Macular scotomas, affecting visual functioning, characterize many eye and neurological diseases like AMD, diabetes mellitus, multiple sclerosis, and macular hole. In this work, foveal visual field defects were modeled, and their effects were evaluated on spatial contrast sensitivity and a task of stimulus detection and aiming. The modeled occluding scotomas, of different size, were superimposed on the stimuli presented on the computer display, and were stabilized on the retina using a mono Purkinje Eye-Tracker. Spatial contrast sensitivity was evaluated using square-wave grating stimuli, whose contrast thresholds were measured using the method of constant stimuli with "catch trials". The detection task consisted of a triple conjunctive visual search display of: size (in visual angle), contrast and background (simple, low-level features vs. complex, high-level features). Search/aiming accuracy as well as R.T. measures used for performance evaluation. Artificially generated scotomas suppressed spatial contrast sensitivity in a size dependent manner, similar to previous studies. Deprivation effect was dependent on spatial frequency, consistent with retinal inhomogeneity models. Stimulus detection time was slowed in complex background search situation more than in simple background. Detection speed was dependent on scotoma size and size of stimulus. In contrast, visually guided aiming was more sensitive to scotoma effect in simple background search situation than in complex background. Both stimulus aiming R.T. and accuracy (precision targeting) were impaired, as a function of scotoma size and size of stimulus. The data can be explained by models distinguishing between saliency-based, parallel and serial search processes, guiding visual attention, which are supported by underlying retinal as well as neural mechanisms.

Date Published: 11 February 2008
PDF: 11 pages
Proc. SPIE 6844, Ophthalmic Technologies XVIII, 68441Q (11 February 2008); doi: 10.1117/12.762517

Published in SPIE Proceedings Vol. 6844:
Ophthalmic Technologies XVIII
Bruce E. Stuck; Fabrice Manns; Per G. Söderberg; Michael Belkin M.D.; Arthur Ho, Editor(s)