Haidinger's brushes: Psychophysical analysis of an entoptic phenomenon.

Entoptic phenomena are visual artifacts arising from the interaction of light with the specific anatomic structure of the human eye. While they are usually too subtle to actually enable additional visual abilities, their perception can provide indirect information on the physiological conditions of the visual system. Among the most famous ones, Haidinger's brushes consist in the appearance of a yellowish bow tie perceived in the presence of linearly polarized white light and originate from the particular spatial distribution of dichroic carotenoid molecules forming a sort of embedded radial polarizer in the foveal region. In this work, we develop a compact and versatile optical setup for the psychophysical analysis of the perceptual threshold of such entoptic effect. The tests performed on a group of 113 healthy individuals under conditions of maximum contrast (blue light) reveal the capability to perceive an average polarization degree around 16%. The developed prototype outlines a new optical platform to train the users in the perception of the phenomenon and infer information on the polarization-degree sensitivity of the human visual system.

Exploring the Determinants of Color Perception Using #Thedress and Its Variants: The Role of Spatio-Chromatic Context, Chromatic Illumination, and Material-Light Interaction.

The colors that people see depend not only on the surface properties of objects but also on how these properties interact with light as well as on how light reflected from objects interacts with an individual's visual system. Because individual visual systems vary, the same visual stimulus may elicit different perceptions from different individuals. #thedress phenomenon drove home this point: different individuals viewed the same image and reported it to be widely different colors: blue and black versus white and gold. This phenomenon inspired a collection of demonstrations presented at the Vision Sciences Society 2015 Meeting which showed how spatial and temporal manipulations of light spectra affect people's perceptions of material colors and illustrated the variability in individual color perception. The demonstrations also explored the effects of temporal alterations in metameric lights, including Maxwell's Spot, an entoptic phenomenon. Crucially, the demonstrations established that #thedress phenomenon occurs not only for images of the dress but also for the real dress under real light sources of different spectral composition and spatial configurations.

Visual snow syndrome: A clinical and phenotypical description of 1,100 cases.

OBJECTIVE: To validate the current criteria of visual snow and to describe its common phenotype using a substantial clinical database. METHODS: We performed a web-based survey of patients with self-assessed visual snow (n = 1,104), with either the complete visual snow syndrome (n = 1,061) or visual snow without the syndrome (n = 43). We also describe a population of patients (n = 70) with possible hallucinogen persisting perception disorder who presented clinically with visual snow syndrome. RESULTS: The visual snow population had an average age of 29 years and had no sex prevalence. The disorder usually started in early life, and ≈40% of patients had symptoms for as long as they could remember. The most commonly experienced static was black and white. Floaters, afterimages, and photophobia were the most reported additional visual symptoms. A latent class analysis showed that visual snow does not present with specific clinical endophenotypes. Severity can be classified by the amount of visual symptoms experienced. Migraine and tinnitus had a very high prevalence and were independently associated with a more severe presentation of the syndrome. CONCLUSIONS: Clinical characteristics of visual snow did not differ from the previous cohort in the literature, supporting validity of the current criteria. Visual snow likely represents a clinical continuum, with different degrees of severity. On the severe end of the spectrum, it is more likely to present with its common comorbid conditions, migraine and tinnitus. Visual snow does not depend on the effect of psychotropic substances on the brain.

Polarization perception in humans: on the origin of and relationship between Maxwell's spot and Haidinger's brushes.

Under specific conditions of illumination and polarization, differential absorption of light by macular pigments is perceived as the entoptic phenomena of Maxwell's spot (MS) or Haidinger's brushes (HB). To simulate MS and HB, an existing computational model of polarization-dependent properties of the human macula was extended by incorporating neuronal adaptation to stabilized retinal images. The model predicted that polarized light modifies the appearance of MS leading to the perception of a novel phenomenon. The model also predicted a correlation between the observed diameters of MS and HB. Predictions were tested psychophysically in human observers, whose measured differences in the diameters of each entoptic phenomenon generated with depolarized and linearly polarized light were consistent with the model simulations. These findings support a common origin of each phenomenon, and are relevant to the clinical use of polarization stimuli in detecting and monitoring human eye disorders, including macular degeneration. We conclude: (i) MS and HB both result from differential light absorption through a radial diattenuator, compatible with the arrangement of macular pigments in Henle fibres; (ii) the morphology of MS is dependent on the degree of linear polarization; (iii) perceptual differences between MS and HB result from different states of neural adaptation.

Do Müller Cells Act as Optical Fibers in the Primate Retina?

Purpose: To examine whether Müller cells in the primate retina act as optical light guides. Method: In the literature, it has been suggested that Müller cells in the primate retina act as optical fibers. I have conducted a survey of the literature for papers in support of or refuting this assumption. Results: I show that neither histology, nor the direct observation of photoreceptors, nor the entoptic observation of the retina agree with the assumption that Müller cells in the human retina act as optical waveguides. Conclusions: I confirm the classic view that the inner/outer segments act together as optical waveguides and that they are the origin of the Stiles-Crawford effect of the first kind.

Computational simulation of Haidinger's brushes.

Haidinger's brushes (HB) are entoptic phenomena resulting from differential absorption of linear polarized light by the human macula. Computational models have assisted in understanding the behavior of these subjective phenomena but have been limited in their application. This study presents a revised computational model that incorporates known determinants of the form and behavior of HB. The model generates both static and animated simulations of HB that can be quantified by their density, contrast, and radial/circumferential extent. Measured physiological parameters are used to demonstrate the dependency of HB on macular pigment (MP) density, MP distribution, and ocular retardation. Physiological variations in these parameters explain the reported variations in the perception of HB.

The spectral, spatial and contrast sensitivity of human polarization pattern perception.

It is generally believed that humans perceive linear polarized light following its conversion into a luminance signal by diattenuating macular structures. Measures of polarization sensitivity may therefore allow a targeted assessment of macular function. Our aim here was to quantify psychophysical characteristics of human polarization perception using grating and optotype stimuli defined solely by their state of linear polarization. We show: (i) sensitivity to polarization patterns follows the spectral sensitivity of macular pigment; (ii) the change in sensitivity across the central field follows macular pigment density; (iii) polarization patterns are identifiable across a range of contrasts and scales, and can be resolved with an acuity of 15.4 cycles/degree (0.29 logMAR); and (iv) the human eye can discriminate between areas of linear polarization differing in electric field vector orientation by as little as 4.4°. These findings, which support the macular diattenuator model of polarization sensitivity, are unique for vertebrates and approach those of some invertebrates with a well-developed polarization sense. We conclude that this sensory modality extends beyond Haidinger's brushes to the recognition of quantifiable spatial polarization-modulated patterns. Furthermore, the macular origin and sensitivity of human polarization pattern perception makes it potentially suitable for the detection and quantification of macular dysfunction.

Prefoveal floaters as a differential diagnosis to optic neuritis: "mouches dormantes".

This case series describes a new optical coherence tomography (OCT) specific observation relevant to the differential diagnosis of patients with suspected optic neuritis. A tiny prefoveal floater, only detectable by OCT, was found responsible for the symptoms in three patients, one of whom had been referred with unilateral delayed visual evoked potentials. This case series suggests that with increased use of OCT in routine clinical care, entoptic phenomena can be demonstrated as a relevant differential diagnosis to optic neuritis. Patients should be explained the benign nature of their symptoms.

[Visual Snow Syndrome: Symptoms and Ophthalmological Findings]. / Das Visual-Snow-Syndrom: Symptome und ophthalmologische Befunde.

Background The symptom "visual snow" describes the continuous perception of tiny flickering dots within the whole visual field of both eyes. The diagnosis of a visual snow syndrome requires the appearance of typical additional visual symptoms and the exclusion of ophthalmological or neurological causes, or pharmacological influences. Patients and Methods Three male and four female subjects between 13 and 36 years of age referred with visual snow were investigated and asked about their symptoms. A complete ophthalmological investigation, including binocular fundoscopy, was performed in all patients. Furthermore, best corrected visual acuity, perimetry, binocular functions, colour vision (D15-test), full-field ERG, pattern-reversal VEP and SD-OCT images of macula and optic nerve (RNFL) were analysed. Results Visual acuity of at least 1.0 and normal findings for all further investigations were observed in all patients. The following additional visual symptoms were identified: illusionary palinopsia (n = 6), disturbance of night vision (n = 5), positive light phenomena (n = 7). A history of migraine with aura was reported in five patients. The intake of hallucinogenic drugs or centrally active pharmaceuticals was denied by all patients. The findings of available or initiated neurological investigations were normal. Conclusions The visual snow syndrome has to be regarded as a diagnosis of exclusion. Visual function parameters are not impaired. Apart from eye diseases, a persistent migraine aura as well as neurological diseases or the intake of hallucinogenic drugs must be excluded as possible causes of visual snow and palinopsia.

Visual Percepts in the Cases of Binocular and Monocular Viewing Stabilized Test Objects, Ganzfeld Stimuli, and Prolonged Afterimages.

A thorough analysis of the literature on retinal image stabilization, as well as our own experimental data, present evidence that Yarbus's concept, implying inevitable and irreversible fading of a visible image evoked by stabilized retinal stimulus of any size, color, and luminance in 1 to 3 s after its onset, is not valid in a general case. It has been demonstrated that, even with Yarbus's stabilization techniques, the lifetime of visible images varies from fractions of a second to the whole stimulus duration-up to 30 min in our experiments-depending on many factors: monocular or binocular viewing, stimulus parameters, characteristics of subjects, and so forth. The dynamics of perceived images is determined mainly by the processes at the higher levels of the visual system. In the cases of such unusual visual stimuli as stabilized retinal images, it is problematic for the visual brain to find their proper interpretations in terms of everyday natural experience. Usually, the responses of retinal units are determined by three types of coexisting images: (a) the optical projections of external objects, (b) shadows of the blood vessels and other internal eye structures, (c) virtual patterns caused by the traces of previous stimuli. A task of the visual system is to recognize and visualize only external objects separating their projections from all the entoptic images of the two remaining types. To implement separation, visual brain employs a number of approaches--in particular, the eye movements that cause sliding over the retina but only the projection of the external objects. This means that the peculiar phenomena observed in the cases of stabilized retinal images can be determined not by invariability of such stimuli per se but rather by the fact that stabilization eliminates a powerful cue helping to identify the retinal images belonging to the external objects, thereby increasing the probability to treat them as the entoptic ones which should be ignored or canceled rather than perceived. However, the probability of canceling--image fading--can be essentially reduced in conditions of concordant, large, bright, and sharp binocular stimuli.

Perceiving polarization with the naked eye: characterization of human polarization sensitivity.

Like many animals, humans are sensitive to the polarization of light. We can detect the angle of polarization using an entoptic phenomenon called Haidinger's brushes, which is mediated by dichroic carotenoids in the macula lutea. While previous studies have characterized the spectral sensitivity of Haidinger's brushes, other aspects remain unexplored. We developed a novel methodology for presenting gratings in polarization-only contrast at varying degrees of polarization in order to measure the lower limits of human polarized light detection. Participants were, on average, able to perform the task down to a threshold of 56%, with some able to go as low as 23%. This makes humans the most sensitive vertebrate tested to date. Additionally, we quantified a nonlinear relationship between presented and perceived polarization angle when an observer is presented with a rotatable polarized light field. This result confirms a previous theoretical prediction of how uniaxial corneal birefringence impacts the perception of Haidinger's brushes. The rotational dynamics of Haidinger's brushes were then used to calculate corneal retardance.We suggest that psychophysical experiments, based upon the perception of polarized light, are amenable to the production of affordable technologies for self-assessment and longitudinal monitoring of visual dysfunctions such as age-related macular degeneration.

Images created in a model eye during simulated cataract surgery can be the basis for images perceived by patients during cataract surgery.

PURPOSE: To evaluate the images created in a model eye during simulated cataract surgery. PATIENTS AND METHODS: This study was conducted as a laboratory investigation and interventional case series. An artificial opaque lens, a clear intraocular lens (IOL), or an irrigation/aspiration (I/A) tip was inserted into the 'anterior chamber' of a model eye with the frosted posterior surface corresponding to the retina. Video images were recorded of the posterior surface of the model eye from the rear during simulated cataract surgery. The video clips were shown to 20 patients before cataract surgery, and the similarity of their visual perceptions to these images was evaluated postoperatively. RESULTS: The images of the moving lens fragments and I/A tip and the insertion of the IOL were seen from the rear. The image through the opaque lens and the IOL without moving objects was the light of the surgical microscope from the rear. However, when the microscope light was turned off after IOL insertion, the images of the microscope and operating room were observed by the room illumination from the rear. Seventy percent of the patients answered that the visual perceptions of moving lens fragments were similar to the video clips and 55% reported similarity with the IOL insertion. Eighty percent of the patients recommended that patients watch the video clip before their scheduled cataract surgery. CONCLUSIONS: The patients' visual perceptions during cataract surgery can be reproduced in the model eye. Watching the video images preoperatively may help relax the patients during surgery.

The entoptic view of the retinal vessels.

The first time the retinal vessels were seen in man in vivo was reported in 1819 by Purkinje as an entoptic view. This was understood to show the shadow of the vessels, an interpretation objected to in 1834 by Brewster. Müller in 1855 (Über die entoptische wahrnehmung der netzhautgefässe, insbesondere als beweismittel für die lichtperception durch die nach hinten gelegenen netzhautelemente, Stahel, Würzburg) used the phenomenon to deduce the location of the photoreceptive layer of the retina, and his conclusion is accepted as true today. Because the phenomenon has some characteristics of an afterimage, it touches on the question of what is subjective and what is objective physical reality. It was recently used clinically to measure potential visual acuity and in the diagnoses of diabetic retinopathy and macular degeneration.

Images of intravitreal objects projected onto posterior surface of model eye.

PURPOSE: To try to recreate the images reported by patients during vitreous surgery in a model eye. METHODS: A fluid-filled model eye with a posterior frosted translucent surface which corresponded to the retina was used. Three holes were made in the model eye through which an endoillumination pipe and intraocular forceps could be inserted. A thin plastic sheet simulating an epiretinal membrane and an intraocular lens (IOL) simulating a dislocated IOL were placed on the retina. The images falling on the posterior surface were photographed from the rear. The images seen through the surgical microscope were also recorded. RESULTS: The images from the rear were mirror images of those seen through the surgical microscope. Intraocular instruments were seen as black shafts from the rear. When the plastic sheet was picked up, the tip of the forceps was seen more sharply on the posterior surface. The images of the dislocated IOL from the posterior were similar to that seen through the surgical microscope, including the yellow optics and blue haptics. CONCLUSION: Intravitreal objects can form images on the surface of a model eye. Objects located closer to the surface are seen more sharply, and the colour of the objects can be identified.