Skerswetat, J. | bioRxiv Science

bioRxiv2023

AIM (Angular Indication Measurement) paradigm: Adaptive, self-administered, and generalizable vision assessment used to measure visual acuity

This proof-of-concept study introduces Angular Indication Measurement and applies it to VA (AIM-VA). First, we compared the ability of AIM-VA and ETDRS to detect defocus and astigmatic blur in 22 normally-sighted adults. Spherical and cylindrical lenses ({+/-}0.00D, +0.25D, +0.50D, +0.75D, +1.00D, +2.00D and +0.50D, +1.00D, +2.00D each at 0{degrees}, 90{degrees}, 135{degrees}, respectively) in the dominant eye induced blur. Second, we compared repeatability over two tests of AIM-VA and ETDRS. A 2-way-ANOVA showed a main effect for defocus-blur and test with no interaction. A 3-way-ANOVA for the astigmatism experiment revealed main effects for test type, blur, and direction and with no interactions. Planned multiple comparisons showed AIM had greater astigmatic-induced VA loss than ETDRS. Bland-Altman plots showed small bias and no systematic learning effect for either test type and improved repeatability with >2 adaptive steps for AIM-VA. AIM-VAs ability to detect defocus was comparable with that of an ETDRS letter chart and showed greater sensitivity to astigmatic blur, and AIM-VAs repeatability is comparable with ETDRS when using 2 or more adaptive steps. AIMs self-administered orientation judgment approach is generalizable to interrogate other visual functions, e.g., contrast, color, motion, stereo-vision.

neuroscience↗

bioRxiv2022

Stimulus-dependent depth constancy during head tilt

Stereopsis is traditionally measured with noise-based stereo tests while the observer views the test in primary gaze. We investigated the effect of stimulus sparseness and axial variations of interocular disparity induced via head rotations. First, we measured stereoacuity using a 4-Alternative-Forced-Choice (4-AFC) task with three uncrossed and one crossed disparity bandpass-filtered circles on a passive-3-D-monitor. Ten binocularly-normal adults fixated a central cross and clicked on the circle withcrossed disparity for forty trials/condition. Observers adopted head tilts of 0{degrees} or {+/-}20{degrees} pitch, roll, or yaw, enforced with an innertial measurement unit and fixation enforced with an eye tracker. Next, we measured stereoacuity in 8 adults while either the head (H), monitor (M), or both (B) were tilted 0{degrees}, {+/-}22.5{degrees}, or {+/-}45{degrees} roll in random order (eighty trials/condition) using a 4-AFC task and random-dot stimuli. Head tilts did not signifcantly alter stereoacuity using narrow-band stimuli(p>0.05), despite that IPDs and the axis of disparity were differentially affected by the tilts. However, for random dot stimuli, stereoacuity decreased with increasing orientation difference between the head and monitor (H and M: p<0.05; B: p>0.05]. Head tilt decreases IPD and rotates the axis of interocular disparity, however, these manipulations affect stereoacuity when measured with noise stimuli but not with sparse stimuli. The results are consistent with a vestibular input to stereoscopic disparity processing that can be detected by sparse stimuli but is masked by dense stimuli. The results have implications for natural vision and for clinical screening in patients with abnormal head posture. Significance statementDepth perception is a critical feature of human vision and it is thought that the ability to perceive stereoscopic depth is bound to an essentially eye-fixed, horizontal disparity of each image that rapidly deteriorates away from that limited horizontal axis. In a set of head tilt experiments, we varied the orientations of stereoscopic images and demonstrate that stereoacuity remains constant when deploying sparse narrow-band stimuli, and only worsens when using fine-detailed noise stimuli that mask off-axis disparities. These results shine new light upon the debate of neuroplasticity of stereo vision. Moreover, the results are consequential for diagnosis and treatment in people with atypical head- and eye alignment, such as for patients with torticollis or strabismus.

neuroscience↗