Compromised Integrity of Central Visual Pathways in Patients With Macular Degeneration

PURPOSE. Macular degeneration (MD) affects the central retina and leads to gradual loss of foveal vision. Although, photoreceptors are primarily affected in MD, the retinal nerve fiber layer (RNFL) and central visual pathways may also be altered subsequent to photoreceptor degeneration. Here we investigate whether retinal damage caused by MD alters microstructural properties of visual pathways using diffusion-weighted magnetic resonance imaging. METHODS. Six MD patients and six healthy control subjects participated in the study. Retinal images were obtained by spectral-domain optical coherence tomography (SD-OCT). Diffusion tensor images (DTI) and high-resolution T1-weighted structural images were collected for each subject. We used diffusion-based tensor modeling and probabilistic fiber tractography to identify the optic tract (OT) and optic radiations (OR), as well as nonvisual pathways (corticospinal tract and anterior fibers of corpus callosum). Fractional anisotropy (FA) and axial and radial diffusivity values (AD, RD) were calculated along the nonvisual and visual pathways. RESULTS. Measurement of RNFL thickness reveals that the temporal circumpapillary retinal nerve fiber layer was significantly thinner in eyes with macular degeneration than normal. While we did not find significant differences in diffusion properties in nonvisual pathways, patients showed significant changes in diffusion scalars (FA, RD, and AD) both in OT and OR. CONCLUSIONS. The results indicate that the RNFL and the white matter of the visual pathways are significantly altered in MD patients. Damage to the photoreceptors in MD leads to atrophy of the ganglion cell axons and to corresponding changes in microstructural properties of central visual pathways

Training-induced changes in population receptive field properties in visual cortex: Impact of eccentric vision training on population receptive field properties and the crowding effect

This study aimed to investigate the impact of eccentric-vision training on population receptive field (pRF) estimates to provide insights into brain plasticity processes driven by practice. Fifteen participants underwent functional magnetic resonance imaging (fMRI) measurements before and after behavioral training on a visual crowding task, where the relative orientation of the opening (gap position: up/down, left/right) in a Landolt C optotype had to be discriminated in the presence of flanking ring stimuli. Drifting checkerboard bar stimuli were used for pRF size estimation in multiple regions of interest (ROIs): dorsal-V1 (dV1), dorsal-V2 (dV2), ventral-V1 (vV1), and ventral-V2 (vV2), including the visual cortex region corresponding to the trained retinal location. pRF estimates in V1 and V2 were obtained along eccentricities from 0.5° to 9°. Statistical analyses revealed a significant decrease of the crowding anisotropy index (p = 0.009) after training, indicating improvement on crowding task performance following training. Notably, pRF sizes at and near the trained location decreased significantly (p = 0.005). Dorsal and ventral V2 exhibited significant pRF size reductions, especially at eccentricities where the training stimuli were presented (p < 0.001). In contrast, no significant changes in pRF estimates were found in either vV1 (p = 0.181) or dV1 (p = 0.055) voxels. These findings suggest that practice on a crowding task can lead to a reduction of pRF sizes in trained visual cortex, particularly in V2, highlighting the plasticity and adaptability of the adult visual system induced by prolonged training

Cortical Thickness Related to Compensatory Viewing Strategies in Patients With Macular Degeneration

Retinal diseases like age-related macular degeneration (AMD) or hereditary juvenile macular dystrophies (JMD) lead to a loss of central vision. Many patients compensate for this loss with a pseudo fovea in the intact peripheral retina, the so-called “preferred retinal locus” (PRL). How extensive eccentric viewing associated with central vision loss (CVL) affects brain structures responsible for visual perception and visually guided eye movements remains unknown. CVL results in a reduction of cortical gray matter in the “lesion projection zone” (LPZ) in early visual cortex, but the thickness of primary visual cortex appears to be largely preserved for eccentric-field representations. Here we explore how eccentric viewing strategies are related to cortical thickness (CT) measures in early visual cortex and in brain areas involved in the control of eye movements (frontal eye fields, FEF, supplementary eye fields, SEF, and premotor eye fields, PEF). We determined the projection zones (regions of interest, ROIs) of the PRL and of an equally peripheral area in the opposite hemifield (OppPRL) in early visual cortex (V1 and V2) in 32 patients with MD and 32 age-matched controls (19–84 years) by functional magnetic resonance imaging. Subsequently, we calculated the CT in these ROIs and compared it between PRL and OppPRL as well as between groups. Additionally, we examined the CT of FEF, SEF, and PEF and correlated it with behavioral measures like reading speed and eccentric fixation stability at the PRL. We found a significant difference between PRL and OppPRL projection zones in V1 with increased CT at the PRL, that was more pronounced in the patients, but also visible in the controls. Although the mean CT of the eye fields did not differ significantly between patients and controls, we found a trend to a positive correlation between CT in the right FEF and SEF and fixation stability in the whole patient group and between CT in the right PEF and reading speed in the JMD subgroup. The results indicate a possible association between the compensatory strategies used by patients with CVL and structural brain properties in early visual cortex and cortical eye fields

Perceptual learning of bisection stimuli under roving: Slow and largely specific

In perceptual learning, performance often improves within a short time if only one stimulus variant is presented, such as a line bisection stimulus with one outer-line-distance. However, performance stagnates if two bisection stimuli with two outerline-distances are presented randomly interleaved. Recently, S. G. Kuai, J. Y. Zhang, S. A. Klein, D. M. Levi, and C. Yu, (2005) proposed that learning under roving conditions is impossible in general. Contrary to this proposition, we show here that perceptual learning with bisection stimuli under roving is possible with extensive training of 18000 trials. Despite this extensive training, the improvement of performance is still largely specific. Furthermore, this improvement of performance cannot be explained by an accommodation to stimulus uncertainty caused by roving

Source confusion is a major cause of crowding.

The loss of positional information for whole letters is one of the most important factors contributing to impaired letter and word recognition. Here we study the quantitative characteristics of flanker confusions in a crowding paradigm and test whether transient spatial attention relieves the crowding effect by reducing flanker confusions. We examined the crowding effect at three eccentricities for a range of flanker distances and attentional cue sizes. The effects of flanker distance confirm earlier findings that errors of both content and position are highest with flankers close by. However, the cue has no effect on flanker confusions and affects content information only, by enhancing target contrast sensitivity independent of cue size. Confusions with the inward, but not the outward, flanker increase linearly with eccentricity. Inward-flanker confusions dominate unlike reported asymmetries for masking. Our results are a psychophysical counterpart to separate neural coding of what and where in pattern recognition. The dependencies of cue effect and confusions on flanker distance scale with eccentricity and can be described by a generalized Bouma critical-separation rule. That rule shows a formal analogy to M scaling, from which the critical crowding distances on a cortical map can be derived as a logarithmic function. The perceptual results are visualized in a &apos;&apos;doughnut&apos;&apos; model

Grouping of contextual elements that affect vernier thresholds

To reveal the mechanisms of spatial interference in the fovea, we examined the capacity of a variety of lateral flanking configurations to interfere with alignment thresholds of a vertical vernier. A single line on each side of the vernier, at the optimal separation of 2-3 arcmin, raises thresholds threefold or more and masks most effectively when its length equals that of the vernier. For an array of equal lines whose length differs from that of the vernier, masking is reduced but not when vernier and flanks have the same length. The reduction for shorter and longer flanks can be reversed by inserting a gap in the row of flanks. By comparing the masking effect of arrays of mixed line lengths, we show that when a pair of flanks, which by itself masks strongly, becomes a component of a coherent contextual configuration, it loses much of its effectiveness to interact. Observers' ranking of the conspicuity of the vernier test pattern among the flanking elements is negatively correlated with the threshold elevation. We conclude that clustering of contextual patterns influences their capacity to mask. Discrimination of a target deteriorates when the target is grouped within an array of surrounding elements