Purpose: We have shown previously that proximal stimulation using size change can enhance or degrade accommodation step responses in open and closed loop conditions. The aim of the current experiment is to determine the relationship between the perceptual response to proximal stimulation based on size change and blur change for a range of target vergences.Methods: Perceptual thresholds for pure blur change, pure size change, coherent blur and size change and conflicting blur and size change were measured monocularly in 12 visually normal subjects (mean refractive error of ‐0.79D ± 2.41D and mean age 25.17 years ±3.10 years) using a 2‐alternative forced‐choice technique with 20 presentations per condition. Threshold estimates were obtained from psychometric functions using the bootstrap method. All subjects were fully corrected and had normal amplitudes of accommodation for their age. Threshold for proximal perception to blur only stimulation was established using target vergence changes of 0, 1, 2 and 3D. The effect of size change was then assessed at the same four levels of blur change. Stimuli were presented randomly with the position of the near and far vergences also randomised. This was repeated under four conditions: (1) Blur only. (2) Size only. (3) Size change coherent with the vergence change. (4) Size change conflicting with the vergence change.Targets consisted of pairs of photographic slides that contained strong monocular size and depth cues which were viewed successively in a 4D Badal lens system. On each trial the subjects compared the perceived proximity of the targets.Results: Considerable individual variation was found in the subject's perceptual responses to the four experimental conditions presented. The responses of all subjects were predicted by one of the following rules: (1) No effect of size. (2) Blur and size interact constructively. (3) No effect of blur. (4) Blur elicits a proximal response but size is used to determine the direction of the proximal effect.Without any size cue, eight subjects (66%) identified the direction of the vergence change correctly while the remaining subjects consistently perceived the target with lower dioptric vergence to be closer. The threshold required to accurately determine proximity from blur only cues was 2.27D ± 0.31D. In the absence of blur, size cues induced a proximal effect in 33% (n = 4) subjects. The combination of size and blur cues produced a variety of response patterns, some subjects’ responses were dominated by blur cues while others relied heavily on size stimulation.Conclusions: Our ability to perceive a target as close can be dependent upon either size and/or accommodation signals. Interactions between the stimuli of dioptric target vergence and target size were found to be additive for producing a perceived proximity response.
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