Linda Lillakas

Fixation stability using radial gratings in patients with age-related macular degeneration

BACKGROUND The fixation stability of patients with macular atrophy is generally worse than that of people without pathology. METHODS The effects of 2 types of high-contrast fixation stimuli on fixation stability were compared between patients with longstanding age-related macular degeneration (AMD) and control subjects with normal vision. One stimulus was a 9-cycle square-wave radial grating measuring 5 degrees in diameter and the other a white 0.5 degrees disc. A video-based infrared eye tracker with remote optics was used to record eye position while participants fixated the stimuli in primary position of gaze for 6 to 7 s. Fixation stability was measured with a bivariate contour ellipse area (BCEA). RESULTS For patients with AMD, fixation stability for the radial grating was largely independent of visual acuity, whereas fixation stability for the disc diminished with acuity. For the control observers, there were no differences in fixation stability for the 2 kinds of stimuli. INTERPRETATION In clinical and research settings, radial gratings can be useful targets for fixation for patients with macular disease since they provide enough visual information to help maintain fixation stability. These findings have important implications for the design of clinical tests and procedures such as perimetry, multifocal electroretinography, and optical coherence tomography for patients with macular atrophies.

Leonardo da Vinci's Struggles with Representations of Reality

Virtual reality systems seek to simulate real scenes so that they will be seen as three-dimensional. The issues at the heart of virtual reality are old ones. Leonardo da Vinci struggled with the differences between the perception of a scene and a painting of it, which he reduced to the differences between binocular and monocular vision. He could not produce on canvas what, in the terminology of Ames, was an equivalent configuration. This was provided 300 years after Leonardo by Wheatstones stereoscope. Modern approaches to virtual reality that can incorporate moving viewpoints would have fascinated Leonardo

Fixation Stability, Fixation Location, and Visual Acuity after Successful Macular Hole Surgery

PURPOSE This study examined whether changes in fixation stability and fixation location are good predictors of visual acuity after successful macular hole surgery. METHODS Ten patients with macular hole were tested before surgery and at 1 and 3 months after surgery. Visual acuity was measured with the ETDRS; fixation stability and fixation location were assessed with the MP-1 Microperimeter (Nidek Technologies Srl., Vigonza, PD, Italy). The quantitative measure of fixation stability was calculated with a bivariate contour ellipse area (BCEA). Fixation location shift was evaluated using the differential map analysis feature of the MP-1 Microperimeter. RESULTS There was a significant improvement in visual acuity after macular hole closure. Fixation location shifted an average of 0.55 deg and 0.87 deg at 1 month and 3 months after surgery, respectively. The fixation shift was not a good predictor of visual outcome. Fixation stability improved from an average of 0.35 deg(2) before surgery to 0.29 deg(2) at 3 months after surgery. The change in fixation stability (DeltaBCEA = BCEA before - BCEA after surgery) correlated highly with visual outcome. The regression model showed that DeltaBCEA accounted for a significant proportion of the variance in visual acuity both 1 and 3 months after surgery. CONCLUSIONS Some changes in ocular motor function explain the visual outcome after the anatomic success of macular hole surgery. Fixation location shift has no influence on visual acuity post-operatively; however, change in fixation stability is a strong predictor of visual outcome after successful closure of the macular hole.

The pursuit of Leonardo's constraint.

Leonardo da Vinci (1452–1519) identified two stimulus situations that cannot be painted faithfully on a canvas: (a) when two objects are located in the same direction with respect to the painters head, and (b) when parts of a surface are visible to one eye, but occluded from the other eye. He analysed these situations in terms of rays being emitted from the two eyes and, aside from the origin of the rays, the projective geometry he used was correct. His analyses showed that what can be seen from two vantage points cannot be represented on a canvas, because a ‘correct’ painting must be created from a single ‘station point’. He was struck by the consequence of this fact that the depth seen on a canvas cannot match that of viewing the scene with two eyes. Subsequent visual scientists focused on Leonardos observation about the lack of vivid depth in a picture. We argue that a complete understanding of what we see in the two stimulus situations requires consideration of visual direction in addition to visual depth. More specifically, we argue that the visual directions of the two objects, (a) above, and the visual direction of the monocular areas, (b) above, are dependent upon the constraint that two opaque objects cannot be represented in the same direction. Demonstrations that readers can perform, and that support this argument, are provided on the Perception website at http://www.perceptionweb.com/perc0102/ono.html.

Saccadic adaptation in Chiari type II malformation.

BACKGROUND Saccadic adaptation corrects errors in saccadic amplitude. Experimentally-induced saccadic adaptation provides a method for studying motor learning. The cerebellum is a major participant in saccadic adaptation. Chiari type II malformation (CII) is a developmental deformity of the cerebellum and brainstem that is associated with spina bifida. We investigated the effects of CII on saccadic adaptation. METHOD We measured eye movements using an infrared eye tracker in 21 subjects with CII (CII group) and 39 typically developing children (control group), aged 8-19 years. Saccadic adaptation was induced experimentally using targets that stepped horizontally 120 to the right and then stepped backward 3 degrees during saccades. RESULTS Saccadic adaptation was achieved at the end of the adaptation phase in participants in each group. Saccadic amplitude gain decreased by 6.9% in the CII group and 9.3% in the control group. The groups did not differ significantly (p = 0.27). Amplitude gain reduction was significantly less in the CII participants who had multiple shunt revisions. Regression analyses revealed no effects of spinal lesion level, presence of nystagmus, or cerebellar vermis dysmorphology on saccadic adaptation. CONCLUSION The neural circuits involved in saccadic adaptation appear to be functionally intact in CII.

Dynamics of saccadic adaptation : Differences between athletes and nonathletes

Purpose. The aim of the study was to delineate differences in saccadic adaptation characteristics between a population of racquet sports athletes and nonathletes. Methods. Eye movements were recorded at 120 Hz using a video-based eye tracker (ELMAR 2020) in a sample of 27 athletes (varsity badminton and squash players) and 14 nonathletes (<3 hours/week participation in recreational sports). Responses to negative positional error and positive positional error were studied in two sessions on separate days. Negative positional errors were induced by displacing the stimuli backwards by 3° from the initial target step (12°). Likewise, positive positional errors were induced by displacing the stimuli forward by 3°. Amplitude gains were calculated for trials before, during, and after the adaptation phase. The magnitude and the rate of change of saccadic adaptation were determined from the amplitude gains. Differences between the groups were compared using regression analysis. Results. No significant differences were found between the two groups in the magnitude of saccadic adaptation, both for negative (athletes −60%, nonathletes −57%) and positive (athletes +26%, and nonathletes +27%) positional error. Racquet sports athletes showed a significantly faster rate of adaptation for the positive positional error. A significant difference was not observed in the rate of adaptation for the negative positional error. Conclusions. Racquet sports athletes and nonathletes adapt to positional error signals by similar amounts. However, racquet sports athletes respond to positive positional errors at a faster rate, suggesting that a strategic component or environmental influences (such as practice) may play a role in saccadic adaptation.

Leonardo's constraint: two opaque objects cannot be seen in the same direction.

Given Leonardos constraint that 2 opaque objects cannot be seen in the same direction, how are the regions of objects occluded to 1 eye included in perception? To answer this question, the authors presented 3-dimensional stimuli, similar to the ones that concerned Leonardo, and measured the visual directions of their monocular and binocular regions. When the distance between near and far objects was large, the nonfixated object was seen as double and blurry. Leonardos constraint was met by seeing the near object as double and transparent or the distant object as double and superimposed. When the distance between near and far objects was small, the constraint was met by a perceptual displacement and compression of parts of the nonfixated object.

Children’s pursuit eye movements: a developmental study

We examined the pursuit eye movements of adults and three groups of children 4-6, 8-10, 12-16 years of age. The first experiment compared tracking performance of a partially occluded target with that of a fully visible target. The second experiment examined pursuit abilities of children using a non-cognitive source of information for motion, i.e., proprioception. In this experiment, we compared the ability to track ones own strobe-illuminated finger with the tracking of the experimenters finger. In the first experiment, only children 4-6 years of age had difficulty inhibiting the tendency to look towards the visible portion of the partially occluded target. They also had significantly fewer epochs of pursuit relative to teenagers and adults. The older childrens pursuit eye movements (8-10) were neither significantly different from the youngest nor from the two older groups. In the second experiment, all participants pursued their own finger better than the experimenters finger, but the youngest children had significantly fewer epochs of pursuit relative to adults. Pursuit of a partially occluded target and incorporation of proprioceptive signals to drive smooth pursuit eye movements are abilities present at four years of age that continue to develop with increasing age.

Effect of Stimulus Type on the Eye Movements of Children

PURPOSE The authors investigated whether pictures elicit superior response rates and eye movement dynamics on saccade and pursuit tasks than do dots or spots of light and whether the need for more interesting stimuli is age dependent. METHODS Using video eye tracking, horizontal eye movements were investigated in children and adults using dots and small colored pictures as stimuli. Saccade data were obtained from 61 people and pursuit data from 53 people, ages 3 to 30 years, with no known ocular, ocular motor, neurologic, or systemic disease. Saccadic stimuli were randomly presented in steps ranging in size from 5° to 30°. Pursuits at four velocities (5°/s, 10°/s, 20°/s, and 30°/s) were tested using step ramp stimuli. RESULTS Picture targets result in age-dependent improvements in ocular motor responses compared with dots. With the exception of saccadic accuracy, the youngest children are most affected by the type of target. Adults are affected very little. For pictures, saccadic response rates (t((60)) = 4.30, P < 0.001), saccadic peak velocities (t((60)) = 2.24, P = 0.03), saccadic accuracy (t((59)) = 2.34, P = 0.02), and closed-loop pursuit gains (F((3,50)) = 2.86, P = 0.046) are higher. Saccadic error rates (t((60)) = 3.91, P < 0.001) and saccadic latencies (t((59)) = 9.5, P < 0.001) are lower with pictures. CONCLUSIONS Stimulus characteristics can affect response rates and eye movement dynamics, particularly in young children. To avoid underestimation of eye movement performance in young children, it is important to use meaningful targets. Furthermore, when comparing the ocular motor performance of children across studies one must consider the type of stimuli used.

Increased Role of Peripheral Vision in Self-Induced Motion in Patients with Age-Related Macular Degeneration

PURPOSE The contribution of peripheral vision in inducing self-motion (vection) was investigated in people with bilateral age-related macular degeneration (AMD). METHODS Eleven patients with bilateral AMD and dense central scotomas with no islands of functional central retina and 12 age-matched control subjects were exposed to random-dot patterns projected on a large screen. The dots either moved from left to right, inducing linear vection, or rotated about the roll axis, inducing roll vection. Latency, total vection time, and objective and subjective measures of tilt were recorded. RESULTS The patients with AMD experienced shorter latencies than did the age-matched control participants, but the total vection time in both conditions and tilt during roll vection were the same in both groups. There was a positive correlation between objective tilt and subjective measures of tilt in the AMD, but not in the age-matched control group. There was a negative relationship between absolute scotoma size and latency. CONCLUSIONS Two main conclusions were drawn. First, the role of peripheral vision in inducing vection is enhanced in people with bilateral central vision loss. Second, people with bilateral AMD adapt successfully to a moving environment (they do not experience vection longer, nor do they tilt more) and are more aware of their postural position than are age-matched control subjects.