Artificial Scotoma Research Articles

Changes in population receptive fields following artificial scotoma; remapping or nonlinear responses?

Changes in population receptive fields following artificial scotoma; remapping or nonlinear responses?

Training With Simulated Scotoma Leads to Behavioral Improvements Through at Least Two Distinct Mechanisms.

Individuals with central vision loss due to macular degeneration (MD) often spontaneously develop a preferred retinal locus (PRL) outside the area of retinal damage, which they use instead of the fovea. Those who develop a stable PRL are more successful at coping with their vision loss. However, it is unclear whether improvements in visual performance at the PRL are specific to that retinal location or are also observed in other parts of the retina. Perceptual learning literature suggests that the retinal specificity of these effects provides insight about the mechanisms involved. Better understanding of these mechanisms is necessary for the next generation of interventions and improved patient outcomes. To address this, we trained participants with healthy vision to develop a trained retinal locus (TRL), analogous to the PRL in patients. We trained 24 participants on a visual search task using a gaze-contingent display to simulate a central scotoma. Results showed retinotopically specific improvements in visual crowding only at the TRL; however, visual acuity improved in both the TRL and in an untrained retinal locus. These results suggest that training with an artificial scotoma involves multiple mechanistic levels, some location-specific and some not, and that simulated scotoma training paradigms likely influence multiple mechanisms simultaneously. Eye movement analysis suggests that the non-retinotopic learning effects may be related to improvements in the capability to maintain a stable gaze during stimulus presentation. This work suggests that effective interventions promoting peripheral viewing may influence multiple mechanisms simultaneously.

Intra- and inter-session reproducibility of artificial scotoma pRF mapping results at ultra-high fields

Intra- and inter-session reproducibility of artificial scotoma pRF mapping results at ultra-high fields

Evidence for visual cortical plasticity in retinitis Pigmentosa

AbstractPurpose: Neural plasticity upon visual loss remains a very controversial phenomenon. We asked how the changes in peripheral visual input in adult Retinitis Pigmentosa patients would impact the stability versus plasticity of neuronal population receptive fields in early visual areas.Methods: A total of 37 participants were recruited. The Retinitis Pigmentosa group (RP) included 12 patients with RP. The full‐field Control group (FFCnt) included 13 healthy participants that performed the original protocol (as the RP group); and an artificial scotoma Control group (ASCnt) (n = 12). Population Receptive Field (pRF) fMRI paradigms were used at 3 Tesla. The maximum field of view was 23° × 30°. The stimuli used for pRF estimation consisted in conventional single, 45° counter‐clockwise rotating wedge and expanding ring stimuli with a high‐contrast (~100%) flickering (8 Hz) checkerboard pattern. To resolve chronic from acute adaptive effects we performed an artificial scotoma experiment, in an independent control group.Results: The general increase of pRF size on eccentricity was found in both Retinitis Pigmentosa and control individuals as expected. Interestingly, in RP, the regression slopes of pRF size and eccentricity in V1 and V2 seem to collapse in RP patients, in contrast with controls. Analysis of the regression lines adjusted to the mean pRF size along eccentricity in the calcarine sulcus of RP and matched ASCnt showed a significant difference between slopes (F(1,296) = 15.01, p < 0.001), corresponding to a group difference in pRFs size in more peripheral locations, suggesting plasticity. Artificial scotoma pRF mapping showed no evidence for rapid adaptation.Conclusions: We found evidence for long term visual plasticity in adult Retinitis Pigmentosa patients as demonstrated by increased size of peripheral neuronal population receptive fields in early visual areas, which could be explained by rapid adaptation mechanism.

Oculomotor responses of the visual system to an artificial central scotoma may not represent genuine visuomotor adaptation.

Patients with central vision loss often adopt a location outside their scotoma as the new reference for vision, the preferred retinal locus (PRL). The development of a PRL is important not only for the rehabilitation of patients with central vision loss, but also helps us better understand how the brain adapts to the lack of visual input. Many investigators studied this question using a gaze-contingent display paradigm by imposing an artificial scotoma to simulate central vision loss for normally sighted subjects, with an important assumption that the “PRL” thus developed is the result of visuomotor adaptation, as is the case for people with a real scotoma. In this study, we tested the validity of this assumption. We used a gaze-contingent display combined with an artificial scotoma to first train normally sighted subjects to develop a “PRL” for saccade eye movements. Then, we compared the properties of saccades when the artificial scotoma was randomly turned off or on. When the artificial scotoma was absent, subjects automatically reverted to using their fovea, with a shorter saccade latency. Our findings suggest that the development of a “PRL” in response to an artificial scotoma may represent a strategy, instead of a genuine visuomotor adaptation.

Intrasession and Intersession Reproducibility of Artificial Scotoma pRF Mapping Results at Ultra-High Fields.

Functional magnetic resonance imaging (fMRI) combined with population receptive field (pRF) mapping allows for associating positions on the visual cortex to areas on the visual field. Apart from applications in healthy subjects, this method can also be used to examine dysfunctions in patients suffering from partial visual field losses. While such objective measurement of visual deficits (scotoma) is of great importance for, e.g., longitudinal studies addressing treatment effects, it requires a thorough assessment of accuracy and reproducibility of the results obtained. In this study, we quantified the reproducibility of pRF mapping results within and across sessions in case of central visual field loss in a group of 15 human subjects. We simulated scotoma by masking a central area of 2° radius from stimulation to establish ground-truth conditions. This study was performed on a 7T ultra-high field MRI scanner for increased sensitivity. We found excellent intrasession and intersession reproducibility for the pRF center position (Spearman correlation coefficients for x, y: >0.95; eccentricity: >0.87; polar angle: >0.98), but only modest reproducibility for pRF size (Spearman correlation coefficients around 0.4). We further examined the scotoma detection performance using an automated method based on a reference dataset acquired with full-field stimulation. For the 2° artificial scotoma, the group-averaged scotoma sizes were estimated at between 1.92° and 2.19° for different sessions. We conclude that pRF mapping of visual field losses yields robust, reproducible measures of retinal function and suggest the use of pRF mapping as an objective method for monitoring visual deficits during therapeutic interventions or disease progression.

Predictive masking of an artificial scotoma is associated with a system-wide reconfiguration of neural populations in the human visual cortex

The visual brain has the remarkable capacity to complete our percept of the world even when the information extracted from the visual scene is incomplete. This ability to predict missing information based on information from spatially adjacent regions is an intriguing attribute of healthy vision. Yet, it gains particular significance when it masks the perceptual consequences of a retinal lesion, leaving patients unaware of their partial loss of vision and ultimately delaying diagnosis and treatment. At present, our understanding of the neural basis of this masking process is limited which hinders both quantitative modeling as well as translational application. To overcome this, we asked the participants to view visual stimuli with and without superimposed artificial scotoma (AS). We used fMRI to record the associated cortical activity and applied model-based analyzes to track changes in cortical population receptive fields and connectivity in response to the introduction of the AS. We found that throughout the visual field and cortical hierarchy, pRFs shifted their preferred position towards the AS border. Moreover, extrastriate areas biased their sampling of V1 towards sections outside the AS projection zone, thereby effectively masking the AS with signals from spared portions of the visual field. We speculate that the signals that drive these system-wide population modifications originate in extrastriate visual areas and, through feedback, also reconfigure the neural populations in the earlier visual areas.

Saccadic adaptation in the presence of artificial central scotomas.

Saccadic adaptation can occur over a short period of time through a constant adjustment of the saccade target during the saccade, resulting in saccadic re-referencing, which directs the saccade to a location different from the target that elicited the saccade. Saccade re-referencing could be used to help patients with age-related macular degeneration to optimally use their residual visual function. However, it remains unknown whether saccade adaptation can take place in the presence of central scotomas (i.e., without central vision). We tested participants in two experiments in a conventional double-step paradigm with a central gaze-contingent artificial scotoma. Experiment 1 (N = 12) comprised a backward adaptation paradigm with no scotoma control, visible, and invisible 3° diameter scotoma conditions. Experiment 2 (N = 13) comprised a forward adaptation paradigm with no scotoma control, invisible 2°, and 4° diameter scotoma conditions. In Experiment 1, we observed significant adaptation in both the visible and invisible scotoma conditions comparable to the control condition with no scotoma. This was the case even when the saccade landed such that the target was occluded by the scotoma. We observed that adaptation occurred based on peripheral viewing of the stepped target during the deceleration period. In Experiment 2, we found that both scotoma conditions showed adaptation again comparable to the control condition with no scotoma. We conclude that saccadic adaptation can occur with central scotomas, showing that it does not require central vision and can be driven primarily by peripheral retinal error.

When figure-ground segregation fails: Exploring antagonistic interactions in figure-ground perception.

Perceptual fading of an artificial scotoma can be viewed as a failure of figure-ground segregation, providing a useful tool for investigating possible mechanisms and processes involved in figure-ground perception. Weisstein's antagonistic magnocellular/parvocellular stream figure-ground model proposes P stream activity encodes figure, and M stream activity encodes background. Where a boundary separates two regions, the region that is perceived as figure or ground is determined by the outcome of antagonism between M and P activity within each region and across the boundary between them. The region with the relatively stronger P "figure signal" is perceived as figure, and the region with the relatively stronger M "ground signal" is perceived as ground. From this perspective, fading occurs when the figure signal is overwhelmed by the ground signal. Strengthening the figure signal or weakening the ground signal should make the figure more resistant to fading. Based on research showing that red light suppresses M activity and short wavelength sensitive S-cones provide minimal input to M cells, we used red and blue light to reduce M activity in both figure and ground. The time to fade from stimulus onset until the figure completely disappeared was measured. Every combination of gray, green, red, and blue as figure and/or ground was tested. Compared with gray and green light, fade times were greatest when red or blue light either strengthened the figure signal by reducing M activity in the figure, or weakened the ground signal by reducing M activity in ground. The resultssupport a dynamic antagonistic relationship between M and P activity contributing to figure-ground perception as envisioned in Weisstein's model.

Predicting artificial visual field losses: A gaze-based inference study.

Visual field defects are a world-wide concern, and the proportion of the population experiencing vision loss is ever increasing. Macular degeneration and glaucoma are among the four leading causes of permanent vision loss. Identifying and characterizing visual field losses from gaze alone could prove crucial in the future for screening tests, rehabilitation therapies, and monitoring. In this experiment, 54 participants took part in a free-viewing task of visual scenes while experiencing artificial scotomas (central and peripheral) of varying radii in a gaze-contingent paradigm. We studied the importance of a set of gaze features as predictors to best differentiate between artificial scotoma conditions. Linear mixed models were utilized to measure differences between scotoma conditions. Correlation and factorial analyses revealed redundancies in our data. Finally, hidden Markov models and recurrent neural networks were implemented as classifiers in order to measure the predictive usefulness of gaze features. The results show separate saccade direction biases depending on scotoma type. We demonstrate that the saccade relative angle, amplitude, and peak velocity of saccades are the best features on the basis of which to distinguish between artificial scotomas in a free-viewing task. Finally, we discuss the usefulness of our protocol and analyses as a gaze-feature identifier tool that discriminates between artificial scotomas of different types and sizes.

Motion-Induced Scotoma.

We investigated artificial scotomas created when a moving object instantaneously crossed a gap, jumping ahead and continuing its otherwise smooth motion. Gaps of up to 5.1 degrees of visual angle, presented at 18° eccentricity, either closed completely or appeared much shorter than when the same gap was crossed by two-point apparent motion, or crossed more slowly, mimicking occlusion. Prolonged exposure to motion trajectories with a gap in most cases led to further shrinking of the gap. The same gap-shrinking effect has previously been observed in touch. In both sensory modalities, it implicates facilitation among codirectional local motion detectors and motion neurons with receptive fields larger than the gap. Unlike stimuli that simply deprive a receptor surface of input, suggesting it is insentient, our motion pattern skips a section in a manner that suggests a portion of the receptor surface has been excised, and the remaining portions stitched back together. This makes it a potentially useful tool in the experimental study of plasticity in sensory maps.

Comparing filling-in of spatiotemporal patterns in the blind spot, under occlusion, and across artificial scotomata

Comparing filling-in of spatiotemporal patterns in the blind spot, under occlusion, and across artificial scotomata

Using artificial scotoma fading to explore antagonistic interactions in figure-ground perception.

Using artificial scotoma fading to explore antagonistic interactions in figure-ground perception.

AB060. Peripheral attentional allocation during visual search in the presence of an artificial scotoma in younger and older adults

AB060. Peripheral attentional allocation during visual search in the presence of an artificial scotoma in younger and older adults

How are ocular behaviours affected by central and peripheral vision loss? A study based on artificial scotomas and gaze-contingent paradigm.

How are ocular behaviours affected by central and peripheral vision loss? A study based on artificial scotomas and gaze-contingent paradigm.

Artificial scotoma estimation based on population receptive field mapping

Population receptive field (pRF) mapping based on functional magnetic resonance imaging (fMRI) is an ideal method for obtaining detailed retinotopic information. One particularly promising application of pRF mapping is the estimation and quantification of visual field effects, for example scotomata in patients suffering from macular dysfunction or degeneration (MD) or hemianopic defects in patients with intracranial dysfunction. However, pRF mapping performance is influenced by a number of factors including spatial and temporal resolution, distribution of dural venous sinuses and patient performance. This study addresses the ability of current pRF methodology to assess the size of simulated scotomata in healthy individuals. The data demonstrate that central scotomata down to a radius of 2.35° (4.7° diameter) visual angle can be reliably estimated in single subjects using high spatial resolution protocols and multi-channel receive array coils.

Homeostatic plasticity in human extrastriate cortex following a simulated peripheral scotoma

Neuroimaging and patient work over the past decade have indicated that, following retinal deafferentation, the human visual cortex undergoes a large-scale and enduring reorganization of its topography such that the classical retinotopic organization of deafferented visual cortex remaps to represent non-classical regions of visual space. Such long-term visual reorganization is proposed to occur through changes in the functional balance of deafferented visual circuits that engage more lasting changes through activity-dependent neuroplasticity. Here, we investigated the short-term changes in functional balance (short-term plasticity; homeostatic plasticity) that occur within deafferented human visual cortices. We recorded electroencephalogram (EEG) while observers were conditioned for 6s with a simulated retinal scotoma (artificial scotoma) positioned 8.0° in the periphery. Visual evoked potentials (VEPs) evoked by the onset of sinusoidal visual probes that varied in their tilt were used to examine changes in cortical excitability within and around cortical representations of the simulated scotoma. Psychophysical orientation functions obtained from discrimination of visual probe tilt were used to examine alterations in the stimulus selectivity within the scotoma representations. Consistent with a mechanism of homeostatic disinhibition, an early extrastriate component of the VEP (the early phase P1) exhibited increased amplitude following the condition with a simulated scotoma relative to a stimulus-matched control condition. This increased visual cortical response was associated with a reduction in the slope of the psychophysical orientation function, suggesting a broader tuning of neural populations within scotoma representations. Together, these findings support a mechanism of disinhibition in promoting visual plasticity and topographical reorganization.

Assessing the GOANNA Visual Field Algorithm Using Artificial Scotoma Generation on Human Observers.

PurposeTo validate the performance of a new perimetric algorithm (Gradient-Oriented Automated Natural Neighbor Approach; GOANNA) in humans using a novel combination of computer simulation and human testing, which we call Artificial Scotoma Generation (ASG).MethodsFifteen healthy observers were recruited. Baseline conventional automated perimetry was performed on the Octopus 900. Visual field sensitivity was measured using two different procedures: GOANNA and Zippy Estimation by Sequential Testing (ZEST). Four different scotoma types were induced in each observer by implementing a novel technique that inserts a step between the algorithm and the perimeter, which in turn alters presentation levels to simulate scotomata in human observers. Accuracy, precision, and unique number of locations tested were measured, with the maximum difference between a location and its neighbors (Max_d) used to stratify results.ResultsGOANNA sampled significantly more locations than ZEST (paired t-test, P < 0.001), while maintaining comparable test times. Difference plots showed that GOANNA displayed greater accuracy than ZEST when Max_d was in the 10 to 30 dB range (with the exception of Max_d = 20 dB; Wilcoxon, P < 0.001). Similarly, GOANNA demonstrated greater precision than ZEST when Max_d was in the 20 to 30 dB range (Wilcoxon, P < 0.001).ConclusionsWe have introduced a novel method for assessing accuracy of perimetric algorithms in human observers. Results observed in the current study agreed with the results seen in earlier simulation studies, and thus provide support for performing larger scale clinical trials with GOANNA in the future.Translational RelevanceThe GOANNA perimetric testing algorithm offers a new paradigm for visual field testing where locations for testing are chosen that target scotoma borders. Further, the ASG methodology used in this paper to assess GOANNA shows promise as a hybrid between computer simulation and patient testing, which may allow more rapid development of new perimetric approaches.

Multifocal Electroretinography in the Presence of Temporal and Spatial Correlations and Eye Movements.

Releasing patients from the fixation task, and permitting them to view natural stimuli such as movies, would provide increased comfort, and potentially additional signs of retinal function, when recording multifocal electroretinograms (mfERGs). Techniques must be developed to handle the difficulties that arise from these alternative stimulation strategies. Multifocal stimuli were presented to volunteer human subjects with and without fixation. Retinocentric analyses were performed to deal with shifts of the stimulus across the retina in the presence of eye movements. Artificial scotomas that moved with the eyes to simulate local retinal defects were presented to assess whether such defects might be detectable in the presence of eye movements. Temporal and spatial correlations in the stimulus can be discounted, permitting retinal kernels to be measured in response to natural stimuli. Responses to temporally natural stimuli tend to have slightly stronger amplitudes because of the presence of low temporal frequencies in these stimuli. The effects of eye movement artifacts can be reduced, permitting similar kernels to be obtained in the absence and presence of eye movements. Convergence to stable kernels took slightly longer in the presence of temporal correlations or eye movements. Artificial scotomas can be localized with these methods. It may be possible to perform multifocal ERG recordings in the clinic using more flexible, natural techniques. However, work is needed to achieve results comparable to those routinely obtained with conventional methods.

Visual exploration of objects and scenes in patients with age-related macular degeneration

Studies on people with age-related macular degeneration (AMD) have shown that they are able to detect briefly displayed objects and scenes with high accuracy (above 80%). However, in everyday life we explore our environment to search and to recognize objects. We assessed visual exploration in people with AMD during the identification of objects and scenes. Twenty patients with AMD, fifteen age-matched and twelve young controls participated. We used colored photographs of isolated objects, natural scenes and objects in scenes, displayed centrally on a monitor. Participants were asked to name the objects and scenes. Ocular movements were recorded during the identification task. Scan paths, saccades, fixations, and accuracy were also recorded. People with AMD exhibited lower accuracy (by about 30%). Eye movement parameters were impaired with a larger number of saccades, shorter fixation durations and a larger scan path than controls. Our results are consistent with studies on artificial scotoma in normally sighted people showing that a central scotoma impairs oculomotricity. In contrast to detection tasks, people with central vision loss exhibit impaired performance in identification of objects and scenes (62 to 66%). Eye movement studies suggest that the lower accuracy in patients is likely due to the use of peripheral vision and instability of fixation.