The influence of scene tilt on saccade directions is amplitude dependent.

When exploring a visual scene, humans make more saccades in the horizontal direction than any other direction. While many have shown that the horizontal saccade bias rotates in response to scene tilt, it is unclear whether this effect depends on saccade amplitude. We addressed this question by examining the effect of image tilt on the saccade direction distributions recorded during freely viewing natural scenes. Participants (n = 20) viewed scenes tilted at -30°, 0°, and 30°. Saccade distributions during free viewing rotated by an angle of 12.1° ± 6.7° (t(19) = 8.04, p < 0.001) in the direction of the image tilt. When we partitioned the saccades according to their amplitude we found that small amplitude saccades occurred most in the horizontal direction while large amplitude saccades were more oriented to the scene tilt (p < 0.001). To further study the characteristics of small saccades and how they are affected by scene tilt, we looked at the effect of image tilt on small fixational saccades made while fixating a central target amidst a larger scene and found that fixational saccade distributions did not rotate with scene tilt (-0.3° ±1.7° degrees; t(19) = -0.8, p = 0.39). These results suggest a combined effect of two reference frames in saccade generation: one egocentric reference frame that dominates for small saccades, biases them horizontally, and may be common for different tasks, and another allocentric reference frame that biases larger saccades along the orientation of an image during free viewing.

Further evaluation of narrative description as a measure of cognitive function in Alzheimer's disease.

OBJECTIVE: The narrative description (ND) test objectively measures the ability to understand and describe visual scenes. As subtle differences in speech occur early in cognitive decline, we analyzed linguistic features for their utility in detecting cognitive impairment and predicting downstream decline. METHOD: Participants (n = 52) with normal cognition to mild dementia performed the ND test (watched twenty 30-s video clips and described the visual content). Cognitive function was followed for up to 5 years. We computed simple linguistic features such as content efficiency, speech rate, and part of speech and unique word counts. We examined (a) relationships between cognitive status and ND score and linguistic features; (b) ability to discriminate early cognitive impairment from normal cognition using ND score and linguistic features; and (c) whether ND score and linguistic features were associated with future cognitive functional decline. RESULTS: Many of the linguistic-feature metrics were related to cognitive status. Many of the linguistic features could distinguish between the cognitively normal group and the mild cognitive impairment (MCI) and Dementia groups. The area under the curve (AUC) for ND score alone was 0.74, with a nonsignificant increase to 0.78 when adding mean word length. Among participants with subjective cognitive decline (SCD) at the first visit, a smaller number of words plus more interjections or a lower ND score at baseline were predictive of future cognitive decline. CONCLUSIONS: While many linguistic features were associated with cognitive status, and some were able to detect early cognitive impairment or predictive of future cognitive decline, all the features we tested seem to have been captured by the ND score. Thus, adding linguistic measures to the ND test score did not add to its value in assessing current or predicting future cognitive status. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Head Orientation Influences Saccade Directions during Free Viewing.

When looking around a visual scene, humans make saccadic eye movements to fixate objects of interest. While the extraocular muscles can execute saccades in any direction, not all saccade directions are equally likely: saccades in horizontal and vertical directions are most prevalent. Here, we asked whether head orientation plays a role in determining saccade direction biases. Study participants (n = 14) viewed natural scenes and abstract fractals (radially symmetric patterns) through a virtual reality headset equipped with eye tracking. Participants' heads were stabilized and tilted at -30°, 0°, or 30° while viewing the images, which could also be tilted by -30°, 0°, and 30° relative to the head. To determine whether the biases in saccade direction changed with head tilt, we calculated polar histograms of saccade directions and cross-correlated pairs of histograms to find the angular displacement resulting in the maximum correlation. During free viewing of fractals, saccade biases largely followed the orientation of the head with an average displacement value of 24° when comparing head upright to head tilt in world-referenced coordinates (t (13) = 17.63, p < 0.001). There was a systematic offset of 2.6° in saccade directions, likely reflecting ocular counter roll (OCR; t (13) = 3.13, p = 0.008). When participants viewed an Earth upright natural scene during head tilt, we found that the orientation of the head still influenced saccade directions (t (13) = 3.7, p = 0.001). These results suggest that nonvisual information about head orientation, such as that acquired by vestibular sensors, likely plays a role in saccade generation.

The Effect of Zoom Magnification and Large Display on Video Comprehension in Individuals With Central Vision Loss.

Purpose: A larger display at the same viewing distance provides relative-size magnification for individuals with central vision loss (CVL). However, the resulting large visible area of the display is expected to result in more head rotation, which may cause discomfort. We created a zoom magnification technique that placed the center of interest (COI) in the center of the display to reduce the need for head rotation. Methods: In a 2 × 2 within-subject study design, 23 participants with CVL viewed video clips from 1.5 m (4.9 feet) shown with or without zoom magnification, and with a large (208 cm/82" diagonal, 69°) or a typical (84 cm/33", 31°) screen. Head position was tracked and a custom questionnaire was used to measure discomfort. Results: Video comprehension was better with the large screen (P < 0.001) and slightly worse with zoom magnification (P = 0.03). Oddly, head movements did not vary with screen size (P = 0.63), yet were greater with zoom magnification (P = 0.001). This finding was unexpected, because the COI remains in the center with zoom magnification, but moves widely with a large screen and no magnification. Conclusions: This initial attempt to implement the zoom magnification method had flaws that may have decreased its effectiveness. In the future, we propose alternative implementations for zoom magnification, such as variable magnification. Translational Relevance: We present the first explicit demonstration that relative-size magnification improves the video comprehension of people with CVL when viewing video.

An implementation of Bubble Magnification did not improve the video comprehension of individuals with central vision loss.

PURPOSE: People with central vision loss (CVL) watch television, videos and movies, but often report difficulty and have reduced video comprehension. An approach to assist viewing videos is electronic magnification of the video itself, such as Bubble Magnification. METHODS: We created a Bubble Magnification technique that displayed a magnified segment around the centre of interest (COI) as determined by the gaze of participants with normal vision. The 15 participants with CVL viewed video clips shown with 2× and 3× Bubble Magnification, and unedited. We measured video comprehension and gaze coherence. RESULTS: Video comprehension was significantly worse with both 2× (p = 0.01) and 3× Bubble Magnification (p < 0.001) than the unedited video. There was no difference in gaze coherence across conditions (p ≥ 0.58). This was unexpected because we expected a benefit in both video comprehension and gaze coherence. This initial attempt to implement the Bubble Magnification method had flaws that probably reduced its effectiveness. CONCLUSIONS: In the future, we propose alternative implementations of Bubble Magnification, such as variable magnification and bubble size. This study is a first step in the development of an intelligent-magnification approach to providing a vision rehabilitation aid to assist people with CVL.

Orientation of the preferred retinal locus (PRL) is maintained following changes in simulated scotoma size.

Although macular lesions often enlarge, we know little about what happens when the preferred retinal locus (PRL) is enveloped by the lesion. We present a prospective study of subjects with normal vision who were trained to develop a PRL using simulated scotomas with a gaze-contingent visual display. We hypothesized that, when subjects had developed a robust PRL and the scotoma size was increased, the PRL would move to remain outside the scotoma and in a direction that maintained the orientation (theta) of the PRL relative to the fovea. Nine subjects with normal vision were trained to develop a PRL and were then exposed to scotoma sizes that ranged from 4° to 24° in diameter. Subjects tracked a stimulus using saccades or smooth pursuits. Fixation stability was measured by calculating the bivariate contour ellipse area (BCEA). To measure the reassignment of the oculomotor reference (OMR) to the PRL, we analyzed the spread (BCEA) of saccade first landing points. All subjects developed a robust PRL that did not vary more than 0.8° on average between blocks of trials of a scotoma size, and they maintained the orientation of the PRL as the simulated scotoma size varied (±9° median standard deviation in theta, defined as orientation angle). Fixation stability and OMR to the PRL worsened (larger BCEA) with increasing scotoma size. This, and related studies, could guide development of a PRL training method to help people with central vision loss.

People With Central Vision Loss Have Difficulty Watching Videos.

Purpose: People with central vision loss (CVL) often report difficulties watching video. We objectively evaluated the ability to follow the story (using the information acquisition method). Methods: Subjects with CVL (n = 23) or normal vision (NV, n = 60) described the content of 30-second video clips from movies and documentaries. We derived an objective information acquisition (IA) score for each response using natural-language processing. To test whether the impact of CVL was simply due to reduced resolution, another group of NV subjects (n = 15) described video clips with defocus blur that reduced visual acuity to 20/50 to 20/800. Mixed models included random effects correcting for differences between subjects and between the clips, with age, gender, cognitive status, and education as covariates. Results: Compared to both NV groups, IA scores were worse for the CVL group (P < 0.001). IA reduced with worsening visual acuity (P < 0.001), and the reduction with worsening visual acuity was greater for the CVL group than the NV-defocus group (P = 0.01), which was seen as a greater discrepancy at worse levels of visual acuity. Conclusions: The IA method was able to detect difficulties in following the story experienced by people with CVL. Defocus blur failed to recreate the CVL experience. IA is likely to be useful for evaluations of the effects of vision rehabilitation.