Measures Of Visual Sensitivity Research Articles

Diagnostic performance of pupil perimetry in detecting hemianopia under standard and virtual reality viewing conditions.

To determine the diagnostic performance and reliability of two pupil perimetry (PP) methods in homonymous hemianopia. This cross-sectional monocenter cohort study performed gaze-contingent flicker PP (gcFPP) and a virtual reality version of gcFPP (VRgcFPP) twice on separate occasions in all patients suffering from homonymous hemianopia due to neurological impairment. The main outcomes were (1) test accuracy and (2) test-retest reliability: (1) was measured through area under the receiver operating characteristics curve (AUC) calculation of (VR)gcFPP results with comparators being SAP and healthy controls, respectively; (2) was evaluated by comparing tests 1 and 2 of both methods within patients. Both gcFPP and VRgcFPP were performed in 15 patients (12 males, MAge = 57, SDAge = 15) and 17 controls (6 males, MAge = 53, SDAge = 12). Mean test accuracy was good in separating damaged from intact visual field regions (gcFPP: Mauc = 0.83, SDauc = 0.09; VRgcFPP: Mauc = 0.69,SDauc = 0.13) and in separating patients from controls (gcFPP: Mauc = 0.92,SDauc = 0.13; VRgcFPP: Mauc = 0.96,SDauc = 0.15). A high test-retest reliability was found for the proportion intact versus damaged visual field (gcFPP: r = 0.95, P < .001, VRgcFPP: r = 1.00, P < .001). Overall, these results can be summarized as follows: (1) the comparison of pupil response amplitudes between intact versus damaged regions per patient indicate that gcFPP allows for cleaner imaging of intact versus damaged visual field regions than VRgcFPP, (2) the comparisons of average differences in intact versus damaged amplitudes between patients and controls demonstrate high diagnostic performance of both gcFPP and VRgcFPP, and (3) the test-retest reliabilities confirm that both gcFPP and VRgcFPP reliably and consistently measure defects in homonymous hemianopia. KEY MESSAGES: What is known Standard automated perimetry is the current gold standard for visual field examination, but not always suited for the evaluation of the VF in neurologically impaired patients. Pupil perimetry consists of the measurement of pupillary responses to light stimuli as a measure of visual sensitivity. What is new This study reports the highest diagnostic accuracy of pupil perimetry so far in patients with homonymous hemianopia. Gaze-contingent flicker pupil perimetry reliably and consistently measures defects in homonymous hemianopia under standard and virtual reality viewing conditions.

Relationships between mesopic visual sensitivity and macular inner and outer retinal layer thickness in healthy younger, middle-aged and older adults.

To examine relationships between mesopic visual sensitivity measurements on microperimetry and macular inner and outer retinal layer (IRL and ORL) thicknesses in healthy younger, middle-aged and older subjects. In total, 154 healthy adults were divided into three age groups each with similar mean sensitivity. Regional retinal sensitivity (determined by mesopic fundus-controlled microperimetry) and IRL (ganglion cell-related layer) and ORL thicknesses were measured in the five subfields: central fovea (1 mm diameter) and the quadrants temporal, nasal, superior and inferior of a parafoveal ring of outer diameter 3 mm and inner diameter 1 mm. Relationships between regional sensitivity and corresponding IRL and ORL thicknesses were assessed through a univariate and multivariate linear regression model. Visual sensitivity means for each subfield differed across age groups (all p < 0.001). In each parafoveal ring quadrant, mean IRL thickness was reduced in the older eyes compared to the other groups (all p < 0.0001). In the inferior region, worse sensitivity was correlated with greater IRL thickness (p = 0.0207) in the middle-aged group and with a thicker ORL (p < 0.0001) and thinner IRL (p = 0.0003) in the older eyes (R2 = 0.51). The slopes of regression lines relating sensitivity to IRL thickness and age group (p = 0.0027) or to ORL thickness and age group (p = 0.0020) differed significantly. The relationship observed between mesopic visual sensitivity and retinal layer thickness varied with age. A worse sensitivity was related to a thicker macular IRL layer in middle-aged eyes and to a thicker ORL and thinner IRL in older eyes.

Systematic Underestimation of Visual Sensitivity Loss on Microperimetry: Implications for Testing Protocols in Clinical Trials.

To examine whether systematic changes in visual sensitivity measurements on microperimetry occur over tests within the same session and whether these changes vary according to the level of visual sensitivity loss. Eighty individuals with glaucoma or atrophic age-related macular degeneration underwent three microperimetry tests in one eye during one session using the 4-2 staircase strategy. Changes in mean sensitivity (MS) and pointwise sensitivity (PWS) between the first and second test pairs were examined, with PWS was examined separately based on its average value across the three tests in 6-dB bins. The coefficient of repeatability (CoR) for MS between each sequential test pair was also calculated. There was a significant decline in MS from the first to second test (P = 0.001), but no significant difference in MS was seen between the second and third tests (P = 0.562). This significant decline in the first test pair was observed in locations with an average PWS of <6 dB or between 6 to 12 dB and between 12 to 18 dB (P < 0.001), but not for all other average PWS bins (P ≥ 0.337). The CoR of MS was significantly lower in the second compared to the first test pair (1.4 dB and 2.5 dB, respectively; P < 0.001). The 4-2 staircase strategy conventionally used on microperimetry testing systematically underestimates visual sensitivity loss on the first test. The consistency and accuracy of visual sensitivity measurements on microperimetry in clinical trials could be markedly improved by using estimates from an initial test to seed subsequent tests and excluding this first test from analyses.

Differential effects of intra-modal and cross-modal reward value on perception: ERP evidence.

In natural environments objects comprise multiple features from the same or different sensory modalities but it is not known how perception of an object is affected by the value associations of its constituent parts. The present study compares intra- and cross-modal value-driven effects on behavioral and electrophysiological correlates of perception. Human participants first learned the reward associations of visual and auditory cues. Subsequently, they performed a visual discrimination task in the presence of previously rewarded, task-irrelevant visual or auditory cues (intra- and cross-modal cues, respectively). During the conditioning phase, when reward associations were learned and reward cues were the target of the task, high value stimuli of both modalities enhanced the electrophysiological correlates of sensory processing in posterior electrodes. During the post-conditioning phase, when reward delivery was halted and previously rewarded stimuli were task-irrelevant, cross-modal value significantly enhanced the behavioral measures of visual sensitivity, whereas intra-modal value produced only an insignificant decrement. Analysis of the simultaneously recorded event-related potentials (ERPs) of posterior electrodes revealed similar findings. We found an early (90-120 ms) suppression of ERPs evoked by high-value, intra-modal stimuli. Cross-modal stimuli led to a later value-driven modulation, with an enhancement of response positivity for high- compared to low-value stimuli starting at the N1 window (180-250 ms) and extending to the P3 (300-600 ms) responses. These results indicate that sensory processing of a compound stimulus comprising a visual target and task-irrelevant visual or auditory cues is modulated by the reward value of both sensory modalities, but such modulations rely on distinct underlying mechanisms.

Cortical visual impairment at birth can be improved rapidly by vision training in adulthood: A case study.

Cortical visual impairment (CVI) is a severe loss of visual function caused by damage to the visual cortex or its afferents, often as a consequence of hypoxic insults during birth. It is one of the leading causes of vision loss in children, and it is most often permanent. Several studies have demonstrated limited vision restoration in adults who trained on well-controlled psychophysical tasks, after acquiring CVI late in life. Other studies have shown improvements in children who underwent vision training. However, little is known about the prospects for the large number of patients who acquired CVI at birth but received no formal therapy as children. We, therefore, conducted a proof-of-principle study in one CVI patient long after the onset of cortical damage (age 18), to test the training speed, efficacy and generalizability of vision rehabilitation using protocols that had previously proven successful in adults. The patient trained at home and in the laboratory, on a psychophysical task that required discrimination of complex motion stimuli presented in the blind field. Visual function was assessed before and after training, using perimetric measures, as well as a battery of psychophysical tests. The patient showed remarkably rapid improvements on the training task, with performance going from chance to 80% correct over the span of 11 sessions. With further training, improved vision was found for untrained stimuli and for perimetric measures of visual sensitivity. Some, but not all, of these performance gains were retained upon retesting after one year. These results suggest that existing vision rehabilitation programs can be highly effective in adult patients who acquired CVI at a young age. Validation with a large sample size is critical, and future work should also focus on improving the usability and accessibility of these programs for younger patients.

The neural correlates of domain-general visual ability.

People vary in their general ability to compare, identify, and remember objects. Research using latent variable modeling identifies a domain-general visual recognition ability (called o) that reflects correlations among different visual tasks and categories. We measure associations between a psychometrically-sensitive measure of o and a neurometrically-sensitive measure of visual sensitivity to shape. We report evidence for distributed neural correlates of o using functional and anatomical regions-of-interest (ROIs) as well as whole brain analyses. Neural selectivity to shape is associated with o in several regions of the ventral pathway, as well as additional foci in parietal and premotor cortex. Multivariate analyses suggest the distributed effects in ventral cortex reflect a common mechanism. The network of brain areas where neural selectivity predicts o is similar to that evoked by the most informative features for object recognition in prior work, showing convergence of 2 different approaches on identifying areas that support the best object recognition performance. Because o predicts performance across many visual tasks for both novel and familiar objects, we propose that o could predict the magnitude of neural changes in task-relevant areas following experience with specific task and object category.

Virtual Reality Oculokinetic Perimetry Test Reproducibility and Relationship to Conventional Perimetry and OCT.

PurposeVivid Vision Perimetry (VVP; Vivid Vision, Inc) is a novel method for performing in-office and home-based visual field assessment using a virtual reality platform and oculokinetic perimetry. Here we examine the reproducibility of VVP Swift and compare results with conventional standard automated perimetry (SAP) and spectral-domain (SD) OCT.DesignCross-sectional study.ParticipantsFourteen eyes of 7 patients with open-angle glaucoma (OAG) (average age, 64.6 years; 29% women) and 10 eyes of 5 patients with suspected glaucoma (average age, 61.8 years; 40% women) were enrolled.MethodsPatients with OAG and suspected glaucoma were enrolled prospectively and underwent 2 VVP Swift examinations. Results were compared with 1 conventional SAP examination (Humphrey Visual Field [HVF]; Zeiss) and 1 SD OCT examination.Main Outcome MeasuresMean sensitivity (in decibels) obtained for each eye in 2 VVP Swift test sessions and a conventional SAP examination, thickness of the retinal nerve fiber layer (RNFL) and ganglion cell complex (GCC) for the SD OCT examination, and mean test durations of the VVP Swift and SAP examinations.ResultsThe mean test duration of VVP Swift in both eyes (8.5 minutes) was significantly shorter (P < 0.001) than SAP (12.2 minutes). The average absolute difference of the mean sensitivity between the 2 VVP Swift sessions was found to be 0.73 dB (95% confidence interval [CI], 0.40–1.06). A statistically significant association was found between average mean sensitivity measurements from the VVP and mean deviation (MD) measurements obtained by the HVF with a Pearson correlation coefficient of 0.86 (95% CI, 0.70–0.94; P < 0.001). Mean visual sensitivity measurements from the VVP Swift test were significantly associated with average RNFL thickness (r = 0.66; P = 0.014) and GCC thickness (r = 0.63; P = 0.02), whereas the correlation coefficients between HVF MD and RNFL and GCC were 0.86 (P < 0.001) and 0.83 (P < 0.001), respectively.ConclusionsOur results demonstrated that the VVP Swift test can generate reproducible results and is comparable with conventional SAP. This suggests that the device can be used by clinicians to assess visual function in glaucoma.

Relationship of Macular Thickness and Function to Optical Microangiography Measurements in Glaucoma.

The purpose of this article was to evaluate the relationship between macular optical microangiography (OMAG), ganglion cell-inner plexiform layer (GCIPL) thickness, and visual sensitivity measurements of different macular sectors in primary open-angle glaucoma. In a cross-sectional study, 39 eyes of 26 primary open-angle glaucoma patients underwent optical coherence tomography imaging and 10-2 visual field examination of the macula in the same session. Linear regression models were used to evaluate the relationships between OMAG, GCIPL thickness, and visual sensitivity measurements in different macular sectors. Strength of relationship was reported as coefficient of determination (R). R values for the associations between OMAG and GCIPL thickness measurements ranged from 0.37 in the temporal sector to 0.56 in the inferior macular sector. R values for the association between OMAG and visual sensitivity measurements ranged from 0.23 in the superior to 0.53 in the inferior macular sector. R values for the association between GCIPL thickness and visual sensitivity measurements ranged from 0.15 in the superior to 0.62 in the temporal sector. The strongest associations between OMAG, GCIPL thickness, and visual sensitivity measurements were found in the inferior macular sector. The association of OMAG with GCIPL thickness measurements was as strong as the association between OMAG and visual sensitivity measurements in the inferior macular sector.

Diagnostic Ability and Structure-function Relationship of Peripapillary Optical Microangiography Measurements in Glaucoma.

The aim of this study was to evaluate the diagnostic abilities of peripapillary optical microangiography (OMAG) measurements in eyes with primary open-angle glaucoma (POAG) and to evaluate the relationship of these measurements with retinal nerve fiber layer (RNFL) thickness and visual sensitivities in different peripapillary sectors. In a cross-sectional study, 97 eyes of 57 control subjects and 101 eyes of 66 POAG patients underwent OMAG and RNFL imaging with optical coherence tomography. POAG was diagnosed on the basis of the masked evaluation of optic disc stereo photographs. Area under receiver operating characteristic curves and sensitivities at 90% specificity of the OMAG and RNFL thickness measurements in different peripapillary sectors were evaluated. Association between OMAG, RNFL thickness, and visual sensitivity measurements were evaluated using fractional polynomial regression models. All OMAG and RNFL measurements were significantly less in the POAG compared with the control eyes. Diagnostic abilities of the best OMAG measurement (inferior sector vessel length density, area under receiver operating characteristic curves: 0.84, sensitivity at 90%, specificity: 65%) were significantly less (P<0.05) than that of the best RNFL measurement (inferior sector RNFL thickness, 0.94 and 81%). Inferior sector vessel length density showed the strongest association with inferior sector RNFL thickness (R=0.66, P<0.001) and the superior sector visual sensitivity loss (R=0.21, P=0.006). The inferior sector OMAG measurements had the best diagnostic ability in glaucoma and the strongest association with RNFL and the visual sensitivity measurements. Diagnostic ability of OMAG measurements, however, were significantly less than the RNFL thickness measurements.

Visual detection thresholds in two trophically distinct fishes are compromised in algal compared to sedimentary turbidity.

Increasing anthropogenic turbidity is among the most prevalent disturbances in freshwater ecosystems, through increases in sedimentary deposition as well as the rise of nutrient-induced algal blooms. Changes to the amount and color of light underwater as a result of elevated turbidity are likely to disrupt the visual ecology of fishes that rely on vision to survive and reproduce; however, our knowledge of the mechanisms underlying visual responses to turbidity is lacking. First, we aimed to determine the visual detection threshold, a measure of visual sensitivity, of two ecologically and economically important Lake Erie fishes, the planktivorous forage fish, emerald shiner (Notropis atherinoides), and a primary predator, the piscivorous walleye (Sander vitreus), under sedimentary and algal turbidity. Secondly, we aimed to determine if these trophically distinct species are differentially impacted by increased turbidity. We used the innate optomotor response to determine the turbidity levels at which individual fish could no longer detect a difference between a stimulus and the background (i.e. visual detection threshold). Detection thresholds were significantly higher in sedimentary compared to algal turbidity for both emerald shiner (meansediment ± SE = 79.66 ± 5.51 NTU, meanalgal ± SE = 34.41 ± 3.19 NTU) and walleye (meansediment ± SE = 99.98 ± 5.31 NTU, meanalgal ± SE = 40.35 ± 2.44 NTU). Our results suggest that across trophic levels, the visual response of fishes will be compromised under algal compared to sedimentary turbidity. The influence of altered visual environments on the ability of fish to find food and detect predators could potentially be large, leading to population- and community-level changes within the Lake Erie ecosystem.

The external noise normalized gain profile of spatial vision.

The contrast sensitivity function (CSF), a measure of visual sensitivity to a wide range of spatial frequencies, has been widely used as the gain profile of the front-end filter of the visual system to predict how we perceive spatial patterns. However, the CSF itself is determined by the gain profile and other processing inefficiencies of the visual system; it may be problematic to use the CSF as the gain profile in observer models. Here, we applied the external noise paradigm and the perceptual template model (PTM) to characterize several major properties of the visual system. With the external noise normalized gain profile, nonlinearity, and internal additive and multiplicative noises, the PTM accounted for 92.8% of the variance in the experiment data measured in a wide range of conditions and revealed the major processing components that determine the CSF. Unlike the CSF, the external noise normalized gain profile of the visual system is relatively flat across a wide range of spatial frequencies. The results may have major implications for understanding normal and abnormal spatial vision.

Measurement of visual sensitivity in migraine: Validation of two scales and correlation with visual cortex activation.

The objectives of this article are to compare interictal and ictal visual sensitivity between migraine and controls using two published questionnaires, and to correlate responses with a physiologic measure of visual cortex activation. Migraine with (MWA, n = 51) and without (MwoA, n = 45) aura and control individuals (n = 45) were enrolled and underwent BOLD fMRI with a visual stimulus. The visual discomfort score (VDS) assessed interictal and the migraine photophobia score (MPS) assessed ictal visual sensitivity. VDS was significantly higher both in MWA and MwoA vs controls (both p = 0.0001). MPS was greater in MWA vs MwoA (p = 0.008). Ictal and interictal visual sensitivity strongly correlated in MWA (p = 0.004) but not MwoA patients (p = 0.12). BOLD activation in visual cortex was greater in MWA vs controls (2.7% vs 2.3%, p = 0.003) but similar between MwoA and controls. Increasing VDS was associated with greater BOLD signal change in MWA (p = 0.03) but not MwoA (p = 0.65) or controls (p = 0.53). MPS did not correlate with BOLD activation in either group. Increased interictal visual sensitivity is present both in MWA and MwoA. However, the correlation with ictal visual sensitivity and with cortical hyper-responsivity varies between MWA and MwoA, suggesting underlying differences between groups.

Reach preparation enhances visual performance and appearance

We investigated the impact of the preparation of reach movements on visual perception by simultaneously quantifying both an objective measure of visual sensitivity and the subjective experience of apparent contrast. Using a two-by-two alternative forced choice task, observers compared the orientation (clockwise or counterclockwise) and the contrast (higher or lower) of a Standard Gabor and a Test Gabor, the latter of which was presented during reach preparation, at the reach target location or the opposite location. Discrimination performance was better overall at the reach target than at the opposite location. Perceived contrast increased continuously at the target relative to the opposite location during reach preparation, that is, after the onset of the cue indicating the reach target. The finding that performance and appearance do not evolve in parallel during reach preparation points to a distinction with saccade preparation, for which we have shown previously there is a parallel temporal evolution of performance and appearance. Yet akin to saccade preparation, this study reveals that overall reach preparation enhances both visual performance and appearance.

A Display-based Visual Stimulator for Psychophysical and Electrophysiological Color Sensitivity Measurements

We present a display-based visual stimulator for psychophysical and electrophysiological visual sensitivity measurements. The stimulator offers various psychophysical visual stimuli and transfers the signals from external devices along with the stimulation signals to an electrophysiological recorder. As an experimental demonstration, we perform a visual sensitivity experiment in the mesopic vision range by using the display-based stimulator. The intensity of the steady-state visual evoked potential is observed to correlate with the luminance of the flickering visual stimulation. For the psychophysically determined detection thresholds, we determine the mesopic luminance, showing agreement with the perceived brightness within the uncertainty of the luminance measurement.

Correlation between visual sensitivity loss and years affected for eyes with retinitis pigmentosa

To determine the best clinical measures of visual sensitivity for monitoring disease progression in eyes with retinitis pigmentosa (RP). This survey retrospectively studied results from the Humphrey perimetry central 10-2 program for 123 eyes with RP with regard to the correlation between years affected by RP and clinical measures of visual dysfunction, including mean deviation (MD), average sensitivity of 12 test points (CENT12), average sensitivity of 4 central points (CEN4), foveal threshold (FT), and logarithm of the minimum angle of resolution (LogMAR). All these value correlated more highly with years of symptoms (P < 0.001 for all) than with years since diagnosis. The correlation coefficient with years of symptoms decreased in the order MD, CENT12, CENT4, FT, and LogMAR. The order differed for a subset of 66 eyes with advanced RP having -15 dB or lower MD, and decreased in the order FT, CENT4, LogMAR and CENT12. Progression in eyes with RP could be well assessed by use of the MD of the Humphrey central 10-2 program in general and by use of FT, CENT4, and CENT12 in cases of advanced RP.

Improved Visual Cognition through Stroboscopic Training

Humans have a remarkable capacity to learn and adapt, but surprisingly little research has demonstrated generalized learning in which new skills and strategies can be used flexibly across a range of tasks and contexts. In the present work we examined whether generalized learning could result from visual–motor training under stroboscopic visual conditions. Individuals were assigned to either an experimental condition that trained with stroboscopic eyewear or to a control condition that underwent identical training with non-stroboscopic eyewear. The training consisted of multiple sessions of athletic activities during which participants performed simple drills such as throwing and catching. To determine if training led to generalized benefits, we used computerized measures to assess perceptual and cognitive abilities on a variety of tasks before and after training. Computer-based assessments included measures of visual sensitivity (central and peripheral motion coherence thresholds), transient spatial attention (a useful field of view – dual task paradigm), and sustained attention (multiple-object tracking). Results revealed that stroboscopic training led to significantly greater re-test improvement in central visual field motion sensitivity and transient attention abilities. No training benefits were observed for peripheral motion sensitivity or peripheral transient attention abilities, nor were benefits seen for sustained attention during multiple-object tracking. These findings suggest that stroboscopic training can effectively improve some, but not all aspects of visual perception and attention.

People watching: visual, motor, and social processes in the perception of human movement.

Successful social behavior requires the accurate perception and interpretation of other peoples' actions. In the last decade, significant progress has been made in understanding how the human visual system analyzes bodily motion. Neurophysiological studies have identified two neural areas, the superior temporal sulcus (STS) and the premotor cortex, which play key roles in the visual perception of human movement. Patterns of neural activity in these areas are reflective of psychophysical measures of visual sensitivity to human movement. Both vary as a function of stimulus orientation and global stimulus structure. Human observers and STS responsiveness share some developmental similarities as both exhibit sensitivities that become increasingly tuned for upright, human movement. Furthermore, the observer's own visual and motor experience with an action as well as the social and emotional content of that action influence behavioral measures of visual sensitivity and patterns of neural activity in the STS and premotor cortex. Finally, dysfunction of motor processes, such as hemiplegia, and dysfunction of social processes, such as Autism, systematically impact visual sensitivity to human movement. In sum, a convergence of visual, motor, and social processes underlies our ability to perceive and interpret the actions of other people. WIREs Cogn Sci 2011 2 68-78 DOI: 10.1002/wcs.88 For further resources related to this article, please visit the WIREs website.

Age-Related Losses of Retinal Ganglion Cells and Axons

Age-related losses in retinal nerve fiber layer (RNFL) thickness have been assumed to be the result of an age-dependent reduction of retinal ganglion cells (RGCs), but the published rates differ: age-related losses of RGCs of approximately 0.6%/year compared to 0.2%/year for thinning of the RNFL. An analysis of normative data for standard automated perimetry (SAP) sensitivities and optical coherence tomography (OCT) measures of RNFL thickness showed that the apparent disagreement in age-dependent losses of RGCs and axons in the RNFL can be reconciled by an age-dependent decrease in the proportion of the RNFL thickness that is composed of axons. The purpose of the present study was to determine whether the mechanisms of age-related losses that were suggested by the normative data can be confirmed with data from healthy, normal eyes. Data were obtained from visual fields (normal results in a Glaucoma Hemifield Test [GHT] on standard automated perimetry [SAP] 24-2 fields) and RNFL thickness measurements (standard OCT scan) of 55 patients (age range, 18-80 years; mean, 44.5 +/- 17.3). The SAP measures of visual sensitivity and OCT measures of RNFL thickness for one eye of each patient were used to estimate neuron counts by each procedure. The age-related thinning of RNFL was 0.27%/year when a constant axon density was used to derive axon counts from RNFL thickness, compared with 0.50%/year for the age-related loss of RGCs from SAP. In agreement with the model developed with normative clinical data, concordance between losses of axons and soma was achieved by an age-dependent reduction of 0.46%/year in the density of axons in the RNFL. The results suggest that the proportion of RNFL that is composed of RGC axons is not constant with age; rather, the proportion of the total thickness from non-neuronal tissue increases with age. If a similar compensation occurs in the RNFL thickness with axon loss from glaucoma, then a stage-dependent correction to translate OCT measurements to neuronal components is needed, in addition to the age-dependent correction.

Contrasting Blue-on-Yellow with White-on-White Visual Fields: Roles of Visual Adaptation for Healthy Peri- or Postmenopausal Women Younger Than 70 Years of Age

To test the hypothesis that differences between short-wavelength automated perimetry (SWAP) and white-on-white visual field sensitivities are related to between-individual variation in the visual adaptation properties of SWS cone pathways. Twenty-six healthy amenorrheic (peri- or postmenopausal) women not using hormonal medication were tested. Subjects ranged in age from 48 to 68 years. They were tested by using foveal increment-threshold techniques and also with two types of 24-2 visual field tests: a full-threshold SWAP blue-on-yellow (B/Y) test and a white-on-white (W/W) test obtained using a Swedish Interactive Threshold Algorithm (SITA Standard). The age-corrected sensitivity differences between the two types of visual fields were compared against foveal measures of visual sensitivity and adaptation, which were obtained psychophysically using dim and bright yellow backgrounds. All measurements for each subject were made at a single testing session. The comparisons were made for the entire visual field and for separate portions of the visual field. The analyses also included pupil size data obtained during visual field testing. The B/Y minus W/W (B/Y - W/W) mean deviation difference was described (R = 0.80) by a multilinear model with three significant factors: (1) an adaptation factor and (2) a baseline sensitivity factor, each derived from the foveal psychophysical data for short-wavelength test stimuli, and (3) a pupil size factor, as recorded for SWAP. The total deviation differences in the periphery of the visual field (approximately 22 degrees from fixation) were described (R = 0.87) by a model with four significant factors, the fourth being an "eccentricity factor" describing the rate of change of the B/Y - W/W total deviation difference measured as a function of increasing retinal eccentricity approximately 9 degrees -17 degrees from fixation. More than 40% of the variance in the B/Y - W/W mean deviation differences was accounted for either directly or indirectly (via effects of pupil size) by variations in adaptation to the yellow background used for SWAP. Much of the extra variability in SWAP sensitivities for a select group of healthy women can be accounted for by differences in the degree of desensitization induced by the yellow background used for SWAP. For clinical practice, pupil status (dilated or undilated) should be altered only with caution from one SWAP testing session to another.

Comment on ‘Mesopic models / from brightness matching to visual performance in night-time driving: a review’ by M Eloholma, M Viikari, L Halonen, H Walkey, T Goodman, J Alferdinck, A Frieding, P Bodrogi and G Várad

A previous work summarized the history of the measurement of visual sensitivity to identify the problems inherent in mesopic photometry. The authors stated that in practical lighting applicatons, the detection and recognition of visual objects at or near visual threshold, and the reaction time needed to perceive objects in the visual field, are more relevant than the visual assessment of brightness. In this paper, Fotios comments on the study's results particularly on differences in spectral sensitivity between people of different nationalities. He emphasizes that brightness should not be relegated as it is a fundamental visual perception that is related to the amount of light present, and that in turn related to how well one can see. For their part, the authors of the previous study emphasize that visual task perception is not based on brightness itself but contrast.