Seven Myths on Crowding and Peripheral Vision
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Seven Myths on Crowding1
Myths on Crowding_39.doc Seven myths on crowding1 Hans Strasburger, Ludwig-Maximilians-Universität, München, Germany For submission to i-Perception Abstract Crowding has become a hot topic in vision research and some fundamentals are now widely agreed upon. For the classical crowding task one would likely agree with the following statements. (1) Bouma’s law can be succinctly stated as saying that critical distance for crowding is about half the target’s eccentricity. (2) Crowding is predominantly a peripheral phenomenon. (3) Peripheral vision extends to at most 90° eccentricity. (4) Crowding increases strongly and linearly with eccentricity (as does the minimal angle of resolution, MAR). (5) Crowding is asymmetric as Bouma (1970) has shown. For that inner-outer asymmetry, the peripheral flanker has more effect. (6) Critical crowding distance corresponds to a constant cortical distance in primary visual areas like V1. (7) Except for Bouma’s (1970) paper, crowding research mostly started in the 2000s. I propose the answer is ‘not really’ to these assertions. So should we care? I think we should, before we write the textbooks for the next generation. Keywords: Crowding, Psychophysics, Perception, Reading, Visual acuity, Peripheral vision, Fovea, Asymmetries, Sensory systems, Cortical map, Vision science, Visual field. Introduction In 1962, the ophthalmologists James Stuart and Hermann Burian published a study on amblyopia where they adopted a nice and clear term, crowding, to describe why standard acuity test charts are mostly unsuitable for amblyopic subjects: On most standard charts, as ophthalmologists and optometrists knew, optotypes on a line are too closely spaced for valid assessment of acuity in all cases, such that in particular amblyopic subjects (and young children) may receive too low an acuity score. -
Relating Binocular and Monocular Vision in Strabismic and Anisometropic Amblyopia
CLINICAL SCIENCES Relating Binocular and Monocular Vision in Strabismic and Anisometropic Amblyopia Ritwick Agrawal, MS, MD; Ian P. Conner, PhD; J. V. Odom, PhD; Terry L. Schwartz, MD; Janine D. Mendola, PhD Objectives: To examine deficits in monocular and bin- ing greater deficits in Vernier acuity. Both amblyopic ocular vision in adults with amblyopia and to test the fol- groups were then characterized according to the degree lowing 2 hypotheses: (1) Regardless of clinical subtype, of residual stereoacuity and binocular motion integra- the degree of impairment in binocular integration pre- tion ability, and 67% of subjects with strabismus com- dicts the pattern of monocular acuity deficits. (2) Sub- pared with 29% of subjects with anisometropia were clas- jects who lack binocular integration exhibit the most se- sified as having “nonbinocular” vision according to our vere interocular suppression. criterion. For this nonbinocular group, Vernier acuity is most impaired. In addition, the nonbinocular group Methods: Seven subjects with anisometropia, 6 sub- showed the most dichoptic contrast masking of the am- jects with strabismus, and 7 control subjects were tested. blyopic eye and the least dichoptic contrast masking of Monocular tests included Snellen acuity, grating acuity, the fellow eye. Vernier acuity, and contrast sensitivity. Binocular tests included Titmus stereo test, binocular motion integra- Conclusion: The degree of residual binocularity and in- tion, and dichoptic contrast masking. terocular suppression predicts monocular acuity and may be a significant etiological mechanism of vision loss. Results: As expected, both groups showed deficits in monocular acuity, with subjects with strabismus show- Arch Ophthalmol. 2006;124:844-850 MBLYOPIA IS A DEVELOP- universally reduced and is often absent in mental visual disorder both types of amblyopia. -
Binocular Vision and Ocular Motility SIXTH EDITION
Binocular Vision and Ocular Motility SIXTH EDITION Binocular Vision and Ocular Motility THEORY AND MANAGEMENT OF STRABISMUS Gunter K. von Noorden, MD Emeritus Professor of Ophthalmology Cullen Eye Institute Baylor College of Medicine Houston, Texas Clinical Professor of Ophthalmology University of South Florida College of Medicine Tampa, Florida Emilio C. Campos, MD Professor of Ophthalmology University of Bologna Chief of Ophthalmology S. Orsola-Malpighi Teaching Hospital Bologna, Italy Mosby A Harcourt Health Sciences Company St. Louis London Philadelphia Sydney Toronto Mosby A Harcourt Health Sciences Company Editor-in-Chief: Richard Lampert Acquisitions Editor: Kimberley Cox Developmental Editor: Danielle Burke Project Manager: Agnes Byrne Production Manager: Peter Faber Illustration Specialist: Lisa Lambert Book Designer: Ellen Zanolle Copyright ᭧ 2002, 1996, 1990, 1985, 1980, 1974 by Mosby, Inc. All rights reserved. No part of this publication may be reproduced or transmit- ted in any form or by any means, electronic or mechanical, including photo- copy, recording, or any information storage and retrieval system, without per- mission in writing from the publisher. NOTICE Ophthalmology is an ever-changing field. Standard safety precautions must be followed, but as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current product information provided by the manufacturer of each drug to be administered to verify the recommended dose, the method and duration of administration, and contraindications. It is the responsibility of the treating physician, relying on experience and knowledge of the patient, to determine dosages and the best treatment for each individual pa- tient. -
Stimuli Characteristics and Psychophysical Requirements for Visual Training in Amblyopia: a Narrative Review
Journal of Clinical Medicine Review Stimuli Characteristics and Psychophysical Requirements for Visual Training in Amblyopia: A Narrative Review Carlos J. Hernández-Rodríguez 1,2 , David P. Piñero 1,2,* , Ainhoa Molina-Martín 1 , León Morales-Quezada 3, Dolores de Fez 1, Luis Leal-Vega 4 , Juan F. Arenillas 4,5 and María Begoña Coco-Martín 4 1 Group of Optics and Visual Perception, Department of Optics, Pharmacology and Anatomy, University of Alicante, San Vicente del Raspeig, 03016 Alicante, Spain; [email protected] (C.J.H.-R.); [email protected] (A.M.-M.); [email protected] (D.d.F.) 2 Clinical Optometry Unit, Department of Ophthalmology, Vithas Medimar International Hospital, 03016 Alicante, Spain 3 Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02215, USA; [email protected] 4 Group of Applied Clinical Neurosciences and Advanced Data Analysis, Neurology Department, Faculty of Medicine, University of Valladolid, 47005 Valladolid, Spain; [email protected] (L.L.-V.); [email protected] (J.F.A.); [email protected] (M.B.C.-M.) 5 Stroke Unit and Stroke Program, Department of Neurology, Universitary Hospital, University of Valladolid, 47003 Valladolid, Spain * Correspondence: [email protected]; Tel.: +34-965-90-34-00 Received: 16 October 2020; Accepted: 7 December 2020; Published: 9 December 2020 Abstract: Active vision therapy using perceptual learning and/or dichoptic or binocular environments has shown its potential effectiveness in amblyopia, but some doubts remain about the type of stimuli and the mode and sequence of presentation that should be used. A search was performed in PubMed, obtaining 143 articles with information related to the stimuli used in amblyopia rehabilitation, as well as to the neural mechanisms implied in such therapeutic process. -
Improvement in Vernier Acuity in Adults with Amblyopia Practice Makes Better
Improvement in Vernier Acuity in Adults With Amblyopia Practice Makes Better Dennis M. Levi* Uri Polat,^ and Ying-Sheng Hu* Purpose. To determine the nature and limits of visual improvement through repetitive practice in human adults with naturally occurring amblyopia. Methods. A key measure the authors used was a psychophysical estimate of Vernier acuity; persons with amblyopia have marked deficits in Vernier acuity that are highly correlated with their loss of Snellen acuity. The experiment consisted of three phases: pretraining measure- ments of Vernier acuity and a second task (either line-detection thresholds or Snellen acuity) in each eye with the lines at two orientations; a training phase in which observers repetitively trained on the Vernier task at a specific line orientation until each had completed 4000 to 5000 trials; and posttrainingmeasurements (identical to those in the first phase). Two groups of amblyopic observers were tested: novice observers (n = 6), who had no experience in making psychophysical judgments with their amblyopic eyes, and experienced observers (n = 5), who had previous experience in making Vernier judgments with their amblyopic eyes (with the lines at a different orientation) using the signal-detection methodology. Results. The authors found that strong and significant improvement in Vernier acuity occurs in the trained orientation in all observers. Learning was generally strongest at the trained orientation but may partially have been transferred to other orientations (n = 4). Significant learning was transferred partially to the other eye (at the trained orientation) in two observers with anisometropic amblyopia. Improvement in Vernier acuity did not transfer to an untrained detection task. -
Seven Myths on Crowding and Peripheral Vision1
Myths on Crowding_40b.doc Final reading Seven myths on crowding and peripheral vision1 Hans Strasburger, Ludwig-Maximilians-Universität, München, Germany For submission to i-Perception Abstract Crowding has become a hot topic in vision research and some fundamentals are now widely agreed upon. For the classical crowding task, one would likely agree with the following statements. (1) Bouma’s law can, succinctly and unequivocally, be stated as saying that critical distance for crowding is about half the target’s eccentricity. (2) Crowding is predominantly a peripheral phenomenon. (3) Peripheral vision extends to at most 90° eccentricity. (4) Resolution threshold (the minimal angle of resolution, MAR) increases strongly and linearly with eccentricity. Crowding increases at an even steeper rate. (5) Crowding is asymmetric as Bouma has shown. For that inner-outer asymmetry, the peripheral flanker has more effect. (6) Critical crowding distance corresponds to a constant cortical distance in primary visual areas like V1. (7) Except for Bouma’s seminal paper in 1970, crowding research mostly became prominent starting in the 2000s. I propose the answer is ‘not really’ or ‘not quite’ to these assertions. So should we care? I think we should, before we write the textbook chapters for the next generation. Keywords: Crowding, Psychophysics, Perception, Reading, Visual acuity, Peripheral vision, Fovea, Asymmetries, Sensory systems, Cortical map, Vision science, Visual field. Introduction In 1962, the ophthalmologists James Stuart and Hermann Burian published a study on amblyopia where they adopted a nice and clear term when they spoke of the crowding phenomenon2 to describe why standard acuity test charts are mostly unsuitable for amblyopic subjects: On most standard charts, as ophthalmologists and optometrists knew, optotypes on a line are too closely spaced for valid assessment of acuity in all cases, such that in particular amblyopic subjects (and young children) may receive too low an acuity score.