Impact of neovascular age-related macular degeneration on eye-movement control during scene viewing: Viewing biases and guidance by visual salience.

Human vision requires us to analyze the visual periphery to decide where to fixate next. In the present study, we investigated this process in people with age-related macular degeneration (AMD). In particular, we examined viewing biases and the extent to which visual salience guides fixation selection during free-viewing of naturalistic scenes. We used an approach combining generalized linear mixed modeling (GLMM) with a-priori scene parcellation. This method allows one to investigate group differences in terms of scene coverage and observers' well-known tendency to look at the center of scene images. Moreover, it allows for testing whether image salience influences fixation probability above and beyond what can be accounted for by the central bias. Compared with age-matched normally sighted control subjects (and young subjects), AMD patients' viewing behavior was less exploratory, with a stronger central fixation bias. All three subject groups showed a salience effect on fixation selection-higher-salience scene patches were more likely to be fixated. Importantly, the salience effect for the AMD group was of similar size as the salience effect for the control group, suggesting that guidance by visual salience was still intact. The variances for by-subject random effects in the GLMM indicated substantial individual differences. A separate model exclusively considered the AMD data and included fixation stability as a covariate, with the results suggesting that reduced fixation stability was associated with a reduced impact of visual salience on fixation selection.

Ultrasound localization microscopy and functional ultrasound imaging reveal atypical features of the trigeminal ganglion vasculature.

The functional imaging within the trigeminal ganglion (TG) is highly challenging due to its small size and deep localization. This study combined a methodological framework able to dive into the rat trigeminal nociceptive system by jointly providing 1) imaging of the TG blood vasculature at microscopic resolution, and 2) the measurement of hemodynamic responses evoked by orofacial stimulations in anesthetized rats. Despite the small number of sensory neurons within the TG, functional ultrasound imaging was able to image and quantify a strong and highly localized hemodynamic response in the ipsilateral TG, evoked not only by mechanical or chemical stimulations of corneal nociceptive fibers, but also by cutaneous mechanical stimulations of the ophthalmic and maxillary orofacial regions using a von Frey hair. The in vivo quantitative imaging of the TG's vasculature using ultrasound localization microscopy combined with in toto labelling reveals particular features of the vascularization of the area containing the sensory neurons, that are likely the origin of this strong vaso-trigeminal response. This innovative imaging approach opens the path for future studies on the mechanisms underlying changes in trigeminal local blood flow and evoked hemodynamic responses, key mechanisms for the understanding and treatment of debilitating trigeminal pain conditions.

Ultrafast ultrasound imaging pattern analysis reveals distinctive dynamic brain states and potent sub-network alterations in arthritic animals.

Chronic pain pathologies, which are due to maladaptive changes in the peripheral and/or central nervous systems, are debilitating diseases that affect 20% of the European adult population. A better understanding of the mechanisms underlying this pathogenesis would facilitate the identification of novel therapeutic targets. Functional connectivity (FC) extracted from coherent low-frequency hemodynamic fluctuations among cerebral networks has recently brought light on a powerful approach to study large scale brain networks and their disruptions in neurological/psychiatric disorders. Analysis of FC is classically performed on averaged signals over time, but recently, the analysis of the dynamics of FC has also provided new promising information. Keeping in mind the limitations of animal models of persistent pain but also the powerful tool they represent to improve our understanding of the neurobiological basis of chronic pain pathogenicity, this study aimed at defining the alterations in functional connectivity, in a clinically relevant animal model of sustained inflammatory pain (Adjuvant-induced Arthritis) in rats by using functional ultrasound imaging, a neuroimaging technique with a unique spatiotemporal resolution (100 µm and 2 ms) and sensitivity. Our results show profound alterations of FC in arthritic animals, such as a subpart of the somatomotor (SM) network, occurring several weeks after the beginning of the disease. Also, we demonstrate for the first time that dynamic functional connectivity assessed by ultrasound can provide quantitative and robust information on the dynamic pattern that we define as brain states. While the main state consists of an overall synchrony of hemodynamic fluctuations in the SM network, arthritic animal spend statistically more time in two other states, where the fluctuations of the primary sensory cortex of the inflamed hind paws show asynchrony with the rest of the SM network. Finally, correlating FC changes with pain behavior in individual animals suggest links between FC alterations and either the cognitive or the emotional aspects of pain. Our study introduces fUS as a new translational tool for the enhanced understanding of the dynamic pain connectome and brain plasticity in a major preclinical model of chronic pain.

Object search in neovascular age-related macular degeneration: the crowding effect.

BACKGROUND: Visual search, an activity that relies on central vision, is frequent in daily life. This study investigates the effect of spacing between items in an object search task in participants with central vision loss. METHODS: Patients with neovascular age-related macular degeneration (AMD), age-matched controls, and young controls were included. The stimuli were displays of four, six and nine objects randomly presented in a 'crowded' (spacing 1.5°) or 'uncrowded' (spacing 6°) condition. For each of 96 trials, participants were asked to search for a predefined target that remained on the screen until the response was recorded. Accuracy, search time, and eye movements (number of fixations and scan path ratio) were recorded. RESULTS: Compared to older controls, accuracy decreased by 31 per cent and search time increased by 61 per cent in AMD participants. Ageing also affected performance with a lower accuracy by 13.5 per cent and longer search times by 46 per cent in older compared to younger controls. Increasing the spacing between elements increased accuracy by 21 per cent in AMD participants but it had no effect in older and younger controls. Performance was not related to visual acuity or to duration of neovascular AMD, but search time was correlated to the lesion size in the 'crowded' condition. CONCLUSIONS: Object search is ubiquitous in daily life activities. When visual acuity is irrevocably reduced, increasing the spacing between elements can reliably improve object search performance in patients.

Impact of age-related macular degeneration on object searches in realistic panoramic scenes.

BACKGROUND: This study investigated whether realistic immersive conditions with dynamic indoor scenes presented on a large, hemispheric panoramic screen covering 180° of the visual field improved the visual search abilities of participants with age-related macular degeneration (AMD). METHOD: Twenty-one participants with AMD, 16 age-matched controls and 16 young observers were included. Realistic indoor scenes were presented on a panoramic five metre diameter screen. Twelve different objects were used as targets. The participants were asked to search for a target object, shown on paper before each trial, within a room composed of various objects. A joystick was used for navigation within the scene views. A target object was present in 24 trials and absent in 24 trials. The percentage of correct detection of the target, the percentage of false alarms (that is, the detection of the target when it was absent), the number of scene views explored and the search time were measured. RESULTS: The search time was slower for participants with AMD than for the age-matched controls, who in turn were slower than the young participants. The participants with AMD were able to accomplish the task with a performance of 75 per cent correct detections. This was slightly lower than older controls (79.2 per cent) while young controls were at ceiling (91.7 per cent). Errors were mainly due to false alarms resulting from confusion between the target object and another object present in the scene in the target-absent trials. CONCLUSION: The outcomes of the present study indicate that, under realistic conditions, although slower than age-matched, normally sighted controls, participants with AMD were able to accomplish visual searches of objects with high accuracy.

Impact of Wet Macular Degeneration on the Execution of Natural Actions.

PURPOSE: To use eye movements to investigate how people with a central scotoma might be impaired in the execution of natural actions and whether task familiarity affects performance. METHODS: Sixteen participants with AMD and 16 age-matched controls performed two natural actions: (1) a familiar sandwich-making task and (2) a less familiar model-building task. In each action, task-relevant and task-irrelevant objects were placed on a table, covering 90°. The participants were asked to execute the actions without a time constraint. Eye movements were recorded. RESULTS: The people with AMD were significantly slower than the controls, both in the exploration phase (before the first reaching movement) and in the working phase (execution of action), especially in the unfamiliar task. Gaze duration was longer on relevant than irrelevant objects in both groups and tasks, as might be expected. However, for the participants with AMD, gaze durations were longer on all of the objects, whether relevant or irrelevant, except in the more familiar task. This suggests that participants with AMD take longer to extract the information they need but that this can be counteracted when the task items are familiar. The number of saccades/min of the task was significantly greater for the people with AMD than for the controls. CONCLUSIONS: The present results show that people with AMD can accomplish natural actions efficiently, but need longer gaze durations and more eye movements than normally sighted people. This effect can be reduced when executing a familiar task.

Misidentifying a tennis racket as keys: object identification in people with age-related macular degeneration.

PURPOSE: Previous studies showed that people with age-related macular degeneration (AMD) can categorise a pre-defined target object or scene with high accuracy (above 80%). In these studies participants were asked to detect the target (e.g. an animal) in serial visual presentation. People with AMD must rely on peripheral vision which is more adapted to the low resolution required for detection than for the higher resolution required to identify a specific exemplar. We investigated the ability of people with central vision loss to identify photographs of objects and scenes. METHODS: Photographs of isolated objects, natural scenes and objects in scenes were centrally displayed for 2 s each. Participants were asked to name the stimuli. We measured accuracy and naming times in 20 patients with AMD, 15 age-matched and 12 young controls. RESULTS: Accuracy was lower (by about 30%) and naming times were longer (by about 300 ms) in people with AMD than in age-matched controls in the three categories of images. Correct identification occurred in 62-66% of the stimuli for patients. More than 20% of the misidentifications resulted from a structural and/or semantic similarity between the object and the name (e.g. spectacles for dog plates or dolphin for shark). Accuracy and naming times did not differ significantly between young and older normally sighted participants indicating that the deficits resulted from pathology rather than to normal ageing. CONCLUSIONS: These results show that, in contrast to performance for categorisation of a single pre-defined target, people with central vision loss are impaired at identifying various objects and scenes. The decrease in accuracy and the increase in response times in patients with AMD indicate that peripheral vision might be sufficient for object and scene categorisation but not for precise scene or object identification.

The contribution of central and peripheral vision in scene categorization: a study on people with central vision loss.

Studies in normally sighted people suggest that scene recognition is based on global physical properties and can be accomplished by the low resolution of peripheral vision. We examine the contribution of peripheral and central vision in scene gist recognition in patients with central vision loss and age-matched controls. Twenty-one patients with neovascular age related macular degeneration (AMD), with a visual acuity lower than 20/50, and 15 age-matched normally sighted controls participated in a natural/urban scene categorization task. The stimuli were colored photographs of natural scenes presented randomly at one of five spatial locations of a computer screen: centre, top left, top right, bottom left and bottom right at 12° eccentricity. Sensitivity (d') and response times were recorded. Normally sighted people exhibited higher sensitivity and shorter response times when the scene was presented centrally than for peripheral pictures. Sensitivity was lower and response times were longer for people with AMD than for controls at all spatial location. In contrast to controls patients were not better for central than for peripheral pictures. The results of normally sighted controls indicate that scene categorization can be accomplished by the low resolution of peripheral vision but central vision remains more efficient than peripheral vision for scene gist recognition. People with central vision loss likely categorized scenes on the basis of low frequency information both in normal peripheral vision and in low acuity central vision.

Scene categorization at large visual eccentricities.

Studies of scene perception have shown that the visual system is particularly sensitive to global properties such as the overall layout of a scene. Such global properties cannot be computed locally, but rather require relational analysis over multiple regions. To what extent is observers' perception of scenes impaired in the far periphery? We examined the perception of global scene properties (Experiment 1) and basic-level categories (Experiment 2) presented in the periphery from 10° to 70°. Pairs of scene photographs were simultaneously presented left and right of fixation for 80ms on a panoramic screen (5m diameter) covering the whole visual field while central fixation was controlled. Observers were instructed to press a key corresponding to the spatial location left/right of a pre-defined target property or category. The results show that classification of global scene properties (e.g., naturalness, openness) as well as basic-level categorization (e.g., forests, highways), while better near the center, were accomplished with a performance highly above chance (around 70% correct) in the far periphery even at 70° eccentricity. The perception of some global properties (e.g., naturalness) was more robust in peripheral vision than others (e.g., indoor/outdoor) that required a more local analysis. The results are consistent with studies suggesting that scene gist recognition can be accomplished by the low resolution of peripheral vision.