Theoretical predictions and experimental findings of visual deficits in glaucoma

Abstract

Purpose: To investigate the motion and colour processing in normal subjects and in patients with primary open angle glaucoma, and to develop theoretical models in order to explain present findings and to understand the processes involved.Methods: Movement processing was investigated using an optical motion projection system, capable of generating continuous motion of a single dot target with controlled speed, displacement and motion direction. Displacement and direction discrimination thresholds (i.e. target displacement at a constant speed needed for 75% probability of detection of motion or correct discrimination of its direction) were measured for both foveal and peripheral stimulus presentations and for a range of speeds. Colour vision was tested using a novel method which employs a random luminance modulation technique to mask out achromatic contrast changes and allowing detection of a spatially structured object based on the processing of chromatic signals only (Barbur et al. 1993).Results: Changes in the parameters of the motion detection model (e.g., delay time and receptor regularity) that was developed to predict the experimental data in normal subjects also predicts an increase in displacement threshold and poorer sensitivity for discrimination of motion direction in glaucoma patients. The results obtained show that patients may report stimulus motion in 80% of presentations whilst performing at chance when required to discriminate the direction of motion. Chromatic discrimination ellipses measured for foveal stimulus presentations in glaucoma patients were often similar to those measured in normal subjects. In the periphery, however, much larger chromatic displacement thresholds were measured in all directions.Conclusions: The technique used to measure the chromatic discrimination ellipses is sensitive to glaucomatous nerve damage and the results suggest a larger threshold elevation in the periphery than at the fovea. The motion model developed to explain performance in normal vision also predicts the experimental findings in glaucoma patients and may be used to predict degraded motion discrimination in patient groups with similar pathologies.