Daily vision testing can expose the prodromal phase of migraine

Background Several visual tasks have been proposed as indirect assays of the balance between cortical inhibition and excitation in migraine. This study aimed to determine whether daily measurement of performance on such tasks can reveal perceptual changes in the build up to migraine events. Methods Visual performance was measured daily at home in 16 non-headache controls and 18 individuals with migraine using a testing protocol on a portable tablet device. Observers performed two tasks: luminance increment detection in spatial luminance noise and centre surround contrast suppression. Results Luminance thresholds were reduced in migraine compared to control groups ( p < 0.05), but thresholds did not alter across the migraine cycle; while headache-free, centre-surround contrast suppression was stronger for the migraine group relative to controls ( p < 0.05). Surround suppression weakened at around 48 hours prior to a migraine attack and strengthened to approach their headache-free levels by 24 hours post-migraine (main effect of timing, p < 0.05). Conclusions Daily portable testing of vision enabled insight into perceptual performance in the lead up to migraine events, a time point that is typically difficult to capture experimentally. Perceptual surround suppression of contrast fluctuates during the migraine cycle, supporting the utility of this measure as an indirect, non-invasive assay of the balance between cortical inhibition and excitation.

Behavioral measures of cortical hyperexcitability assessed in people who experience visual snow

Objective:To determine whether visual perceptual measures in people who experience visual snow are consistent with an imbalance between inhibition and excitation in visual cortex.Methods:Sixteen patients with visual snow and 18 controls participated. Four visual tasks were included: center-surround contrast matching, luminance increment detection in noise, and global form and global motion coherence thresholds. Neuronal architecture capable of encoding the luminance and contrast stimuli is present within primary visual cortex, whereas the extraction of global motion and form signals requires extrastriate processing. All these tasks have been used previously to investigate the balance between inhibition and excitation within the visual system in both healthy and diseased states.Results:The visual snow group demonstrated reduced center-surround contrast suppression (p = 0.03) and elevated luminance increment thresholds in noise (p = 0.02). Groups did not differ on the global form or global motion task.Conclusion:Our study demonstrates that visual perceptual measures involving the suprathreshold processing of contrast and luminance are abnormal in a group of individuals with visual snow. Our data are consistent with elevated excitability in primary visual cortex; however, further research is required to provide more direct evidence for this proposed mechanism. The ability to measure perceptual differences in visual snow reveals promise for the future development of clinical tests to assist in visual snow diagnosis and possibly a method for quantitatively assaying any benefits of treatments.

Changes in induced hues at low luminance and following dark adaptation suggest rod-cone interactions may differ for luminance increments and decrements

Color contrast describes the influence of one color on the perception of colors in neighboring areas. This study addressed two issues: (1) the accurate representation of the color changes; (ii) the underlying visual mechanisms. Observers matched the hue that was induced in a neutral square when it was set in one of four standard colored surrounds: “red” (+L(−M) relative to neutral), “green” (−L(+M)), “purple” (+S), and “yellow” (−S). The standard and matching displays were viewed haploscopically. The standard neutral square was either a luminance increment, or decrement, both of which appeared the complementary color to the surrounds in which they were inset. In Experiment 1, the surround luminance in each eye's display was either equal, at 18 cd·m−2, or the match surround luminance was reduced to 2.5 cd·m−2. The matches with equal surround luminances could be represented as vector shifts in a logarithmic MacLeod–Boynton (r, b) chromaticity diagram, as described previously (Shepherd, 1997, 1999). The low luminance matches were, however, displaced further from neutral, as if larger chromatic differences were needed. The precise direction of the displacements differed for luminance increments and decrements: the red, green and yellow decrement matches were also displaced vertically downwards in the MacLeod-Boynton diagram. In Experiment 2, dark-adapting before setting repeat color matches displaced the decrement matches vertically, but did not affect the increment matches. Thus, rod intrusion in S-cone pathways may have boosted the S-cone signal for the lowest luminance decrement matches in Experiment 1 and account for the vertical shift in MacLeod-Boynton co-ordinates. The distinct pattern of displacements for low luminance increments and decrements may be explained if the match is set at a cone-opponent, rather than a cone contrast, site and if rod signals have an input only to S-cone decrement, perhaps S-OFF, pathways.

Color and luminance increment thresholds in poor readers

The hypotheses of a visual basis to reading disabilities in some children have centered around deficits in the visual processes displaying more transient reponses to stimuli although hyperactivity in the visual processes displaying sustained reponses to stimuli has also been proposed as a mechanism. In addition, there is clear evidence that colored lenses and/or colored overlays and/or colored backgrounds can influence performance in reading and/or may assist in providing comfortable vision for reading and, as a consequence, the ability to maintain reading for longer. As a consequence, it is surprising that the color vision of poor readers is relatively little studied. We assessed luminance increment thresholds and equi-luminous red-green and blue-yellow increment thresholds using a computer based test in central vision and at 10° nasally employing the paradigm pioneered by King-Smith. We examined 35 poor readers (based on the Neale Analysis of Reading) and compared their performance with 35 normal readers matched for age and IQ. Poor readers produced similar luminance contrast thresholds for both foveal and peripheral presentation compared with normals. Similarly, chromatic contrast discrimination for the red/green stimuli was the same in normal and poor readers. However, poor readers had significantly lower thresholds/higher sensitivity for the blue/yellow stimuli, for both foveal and peripheral presentation, compared with normal readers. This hypersensitivity in blue-yellow discrimination may point to why colored lenses and overlays are often found to be effective in assisting many poor readers.

Bipolar or rectified chromatic detection mechanisms?

It is widely accepted that human color vision is based on two types of cone-opponent mechanism, one differencing L and M cone types (loosely termed “red–green”), and the other differencing S with the L and M cones (loosely termed “blue–yellow”). The traditional view of the early processing of human color vision suggests that each of these cone-opponent mechanisms respond in a bipolar fashion to signal two opponent colors (red vs. green, blue vs. yellow). An alternative possibility is that each cone-opponent response, as well as the luminance response, is rectified, so producing separable signals for each pole (red, green, blue, yellow, light, and dark). In this study, we use psychophysical noise masking to determine whether the rectified model applies to detection by the postreceptoral mechanisms. We measured the contrast-detection thresholds of six test stimuli (red, green, blue, yellow, light, and dark), corresponding to the two poles of each of the three postreceptoral mechanisms. For each test, we determined whether noise presented to the cross pole had the same masking effect as noise presented to the same pole (e.g. comparing masking of luminance increments by luminance decrement noise (cross pole) and luminance increment noise (same pole)). To avoid stimulus cancellation, the test and mask were presented asynchronously in a “sandwich” arrangement (mask-test-mask). For the six test stimuli, we observed that noise masks presented to the cross pole did not raise the detection thresholds of the test, whereas noise presented to the same pole produced a substantial masking. This result suggests that each color signal (red, green, blue, and yellow) and luminance signal (light and dark) is subserved by a separable mechanism. We suggest that the cone-opponent and luminance mechanisms have similar physiological bases, since a functional separation of the processing of cone increments and cone decrements could underlie both the separation of the luminance system into ON and OFF pathways as well as the splitting of the cone-opponent mechanisms into separable color poles.