Gaze-contingent flicker pupil perimetry detects scotomas in patients with cerebral visual impairments or glaucoma

The pupillary light reflex is weaker for stimuli presented inside as compared to outside absolute scotomas. Pupillograph perimetry could thus be an objective measure of impaired visual processing. However, the diagnostic accuracy in detecting scotomas has remained unclear. We quantitatively investigated the accuracy of a novel form of pupil perimetry. The new perimetry method, termed gaze-contingent flicker pupil perimetry, consists of the repetitive on, and off flickering of a bright disk (2 hz; 320 cd/m; 4° diameter) on a gray background (160 cd/m) for 4 seconds per stimulus location. The disk evokes continuous pupil oscillations at the same rate as its flicker frequency, and the oscillatory power of the pupil reflects visual sensitivity. We monocularly presented the disk at a total of 80 locations in the central visual field (max. 15°). The location of the flickering disk moved along with gaze to reduce confounds of eye movements (gaze-contingent paradigm). The test lasted ~5 min per eye and was performed on 7 patients with cerebral visual impairment (CVI), 8 patients with primary open angle glaucoma (age >45), and 14 healthy, age/gender-matched controls. For all patients, pupil oscillation power (FFT based response amplitude to flicker) was significantly weaker when the flickering disk was presented in the impaired as compared to the intact visual field (CVI: 12%, AUC = 0.73; glaucoma: 9%, AUC = 0.63). Differences in power values between impaired and intact visual fields of patients were larger than differences in power values at corresponding locations in the visual fields of the healthy control group (CVI: AUC = 0.95; glaucoma: AUC = 0.87). Pupil sensitivity maps highlighted large field scotomas and indicated the type of visual field defect (VFD) as initially diagnosed with standard automated perimetry (SAP) fairly accurately in CVI patients but less accurately in glaucoma patients. We provide the first quantitative and objective evidence of flicker pupil perimetry's potential in detecting CVI-and glaucoma-induced VFDs. Gaze-contingent flicker pupil perimetry is a useful form of objective perimetry and results suggest it can be used to assess large VFDs with young CVI patients whom are unable to perform SAP

Maintaining fixation by children in a virtual reality version of pupil perimetry

The assessment of visual field sensitivities in young children continues to be a challenge. Children often do not sit still, fail to fixate stimuli for longer durations, and have limited verbal capacity to report visibility. We investigated the use of a head-mounted VR display, gaze-contingent flicker pupil perimetry (gcFPP), and three fixation stimulus conditions to determine best practices for optimal fixation and pupil response quality. A total of twenty children (3-11y) passively fixated a dot, counted the repeated appearance of an animated character, and watched an animated movie in separate trials of 80s each. We presented large flickering patches at different eccentricities and angles in the periphery to evoke pupillary oscillations (20 locations, 4s per location). The results showed that gaze precision and accuracy did not differ significantly across the fixation conditions but pupil amplitudes were strongest for the dot and count task. We recommend the use of the fixation counting task for pupil perimetry because children enjoyed it the most and it achieved strongest pupil responses. The VR set-up appears to be an ideal apparatus for children to allow free range of movement, an engaging visual task, and reliable eye measurements

Measuring cognitive state from physiological signals in user interface research

The purpose of this Thesis is to investigate how modern technology can be used for evaluating human cognitive state in the context of human-computer interaction, namely user interface (UI) research. In this work two types of physiological data were collected to measure cognitive load during a task which requires some degree of human-computer interaction. A near-infrared spectroscopy device and eye tacker were used to evaluate cognitive load level during the task and provide an insight into how these data might be used in an adaptive real-time system. A mental calculation task was used as the cognitively demanding learning task, which challenges working memory. Additional difficulty was added using the task presentation: mathematical expressions were either static or moving from the top to the bottom of the screen. Results indicate that tasks of different mental complexity elicit different cognitive responses. With careful interpretation this information can be used in designing environments, suitable for the user. This work have shown that in designing the systems which use physiological measurements, it is crucial to know the possible sources of the noise. For example, in pupillary measurements it is important to control for luminance and physiological changes which affect pupil size along with cognitive load, or to develop methods which discriminate between task-evoked pupil response from other responses. For any real-time system it is necessary to develop the fast and efficient algorithms which produce reliable results with minimal training of the models

Error blindness and motivational significance: Shifts in networks centering on anterior insula co-vary with error awareness and pupil dilation

This investigation aims to further our understanding of the brain mechanisms underlying the awareness of one's erroneous actions. While all errors are registered as such in the rostral cingulate zone, errors enter awareness only when the anterior insula cortex is activated. Aware but not unaware errors elicit autonomic nervous system reactivity. Our aim is to investigate the hypothesis that activation in the insula during error awareness is related to autonomic arousal and to inter-regional interactions with other areas of the brain. To examine the role of the anterior insula in error awareness, we assessed its functional connectivity to other brain regions along with autonomic nervous system reactivity in young healthy participants who underwent simultaneous pupil-diameter and functional magnetic resonance imaging measurements while performing a complex and error-prone task. Error blindness was associated with failures to engage sufficient autonomic reactivity. During aware errors increased pupil-diameter along with increased task-related activation within, and increased connectivity between anterior insula and task-related networks suggested an increased capacity for action-control information transfer. Increased pupil-diameter during aware errors was furthermore associated with decreased activation of the default-mode network along with decreased insular connectivity with regions of the default mode system, possibly reflecting decreased task-irrelevant information processing. This shifting mechanism may be relevant to a better understanding of how the brain and the autonomic nervous system interact to enable efficient adaptive behavior during cognitive challenge

Automatic Stress Classification With Pupil Diameter Analysis

This article proposes a method based on wavelet transform and neural networks for relating pupillary behavior to psychological stress. The proposed method was tested by recording pupil diameter and electrodermal activity during a simulated driving task. Self-report measures were also collected. Participants performed a baseline run with the driving task only, followed by three stress runs where they were required to perform the driving task along with sound alerts, the presence of two human evaluators, and both. Self-reports and pupil diameter successfully indexed stress manipulation, and significant correlations were found between these measures. However, electrodermal activity did not vary accordingly. After training, the four-way parallel neural network classifier could guess whether a given unknown pupil diameter signal came from one of the four experimental trials with 79.2% precision. The present study shows that pupil diameter signal has good discriminating power for stress detection

Exploring cognition in visual search and vigilance tasks with eye tracking and pupillometry

Recent findings in experimental psychology suggest that pupillometry, the measurement of pupil size, can provide insight into cognitive processes associated with effort and target detection in visual search tasks and monitoring performance in vigilance tasks. With the increasing availability, affordability and flexibility of video-based eye tracking hardware, these experimental findings point to lucrative practical applications such as real-time biobehavioural monitoring systems to assist with socially important tasks in operational settings. The aim of the current thesis was to explore this potential with further experimental work paying close attention to methodological issues which complicate cognitive interpretations of pupillary responses, such as physical stimulus confounds and eye movement-related measurement error in video-based systems. Six original experiments were designed to specifically explore the relationship between pupil size, cognition and behavioural performance in classic visual search and vigilance paradigms. Experiments 1-2 examined the pupillometric effects of effort and target detection in visual search with briefly presented stimuli. Pupil responses showed small variability with respect to manipulations of set size and target presence but were influenced substantially by the requirement for a motor response. Experiments 3-4 explored the cognitive pupil dynamics of free-viewing visual search with data-driven correction for eye movement artefacts. Group-level averages revealed small transient pupil dilations following fixations on targets but not distractors, an effect which was not contingent on a motor response or correction for gaze position artefacts. Experiments 5-6 looked at the relationship between pupil size and detection performance measures in two types of vigilance task. Changes in baseline and stimulus-evoked pupil responses loosely mirrored changes in performance, but the relationships were neither linear nor consistent. Overall, the thesis affirms the practical potential for using cognitive pupillometry in research and applied settings, but emphasises the constraints arising from methodological and theoretical limitations

Pupillary response to moving stimuli of different speeds

Purpose: To investigate the pupillary response to moving stimuli of different speeds and the influence of different luminance environments. Methods: Twenty-eight participants with normal or corrected-to-normal vision were included. The participants were required to track moving optotypes horizontally, and their pupils were videoed with an infrared camera. Stimuli of different speeds were presented in different luminance environments. Results: Experiment 1 demonstrated that the motion stimuli induced pupil dilation in a speed-dependent pattern. The pupil dilation increased as the speed increased, and the pupil dilation gradually increased, then reached saturation. Experiment 2 showed that a stimulus targeting the rod- or cone-mediated pathway could induce pupil dilation in a similar speed-dependent pattern. The absolute but not relative pupil dilation in the cone paradigm was significantly larger than that in the rod paradigm. As the speed increased, the pupil dilation in the cone paradigm reached saturation at speed slower than the rod paradigm. Conclusions: Motion stimuli induced pupil dilation in a speed-dependent pattern, and as the motion speed increased, the pupil dilation gradually increased and reached saturation. And the speed required to reach saturation in the cone paradigm was slower than in the rod paradigm