Flicker adaptation can be explained by probability summation between ON- and OFF-mechanisms

Mild systemic hypoxia and photopic visual field sensitivity

PURPOSE

Flickering stimuli increase the metabolic demand of the retina, making it a sensitive perimetric stimulus to the early onset of retinal disease. We determine whether flickering stimuli are a sensitive indicator of vision deficits resulting from acute, mild systemic hypoxia when compared to standard static perimetry.

METHODS

Static and flicker visual perimetry were performed in 14 healthy young participants while breathing 12% oxygen (hypoxia) under photopic illumination. The hypoxia visual field data were compared with the field data measured during normoxia. Absolute sensitivities (in dB) were analysed in seven concentric rings at 1°, 3°, 6°, 10°, 15°, 22° and 30° eccentricities as well as mean defect (MD) and pattern defect (PD) were calculated. Preliminary data are reported for mesopic light levels.

RESULTS

Under photopic illumination, flicker and static visual field sensitivities at all eccentricities were not significantly different between hypoxia and normoxia conditions. The mean defect and pattern defect were not significantly different for either test between the two oxygenation conditions.

CONCLUSION

Although flicker stimulation increases cellular metabolism, flicker photopic visual field impairment is not detected during mild hypoxia. These findings contrast with electrophysiological flicker tests in young participants that show impairment at photopic illumination during the same levels of mild hypoxia. Potential mechanisms contributing to the difference between the visual fields and electrophysiological flicker tests including variability in perimetric data, neuronal adaptation and vascular autoregulation are considered. The data have implications for the use of visual perimetry in the detection of ischaemic/hypoxic retinal disorders under photopic and mesopic light levels.

A method for investigating the temporal dynamics of local neuroretinal responses

Visual sensitivity improves with prolonged exposure to light. Global neuroretinal responses increase, but little is known about the dynamics of local retinal responses over brief time intervals after changes in light level. This study applies the time-slice multifocal electroretinogram (TS mfERG) paradigm for the measurement of local electrical responses of the human eye over brief time intervals. Sixty-one, localised retinal areas were assessed over 25 degrees of the visual field. Cone-mediated contributions to the time-slice waveform were established. The time-slice mfERG waveforms were similar in shape and timing for pre- and post-photopigment bleach conditions after saturation of rod-mediated responses, suggesting there was no rod-mediated intrusion in the waveform. The temporal dynamics of the mfERG components show that N1P1 amplitudes decrease with each successive time-slice probe, with larger amplitude responses in the central retina compared to nasal and temporal retina. The time-slice mfERG waveform is a technique for assessing the temporal dynamics of cone-generated neural responses over time. The data are interpreted in terms of the vascular supplies and lower-level visual adaptation mechanisms.

Defining the detection mechanisms for symmetric and rectified flicker stimuli

Symmetric flicker modulates about a background light level and effects no change in the time-average luminance. Rectified flicker is achieved by modulating a luminance-increment and results in both a flickering component and an increase in the time-averaged luminance (luminance-pedestal) above the adapting background light level. We studied the effect that changes in adapting light level and local luminance (within the area of the flickering target) have on thresholds. We measured thresholds for single and multiple cycles of flicker over a range of adapting light levels (Threshold versus Intensity paradigm) and defined their gain as a function of luminance-pedestal amplitude (Threshold versus Amplitude paradigm). The dynamics of symmetric and rectified flicker responses were determined using a Stimulus Onset Asynchrony paradigm. The data show rectified flicker thresholds differ from symmetric flicker thresholds due to two factors that can be contrast-dependent or contrast-independent: (1) local adaptation, which varies with stimulus duration and (2) surround interactions that depend on adapting light level. The dynamics of the thresholds for symmetric and rectified flicker stimuli suggest the detection mechanisms occur early in the visual pathways, involving the magnocellular pathway.

Disclosing disease mechanisms with a spatio-temporal summation paradigm

BACKGROUND

We develop the logic for a stimulus that can evaluate cone-dependent spatial summation and detail the modelling and interpretation of thresholds obtained with this stimulus.

METHODS

Fifteen observers participated, including two young normals tested extensively in control experiments, and a clinical trial based on four observers with age-related macular degeneration (AMD), four age-similar controls and five young observers. Monocular spatial summation functions were measured with contrast-modulated Gabor targets that approximated the optimal visual contrast detector. Thresholds were returned from a yes/no adaptive psychophysical algorithm. By fine titration along the size domain it was demonstrated that the spatial summation of normal observers can be adequately described by a two-component model. A reduced set of variables are proposed for clinical applications and the model was applied to data derived using these variables in persons with AMD and age-similar controls.

RESULTS

We do not find a significant age-related loss of contrast sensitivity in our normal group. On the other hand, persons with early AMD exhibited a 0.41 log unit loss of sensitivity (P=0.04) from age-similar controls, without any change in their maximum summation area (A(max)).

CONCLUSIONS

The nature of the spatial summation is consistent with the interpretation that early AMD produces a decrease in cone input to post-receptoral mechanisms in the absence of neural remodelling.

Isolating motion responses in visual evoked potentials by preadapting flicker-sensitive mechanisms

Onset of visual motion evokes a component in the EEG, the motion onset VEP. Exploring its motion specificity with a direction-specific adaptation paradigm, previous work demonstrated that less than 50% of the motion onset VEP represents actual motion detection. Here, we tested whether preadaptation of flicker-sensitive mechanisms can help to isolate motion-specific responses in the VEP. Flicker preadaptation was accomplished by limiting dot lifetime in the random-dot kinematograms that we used to study the direction specificity of motion adaptation. With unlimited dot lifetime, motion adaptation reduced the VEP amplitude to 35% (adapted direction) and 50% (opposite direction). With the shortest dot lifetime (40 ms), motion adaptation reduced the amplitude to 55% (adapted direction) and 70% (opposite direction). These findings suggest that random-dot kinematograms with short dot lifetimes could improve the investigation of human motion processing, be it in electrophysiology or other fields. While such stimuli successfully preadapt flicker-related components, they still evoke a sizable response, of which an estimated 70% is motion-specific.

Achromatic impulses unmask L- and M-cone adaptive mechanisms

The mechanisms underlying the adaptive response for achromatic impulses seen on achromatic fields were investigated. Foveal thresholds were measured for a static probe-impulse under two conditions of adaptation. Thresholds were obtained under gain-clamped conditions after observers had reached steady-state adaptation and with a probe-flash paradigm. It was found that thresholds isolated on steady-state fields cannot be modelled using a single mechanism. Likewise, the probe-flash condition failed to reflect the response of a single mechanism. Both threshold functions showed distinct breaks occurring at about the same field luminance (approximately 1.0 log cd/m2). Optimum data fits required the incorporation of two mechanisms implying the existence of independent processes mediating detection. Chromatic isolation confirmed that differential adaptation had been unmasked in the long- and medium-wavelength sensitive cone inputs to the achromatic channel.