Face recognition in age related macular degeneration: perceived disability, measured disability, and performance with a bioptic device

Aims: (1) To explore the relation between performance on tasks of familiar face recognition (FFR) and face expression difference discrimination (FED) with both perceived disability in face recognition and clinical measures of visual function in subjects with age related macular degeneration (AMD). (2) To quantify the gain in performance for face recognition tasks when subjects use a bioptic telescopic low vision device. Methods: 30 subjects with AMD (age range 66–90 years; visual acuity 0.4–1.4 logMAR) were recruited for the study. Perceived (self rated) disability in face recognition was assessed by an eight item questionnaire covering a range of issues relating to face recognition. Visual functions measured were distance visual acuity (ETDRS logMAR charts), continuous text reading acuity (MNRead charts), contrast sensitivity (Pelli-Robson chart), and colour vision (large panel D-15). In the FFR task, images of famous people had to be identified. FED was assessed by a forced choice test where subjects had to decide which one of four images showed a different facial expression. These tasks were repeated with subjects using a bioptic device. Results: Overall perceived disability in face recognition did not correlate with performance on either task, although a specific item on difficulty recognising familiar faces did correlate with FFR (r = 0.49, p<0.05). FFR performance was most closely related to distance acuity (r = −0.69, p<0.001), while FED performance was most closely related to continuous text reading acuity (r = −0.79, p<0.001). In multiple regression, neither contrast sensitivity nor colour vision significantly increased the explained variance. When using a bioptic telescope, FFR performance improved in 86% of subjects (median gain = 49%; p<0.001), while FED performance increased in 79% of subjects (median gain = 50%; p<0.01). Conclusion: Distance and reading visual acuity are closely associated with measured task performance in FFR and FED. A bioptic low vision device can offer a significant improvement in performance for face recognition tasks, and may be useful in reducing the handicap associated with this disability. There is, however, little evidence for a correlation between self rated difficulty in face recognition and measured performance for either task. Further work is needed to explore the complex relation between the perception of disability and measured performance

Critical Orientation for Face Identification in Central Vision Loss

PURPOSE: Difficulty identifying faces is a common complaint of people with central vision loss. Dakin and Watt (2009) reported that the horizontal components of face images are most informative for face identification in normal vision. In this study, we examined whether people with central vision loss similarly rely primarily on the horizontal components of face images for face identification. METHODS: Seven observers with central vision loss (mean age = 69 ± 9 [SD]) and five age-matched observers with normal vision (mean age = 65 ± 6) participated in the study. We measured observers’ accuracy for reporting the identity of face images spatially filtered using an orientation filter with center orientation ranging from 0° (horizontal) to 150° in steps of 30°, with a bandwidth of 23°. Face images without filtering were also tested. RESULTS: For all observers, accuracy for identifying filtered face images was highest around the horizontal orientation, dropping systematically as the filter orientation deviated systematically from horizontal, and was the lowest at the vertical orientation. Compared with control observers, observers with central vision loss showed (1) a larger difference in accuracy between identifying filtered (at peak performance) and unfiltered face images; (2) a reduced accuracy at peak performance and (3) a smaller difference in performance for identifying filtered images between the horizontal and the vertical filter orientation. CONCLUSIONS: Spatial information around the horizontal orientation in face images is the most important for face identification, for people with normal vision and central vision loss alike. While the horizontal information alone can support reasonably good performance for identifying faces in people in normal vision, people with central vision loss seem to also rely on information along other orientations

Colour, face, and visuospatial imagery abilities in low-vision individuals with visual field deficits

This study investigates to what extent visual perception integrity is necessary for visual mental imagery. Sixteen low-vision participants with severe peripheral visual field loss, 16 with severe central field loss, 6 left brain-damaged patients with right homonymous hemianopia, 6 right brain-damaged patients with left homonymous hemianopia, and 16 normally sighted controls performed perceptual and imagery tasks using colours, faces, and spatial relationships. Results showed that (a) the perceptual and mental image>ry disorders vary according to the type of visual field loss, (b) hemianopics had no more difficulties imagining spatial stimuli in their contralesional hemispace than in their ipsilesional one, and (c) the only hemianopic participant to have perceptual and mental imagery impairments suffered from attentional deficits. Results suggest that (a) visual memory is not definitively established, but rather needs perceptual practice to be maintained, and (b) that visual mental imagery may involve some of the attentional-exploratory mechanisms that are employed in visual behaviour