Sensitivity of vergence responses of 5- to 10-week-old human infants

The role of binocular vision in the control and development of visually guided upper limb movements

Vision provides a key sensory input for the performance of fine motor skills, which are fundamentally important to daily life activities, as well as skilled occupational and recreational performance. Binocular visual function is a crucial aspect of vision that requires the ability to combine inputs from both eyes into a unified percept. Summation and fusion are two aspects of binocular processing associated with performance advantages, including more efficient visuomotor control of upper limb movements. This paper uses the multiple processes model of limb control to explore how binocular viewing could facilitate the planning and execution of prehension movements in adults and typically developing children. Insight into the contribution of binocularity to visuomotor control also comes from examining motor performance in individuals with amblyopia, a condition characterized by reduced visual acuity and poor binocular function. Overall, research in this field has advanced our understanding of the role of binocular vision in the development and performance of visuomotor skills, the first step towards developing assessment tools and targeted rehabilitation for children with neurodevelopment disorders at risk of poor visuomotor outcomes. This article is part of a discussion meeting issue 'New approaches to 3D vision'.

Developmental Trajectories of Size Constancy as Implicitly Examined by Simple Reaction Times

It is still unclear whether size constancy is an innate ability or whether it develops with age. As many developmental studies are limited to the child's comprehension of the task instructions, here, an implicit measure of perceived size, namely, simple manual reaction time (RT), was opted for based on the assumption that perceptually bigger objects generate faster detection times. We examined size constancy in children (from 5 to 14 years of age) and adults using a simple RT approach. Participants were presented with pictures of tennis balls on a screen that was physically moved to two viewing distances. Visual stimuli were adjusted in physical size in order to subtend the same visual angle across distances, determining two conditions: a small-near tennis ball vs. a big-far tennis ball. Thanks to size constancy, the two tennis balls were perceived as different even though they were of equal size on the retina. Stimuli were also matched in terms of luminance. Participants were asked to react as fast as possible to the onset of the stimuli. The results show that the RTs reflected the perceived rather than the retinal size of the stimuli across the different age groups, such that participants responded faster to stimuli that were perceived as bigger than those perceived as smaller. Hence, these findings are consistent with the idea that size constancy is already present in early childhood, at least from the age of five, and does not require extensive visual learning.

The relationship between reflex eye realignment and the percept of single vision in young children

Effective binocular vision is dependent on both motor and perceptual function. Young children undergo development of both components while interacting with their dynamic three-dimensional environment. When this development fails, eye misalignment and double vision may result. We compared the range of image disparities over which young children display reflex motor realignment of their eyes with the range over which they report a single versus double percept. In response to step changes in the disparity of a 2.2° wide stimulus, 5-year-olds generated an adult-like reflex vergence velocity tuning function peaking at 2° of disparity, with a mean latency of 210 ms. On average, they reported double vision for stimulus disparities of 3° and larger, compared to 1° in adult reports. Three-year-olds also generated reflex vergence tuning functions peaking at approximately 2° of disparity, but their percepts could not be assessed. These data suggest that, by age 5, reflex eye realignment responses and percepts driven by these brief stimuli are tightly coordinated in space and time to permit robust binocular function around the point of fixation. Importantly, the plastic neural processes maintaining this tight coordination during growth control the stability of visual information driving learning during childhood.

Infants' responsiveness to half-occlusions in phantom stereograms

The present natural preference study investigated infants 4 and 7 months of age for their ability to respond to phantom contoubrs, illusory surfaces generated by half-occlusions in a stereoscopic display consisting of a pair of parallel vertical lines. The left line in the half-image for the right eye and the right line in the half-image for the left eye have a gap in the middle. The visual system accounts for the binocular unmatched gaps by perceiving an illusory contour. Infants in the experimental condition were presented with a standard phantom stereogram displaying a phantom contour versus a non-standard phantom stereogram, the half-images of which were exchanged. This stereogram evokes the impression of two small separate illusory contours. In both stereograms, the gaps moved up and down. The participants aged 7 but not 4 months preferred looking at the standard phantom stereogram. A control condition supported the hypothesis that the infants 7 months of age in the experimental condition indeed responded to the coherent illusory surface instead of simply detecting differences in the geometric arrangement of the half-occlusions. The results hence indicate that infants are able to extract spatial information from monocular regions in a binocular display.

Convergence and divergence to radial optic flow in infancy

Research finds a relationship between the development of depth perception and ocular motion functions including smooth pursuit and ocular following response. Infants' reactions to looming stimuli also suggest sensitivity to optic flow information that specifies relative distance. With radial optic flow, an expanding flow field elicits involuntary convergent eye movements while a contracting one elicits involuntary divergent eye movements. This response suggests the visual system is interpreting the radial flow as a change in relative depth. We measured the oculomotor response to radial optic flow in infants aged two to five months. The stimulus comprised a radial optic flow pattern that expanded or contracted across eight 400 ms trials while eye position was monitored with a Tobii X120 eye tracker. A subset of infants also viewed trials of a static version of the stimulus. On average, most infants in each age group demonstrated convergence to the expanding pattern and divergence to the contracting one. Moreover, the difference in gain between the convergence and divergence eye movements was significant. The presence of correct-direction vergence eye movements in response to expansion and contraction provides further evidence that infants are sensitive to information that specifies relative motion in depth.

The Importance of the Interaction Between Ocular Motor Function and Vision During Human Infancy

Numerous studies have demonstrated the impact of imposed abnormal visual experience on the postnatal development of the visual system. These studies have provided fundamental insights into the mechanisms underlying neuroplasticity and its role in clinical care. However, the ocular motor responses of postnatal human infants largely define their visual experience in dynamic three-dimensional environments. Thus, the immature visual system needs to control its own visual experience. This review explores the interaction between the developing motor and sensory/perceptual visual systems, together with its importance in both typical development and the development of forms of strabismus and amblyopia.

Human infants can generate vergence responses to retinal disparity by 5 to 10 weeks of age

Vergence is defined as a binocular eye movement during which the two eyes move in opposite directions to align to a target in depth. In adults, fine vergence control is driven primarily by interocular retinal image disparity. Although infants have not typically been shown to respond to disparity until 3 to 5 months postpartum, they have been shown to align their eyes from hours after birth. It remains unclear what drives these responses in young infants. In this experiment, 5- to 10-week-old human infants were presented with a dynamic random noise stimulus oscillating in disparity at 0.1 Hz over an amplitude of 2° for 30 s. Fourier transforms of the horizontal eye movements revealed significant disparity-driven responses at the frequency of the stimulus in over half of the tested infants. Because the stimulus updated dynamically, this experiment precluded the possibility of independent monocular fixations to a sustained target. These data demonstrate cortical binocular function in humans by five weeks, the youngest age tested here, which is as much as two months younger than previously believed.

Objective Measurement of Fusional Vergence Ranges and Heterophoria in Infants and Preschool Children

Purpose

Binocular alignment typically includes motor fusion compensating for heterophoria. This study evaluated heterophoria and then accommodation and vergence responses during measurement of fusional ranges in infants and preschoolers.

Methods

Purkinje image eye tracking and eccentric photorefraction (MCS PowerRefractor) were used to record the eye alignment and accommodation of uncorrected infants (n = 17; 3–5 months old), preschoolers (n = 19; 2.5–5 years), and naïve functionally emmetropic adults (n = 14; 20–32 years; spherical equivalent [SE], +1 to −1 diopters [D]). Heterophoria was derived from the difference between monocular and binocular alignments while participants viewed naturalistic images at 80 cm. The presence or absence of fusion was then assessed after base-in (BI) and base-out (BO) prisms (2–40 prism diopters [pd]) were introduced.

Results

Mean (±SD) SE refractions were hyperopic in infants (+2.4 ± 1.2 D) and preschoolers (+1.1 ± 0.6 D). The average exophoria was similar (P = 0.11) across groups (Infants, −0.79 ± 2.5 pd; Preschool, −2.43 ± 2.0 pd; Adults, −1.0 ± 2.7 pd). Mean fusional vergence range also was similar (P = 0.1) for BI (Infants, 11.2 ± 2.5 pd; Preschool, 8.8 ± 2.8 pd; Adults, 11.8 ± 5.2 pd) and BO (Infants, 14 ± 6.6 pd; Preschool, 15.3 ± 8.3 pd; Adults, 20 ± 9.2 pd). Maximum change in accommodation to the highest fusible prism was positive (increased accommodation) for BO (Infants, 1.69 ± 1.4 D; Preschool, 1.35 ± 1.6 D; Adults, 1.22 ± 1.0 D) and negative for BI (Infants, −0.96 ± 1.0 D; Preschool, −0.78 ± 0.6 D; Adults, −0.62 ± 0.3 D), with a similar magnitude across groups (BO, P = 0.6; BI, P = 0.4).

Conclusions

Despite typical uncorrected hyperopia, infants and preschoolers exhibited small exophorias at 80 cm, similar to adults. All participants demonstrated substantial fusional ranges, providing evidence that even 3- to 5-month-old infants can respond to a large range of image disparities.

Development of Relative Disparity Sensitivity in Human Visual Cortex

Stereopsis is the primary cue underlying our ability to make fine depth judgments. In adults, depth discriminations are supported largely by relative rather than absolute binocular disparity, and depth is perceived primarily for horizontal rather than vertical disparities. Although human infants begin to exhibit disparity-specific responses between 3 and 5 months of age, it is not known how relative disparity mechanisms develop. Here we show that the specialization for relative disparity is highly immature in 4- to 6-month-old infants but is adult-like in 4- to 7-year-old children. Disparity-tuning functions for horizontal and vertical disparities were measured using the visual evoked potential. Infant relative disparity thresholds, unlike those of adults, were equal for vertical and horizontal disparities. Their horizontal disparity thresholds were a factor of ∼10 higher than adults, but their vertical disparity thresholds differed by a factor of only ∼4. Horizontal relative disparity thresholds for 4- to 7-year-old children were comparable with those of adults at ∼0.5 arcmin. To test whether infant immaturity was due to spatial limitations or insensitivity to interocular correlation, highly suprathreshold horizontal and vertical disparities were presented in alternate regions of the display, and the interocular correlation of the interdigitated regions was varied from 0% to 100%. This manipulation regulated the availability of coarse-scale relative disparity cues. Adult and infant responses both increased with increasing interocular correlation by similar magnitudes, but adult responses increased much more for horizontal disparities, further evidence for qualitatively immature stereopsis based on relative disparity at 4-6 months of age.SIGNIFICANCE STATEMENT Stereopsis, our ability to sense depth from horizontal image disparity, is among the finest spatial discriminations made by the primate visual system. Fine stereoscopic depth discriminations depend critically on comparisons of disparity relationships in the image that are supported by relative disparity cues rather than the estimation of single, absolute disparities. Very young human and macaque infants are sensitive to absolute disparity, but no previous study has specifically studied the development of relative disparity sensitivity, a hallmark feature of adult stereopsis. Here, using high-density EEG recordings, we show that 4- to 6-month-old infants display both quantitative and qualitative response immaturities for relative disparity information. Relative disparity responses are adult-like no later than 4-7 years of age.