Combining fixation and lateral masking training enhances perceptual learning effects in patients with macular degeneration

Autor: Vincent Soler, Yves Trotter, Marcello Maniglia
Přispěvatelé: Centre de recherche cerveau et cognition (CERCO), Institut des sciences du cerveau de Toulouse. (ISCT), Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-CHU Toulouse [Toulouse]-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-CHU Toulouse [Toulouse]-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS), Centre National de la Recherche Scientifique (CNRS)
Rok vydání: 2020
Předmět:
Male
medicine.medical_specialty
Visual acuity
macular degeneration
genetic structures
[SDV]Life Sciences [q-bio]
Visual impairment
Lateral masking
Visual Acuity
Vision
Low

Fixation
Ocular

Audiology
perceptual learning
050105 experimental psychology
Article
03 medical and health sciences
[SCCO]Cognitive science
0302 clinical medicine
Perceptual learning
medicine
Humans
Learning
0501 psychology and cognitive sciences
Scotoma
ComputingMilieux_MISCELLANEOUS
Aged
Visual search
Aged
80 and over

business.industry
05 social sciences
Macular degeneration
Middle Aged
medicine.disease
Sensory Systems
eye diseases
Ophthalmology
clinical neuroscience
Peripheral vision
Fixation (visual)
Visual Perception
Female
medicine.symptom
business
Perceptual Masking
030217 neurology & neurosurgery
neural plasticity
Zdroj: Journal of Vision
Journal of Vision, Association for Research in Vision and Ophthalmology, 2020, 20 (10), pp.19. ⟨10.1167/jov.20.10.19⟩
ISSN: 1534-7362
Popis: International audience; Macular degeneration (MD), a retinal disease affecting central vision, represents the leading cause of visual impairment in the Western world, and MD patients face severe limitations in daily activities like reading and face recognition. A common compensation strategy adopted by these patients involves the use of a region in the spared peripheral retina as a new fixation spot and oculomotor reference (preferred retinal locus, or PRL). Still, peripheral vision is characterized by poorer visual acuity, fixation stability, and larger crowding zones that further hinder processes like object recognition, visual search, and reading. Perceptual learning (PL) has been successfully used to improve visual acuity in mild visual conditions (e.g., presbyopia, amblyopia and myopia), but results in MD are less clear, often showing limited generalization of learning, unlike what is observed in a healthy population. A possible reason is the suboptimal fixation in the PRL that might prevent patients from processing the briefly presented training stimuli. Following this hypothesis, we trained five MD patients and four age-and eccentricity-matched controls with a protocol that combined contrast detection and a task previously used to train fixation stability. Results showed transfer of learning to crowding reduction, reading speed, and visual acuity in both MD patients and controls. These results suggest that in the case of central vision loss, PL training might benefit from the integration of oculomotor components to optimize the effect of training and promote transfer of learning to other visual functions.
Databáze: OpenAIRE