Suprathreshold Contrast Perception Is Altered by Long-term Adaptation to Habitual Optical Blur

Effects of Neural Adaptation to Habitual Spherical Aberration on Depth of Focus

We investigated how long-term visual experience with habitual spherical aberration (SA) influences subjective depth of focus (DoF). Nine healthy cycloplegic eyes with habitual SAs of different signs and magnitudes were enrolled. An adaptive optics (AO) visual simulator was used to measure through-focus high-contrast visual acuity after correcting all monochromatic aberrations and imposing +0.5 μm and -0.5 μm SAs for a 6-mm pupil. The positive (n=6) and negative (n=3) SA groups ranged from 0.17 to 0.8 μm and from -1.2 to -0.12 μm for a 6-mm pupil, respectively. For the positive habitual SA group, the median DoF with positive AO-induced SA (2.18D) was larger than that with negative AO-induced SA (1.91D); for the negative habitual SA group, a smaller DoF was measured with positive AO-induced SA (1.81D) than that with negative AO-induced SA (2.09D). The difference in the DoF of individual participants between the induced positive and negative SA groups showed a quadratic relationship with the habitual SA. Subjective DoF tended to be larger when the induced SA in terms of the sign and magnitude was closer to the participant's habitual SA, suggesting the importance of considering the habitual SA when applying the extended DoF method using optical or surgical procedures.

Applying Resampling and Visualization Methods in Factor Analysis to Model Human Spatial Vision

Purpose

Studies have reported different numbers of spatial frequency channels for chromatic and achromatic vision. To resolve the difference, we performed factor analysis, a multivariate modeling technique, on population data of achromatic and chromatic sensitivity. In addition, we included resampling and visualization methods to evaluate models from factor analysis. These routines are complex but widely useful. Therefore we have archived our analysis routines by building smCSF, an open-source software package in R (https://smin95.github.io/dataviz/).

Methods

Data of 103 normally-sighted adults were analyzed. They included blue-yellow, red-green, and achromatic contrast sensitivity. To obtain the confidence interval of relevant statistical parameters, factor analysis was performed using a resampling method. Then exploratory models were developed. We then performed model selections by fitting them against the empirical data and quantifying the quality of the fits.

Results

During the exploratory factor analysis, different statistical tests supported different factor models. These could partially be reasons for why there have been conflicting reports. However, after the confirmatory analysis, we found that a model that included two spatial channels was adequate to approximate the chromatic sensitivity data, whereas that with three channels was so for the achromatic sensitivity data.

Conclusions

Our findings provide novel insights about the spatial channels for chromatic and achromatic contrast sensitivity from population data. Also, the analysis and visualization routines have been archived in a computational package to boost the transparency and replicability of science.

Structure-Function Relationship in Keratoconus: Spatial and Depth Vision

Purpose

The purpose of this study was to determine changes in spatial and depth vision with increasing severity of keratoconus and to model the structure-function relationship to identify distinct phases of loss in visual function with disease severity.

Methods

Best-spectacle corrected, monocular high-contrast visual acuity, contrast sensitivity function (CSF) and stereoacuity of 155 cases (16-31 years) with mild to advanced bilateral keratoconus was determined using standard psychophysical tests. Disease severity was quantified using the multimetric D-index. The structure-function relationship was modeled using linear, positive exponential, negative exponential, and logistic nonlinear regression equations.

Results

The logistic regression model explained the highest proportion of variance for spatial vision, without bias in the residual plots (R2 ≥ 66%, P < 0.001). Visual acuity showed a distinct ceiling phase and a steeper loss rate with increasing D-index (1.8 units/D-index) in this model. The area under the CSF lacked this ceiling phase and had a shallower loss rate (0.28 units/D-index). Stereoacuity loss with D-index was poorly explained by all models tested (P ≤ 0.2). Cases with lower and bilaterally symmetric D-index had better stereoacuity (181.6-376 arc seconds) than those with higher D-index (>400 arc second); both were significantly poorer than controls (approximately 30 arc second).

Conclusions

Vision loss in keratoconus varies with the visual function parameter tested. Contrast sensitivity may be an earlier indicator of spatial vision loss than visual acuity. Depth perception is significantly deteriorated from very early stages of the disease.

Translational Relevance

The study outcomes may be used to forecast longitudinal vision loss in keratoconus and to apply appropriate interventions for timely preservation/enhancement of vulnerable visual functions.

Suprathreshold contrast perception of resolvable high spatial frequencies remain intact in keratoconus

Contrast detection thresholds are elevated with optical quality loss in keratoconus. This study hypothesized that suprathreshold contrast perception is also impaired in keratoconus, with the impairment being predictable from the pattern of loss in threshold-level performance. Contrast detection thresholds were determined across a range of spatial frequencies in 12 cases with mild to severe keratoconus and 12 age-similar controls. These values were used to predict the contrast needed to achieve perceptual matches between reference and test spatial frequency pairs (peak of CSF Vs. 0.3x, 0.5x, 2x or 3x spatial frequency from the peak) for stimuli at 10% and 50% suprathreshold contrast. Contrast thresholds predicted a 1.5 to 6.7-fold increase in the test pattern's contrast to obtain a perceptual match with the reference pattern in keratoconus, relative to controls. Contrary to predictions, the empirical data of contrast matches between test and reference patterns were similar for higher than peak spatial frequencies at both contrast levels. However, as predicted, test patterns required higher contrast than the reference pattern for a perceptual match for lower than peak spatial frequencies. These results were similar to controls and invariant of disease severity, interocular asymmetry and short-term changes in optical quality. Unlike thresholds, suprathreshold contrast perception of resolvable high spatial frequencies appears immune to optical quality losses in keratoconus. These results are discussed in the context of the prevailing models of contrast constancy in healthy humans. Breakdown of contrast constancy at lower than peak spatial frequencies may reflect the properties of the testing paradigm employed here.