Photoreceptor-Specific Loss of Perifoveal Temporal Contrast Sensitivity in Retinitis Pigmentosa

Purpose

Inherited retinal diseases affect the L-, M-, S-cones and rods in distinct ways, which calls for new methods that enable quantification of photoreceptor-specific functions. We tested the feasibility of using the silent substitution paradigm to estimate photoreceptor-driven temporal contrast sensitivity (tCS) functions in patients with retinitis pigmentosa.

Methods

The silent substitution paradigm is based on substitution of lights of different spectral composition; this offers considerable advantage over other stimulation techniques. We used a four-primary LED stimulator to create perifoveal annular stimuli (2° inner, 12° outer diameters) and used a triple silent substitution to probe photoreceptor-selective tCS. Measurements were performed in a heterogeneous cohort of 15 patients with retinitis pigmentosa and related to those in a control group of nine color-normal healthy observers. Age differences between groups were addressed with a model of age-related normal contrast sensitivity derived from measurements in 20 healthy observers aged between 23 and 83 years.

Results

The age-related loss of tCS amounted to 0.1 dB/year in healthy subjects across all photoreceptor subtypes. In patients, tCS was decreased for every photoreceptor subtype; however, S-cone- and rod-driven sensitivities were most strongly affected. Postreceptoral mechanisms were not affected.

Conclusions

This feasibility study provides evidence that the silent substitution technique enables the estimation of photoreceptor-selective tCS functions and can serve as an accurate biomarker of photoreceptor-specific contrast sensitivity loss in patients with retinitis pigmentosa.

Translational Relevance

We aim to develop tests of visual function for clinical trials of novel therapies for inherited retinal diseases from methods that can currently be used only in vision research labs.

Temporal vision is related to cognitive function in preadolescent children

The relation between visual processing speed (critical flicker fusion thresholds [CFF] and psychomotor reaction time) and higher-level cognitive function was assessed using a cross-sectional sample (n = 51) of 7 to 13-year-old preadolescent children. Data on visual processing speed (CFF and psychomotor reaction time) and cognitive function (Woodcock-Johnson III Tests of Cognitive Abilities) were collected. Woodcock-Johnson III composite standard scores (brief intellectual ability [BIA], cognitive efficiency, processing speed, and executive processes) were calculated to control for age in the cognitive variables. CFF was related to cognitive efficiency, r(46) = 0.26, p = 0.036, and executive processes, r(44) = 0.25, p = 0.05, and showed a trend toward relating to processing speed, r(46) = 0.19, p = 0.09. Both psychomotor reaction time measures (fixed and variable) were related to executive processes and global intelligence (BIA) such that higher cognitive scores were associated with shorter reaction times, rs ranged from -0.25 to -0.29, ps < 0.05. In addition, fixed reaction time was related to cognitive efficiency, r(47) = -0.26, p < 0.05. The small nature of many of these relations suggests that visual processing speed is only one of many possible influences on the higher cognitive function of children.

Superior Visual Timing Sensitivity in Auditory But Not Visual World Class Drum Corps Experts

World class drum corps require cooperation among performance artists to render precisely synchronized and asynchronized events. For example, drum corps visual aesthetics often feature salient radial and rotational motion displays from the color guard. Accordingly, extensive color guard training might predict superior visual timing sensitivity to asynchronies in radial and rotational motion displays. Less intuitively, one might instead predict superior visual timing sensitivity among world class drum corps musicians, who regularly subdivide musical tempos into brief time units. This prediction arises from the possibility that auditory training transfers cross-modally. Here, we investigated whether precise visual temporal order judgments (TOJs) more strongly align with color guard’s visual training or musicians’ auditory training. To mimic color guard visual displays, stimuli comprised bilateral plaid patterns that radiated or rotated before changing direction asynchronously. Human participants indicated whether the direction changed first on the left or right, called a TOJ. Twenty-five percussionists, 67 brass players, and 29 color guard members from a world class drum corps collectively completed 67,760 visual TOJ trials. Percussionists exhibited significantly lower TOJ thresholds than did brass players, who exhibited significantly lower TOJ thresholds than did the color guard. Group median thresholds spanned an order of magnitude, ranging between 29 ms (percussionists judging rotational asynchronies) and 290 ms (color guard judging radial asynchronies). The results suggest that visual timing can improve more by training cross-modally than intramodally, even when intramodal training and testing stimuli closely match. More broadly, pre-existing training histories can provide a unique window into the timing sensitivity of the nervous system.

Harmonics added to a flickering light can upset the balance between ON and OFF pathways to produce illusory colors

By varying the temporal waveforms of complex flickering stimuli, we can produce alterations in their mean color that can be predicted by a physiologically based model of visual processing. The model highlights the perceptual effects of a well-known feature of most visual pathways, namely the early separation of visual signals into increments and decrements. The role of this separation in improving the efficiency and sensitivity of the visual system has been discussed before, but its effect on perception has been neglected. The application of a model incorporating half-wave rectification offers an exciting psychophysical method for investigating the inner workings of the human visual system.

The neural signals generated by the light-sensitive photoreceptors in the human eye are substantially processed and recoded in the retina before being transmitted to the brain via the optic nerve. A key aspect of this recoding is the splitting of the signals within the two major cone-driven visual pathways into distinct ON and OFF branches that transmit information about increases and decreases in the neural signal around its mean level. While this separation is clearly important physiologically, its effect on perception is unclear. We have developed a model of the ON and OFF pathways in early color processing. Using this model as a guide, we can produce imbalances in the ON and OFF pathways by changing the shapes of time-varying stimulus waveforms and thus make reliable and predictable alterations to the perceived average color of the stimulus—although the physical mean of the waveforms does not change. The key components in the model are the early half-wave rectifying synapses that split retinal photoreceptor outputs into the ON and OFF pathways and later sigmoidal nonlinearities in each pathway. The ability to systematically vary the waveforms to change a perceptual quality by changing the balance of signals between the ON and OFF visual pathways provides a powerful psychophysical tool for disentangling and investigating the neural workings of human vision.

Large crowding zones in peripheral vision for briefly presented stimuli

When a target is flanked by distractors, it becomes more difficult to identify. In the periphery, this crowding effect extends over a wide range of target-flanker separations, called the spatial extent of interaction (EoI). A recent study showed that the EoI dramatically increases in size for short presentation durations (Chung & Mansfield, 2009). Here we investigate this duration-EoI relation in greater detail and show that (a) it holds even when visibility of the unflanked target is equated for different durations, (b) the function saturates for durations shorter than 30 to 80 ms, and (c) the largest EoIs represent a critical spacing greater than 50% of eccentricity. We also investigated the effect of same or different polarity for targets and flankers across different presentation durations. We found that EoIs for target and flankers having opposite polarity (one white, the other black) show the same temporal pattern as for same polarity stimuli, but are smaller at all durations by 29% to 44%. The observed saturation of the EoI for short-duration stimuli suggests that crowding follows the locus of temporal integration. Overall, the results constrain theories that map crowding zones to fixed spatial extents or to lateral connections of fixed length in the cortex.

Illusory flashes and perception

Information from the environment can be based on a single or several modalities. The simultaneous processing of information separated in space and/or time depends on multiple factors. Visual illusions serve as a good tool with which to investigate the parallel processing of information and their interactions. This study was designed to gain information about a unimodal illusion: a target that flashes once seems to flash more as a result of a simultaneously presented inducer flashing several times nearby. The first aim of this work was to understand whether the number of perceived flashes is merely a result of a bias in the criterion level or whether it is based on a real percept. We then clarified how the illusion finds its way into the percept. The final step was designed to establish the logic of the processing in the background by determining whether the modality appropriateness hypothesis, the information reliability hypothesis, or the discontinuity theory best explains the predominant role of the inducer.

Color and brightness encoded in a common L- and M-cone pathway with expansive and compressive nonlinearities

Lights near 560 nm appear brighter when flickered, whereas lights near 520 or 650 nm appear yellower. Both effects are consistent with signal distortion within the visual pathway--brightness changes at an expansive nonlinearity, and hue shifts at a compressive one. We previously manipulated the distortion products generated by each nonlinearity to extract the temporal properties of stages of the L- and M-cone pathways that signal brightness and color before (early stages) and after (late stages) each nonlinearity. We find that the attenuation characteristics of the early and late stages are virtually identical in both pathways: The early temporal stage acts like a band-pass filter peaking at 10-15 Hz, while the late stage acts like low-pass filter with a cut-off frequency near 3 Hz. We propose a physiologically relevant model that accounts for the filter shapes and incorporates both nonlinearities within a common parvocellular pathway. The shape of the early band-pass filter is consistent with antagonism between center signals and more sluggish and delayed surround signals, while the late filter is consistent with a simple two-stage low-pass filter. Modeling suggests that the brightness change and hue shift are both initially caused by the half-wave rectification and partition of signals into ON and OFF components. However, the hue shift is probably caused by the additional effects of a later nonlinearity that compresses chromatic red and green signals. Plausible sites for the expansive half-wave rectifying nonlinearity are after surround antagonism, possibly from horizontal cells, but the compressive nonlinearity is likely to be after the late filter.

Assessing spatial and temporal properties of perimetric stimuli for resistance to clinical variations in retinal illumination

PURPOSE

To develop perimetric stimuli for which sensitivities are more resistant to reduced retinal illumination than current clinical perimeters.

METHODS

Fifty-four people free of eye disease were dilated and tested monocularly. For each test, retinal illumination was attenuated with neutral density (ND) filters, and a standard adaptation model was fit to derive mean and SEM for the adaptation parameter (NDhalf). For different stimuli, t-tests on NDhalf were used to assess significance of differences in consistency with Weber's law. Three experiments used custom Gaussian-windowed contrast sensitivity perimetry (CSP). Experiment 1 used CSP-1, with a Gaussian temporal pulse, a spatial frequency of 0.375 cyc/deg (cpd), and SD of 1.5°. Experiment 1 also used the Humphrey Matrix perimeter, with the N-30 test using 0.25 cpd and 25 Hz flicker. Experiment 2 used a rectangular temporal pulse, SDs of 0.25° and 0.5°, and spatial frequencies of 0.0 and 1.0 cpd. Experiment 3 used CSP-2, with 5-Hz flicker, SDs from 0.5° to 1.8°, and spatial frequencies from 0.14 to 0.50 cpd.

RESULTS

In Experiment 1, CSP-1 was more consistent with Weber's law (NDhalf ± SEM = 1.86 ± 0.08 log unit) than N-30 (NDhalf = 1.03 ± 0.03 log unit; t > 9, P < 0.0001). All stimuli used in Experiments 2 and 3 had comparable consistency with Weber's law (NDhalf = 1.49-1.69 log unit; t < 2).

CONCLUSIONS

Perimetric sensitivities were consistent with Weber's law when higher temporal frequencies were avoided.

The impulse response of S-cone pathways in detection of increments and decrements

Impulse response functions (IRFs) were obtained from two-pulse detection thresholds using isoluminant stimuli that produced increments or decrements in S-cone excitation. The pulses were chromatically modulated at constant luminance (based on 18 Hz heterochromatic flicker photometry). Chromatic stimuli were presented as a Gaussian patch (+/-1 SD = 2.3 degrees) in one of four quadrants around a central fixation cross on a CRT screen. Each of the two pulses (6.67 ms) was separated by an inter-stimulus interval (ISI) from 20 to 360 ms. Chromaticity of the pulses was changed from the equal-energy white of the background to a bluish or yellowish color along individually determined tritan lines (based on color matching under strong S-cone adaptation from a 420 nm background superimposed in Maxwellian view). Chromatic detection thresholds were determined by a four-alternative forced-choice method with staircases for each ISI interleaved in each session. Measurements were repeated in at least four sessions for each observer. IRFs were calculated by varying four parameters of an exponentially-damped sinewave. Both S-cone increment and decrement IRFs are characterized by a single excitatory phase and a much longer time course compared with IRFs derived for luminance modulation using the same apparatus and observers. S-cone increment IRFs are faster than S-cone decrement IRFs; the time to peak amplitude of S-cone increment and decrement IRFs is 50-70 and 100-120 ms, respectively. These results were used to derive the temporal contrast sensitivity for human observers of putative ON- and OFF-channels carrying signals from S-cones.