and predict contrast detection thresholds

Chromatic and achromatic signals in primary visual cortex have historically been considered independent of each other but have since shown evidence of interdependence. Here, we investigated the combination of two components of a stimulus; an achromatic dynamically changing check background and a chromatic (L-M or S cone) target grating. We found that combinations of chromatic and achromatic signals in primary visual cortex were interdependent, with the dynamic range of responses to chromatic contrast decreasing as achromatic contrast increased. A contrast detection threshold study also revealed interdependence of background and target, with increasing chromatic contrast detection thresholds as achromatic background contrast increased. A model that incorporated a normalising effect of achromatic contrast on chromatic responses, but not vice versa, best predicted our V1 data as well as behavioural thresholds. Further along the visual hierarchy, the dynamic range of chromatic responses was maintained when compared to achromatic responses, which became increasingly compressive.

VisionaryVR: An Optical Simulation Tool for Evaluating and Optimizing Vision Correction Solutions in Virtual Reality

In the rapidly advancing field of vision science, traditional research approaches struggle to accurately simulate and evaluate vision correction methods, leading to time-consuming evaluations with limited scope and flexibility. To overcome these challenges, we introduce 'VisionaryVR', a virtual reality (VR) simulation framework designed to enhance optical simulation fidelity and broaden experimental capabilities. VisionaryVR leverages a versatile VR environment to support dynamic vision tasks and integrates comprehensive eye-tracking functionality. Its experiment manager's scene-loading feature fosters a scalable and flexible research platform. Preliminary validation through an empirical study has demonstrated VisionaryVR's effectiveness in replicating a wide range of visual impairments and providing a robust platform for evaluating vision correction solutions. Key findings indicate a significant improvement in evaluating vision correction methods and user experience, underscoring VisionaryVR's potential to transform vision science research by bridging the gap between theoretical concepts and their practical applications. This validation underscores VisionaryVR's contribution to overcoming traditional methodological limitations and establishing a foundational framework for research innovation in vision science.

Impact of focus cue presentation on perceived realism of 3-D scene structure: Implications for scene perception and for display technology

Stereoscopic imagery often aims to evoke three-dimensional (3-D) percepts that are accurate and realistic-looking. The "gap" between 3-D imagery and real scenes is small, but focus cues typically remain incorrect because images are displayed on a single focal plane. Research has concentrated on the resulting vergence-accommodation conflicts. Yet, incorrect focus cues may also affect the appearance of 3-D imagery. We investigated whether incorrect focus cues reduce perceived realism of 3-D structure ("depth realism"). Experiment 1 used a multiple-focal-planes display to compare depth realism with correct focus cues vs. conventional stereo presentation. The stimuli were random-dot stereograms, which isolated the role of focus cues. Depth realism was consistently lower with incorrect focus cues, providing proof-of-principle evidence that they contribute to perceptual realism. Experiments 2 and 3 examined whether focus cues play a similar role with realistic objects, presented with an almost complete set of visual cues using a high-resolution, high-dynamic-range multiple-focal-planes display. We also examined the efficacy of approximating correct focus cues via gaze-contingent depth-of-field rendering. Improvements in depth realism with correct focus cues were less clear in more realistic scenes, indicating that the role of focus cues in depth realism depends on scene content. Rendering-based approaches, if anything, reduced depth realism, which we attribute to their inability to present higher-order aspects of blur correctly. Our findings suggest future general 3-D display solutions may need to present focus cues correctly to maximise perceptual realism.

Improved modeling of human vision by incorporating robustness to blur in convolutional neural networks

Whenever a visual scene is cast onto the retina, much of it will appear degraded due to poor resolution in the periphery; moreover, optical defocus can cause blur in central vision. However, the pervasiveness of blurry or degraded input is typically overlooked in the training of convolutional neural networks (CNNs). We hypothesized that the absence of blurry training inputs may cause CNNs to rely excessively on high spatial frequency information for object recognition, thereby causing systematic deviations from biological vision. We evaluated this hypothesis by comparing standard CNNs with CNNs trained on a combination of clear and blurry images. We show that blur-trained CNNs outperform standard CNNs at predicting neural responses to objects across a variety of viewing conditions. Moreover, blur-trained CNNs acquire increased sensitivity to shape information and greater robustness to multiple forms of visual noise, leading to improved correspondence with human perception. Our results provide novel neurocomputational evidence that blurry visual experiences are very important for conferring robustness to biological visual systems.

Increasing spatial frequency of S-cone defined gratings reduces their visibility and brain response more than for gratings defined by L-M cone contrast

Chromatic sensitivity reduces as spatial frequency increases. Here, we explore the behavioural and neuronal responses to chromatic stimuli at two spatial frequencies for which the difference in sensitivity will be greater for S-cone than L-M stimuli. Luminance artefacts were removed using the Random Luminance Modulation (RLM) technique. As expected, doubling the spatial frequency increased the detection threshold more for S-cone than for isoluminant L-M gratings. We then used fMRI to measure the cortical BOLD responses to the same two chromatic stimuli (S and L-M) at the same two spatial frequencies. Responses were measured in six visual areas (V1, V2, V3, V3a, hV4, TO1/2). We found a significant interaction between spatial frequency in V1, V2 and V4 suggesting that the behaviourally observed increase in contrast threshold for high spatial frequency S-cone stimuli is reflected in these retinotopic areas. Our measurements show that neural responses consistent with psychophysical behaviour in a colour detection task can be observed as early as primary visual cortex.

Joint representations of color and form in mouse visual cortex described by random pooling from rods and cones

Spatial transitions in color can aid any visual perception task, and its neural representation, the "integration of color and form," is thought to begin at primary visual cortex (V1). Integration of color and form is untested in mouse V1, yet studies show that the ventral retina provides the necessary substrate from green-sensitive rods and ultraviolet-sensitive cones. Here, we used two-photon imaging in V1 to measure spatial frequency (SF) tuning along four axes of rod and cone contrast space, including luminance and color. We first reveal that V1's sensitivity to color is similar to luminance, yet average SF tuning is significantly shifted lowpass for color. Next, guided by linear models, we used SF tuning along all four color axes to estimate the proportion of neurons that fall into classic models of color opponency, i.e., "single-," "double-," and "non-opponent." Few neurons (∼6%) fit the criteria for double opponency, which are uniquely tuned for chromatic borders. Most of the population can be described as a unimodal distribution ranging from strongly single-opponent to non-opponent. Consistent with recent studies of the rodent and primate retina, our V1 data are well-described by a simple model in which ON and OFF channels to V1 sample the photoreceptor mosaic randomly. Finally, an analysis comparing color opponency to preferred orientation and retinotopy further validates rods, and not cone M-opsin, as opponent with cone S-opsin in the upper visual field.NEW & NOTEWORTHY This study is the first to show that mouse V1 is highly sensitive to UV-green color contrast. Furthermore, it provides a detailed characterization of "color opponency," which is the putative neural basis for color perception. Finally, using an extremely simple yet novel random wiring model, we account for our observations.

Effect of Dioptric Blur on Pattern-Reversal and Motion-Onset VEPs as Used in Clinical Research

Purpose

To describe the effect of dioptric blur on visual evoked potentials (VEPs) induced by motion onset (MO-VEPs).

Methods

The effect of dioptric blur up to 4 D on MO-VEPs was tested on 12 subjects using central, peripheral, and full-field stimulation with a low-contrast structure of concentric circles with spatial frequency <1 c/°. The results were compared to VEPs evoked by 15' and 60' checkerboard pattern-reversal (PR-VEPs). The relationship between peak time and interpeak amplitude of the dominant components was related to the level of dioptric blur using linear regression.

Results

The MO-VEPs did not show a significant peak prolongation (P > 0.28) or amplitude attenuation (P > 0.14) with the blur, whereas for the PR-VEPs we observed a significant decrease in amplitude (P < 0.001) and increase in peak time (P < 0.001) for both checkerboard sizes.

Conclusions

For MO-VEPs induced by radial motion of low contrast and low spatial frequency pattern, the change in retinal blur does not affect the peak time or the interpeak amplitude of the dominant N2 component.

Translational Relevance

The resistance to retinal blur that we demonstrated for MO-VEP provides a diagnostic opportunity to test the integrity of the visual system and reveal a retrobulbar impairment even in uncorrected refractive errors.

Using Blur for Perceptual Investigation and Training in Sport? A Clear Picture of the Evidence and Implications for Future Research

Dynamic, interactive sports require athletes to identify, pick-up and process relevant information in a very limited time, in order to then make an appropriate response. Perceptual-cognitive skills are, therefore, a key determinant of elite sporting performance. Recently, sport scientists have investigated ways to assess and train perceptual-cognitive skills, with one such method involving the use of blurred stimuli. Here, we describe the two main methods used to generate blur (i.e., dioptric and Gaussian) and then review the current findings in a sports context. Overall, it has been shown the use of blur can enhance performance and learning of sporting tasks in novice participants, especially when the blur is applied to peripheral stimuli. However, while intermediate and expert level participants are relatively impervious to the presence of blur, it remains to be determined if they are positive effects on learning. In a final section, we describe some of the methodological issues that limit the application of blur and then discuss the potential use of virtual reality to extend the current research base in sporting contexts.

The impact of image degradation and temporal dynamics on sustained attention

Many clinical populations that have sustained attention deficits also have visual deficits. Therefore, it is necessary to understand how the quality of visual input and different forms of image degradation can contribute to worse performance on sustained attention tasks, particularly those with dynamic and complex visual stimuli. This study investigated the impact of image degradation on an adapted version of the gradual-onset continuous performance task (gradCPT), where participants must discriminate between gradually fading city and mountain scenes. Thirty-six normal-vision participants completed the task, which featured two blocks of six resolution and contrast levels. Subjects either completed a version with gradually fading or static image presentations. The results show decreases in image resolution impair performance under both types of temporal dynamics, whereas performance is only impaired under gradual temporal dynamics for decreases in image contrast. Image similarity analyses showed that performance has a higher association with an observer's ability to gather an image's global spatial layout (i.e. gist) than local variations in pixel luminance, particularly under gradual image presentation. This work suggests that gradually fading attention paradigms are sensitive to deficits in primary visual function, potentially leading to these issues being misinterpreted as attentional failures.

Effects of glaucoma on detection and discrimination of image blur

PURPOSE

Blur is one of the most commonly reported visual symptoms of glaucoma, but it is not directly measured by current clinical tests. We aimed to investigate the effects of glaucoma on detection and discrimination of image blur.

METHODS

Participants were people with glaucoma, separated into two groups with (n = 15) or without (n = 17) central visual field defects measured by 10-2 perimetry, and an age-similar control group (n = 18). First, we measured contrast detection thresholds centrally using a 2-interval forced choice procedure. We then measured blur detection and discrimination thresholds for the same stimuli (reference blurs 0, 1 arcmin) using a 2-alternative forced choice procedure under two contrast conditions: 4× individual detection threshold for the low contrast condition; 95% contrast for the high contrast condition. The stimulus was a horizontal edge bisecting a hard-edged circle of 4.5° diameter. Data were analysed by linear mixed modelling.

RESULTS

Contrast detection thresholds for the glaucoma group with central visual field defects were raised by 0.01 ± 0.004 (mean ± SE, Michelson units) (p = 0.002) and by 0.01 ± 0.004 (p = 0.03) relative to control and glaucoma without central visual field defect groups, respectively. Blur detection and discrimination thresholds were similar between groups, with small elevations in blur detection thresholds in the glaucoma groups not reaching statistical significance (detection p = 0.29, discrimination p = 0.91). The lower contrast level increased thresholds from the higher contrast level by 1.30 ± 0.10 arcmin (p < 0.001) and 1.05 ± 0.10 arcmin (p < 0.001) for blur detection and discrimination thresholds, respectively.

CONCLUSIONS

Early-moderate glaucoma resulted in only minimal elevations of blur detection thresholds that did not reach statistical significance in this study. Despite the prevalence of blur as a visual symptom of glaucoma, psychophysical measurements of blur detection or discrimination may not be good candidates for development as clinical tests for glaucoma.

Online control of rapid target-directed aiming using blurred visual feedback

The accuracy and precision of target-directed aiming is contingent upon the availability of online visual feedback. The present study aimed to examine the visual regulation of aiming with blurred vision. The aiming task was executed using a stylus on a graphics digitizing board, which was translated onto a screen in the form of a cursor (representing the moving limb) and target. The vision conditions involved the complete disappearance or blur of the cursor alone, target alone, and cursor+target. These conditions involved leaving the screen uncovered or covering with a diffusing sheet to induce blur. The distance between the screen and sheet was increased to make the blur progressively more severe (0 cm, 3 cm). Results showed significantly less radial and variable error under blurred compared to no vision of the cursor and cursor+target. These findings were corroborated by the movement kinematics including a shorter proportion of time to peak velocity, more negative within-participant correlation between the distances travelled to and after peak velocity, and lower spatial variability from peak velocity to the end of the movement under blurred vision. The superior accuracy and precision under the blurred compared to no vision conditions is consistent with functioning visual regulation of aiming, which is primarily contingent upon the online visual feedback of the moving limb. This outcome may be attributed to the processing of low spatial-high temporal frequencies. Potential implications for low vision diagnostics are discussed.

Computer monitor pixellation and Landolt C visual acuity

PURPOSE

To investigate the effects of computer monitor pixel density on Landolt C visual acuity measurements and to provide appropriate pixel density recommendations for Landolt C vision chart design.

METHODS

Participants were 10 healthy observers aged 18-31 years (mean 21.7 ± 3.6). Logarithmic progression charts were used, consisting of eight rows of five Landolt C optotypes ranging from -0.40 logMAR to 0.30 logMAR. Monitor pixel angular subtense varied from 0.10 min arc to 1.97 min arc, achieved by changing the chart test distance. Testing took place with two filtering conditions: unfiltered optotypes, (pixels rendered either black or white) and anti-aliased optotypes with pixel luminance averaged for a pixel square and rendered as grey levels.

RESULTS

Each participant's acuity versus pixel size data sets were fitted by a nonlinear relationship with acuity equal to an asymptotic threshold visual acuity (VA_as ) for small pixel sizes below a critical pixel size (P_crit ). For pixel sizes larger than P_crit  there was a linear relationship between acuity thresholds and pixel size. For anti-aliased Landolt Cs, mean P_crit  was 1.23 min, and for unfiltered Landolt Cs average P_crit was 0.65 min. For anti-aliased LandoltCs, P_crit  was 2.01xVA_as , and for unfiltered Landolt Cs P_crit  was 1.05xVA_as .

CONCLUSION

These results are quantitatively very similar to previous research on pixellation and Sloan optotype acuity. We have demonstrated that spatially filtering Landolt C optotypes acts as anti-aliasing, to make them more robust to the degradation effects of pixellation. Previous recommendations for maximum pixel size on Sloan letter vision charts can be applied safely to Landolt C charts.

Predicting blur visual discomfort for natural scenes by the loss of positional information

The perception of blur due to accommodation failures, insufficient optical correction or imperfect image reproduction is a common source of visual discomfort, usually attributed to an anomalous and annoying distribution of the image spectrum in the spatial frequency domain. In the present paper, this discomfort is related to a loss of the localization accuracy of the observed patterns. It is assumed, as a starting perceptual principle, that the visual system is optimally adapted to pattern localization in a natural environment. Thus, since the best possible accuracy of the image patterns localization is indicated by the positional Fisher Information, it is argued that blur discomfort is strictly related to a loss of this information. Following this concept, a receptive field functional model is adopted to predict the visual discomfort. It is a complex-valued operator, orientation-selective both in the space domain and in the spatial frequency domain. Starting from the case of Gaussian blur, the analysis is extended to a generic type of blur by applying a positional Fisher Information equivalence criterion. Out-of-focus blur and astigmatic blur are presented as significant examples. The validity of the proposed model is verified by comparing its predictions with subjective ratings. The model fits linearly with the experiments reported in independent databases, based on different protocols and settings.

The structure of images: 1984-2021

I present a personal account of the origin, development and future of a concept that appeared in this journal in 1984. The title was The Structure of Images. It became known as "scale space."

Comparison between optical and digital blur using near visual acuity

In a low-cost laboratory setup, we compared visual acuity (VA) for stimuli rendered with Zernike aberrations to an equivalent optical dioptric defocus in emmetropic individuals using a relatively short observing distance of 60 cm. The equivalent spherical refractive error of + 1, + 2 or + 4 D, was applied in the rendering of Landolt Rings. Separately, the refractive error was introduced dioptrically in: (1) unchanged Landolt Rings with an added external lens (+ 1, + 2 or + 4 D) at the subject's eye; (2) same as (1) but with an added accommodation and a vertex distance adjustment. To compare all three approaches, we examined VA in 10 healthy men. Stimuli were observed on a PC CRT screen. For all three levels of refractive error, the pairwise comparison did not show a statistically significant difference between digital blur and accommodation-plus-vertex-distance-adjusted dioptric blur (p < 0.204). The best agreement, determined by Bland–Altman analysis, was measured for + 4 D and was in line with test–retest limits for examination in the clinical population. Our results show that even for a near observing distance, it is possible to use digitally rendered defocus to replicate dioptric blur without a significant change in VA in emmetropic subjects.

Similar Dependence of Acuity Measures on Exposure Duration Irrespective of Acuity Level in Artificially Degraded Vision

PURPOSE

The duration of optotype presentation in a visual acuity test is an important co-determinant of the test outcome. Most typically, acuity tests are self-paced, which implies an influence of personality on visual acuity test results and a possible lack of transferability to dynamic real-world conditions. Previous studies demonstrated a strong detrimental effect on acuity in the sub-second range, while also revealing further improvement for longer presentation durations of multiple seconds. These studies were performed with normal vision and proposed, besides signal integration, small physiological fluctuations in retinal image quality as underlying the duration effect. In the present study, these fluctuations are overridden by artificial degradation of vision in order to assess their relevance.

METHODS

Visual acuity was measured with the Freiburg Acuity and Contrast Test with 5 different optotype presentation durations (0.1-10 s). Each of 16 participants was tested with normal vision and with artificially degraded acuity.

RESULTS

The overall dependence of acuity on presentation duration was similar for normal and degraded vision (r² = 0.9). In both conditions, the largest detrimental effect was in the sub-second range at 0.1 s. A statistically significant, albeit small, improvement with longer viewing time was only present with degraded vision.

CONCLUSIONS

The present study confirms previous findings also for the case of reduced acuity. The data suggest that small physiological fluctuations in retinal image quality are not a dominant factor regarding the effect of presentation duration. Overall, and in particular for sub-second presentation durations, there is little difference between normal and degraded vision.

To Correct or Not Correct? Actual Evidence, Controversy and the Questions That Remain Open

Clinical studies and basic research have attempted to establish a relationship between myopia progression and single vision spectacle wear, albeit with unclear results. Single vision spectacle lenses are continuously used as the control group in myopia control trials. Hence, it is a matter of high relevance to investigate further whether they yield any shift on the refractive state, which could have been masked by being used as a control. In this review, eye development in relation to eyes fully corrected versus those under-corrected is discussed, and new guidelines are provided for the analysis of structural eye changes due to optical treatments. These guidelines are tested and optimised, while ethical implications are revisited. This newly described methodology can be translated to larger clinical trials, finally exerting the real effect of full correction via single vision spectacle lens wear on eye growth and myopia progression.

VEP estimation of visual acuity: a systematic review

Purpose

Visual evoked potentials (VEPs) can be used to measure visual resolution via a spatial frequency (SF) limit as an objective estimate of visual acuity. The aim of this systematic review is to collate descriptions of the VEP SF limit in humans, healthy and disordered, and to assess how accurately and precisely VEP SF limits reflect visual acuity.

Methods

The protocol methodology followed the PRISMA statement. Multiple databases were searched using “VEP” and “acuity” and associated terms, plus hand search: titles, abstracts or full text were reviewed for eligibility. Data extracted included VEP SF limits, stimulus protocols, VEP recording and analysis techniques and correspondence with behavioural acuity for normally sighted healthy adults, typically developing infants and children, healthy adults with artificially degraded vision and patients with ophthalmic or neurological conditions.

Results

A total of 155 studies are included. Commonly used stimulus, recording and analysis techniques are summarised. Average healthy adult VEP SF limits vary from 15 to 40 cpd, depend on stimulus, recording and analysis techniques and are often, but not always, poorer than behavioural acuity measured either psychophysically with an identical stimulus or with a clinical acuity test. The difference between VEP SF limit and behavioural acuity is variable and strongly dependent on the VEP stimulus and choice of acuity test. VEP SF limits mature rapidly, from 1.5 to 9 cpd by the end of the first month of life to 12–20 cpd by 8–12 months, with slower improvement to 20–40 cpd by 3–5 years. VEP SF limits are much better than behavioural thresholds in the youngest, typically developing infants. This difference lessens with age and reaches equivalence between 1 and 2 years; from around 3–5 years, behavioural acuity is better than the VEP SF limit, as for adults. Healthy, artificially blurred adults had slightly better behavioural acuity than VEP SF limits across a wide range of acuities, while adults with heterogeneous ophthalmic or neurological pathologies causing reduced acuity showed a much wider and less consistent relationship. For refractive error, ocular media opacity or pathology primarily affecting the retina, VEP SF limits and behavioural acuity had a fairly consistent relationship across a wide range of acuity. This relationship was much less consistent or close for primarily macular, optic nerve or neurological conditions such as amblyopia. VEP SF limits were almost always normal in patients with non-organic visual acuity loss.

Conclusions

The VEP SF limit has great utility as an objective acuity estimator, especially in pre-verbal children or patients of any age with motor or learning impairments which prevent reliable measurement of behavioural acuity. Its diagnostic power depends heavily on adequate, age-stratified, reference data, age-stratified empirical calibration with behavioural acuity, and interpretation in the light of other electrophysiological and clinical findings. Future developments could encompass faster, more objective and robust techniques such as real-time, adaptive control.

Registration

International prospective register of systematic reviews PROSPERO (https://www.crd.york.ac.uk/PROSPERO/), registration number CRD42018085666.

An opponent dual-detector spectral drive model of emmetropization

In post-natal developing eyes a feedback mechanism uses optical cues to regulate axial growth so as to achieve good focus, a process termed emmetropization. However, the optical cues that the feedback mechanism uses have remained unclear. Here we present evidence that a primary visual cue may be the detection of different image statistics by the short-wavelength sensitive (SWS) and long-wavelength sensitive (LWS) cone photoreceptors, caused by longitudinal chromatic aberration (LCA). We use as a model system the northern tree shrew Tupaia belangeri, diurnal cone-dominated dichromatic mammals closely related to primates. We present an optical model in which the SWS and LWS photoreceptors each represent an image at different levels of defocus. The model posits that an imbalance between SWS and LWS image statistics directs eye growth towards the point at which these image statistics are in balance. Under spectrally broadband ("white") lighting, the focus of the eye is driven to a target point approximately in the middle of the visible spectrum, which is emmetropia. Calculations suggest that the SWS cone array, despite the sparse number of SWS cones, can plausibly detect the wavelength-dependent differences in defocus and guide refractive development. The model is consistent with the effects of various narrow-band illuminants on emmetropization in tree shrews. Simulations suggest that common artificial light spectra do not interfere with emmetropization. Simulations also suggest that multi-spectral multi-focal lenses, where the different optical zones of a multifocal lens have different spectral filtering properties, could be an anti-myopia intervention.

Seven Myths on Crowding and Peripheral Vision

Crowding has become a hot topic in vision research, and some fundamentals are now widely agreed upon. For the classical crowding task, one would likely agree with the following statements. (1) Bouma's law can be stated, succinctly and unequivocally, as saying that critical distance for crowding is about half the target's eccentricity. (2) Crowding is predominantly a peripheral phenomenon. (3) Peripheral vision extends to at most 90° eccentricity. (4) Resolution threshold (the minimal angle of resolution) increases strongly and linearly with eccentricity. Crowding increases at an even steeper rate. (5) Crowding is asymmetric as Bouma has shown. For that inner-outer asymmetry, the peripheral flanker has more effect. (6) Critical crowding distance corresponds to a constant cortical distance in primary visual areas like V1. (7) Except for Bouma's seminal article in 1970, crowding research mostly became prominent starting in the 2000s. I propose the answer is "not really" or "not quite" to these assertions. So should we care? I think we should, before we write the textbook chapters for the next generation.

Effect of spatial filtering on accommodation

The purpose of this study was to develop and test a new method that uses natural images to investigate the influence of their spatial frequency content on the accommodation response (AR). Furthermore, the minimum spatial frequency content was determined that was necessary to induce an AR. Blur of the images was manipulated digitally in the Fourier domain by filtering with a Sinc function. Fourteen young subjects participated in the experiment. A 2-step procedure was used: (1) verifying that a high amount of Sinc-blur does not evoke accommodation, (2) increasing the width of the Sinc-blur filter in logarithmic steps until an AR was evoked. AR was continuously monitored using eccentric infrared photorefraction at 60 Hz sampling rate under monocular viewing conditions. Under condition (1), Sinc-blur of λ = 1 cpd did not evoke accommodation, while under condition (2) an average (mean ± standard deviation) Sinc-blur of λ = 5.57 ± 4.67 cpd (median: 4 cpd, interquartile range: 2-7 cpd) evoked accommodation. Dividing the subjects into myopes and emmetropes revealed that the myopic group required higher amounts of λ (higher spatial frequencies) to stimulate their accommodation (mean λ = 9.33 ± 4.99 cpd, for myopes; and mean λ = 2.75 ± 0.97 cpd, for emmetropes). Our results support the notion that the AR is most effectively stimulated at mid-spatial frequencies and that myopes may require higher spatial frequencies to elicit a comparable AR.

Use of diffusing filters for artificially reducing visual acuity when testing equipment and procedures

PURPOSE

When evaluating ophthalmological devices and procedures, for instance those for visual electrophysiology, it is often desirable to perform tests with reduced acuity. Doing this with individuals with actual visual impairments has a number of disadvantages, such as considerable recruitment efforts, especially when a specific acuity range is targeted, and little control about the actual perceptual characteristics of the impairment, which are normally not fully known. Lenses with positive diopters or blurring filters that are placed in front of the eyes of visually normal observers promise a simple solution to the problem. However, defocus results in considerable spurious resolution, and previous studies suggest that the frequently used Bangerter occluders are not optimal for the purpose. The present study therefore reviews a number of other options and tests a selection of filters with respect to their effect on acuity and contrast sensitivity with the aim of identifying filters that primarily degrade acuity while mostly sparing contrast sensitivity.

METHODS

First, we screened several filters for potential usefulness. The Freiburg Acuity and Contrast Test was then used to measure visual acuity and contrast sensitivity with a subset of three filters (Luminit LSD 0.5° and 1°, and LEE 420) and, for comparison, with a Bangerter occluder with a nominal acuity grade of 0.1. A qualitative comparison of the filters' effect on the checkerboard-reversal VEP was also performed.

RESULTS

With both Luminit filters, variability in acuity across participants was relatively small, and at least with the 0.5° version, contrast sensitivity was relativity little affected. The LEE filter and the Bangerter occluder resulted in more variability and, compared to the effect on acuity, a relatively strong reduction in contrast sensitivity. Comparing the Luminit 0.5° and 1° filters, the reduction of acuity was not proportional to physical stimulus degradation. The effect on VEP responses was consistent with the psychophysical data.

CONCLUSIONS

The Luminit filters, which have a Gaussian light diffusion profile, appear to be a good choice for artificial reduction of acuity.

Can VEP-based acuity estimates in one eye be improved by applying knowledge from the other eye?

PURPOSE

It is desirable to make VEP-based acuity estimates match standard subjective acuity numerically, as the latter is familiar to ophthalmologists and optometrists. This is achieved by applying an empirical conversion factor, and previous studies found the resulting values to be within ±1 octave of subjective acuity. This leaves room for improvement. In the present study, we tested for the case of a monocular acuity deficit whether the known difference between subjective and objective acuity in the trusted fellow eye can be used to get a more precise objective estimate in the eye of which the acuity is to be estimated. In other words, we tested whether it would make sense to determine a patient-specific conversion factor.

METHODS

In 19 subjects, we obtained monocular objective and subjective acuity estimates with both eyes. Normal vision and artificially degraded vision were tested. Subjective acuity was taken as the veridical value. We computed the differences between objective and subjective acuity and reasoned that if these were correlated between eyes and acuity levels, the valid information from the trusted healthy eye could be used to improve the precision of the acuity estimate in the other, potentially impaired, eye.

RESULTS

The difference between objective and subjective acuity values was neither correlated significantly between eyes, nor was it correlated significantly between acuity levels.

CONCLUSIONS

Knowledge about the discrepancy between objective and subjective acuity values in one eye does not help improving the accuracy of acuity estimates in the other eye. The lack of a significant correlation between eyes even at the same acuity level suggests that a major part of the discrepancies between subjective acuity and VEP-based acuity is not the result of factors that would equally apply to both eyes, such as cortical morphology.

Is blur sensitivity altered in children with progressive myopia?

School aged children with progressive myopia show large accommodative lags to blur only cue which is suggestive of a large depth of focus (DOF). While DOF measures are lacking in this age group, their blur detection and discrimination capacities appear to be similar to their non-myopic peers. Accordingly, the current study quantified DOF and blur detection ability in progressive myopic children showing large accommodative lags compared to their non-myopic peers and adults. Blur sensitivity measures were taken from 12 children (8-13 years, 6 myopes and 6 emmetropes) and 6 adults (20-35 years). DOF was quantified using step changes in the lens induced defocus while the subjects viewed a high contrast target through a Badal lens at either 2 or 4D demand. Blur detection thresholds (BDT) were tested using a similar high contrast target in a 2-alternate forced-choice paradigm (2AFC) at both the demands. In addition to the large accommodative lags, micro fluctuations and DOF were significantly larger in myopic children compared to the other groups. However, BDTs were similar across the three groups. When limited to blur cues, the findings of a large DOF coupled with large response lags suggests that myopes are less sensitive to retinal defocus. However, in agreement to a previous study, refractive error had no influence on their BDTs suggesting that the reduced sensitivity to the defocus in a myopic eye appears to be compensated by some form of an adjustment in the higher visual processes to preserve the subjective percept even with a poor retinal image quality.