Monocular Blur Research Articles

Gaze behaviour during multiple object tracking is dependent on binocular vision integrity.

Despite the critical importance of binocular vision integrity in daily activities, there exists limited understanding of how alterations in binocular vision integrity impact gaze behaviour during dynamic, complex psychomotor skills. This study aimed to measure how alterations in binocular vision integrity, created by Bangerter filters (BF), affect gaze behaviour during multiple object tracking (MOT). During the experiment, 22 volunteers completed the MOT task under three different visual conditions. The first condition involved natural binocular viewing, while the second and third conditions used 0.4 and 0.2 neutral density BF, respectively, resulting in monocular blur in the sensorially dominant eye. During the MOT task, participants were instructed to track three of eight balls for 10 s, and the speed was adjusted using a staircase procedure. Throughout the task, the following gaze parameters were recorded: fixation duration, saccade duration, amplitude and frequency as well as blink rate. During MOT execution, participants employed three gaze strategies regardless of viewing conditions: saccadic movements were predominant, followed by maintaining fixation on a central location throughout the trial and to a lesser extent, smooth pursuit eye movements. There was a significant effect of manipulating viewing conditions on the MOT scores (p = 0.046, η2 = 0.09). As the viewing conditions became more difficult, we observed a decrease in fixation duration (p = 0.004, η2 = 0.16) and blink rate (p < 0.001, η2 = 0.20) and an increase in saccadic amplitude (p < 0.001, η2 = 0.29). The results support the notion that perceptual-cognitive skills depend on the integrity of binocular vision, underscoring the sensitivity of gaze behaviours to any impairment of binocular function.

The effect of induced monocular blur by bangerter filters on measures of visual acuity and stereoacuity

ABSTRACT To evaluate the effect of monocular blur induced by Bangerter filters (BF) on visual acuity (VA) and stereoacuity. Monocular blur was induced by a range of Trusetal BF strengths (0.1, 0.2, 0.4, 0.6) to 23 visually normal adult volunteers (aged 18-25, mean age 20.33 ± 1.79 years). The right monocular and binocular logMAR VA and distance stereoacuity using the FD2 were measured at 6 m with no filter (baseline) and with each filter strength. The order of testing the filters was randomized. Results were analyzed using one factor repeated measures ANOVAs, t–tests using Bonferroni correction and Pearson’s product moment correlation. All filters degraded right monocular distance VA from baseline, but less significantly between the 0.4 and 0.6 filters than the other filters (p < .05 and p < .001, respectively). Degradation was in concordance with the labeled filter density, excluding filter strength 0.4. For all filter strengths, binocular VA was significantly but not clinically reduced from baseline (p < .05). Filters statistically and clinically significantly degraded distance stereoacuity from baseline (p < .001). A significant negative correlation existed between the mean degraded right monocular VA and stereoacuity (r = −0.998, p < .02). Trusetal BF significantly reduced monocular VA and stereoacuity but binocular VA remained within normal levels. The impact on VA and stereoacuity in a normal population can be of clinical relevance when applied to the use of BF for management of amblyopia and intractable diplopia. It is advised that clinicians ensure the desired level of degradation has been achieved in clinic before prescribing a particular filter strength.

The short-term effects of artificially-impaired binocular vision on driving performance

Appropriate visual function is paramount to ensuring adequate driving performance and road safety. Here, we examined the influence of sudden artificially-impaired binocular vision on driving performance using a car simulator. Twenty-four young drivers (mean age 22.42 ± 3.19 years) drove under three different visual conditions (natural driving, monocular blur, and monocular occlusion) through three different traffic environments with low, medium, and high levels of complexity (highway, rural, and city, respectively). We assessed their driving performance, perceived level of task complexity, and subjectively-experienced road safety. Furthermore, as a manipulation check, we also evaluated the drivers’ cardiac vagal responses, as a well-known index of task complexity. The sudden deterioration of binocular vision caused unsafe driving behaviours (distance out of the road and maximum breaking intensity) in the most complex traffic environments. Specific self-regulatory strategies (i.e. increased cardiac vagal responses) and subjective responses corroborated these results. Practitioner summary: This study provides evidence that the sudden deterioration of binocular vision has a detrimental effect on simulated driving performance. Our analysis of cardiovascular functioning shows that drivers adopt self-regulatory strategies when their binocular vision functioning is compromised. Abbreviations: VA: visual acuity; BV: binocular vision; HRV: heart rate variability; NASA: TLX: NASA-Task Load Index; SSS: Stanford Sleepiness scale; RMSSD: root mean square of successive difference; HF: high-frequency

Effects of simulated anisometropia and aniseikonia on stereopsis.

Stereopsis depends on horizontally disparate retinal images but otherwise concordance between eyes. Here we investigate the effect of spherical and meridional simulated anisometropia and aniseikonia on stereopsis thresholds. The aims were to determine effects of meridian, magnitude and the relative effects of the two conditions. Ten participants with normal binocular vision viewed McGill modified random dot stereograms through synchronised shutter glasses. Stereoacuities were determined using a four-alternative forced-choice procedure. To induce anisometropia, trial lenses of varying power and axes were placed in front of right eyes. Seventeen combinations were used: zero (no lens) and both positive and negative, 1 and 2 D powers, at 45, 90 and 180 axes; spherical lenses were also tested. To induce aniseikonia 17 magnification power and axis combinations were used. This included zero (no lens), and 3%, 6%, 9% and 12% at axes 45, 90 and 180; overall magnifications were also tested. For induced anisometropia, stereopsis loss increased as cylindrical axis rotated from 180° to 90°, at which the loss was similar to that for spherical blur. For example, for 2 D meridional anisometropia threshold increased from 1.53 log sec arc (i.e. 34sec arc) for x 180 to 1.89 log sec arc (78sec arc) for x 90. Anisometropia induced with either positive or negative lenses had similar detrimental effects on stereopsis. Unlike anisometropia, the stereopsis loss with induced meridional aniseikonia was not affected by axis and was about 64% of that for overall aniseikonia of the same amount. Approximately, each 1 D of induced anisometropia had the same effect on threshold as did each 6% of induced aniseikonia. The axes of meridional anisometropia but not aniseikonia affected stereopsis. This suggests differences in the way that monocular blur (anisometropia) and interocular shape differences (aniseikonia) are processed during the production of stereopsis.

Basketball free-throws performance depends on the integrity of binocular vision

ABSTRACT Background: The deterioration of the integrity of binocular vision has a detrimental effect on fine visuomotor skills, however, its impact on sports performance remains unknown. We tested the influence of four viewing conditions (binocular viewing, monocular viewing, binocular viewing with monocular blur, and binocular viewing with binocular blur) on basketball free-throws performance. Methods: Twenty-three male basketball players (19.2 ± 3.4 years) performed 30 free-throws in each viewing condition following a randomised order. Image degradation was induced by the use of Bangerter filters. Complementarily, perceived levels of task load and complexity, as well as visual function were assessed. Results: We found a worse basketball free-throws performance (percentage of successful shots) in the monocular viewing (∼8%) and binocular viewing with monocular blur (∼9%) in comparison to the condition of binocular viewing (corrected p-values = 0.003 and 0.006; and ds = 0.838 and 0.771). The analyses of subjective ratings and visual function allowed us to confirm a successful experimental manipulation. Conclusions: Basketball free-throws performance is subject to the integrity of binocular vision, showing a worse accuracy when the sensory dominant eye was occluded or blurred in comparison to natural (binocular) viewing conditions. However, free-throws performance remains stable when the visual acuity is binocularly degraded. Our findings reveal that an appropriate functioning of the binocular vision is needed for optimal sports performance, and highlight the importance of a comprehensive clinical assessment or management of binocular vision in sport contexts.

Three-dimensional binocular eye-hand coordination in normal vision and with simulated visual impairment.

Sensorimotor coupling in healthy humans is demonstrated by the higher accuracy of visually tracking intrinsically-rather than extrinsically-generated hand movements in the fronto-parallel plane. It is unknown whether this coupling also facilitates vergence eye movements for tracking objects in depth, or can overcome symmetric or asymmetric binocular visual impairments. Human observers were therefore asked to track with their gaze a target moving horizontally or in depth. The movement of the target was either directly controlled by the observer's hand or followed hand movements executed by the observer in a previous trial. Visual impairments were simulated by blurring stimuli independently in each eye. Accuracy was higher for self-generated movements in all conditions, demonstrating that motor signals are employed by the oculomotor system to improve the accuracy of vergence as well as horizontal eye movements. Asymmetric monocular blur affected horizontal tracking less than symmetric binocular blur, but impaired tracking in depth as much as binocular blur. There was a critical blur level up to which pursuit and vergence eye movements maintained tracking accuracy independent of blur level. Hand-eye coordination may therefore help compensate for functional deficits associated with eye disease and may be employed to augment visual impairment rehabilitation.

The Effect of Monocular Blur on the Binocular Visual Field

Purpose/Aim: We aimed to investigate the effect of monocular blur on the binocular visual field. Materials and Methods: A total of 13 healthy young volunteers participated in this study. The mean subjective refractive error of the dominant eye (DE) was -3.33 ± 1.65D, and the non-dominant eye (NDE) was -3.15 ± 2.84D. The DE was determined by using the hole-in-the-card test. The visual field was examined by the Humphrey Visual Field Analyzer using the 30-2 SITA Standard program. The visual field was measured while wearing soft contact lens under three conditions; ① both eyes: near vision correction; ② DE: near vision correction +3.00D added, NDE: near vision correction; and ③ DE: near vision correction, NDE: near vision correction +3.00D added. The foveal threshold, mean deviation (MD), and pattern standard deviation (PSD) values were investigated. Results: The foveal threshold value (dB) at ①, ②, and ③ was 41.2, 37.8, and 38.1, respectively. The values at ② and ③ were both significantly lower than that at ① (p < 0.0001; p = 0.0003). The MD value (dB) at ①, ②, and ③ was 1.67, 0.19, and 0.51, respectively; the values at ② and ③ were both significantly lower than that at ① (p = 0.0012; p = 0.0118). The PSD value (dB) at ①, ②, and ③ was 1.36, 1.55, and 1.47, respectively. A significant difference in ①, ②, and ③ was not found. Conclusion: These results suggest that monocular blur reduced the sensitivity within the binocular visual field.

Ways of Viewing Pictorial Plasticity.

The plastic effect is historically used to denote various forms of stereopsis. The vivid impression of depth often associated with binocular stereopsis can also be achieved in other ways, for example, using a synopter. Accounts of this go back over a hundred years. These ways of viewing all aim to diminish sensorial evidence that the picture is physically flat. Although various viewing modes have been proposed in the literature, their effects have never been compared. In the current study, we compared three viewing modes: monocular blur, synoptic viewing, and free viewing (using a placebo synopter). By designing a physical embodiment that was indistinguishable for the three experimental conditions, we kept observers naïve with respect to the differences between them; 197 observers participated in an experiment where the three viewing modes were compared by performing a rating task. Results indicate that synoptic viewing causes the largest plastic effect. Monocular blur scores lower than synoptic viewing but is still rated significantly higher than the baseline conditions. The results strengthen the idea that synoptic viewing is not due to a placebo effect. Furthermore, monocular blur has been verified for the first time as a way of experiencing the plastic effect, although the effect is smaller than synoptic viewing. We discuss the results with respect to the theoretical basis for the plastic effect. We show that current theories are not described with sufficient details to explain the differences we found.

Effects of Monocular Blur on Clinical Measurements of Stereopsis and Binocular Contrast Sensitivity

Visual conditions such as anisometropia, monovision and monocular undercorrection affect the combination of visual input from both eyes. This study investigated the effects of monocular blur, in binocularly normal participants, on stereoacuity and binocular contrast sensitivity. Fifteen young adults (age range between 19 and 23 years old) with normal visual acuity and binocular vision participated in this study. Stereopsis was measured using the TNO test with a series of positive spherical lenses placed before the dominant eye. The procedure was repeated using the Titmus Stereotest on five participants as a control experiment. Monocular and binocular contrast sensitivities were also measured using the Pelli-Robson Contrast Sensitivity Chart. Blur was induced monocularly with a series of positive spherical lenses placed before the dominant eye and binocular contrast sensitivity was re-measured. Stereopsis scores decreased significantly when monocular blur was imposed. Across blur levels, absolute stereopsis scores measured with TNO test were worse than those measured with Titmus stereotest (all p < 0.05). However, the ratio of scores obtained without blur and under monocular blur appeared to be similar for both tests. Stereopsis without blur was between 6.82× to 8× better than that obtained with the highest level of imposed monocular blur. Binocular contrast sensitivity score decreased significantly with increasing level of monocular blur (p < 0.01). Binocular contrast sensitivity score without blur was 1.62× better than that obtained under binocular viewing with highest level of imposed blur. Stereopsis tests are more sensitive than measurements of binocular contrast sensitivity as an indicator of interocular acuity discrepancies which could occur in anisometropic or monovision patients. However, the choice of stereopsis test is crucial, as the TNO test appears to be more sensitive to monocular blur than the Titmus stereostest. DOI: http://dx.doi.org./10.17576/JSKM-2017-1501-03

Monocular blur alters the tuning characteristics of stereopsis for spatial frequency and size.

Our sense of depth perception is mediated by spatial filters at different scales in the visual brain; low spatial frequency channels provide the basis for coarse stereopsis, whereas high spatial frequency channels provide for fine stereopsis. It is well established that monocular blurring of vision results in decreased stereoacuity. However, previous studies have used tests that are broadband in their spatial frequency content. It is not yet entirely clear how the processing of stereopsis in different spatial frequency channels is altered in response to binocular input imbalance. Here, we applied a new stereoacuity test based on narrow-band Gabor stimuli. By manipulating the carrier spatial frequency, we were able to reveal the spatial frequency tuning of stereopsis, spanning from coarse to fine, under blurred conditions. Our findings show that increasing monocular blur elevates stereoacuity thresholds ‘selectively’ at high spatial frequencies, gradually shifting the optimum frequency to lower spatial frequencies. Surprisingly, stereopsis for low frequency targets was only mildly affected even with an acuity difference of eight lines on a standard letter chart. Furthermore, we examined the effect of monocular blur on the size tuning function of stereopsis. The clinical implications of these findings are discussed.

Clinical Assessment of Stereoacuity and 3-D Stereoscopic Entertainment

Background/Aims: The perception of compelling depth is often reported in individuals where no clinically measurable stereoacuity is apparent. We aim to investigate the potential cause of this finding by varying the amount of stereopsis available to the subject, and assessing their perception of depth viewing 3-D video clips and a Nintendo 3DS.Methods: Monocular blur was used to vary interocular VA difference, consequently creating 4 levels of measurable binocular deficit from normal stereoacuity to suppression. Stereoacuity was assessed at each level using the TNO, Preschool Randot®, Frisby, the FD2, and Distance Randot®. Subjects also completed an object depth identification task using the Nintendo 3DS, a static 3DTV stereoacuity test, and a 3-D perception rating task of 6 video clips.Results: As intraocular VA differences increased, stereoacuity of the 57 subjects (aged 16–62 years) decreased (eg, 110”, 280”, 340”, and suppression). The ability to correctly identify depth on the Nintendo 3DS remained at 100% until suppression of one eye occurred. The perception of a compelling 3-D effect when viewing the video clips was rated high until suppression of one eye occurred, where the 3-D effect was still reported as fairly evident.Conclusion: If an individual has any level of measurable stereoacuity, the perception of 3-D when viewing stereoscopic entertainment is present. The presence of motion in stereoscopic video appears to provide cues to depth, where static cues are not sufficient. This suggests there is a need for a dynamic test of stereoacuity to be developed, to allow fully informed patient management decisions to be made.

Effect of induced monocular blur on monocular and binocular visual functions

Background and purpose: Anisometropia and surgical monovision is likely to have a detrimental impact on binocular visual functions. This study evaluates the effect of induced monocular blur in the form of a refractive defocus on visual functions and binocularity. Methods: An experimental study was conducted on 30 young emmetropic adults. Monocular myopia and hypermetropia was induced using 6 plus and minus spherical lenses in steps of 0.5 Dioptre ranging from +/-0.5DS to +/-3.00DS. Visual Acuity (LogMAR), contrast sensitivity (Pelli Robson), binocularity (Bagolini striated glasses) and stereoacuity (near Randot, distance Randot and Frisby davis Distance) were evaluated at baseline and each level of refractive defocus. Results: Induced monocular myopic shift resulted in reduction of visual acuity to 0.94 log MAR while hyperopic shift reduced visual acuity to 0.1 log MAR. Contrast sensitivity did not show a significant reduction with optical blur. Hyperopic shift did not hamper gross binocular visiona unlike myopic shift where distance binocular vision was elicited only till a +2D defocus and near binocular vision till a +3D defocus. Near stereopsis deteriorated with both a hyperopic and myopic blur but was not completely lost and could be elicited even with the maximal blur. Distance randot stereopsis was lost on inducing a +2.5D blur while Frisby Davis distance stereopsis was lost at +3D blur. Induced hyperopic shift did not lead to an absolute loss of distance stereopsis. Conclusion: Binocular visual functions were significantly affected by induced monocular blur through a spherical refractive defocus. Induced myopic shift caused significantly more stereo acuity loss than induced hyperopia. Optical blur impacts distance stereoacuity to a greater extent than near. Keywords: Binocularity, Defocus, Hyperopia, Optical blur, Myopia, Stereopsis, Stereo-acuity

Perceived Suprathreshold Depth Under Conditions that Elevate the Stereothreshold

Previous studies considered the possibility that individuals with impaired stereoacuity can be identified by estimating the perceived depth of a target with a suprathreshold retinal image disparity. These studies showed that perceived suprathreshold depth is reduced when the image presented to one eye is blurred, but they did not address whether a similar reduction of perceived depth occurs when the stereothreshold is elevated using other manipulations. Stereothresholds were measured in six adult observers for a pair of bright 1-degree vertical lines during normal viewing and under five conditions that elevated the stereothreshold: monocular dioptric blur, monocular glare, binocular luminance reduction, monocular luminance reduction, and imposed disjunctive image motion. The observers subsequently matched the perceived depth of degraded targets presented with crossed or uncrossed disparities corresponding to two, four, and six times the elevated stereothreshold for each stimulus condition. The image manipulations used elevated the stereothreshold by a factor of 3.7 to 5.5 times. For targets with suprathreshold disparities, monocular blur, monocular luminance reduction, and disjunctive image motion resulted in a significant decrease in perceived depth. However, the magnitude of perceived suprathreshold depth was unaffected when monocular glare was introduced or the binocular luminance of the stereotargets was reduced. Not all conditions that increase the stereothreshold reduce the perceived depth of targets with suprathreshold disparities. Observers who have poor stereopsis therefore may or may not exhibit an associated reduction of perceived suprathreshold depth.

Dmax for Stereoscopic Depth Perception with Simulated Monovision Correction

Persons who wear monovision correction typically receive a clear image in one eye and a blurred image in the other eye. Although monovision is known to elevate the minimum stereoscopic threshold (Dmin), it is uncertain how it influences the largest binocular disparity for which the direction of depth can reliably be perceived (Dmax). In this study, we compared Dmax for stereo when one eye's image is blurred to Dmax when both eyes' images are either clear or blurred. The stimulus was a pair of vertically oriented, random-line patterns. To simulate monovision correction with +1.5 or +2.5 D defocus, the images of the line patterns presented to one eye were spatially low-pass filtered while the patterns presented to the other eye remained unfiltered. Compared to binocular viewing without blur, Dmin is elevated substantially more in the presence of monocular than binocular simulated blur. Dmax is reduced in the presence of simulated monocular blur by between 13 and 44%, compared to when the images in both eyes are clear. In contrast, when the targets presented to both eyes are blurred equally, Dmax either is unchanged or increases slightly, compared to the values measured with no blur. In conjunction with the elevation of Dmin, the reduction of Dmax with monocular blur indicates that the range of useful stereoscopic depth perception is likely to be compressed in patients who wear monovision corrections.

Effects of Induced Monocular Blur versus Anisometropic Amblyopia on Saccades, Reaching, and Eye-Hand Coordination

We previously showed that anisometropic amblyopia affects the programming and execution of saccades and reaching movements. In our current study, we investigated whether these amblyopia-related changes simply are due to a reduction in visual acuity alone by inducing artificial blur in one eye in visually-normal participants. Twelve visually-normal participants performed saccades and reach-to-touch movements to targets presented on a computer screen during binocular and monocular viewing. A contact lens was used to blur the vision of one eye to a mean acuity level of 20/50. Saccades and reaching kinematics were compared before blur, immediately after blur, and 5 hours after blur was induced. The 5 hours after blur kinematic data from visually-normal participants also were compared to those from 12 patients with anisometropic amblyopia who had comparable acuity in the amblyopic eye. Primary saccades (latency, amplitude, peak velocity), reaching movements (reaction time, movement time, peak acceleration, duration of the acceleration phase), and eye-hand coordination (saccade-to-reach planning interval, saccade-to-reach peak velocity interval) were not affected by induced monocular blur in visually-normal participants, either immediately or 5 hours after blur. Compared to visually-normal participants after 5 hours of blur, patients with anisometropic amblyopia had significantly longer and more variable saccade latency during amblyopic eye viewing, lower peak acceleration, and a longer acceleration phase during reaching, and a different temporal pattern of eye-hand coordination. Artificially-induced monocular blur in visually-normal participants did not affect saccades, reaching movements, and eye-hand coordination during a simple reach-to-touch task even after a period of blur exposure. In contrast, patients with anisometropic amblyopia demonstrated significantly different kinematics while performing the same task. These results indicate that loss of visual acuity alone cannot explain the kinematic changes seen in patients with mild anisometropic amblyopia.

What Drives Adaptive Gait Changes to Acutely Presented Monocular Blur?

To determine whether gait alterations due to monocular spherical lens blur were a safety strategy or driven by lens magnification. Adaptive gait and visual function were measured in 10 older adults (mean age, 74.9 ± 4.8 years) with the participants' optimal refractive correction and when monocularly blurred with ±1.00 DS and ±2.00 DS lens over the dominant eye. Adaptive gait measurements for the lead and trail foot included foot position before the raised surface, toe clearance of the raised surface edge, and foot position on the raised surface. Vision measurements included binocular visual acuity, contrast sensitivity, and stereoacuity. Equal levels of monocular positive and negative spherical lens blur led to very different stepping strategies when negotiating a raised surface. Positive blur lenses led to an increased vertical toe clearance and reduced distance of the lead foot position on the raised surface. Negative lenses led to the opposite of these changes. Findings suggest that step negotiation strategies were driven by the magnification effect provided by the spherical lenses. Steps appeared closer and larger with magnification from positive lenses and further away and smaller with minification from negative lenses and gait was adjusted accordingly. These results suggest that previously reported adaptive gait changes to monocular spherical lens blur were not safety strategies as previously suggested but driven by lens magnification. The significance of these findings in terms of prescribing large refractive changes in frail older patients is discussed.

Paediatric hyperopia, accommodative esotropia and refractive amblyopia

Amblyopia is the most common cause of reduced vision in children and young people, affecting approximately two to three per cent of the population. Amblyopia is the consequence of disruption of the normal neurological development of the visual system and can occur with varying levels of severity. Clinically, amblyopia is diagnosed when there is a difference in visual acuity between the eyes of two or more logMAR lines and there is no sign of ocular or visual pathway disease. Careful examination using best practice techniques of the anterior segment and adnexa and of the posterior segment through dilated pupils is required to seek signs of other underlying ocular pathology. Amblyopia is usually classified according to the underlying cause. The most common causes are strabismus (misalignment of the eyes), anisometropia (significant difference in refractive error between eyes) and form deprivation (presence of medial opacity, such as cataract). Unilateral or bilateral amblyopia can arise secondary to a significant bilateral refractive error, while meridional amblyopia can arise from a significant astigmatic refractive error. These conditions create monocular blur or ocular misalignment, which if present during the critical period of visual development (up to about seven years of age)1 can lead to a loss or rearrangement of neural connections within the visual cortex. The relationship between strabismus and amblyopia is complex in that, as well as being a cause of amblyopia, strabismus and anisometropia can also both arise as a result of amblyopia.

Dichoptic Suppression of mfVEP Amplitude: Effect of Retinal Eccentricity and Simulated Unilateral Visual Impairment

To investigate the effect of retinal eccentricity on the phenomenon of dichoptic suppression of the mfVEP amplitude and to examine the relationship between the degree of simulated unilateral visual impairment and the possible release of dichoptic suppression in the contralateral eye. Eight subjects with corrected visual acuity (VAc) >6/6 and stereoacuity >60 sec arc underwent monocular and dichoptic pattern-pulse mfVEP. Dichoptic stimulation was repeated with refractively induced blur of one eye with +4-D and +6-D lenses above distance correction. Dichoptic recording resulted in significant reduction of averaged mfVEP amplitude (19.8% ± 4.9%, paired t-test, P = 0.00003). The magnitude of suppression, while statistically significant at all eccentricities, was significantly larger in the central part of the visual field and diminished toward the periphery. Refractive blur, used to simulate visual impairment produced variable degrees of amplitude reduction in the blurred eye and resulted in amplitude increases in the contralateral eye. There was a highly significant correlation between the magnitude of amplitude reduction in the blurred eye and increase in amplitude (i.e., release of dichoptic suppression) in the contralateral eye (r = 0.91, P < 0.0001). The study demonstrated that dichoptic stimulation results in eccentricity-dependent suppression of mfVEP amplitude. Factors affecting visual performance of one eye (monocular blur) promote the release of dichoptic suppression in the fellow (unaffected) eye. This phenomenon leads to an increase in intereye asymmetry and therefore may improve early detection of ocular diseases, especially monocular pathologic processes.

The effect of induced monocular blur on measures of stereoacuity

To determine the effect of induced monocular blur on stereoacuity measured with real depth and random dot tests. Monocular visual acuity deficits (range, 20/15 to 20/1600) were induced with 7 different Bangerter filters (<0.1, 0.1, 0.2, 0.3, 0.4, 0.8, and 1.0) in 15 visually normal adults. Stereoacuity was measured with Frisby and Frisby Davis Distance (FD2) real depth tests and Preschool Randot (PSR) and Distance Randot (DR) random dot tests. Stereoacuity results were grouped as either "fine" (<or=60 arcsec), "moderate" (>60 and <or=200 arcsec), or "coarse/nil" (>200 arcsec to nil) stereo. Across visual acuity deficits, stereoacuity was more severely degraded with random dot (PSR, DR) than with real depth (Frisby, FD2) tests. Degradation to worse-than-fine stereoacuity consistently occurred at 0.7 logMAR (20/100) or worse for Frisby, 0.1 logMAR (20/25) or worse for PSR, and 0.1 logMAR (20/25) or worse for FD2. There was no meaningful threshold for the DR because worse-than-fine stereoacuity was associated with -0.1 logMAR (20/15). Course/nil stereoacuity was consistently associated with 1.2 logMAR (20/320) or worse for Frisby, 0.8 logMAR (20/125) or worse for PSR, 1.1 logMAR (20/250) or worse for FD2, and 0.5 logMAR (20/63) or worse for DR. Stereoacuity thresholds are more easily degraded by reduced monocular visual acuity with the use of random dot tests (PSR and DR) than real depth tests (Frisby and FD2). We have defined levels of monocular visual acuity degradation associated with fine and nil stereoacuity. These findings have important implications for testing stereoacuity in clinical populations.

Gait Alterations Negotiating A Raised Surface Induced by Monocular Blur

Falls in the elderly are a major cause of serious injury and mortality. Impaired and absent stereopsis may be a significant risk factor for falls or hip fracture, although data from epidemiological studies are not consistent. Previous laboratory based studies, however, do suggest that stereoacuity is an important factor in adaptive gait. The present study investigates how acute impairment of stereopsis, through monocular blur of differing levels, ranging from 0.50 diopter (D) to a monovision correction affected gait when negotiating a raised surface in elderly subjects. Eleven elderly subjects (73.3 +/- 3.6 years) walked up to and negotiated a raised surface under nine visual conditions, binocular vision, one eye occluded and 0.50 D, 1.00 D and monovision correction (mean 2.50 D +/- 0.20 D) with blur and occlusion either over the dominant or non-dominant eye. Analysis focused on foot positioning and toe clearance parameters. There was no effect of ocular dominance on any parameters. Monocular blur impaired stereopsis (p < 0.01), with more minor effects on high and low contrast acuity. Vertical and horizontal lead limb toe clearance both increased under all levels of monocular blur including the lowest level of 0.50 DBlur (p = 0.03) and monovision correction led to toe clearance levels similar to that found with occlusion of one eye. Findings demonstrated that even small amounts of monocular blur can lead to a change in gait when negotiating a raised surface, suggesting acute monocular blur affected the ability to accurately judge the height of a step in the travel path. Further work is required to investigate if similar adaptations are used by patients with chronic monocular blur.