Fourier analysis of nerve fiber layer measurements from scanning laser polarimetry in glaucoma: emphasizing shape characteristics of the 'double-hump' pattern.

PURPOSE: The pattern of the distribution of nerve fiber layer (NFL) thickness values across the retina may provide an early anatomic indication of glaucomatous disruption. We developed a method of analyzing polarimetry measurements that emphasizes the shape of the pattern of NFL thickness values. Sensitivity and specificity for detecting glaucoma was obtained for these measures and compared with those for conventional measures. METHODS: Nerve fiber thickness was inferred from retardation shift measured by a scanning laser polarimeter (Laser Diagnostic Technologies, Inc., San Diego, CA) in 34 healthy subjects (68 eyes) and 34 patients with glaucoma (68 eyes). Fourier analysis was performed on the polarimetry data to emphasize the shape in the evaluation of the distribution of thickness values around the optic disc (along a 1.7-disc diameter ring). This was computed separately on superior and inferior hemiretinas. RESULTS: Significant differences were found in the Fourier shape measures between healthy subjects and patients with glaucoma. The sensitivity and specificity using Fourier coefficients with this particular sample was 96% and 90%, respectively. CONCLUSION: The evaluation of NFL measurements with Fourier analysis to emphasize the holistic shape of the "double-hump" pattern was found to be a useful tool as an analysis strategy.

Apparent swinging motion from a 2-D sinusoidal pattern.

A new motion illusion is reported that is observed on a 2-D sinusoidal pattern composed of two 1-D sinusoids, in which the constituent elements of the middle column appear to swing relative to the two flanking columns when the point of fixation is slowly moved back and forth about the middle column. To better understand the underlying mechanisms of the apparent swinging motion, the spatial properties of a 2-D sinusoidal pattern were examined in terms of spatial frequency, orientation, and contrast. Thirty-four subjects rated the magnitude of the motion. The apparent swinging was greatest when the two 1-D components had spatial frequencies of 1-2 cycles deg-1, relative orientations between 15 degrees and 30 degrees, and high contrasts. A spatiotemporal interaction between spatially overlapping visual units differing in polarity (Khang and Essock, 1997 Perception 26 585-597, 831-846) and the resultant shift in the global-motion signal was proposed as a likely cause of the apparent swinging motion.

Diffuse and localized nerve fiber layer loss measured with a scanning laser polarimeter: sensitivity and specificity of detecting glaucoma.

PURPOSE: To differentiate normal from diseased retinal nerve fiber layers (NFL) using a new method of analyzing polarimetry data that specifically targets patterns of diffuse and localized NFL loss. METHODS: The NFL from a sample of 34 patients with primary open-angle glaucoma (POAG), 34 patients with ocular hypertension, and 34 normal subjects were imaged using a scanning laser polarimeter (GDx; Laser Diagnostic Technologies, Inc., San Diego, CA). Diffuse loss was defined as a reduction in the peak-to-trough amplitude of the double-hump NFL pattern, and localized loss was defined as a lowering of the correlation of thickness values between local regions shown previously to correspond in normal subjects. RESULTS: Significant differences were found between the groups of normal subjects, patients with hypertension, and patients for both the amplitude and the correlational measures. The sensitivity and specificity calculated using optimal criterion values were 94% and 91%, respectively. CONCLUSIONS: These results suggest that NFL analysis targeting specific patterns of loss may be beneficial for differentiating normal NFL patterns from diseased NFL patterns, as well as for identifying patients at high risk.

An oblique effect of chromatic gratings measured by color-mixture thresholds.

Contrast sensitivity is lower for obliquely oriented achromatic gratings than for vertical or horizontal gratings at high spatial and low temporal frequencies. Although this response is suggestive of mediation by P-pathway cortical correlates, no clear sensory (i.e. class 1) oblique effect has been demonstrated with isoluminant chromatic stimuli. In the present experiment, a two-alternative forced-choice detection task was used to measure observers' sensitivity to spatiotemporal sinusoids varying in orientation and color contrast. A maximum-likelihood method fit ellipses to the thresholds, with the length of each ellipse taken as a measure of chromatic contrast sensitivity at isoluminance, and the width as luminance contrast threshold. A chromatic oblique effect was observed at about 3 cycles deg-1 suggesting an orientation bias within the cortical stream conveying P-cell activity.

Spatial sensitization of increments and decrements: a border-contrast process and a net-excitation process.

We investigated the spatially local factors that adjust the sensitivity of the human visual system within a small patch of visual space. A very small adapting field was varied in diameter to map out the strength and extent of the spatially local processes that adjust sensitivity for both increments and decrements. The results demonstrated antagonistic center/surround adaptation regions with a decremental test probe comparable to those demonstrated previously for incremental probes (Westheimer, G., 1965. Spatial interaction in the human retina during scotopic vision, Journal of Physiology 81, 812-894; Westheimer, G., 1967. Spatial interaction in human cone vision, Journal of Physiology 190, 139-154) implying comparable antagonistic regions in the ON and OFF channels. In addition to spatial interactions based on light adaptation, we report a weaker effect that is based on the location of a border (luminance edge) and is governed by the contrast of this edge. Finally, we show that these effects are elicited by both highly localized edges (1' ring pairs) and radial lines (Ehrenstein figure) as well. We conclude that both a border-contrast mechanism and a net-excitation mechanism govern the spatially local adaptation of the visual system and that this view fits well with the behavior of single units reported previously.

Interocular symmetry in nerve fiber layer thickness of normal eyes as determined by polarimetry.

PURPOSE: The existence of asymmetries between the two eyes in number and distribution of nerve fibers may provide an early anatomic indication of glaucomatous disruption if a symmetrical pattern of nerve fibers can be shown in normal eyes. Normal eyes were tested to determine whether a high degree of correspondence of regional nerve fiber layer thickness exists between fellow eyes. METHODS: Nerve fiber layer thickness was inferred from retardation shift measured by a scanning laser polarimeter (Laser Diagnostic Technologies, Inc.) in 40 volunteers without glaucoma or ocular disease (80 eyes). Total thickness and the pattern of nerve fiber thickness over 208 regions was compared between the paired eyes. RESULTS: Inferred nerve fiber layer thickness in companion eyes was highly correlated. Variation of the total nerve fiber thickness was much less between companion eyes than between eyes of different individuals. In terms of regional (i.e., local) interocular correspondence, the measurements in the inferior retina were observed to be highly similar in the two eyes, but a pronounced shift of the location of the superior peak (maximum thickness) in the left eye relative to the right was observed, as were differences between the two eyes in the thickness measurements at the nasal and temporal minima. CONCLUSION: Significant interocular asymmetries were detected in regions other than the interior hemiretina. These interocular asymmetries may reflect previously unrecognized anatomic nerve fiber differences or systematic angular bias in the instrument for one eye relative to the other. In contrast to the regional measures, the measures of total thickness were very similar between companion eyes, suggesting that the assessment of interocular asymmetries of total thickness determined by polarimetry may offer potential for detecting glaucoma.

Perceptual ability with real-world nighttime scenes: image-intensified, infrared, and fused-color imagery.

We investigated human perceptual performance allowed by relatively impoverished information conveyed in nighttime natural scenes. We used images of nighttime outdoor scenes rendered in image-intensified low-light visible (i2) sensors, thermal infrared (ir) sensors, and an i2/ir fusion technique with information added. We found that nighttime imagery provides adequate low-level image information for effective perceptual organization on a classification task, but that performance for exemplars within a given object category is dependent on the image type. Overall performance was best with the false-color fused images. This is consistent with the suggestion in the literature that color plays a predominate role in perceptual grouping and segmenting of objects in a scene and supports the suggestion that the addition of color in complex achromatic scenes aids the perceptual organization required for visual search. In the present study, we address the issue of assessment of perceptual performance with alternative night-vision sensors and fusion methods and begin to characterize perceptual organization abilities permitted by the information in relatively impoverished images of complex scenes. Applications of this research include improving night vision, medical, and other devices that use alternative sensors or degraded imagery.

Apparent relative motion from a checkerboard surround.

To better understand the Ouchi illusion in which a stationary picture generates illusory relative motion, the spatial properties of the constituent elements of the rectangular checkerboard background were examined. Results of experiment 1 revealed that the largest illusion was obtained with elements of approximately 20-30 min in width and 4-6 min in height, an orientation of the constituents that was orthogonal to that of the test grating, and a phase shift of the alternate stripes that was close to 180 degrees. In experiment 2 it was found that the illusion increased in magnitude with increasing achromatic contrast but was minimal with a pattern of high chromatic contrast near isoluminance. In experiment 3, two test patches were presented simultaneously in the checkerboard background and were varied independently in their orientation to explore whether or not their motions were perceived as coherent (common fate). Patches having identical orientations, and nearly orthogonal to the surround, were synchronized more strongly than those having reflected orientations. Hysteresis related to the gain control of spatially overlapping visual units differing in their polarity (ON/OFF) was discussed as a possible cause of this phenomenon.

A motion illusion from two-dimensional periodic patterns.

The spatial properties of a motion illusion (the Ouchi illusion) that occurs in a stationary pattern were examined by means of a variety of two-dimensional periodic patterns (formed by multiplying pairs of various one-dimensional periodic functions). In two experiments, observers rated the magnitude of the illusion. The results showed that (1) patterns having large energy and steep saddle-shaped contrast gradients tended to generate stronger illusions, (2) the composite pattern made up of the sum of the fundamental and harmonic components exhibited a stronger illusion than either the fundamental or the harmonic pattern, (3) patterns possessing an element orientation and phase shift similar to those of a rectangular checkerboard, and with element sizes of 15-50 min in width and 4-8 min in height yielded a larger illusion, (4) equiluminant colors largely abolished the effect, and (5) blurring the boundary between the test and surround did not reduce the illusion. Interactions between spatially overlapping ON and OFF units was discussed as a possible underlying cause of this phenomenon.

Binocular function in early glaucoma.

PURPOSE: This study investigated whether certain binocular mechanisms are disrupted in early glaucoma. METHODS: Glaucoma patients, suspects, and normals were tested on a battery of psychophysical tests consisting of flicker sensitivity (5 and 34 Hz), temporal cut-off frequency (CFF), contrast sensitivity (Pelli-Robson chart), and stereoacuity. Monocular channels were evaluated with tests of monocular flicker performance and spatial contrast sensitivity. Binocular summation on spatial and temporal tests was used to reflect integrity of binocular neural interactions. Stereoacuity was taken as a measure of performance of disparity processing mechanisms. RESULTS: The groups differed in terms of binocular flicker sensitivity at both temporal rates, binocular and monocular peak contrast sensitivity, and stereoacuity. Binocular summation of both spatial and temporal sensitivity was normal. The glaucoma suspect group was distinguishable from the age-matched normal group on binocular contrast sensitivity and stereoacuity. CONCLUSIONS: The binocular mechanisms that mediate stereoacuity appear to be heavily disrupted, whereas the binocular mechanisms that mediate central neural interaction of monocular inputs are normal. Although monocular spatiotemporal abilities are disrupted, the binocular processes combine the monocular input normally. In addition, our results suggest a benefit of binocular testing for routine assessment of glaucoma patients. The profound disruption of stereoacuity appears to result from disorder in the spatial sampling array at the ganglion-cell level similar to the disorder reported in the normal periphery and the central retina of strabismic amblyopes. These and previous findings were reviewed to evaluate the supposition of preferential M-pathway disruption in early glaucoma. Such a model can not be reconciled with the present findings. We conclude that measurements of temporal modulation sensitivity fit well with such a model, but that the current evidence of spatiotemporal contrast sensitivity disruption is less supportive of such a model.

Spatial scaling of end-stopped perceptive fields: differences in neural bases of end-zones, flanks and centers.

Length and width spatial interactions associated with a small test line centered on a rectangular background were measured at 0, 5 and 10 deg retinal eccentricities. Results indicated an elongated central region of summation with antagonistic flanks and end-zones comparable to earlier results [Yu, C. & Essock, E. A. (1996). Vision Research 36, 2883-2896]. The extent of the end-zones, flanks and centers (length and width) exhibited significantly different spatial scaling, which was steepest for the end-zones (E2 = 0.45 deg), less steep for the flanks (E2 = 0.77 deg) and least steep for the centers (E2 = 2.05 deg). Perceptive fields measured with concentric circular stimuli showed center and surround scaling equivalent to center and flank scaling, respectively, in line target experiments. These results suggest that: (1) psychophysical end-stopping and flank-inhibition reflect different underlying cortical neural processes; and (2) the spatial interactions apparent on the conventional Westheimer paradigm are partly governed by cortical factors.

Psychophysical end-stopping associated with line targets.

Increment threshold for a small (e.g. 1' x 5') line target superimposed on backgrounds of various shapes and sizes was measured to provide a detailed map of the spatial interactions about line targets. This modified "Westheimer paradigm" indicated sensitization in the length direction as well as in the width direction around the line target. The effect of the adaptation field summed over an elongated, end-tapered central region, and showed strong end-zone antagonism beyond the ends of the elongated summation area, as well as flank antagonism to the sides. Secondary disinhibitory and inhibitory areas outside of the antagonistic surround were also demonstrated. When length of the test line was varied, the length of the summation region increased concomitantly, while the length of the end-zones remained fixed. End-zone antagonism was slightly weaker at oblique orientations. These results demonstrate a perceptual analog to neurophysiological end-stopping, and suggest a multilobed y-dimension weighting profile appropriate for models of spatial visual abilities.

An anisotropy of human tactile sensitivity and its relation to the visual oblique effect.

The ability of humans to detect striated stimuli on the distal phalanges was found to be highly anisotropic. Observers were much more sensitive to stripes presented in the proximal-distal orientation than to stripes in any other orientation. This tactile anisotropy was contrasted with the well-known visual anisotropy in which sensitivity is greatest for stripes at the horizontal and vertical orientations. We suggest that both the tactile anisotropy and the visual anisotropy are caused by corresponding anisotropies in the distribution of preferred orientations of orientation-selective neurons with in the respective modalities.

The influence of stimulus length on the oblique effect of contrast sensitivity.

Contrast sensitivity for grating of different orientations was measured at various stimulus lengths. The oblique effect of contrast sensitivity was observed to increase in magnitude as the length of the truncated gratings was increased from 0.5 to 5.6 deg. This finding refutes a purported distinction between the contrast sensitivity oblique effect and the orientation discrimination oblique effect. Thus, these results are consistent with the idea that the contrast sensitivity oblique effect and the orientation discrimination oblique effect share the same common underlying anisotropic basis. These results also show that grating summation differs at oblique and nonoblique orientations in terms of length summation as well as in terms of width summation.

Reading with a macular scotoma. II. Retinal locus for scanning text.

To elucidate how patients with macular scotomas use residual functional retina for inspecting visual detail and reading, we tested three patients with dense macular scotomas using a scanning laser ophthalmoscope that allows an examiner to view and record stimuli on the retina while the patient views them. Using standard psychophysical techniques, we determined the retinal position of scotomas, the retinal areas used for fixating and inspecting acuity targets, and the retinal area used for reading simple, three-letter, nonsense syllables. We found that each patient used a single, idiosyncratic retinal area, immediately adjacent to the scotoma, for fixating, inspecting acuity targets, and scanning simple, nonsense-syllable text. This preferred retinal locus (PRL) was at different retinal eccentricities (relative to the foveola) for each patient and was not always as close as possible to the foveola. There appears to be no simple rule by which patients "select" a particular PRL. Plots of text placement on the retina revealed considerable differences in patients' abilities to execute an orderly text scan. Two patients read text more rapidly with a novel retinal area than with their PRL, suggesting that the PRL may not be optimal for text reading.

Reading with a macular scotoma. I. Retinal location of scotoma and fixation area.

To investigate how patients with macular scotomas use residual functional retinal areas to inspect visual detail, a scanning laser ophthalmoscope (SLO) was used to map the retinal locations of scotomas and areas used to fixate. Three patients with dense macular scotomas of at least 20 months duration and with no explicit low vision training were tested. SLO stimuli were produced by computer modulation of the scanned laser beam, and could be placed on known retinal loci by direct observation of the retina on a television monitor. Videotaped SLO images were analyzed to produce retinal maps that are corrected for shifts of stimulus position due to fixational eye movement, thus showing the true retinal locations of scotomas and fixation loci. Major findings were as follows: 1) each patient used a single, idiosyncratic retinal area, immediately adjacent to the scotoma to fixate, and did not attempt to use the nonfunctional foveola, 2) fixation stability with the eccentric fixation locus was as good as, or better than, that of ocularly normal subjects trying to fixate at comparable eccentricities, 3) fixation stability was not systematically related to clinical visual acuity, and 4) there is good agreement as to the shape and overall size of SLO and standard clinical tangent screen scotoma maps for these three patients.

Areas of spatial interaction for a hyperacuity stimulus.

We report that the ability to detect a small vernier offset (less than 5 sec of arc in many individuals) between two small spots of light separated by a narrow gap can be disrupted by presenting additional targets in close proximity to the vernier stimulus. A rectangular background of light, centered on the vernier stimulus, elevates offset threshold by a factor of two when the total width of the background is 3-4 min arc. Backgrounds narrower or wider than 3-4 min have less or no effect on vernier threshold. These areas of spatial interaction extend to either side of a vertically-oriented vernier stimulus, or above and below a horizontally-oriented stimulus, and their extent is dependent upon the gap size of the two-dot stimulus. The effect of the presence of the background on vernier threshold cannot be accounted for by spatial interval cues nor by changes in the visibility of the stimulus. Two alternative interpretations of the results are presented to develop a description of the underlying mechanisms which produce hyperacuity spatial interactions.

Functional visual effects of lesions located near the optic nerve head.

Three patients with retinal lesions near or impinging on the optic nerve head are presented. Three different functional disruptions are demonstrated by quantitative layer-by-layer perimetry. In one, a patient who primarily exhibited subretinal neovascularization, inner retinal functions were anomalous; but the overlying nerve fiber bundle was as yet not affected. In the second patient, an individual with possible histoplasmosis causing an outer retinal/choroidal lesion, the overlying nerve fiber bundle was affected causing apparent retrograde changes in inner retinal function at remote visual field locations; but another aspect of optic nerve function (time-dependent response) was not anomalous. These apparently retrograde changes were essentially identical to functional changes previously demonstrated in patients with established open-angle glaucoma. In the third patient, with presumed toxoplasmosis, there were clear-out time-dependent anomalous responses consistent with optic nerve involvement, as previously reported in patients with optic neuritis. There were also modest, time-stable, nerve fiber bundle defects present in this third patient. Together, these results demonstrate that lesions in the area of the disc can have very different functional consequences, and that quantitative psychophysical techniques can elucidate these differences.

Joint application of hyperacuity perimetry and gap tests to assess visual function behind cataracts: initial trials.

We have developed two related clinical tests that offer potential in better assessing visual function behind an ocular opacity. The tests are resistant to the effects of opacities because they utilize a localization task (vernier acuity) rather than a resolution task. In this paper we report the initial trials in which we apply the two tests together. Results from six case studies (some with actual opacities and some with simulated opacities) illustrate both the conduct of the tests and their potential capabilities in detecting even very modest retinal dysfunction in the presence of opacities. These techniques offer considerable potential in the separation of a given acuity loss observed in the presence of cataract into a portion due to the opacity and a portion due to retinal dysfunction.

Temporal modulation of the background affects the sensitization response of X- and Y-cells in the dLGN of cat.

The responses of X- and Y-cells to a small flashing test probe modulated at 2 Hz were measured as a function of the diameter of a concentric circular background. The background was either a static homogeneous disk, a flickered homogeneous disk, a static radially-vaned disk, or a rotating vaned disk, all of equivalent space- and time-averaged luminance. Variation of background diameter produced systematic changes in response that reflected general X- and Y-cell receptive field differences. Initial increases in background diameter decrease the response to the test probe ("desensitization") of both X- and Y-cells to a minimum level at a diameter that approximates the size of the receptive field center. Further increases in the background diameter result in an increase of the response to the test probe ("sensitization") that is very large for X-cells and much less for Y-cells. Temporal modulation of the background does not alter the desensitization of X- or Y-cells, but strongly reduces the sensitization of X-cells. Temporal modulation of the background by flicker and by motion produced equivalent effects. These results are compared to similar human psychophysical tests used clinically. Implications concerning the mediation of psychophysical sensitization are also considered.