BV Flashcards

1
Q

What is BV?

A
  • Getting the eyes to work together
  • Must be able to converge or diverge
  • Two images of an object must fall on corresponding parts of the two retinas
    – Requires good acuity in both eyes
    – Good control of eye movements
    – Ability to tell whether an objects is closer or farther than the point of fixation
    – Good connections between sensory and motor systems
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2
Q

Response of infants to different cues to depth

A

– Visual cliff experiment
– Impending collision
– Size and shape constancy
– Reaching

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3
Q

Monocular Cues

A
  • Perspective
  • Relative Size
  • Relative Height
  • Distance Fog
  • Texture Gradient
  • Depth from focus
  • Occlusion
  • Color Vision
  • Shadow
  • Motion parallax
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4
Q

binocular cues

A

-convergence
-stereopsis

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5
Q

Binocular Depth Cue: Convergence

A
  • Convergence measures depth by measuring the direction your eyes are pointing.
  • The angle of convergence is larger when the eye is fixating on near objects.
  • As an object gets further away, your eyes almost become parallel
  • Brain keeps track of this convergence to determine your distance from the object on which you are focusing
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6
Q

Stereopsis

A
  • Most precise cue to depth depends on retinal disparity
  • Two images fall on non-corresponding parts of the retina
    – Crossed disparity: lines of sight cross each other between the fixation point and the eyes
    – Uncrossed disparity for objects further than the fixation point
    – Cells in adult visual cortex respond to crossed disparity (near cells); and respond to uncrossed disparity (far cells)
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7
Q

Preferential Looking
Measures of Stereopsis

A
  • PL for a pair of line displays
    – Some lines appear to stand out in front of the others
    – Other display is flat
  • Display with apparent depth suddenly becomes more interesting to infants around 16 weeks of age
  • Stereopsis increases from >60 minarc to <1 minarc in a few weeks
  • Crossed disparity develops sooner than
    uncrossed
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8
Q

Other Stimuli for Stereopsis

A
  • FPL and VEP studies with random dot stereograms (RDS)
    – Pattern of dots around the edge identical for right and left eyes
    – Pattern of dots in center that are the same but with a crossed or uncrossed displacement
  • Move the central display around; i.e. a moving RDS stimulus
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9
Q

Development of Stereopsis

A

Stereopsis emerges at 3.5 to 6 months across studies

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10
Q

Stereopsis and Orthotropia

A
  • Stereopsis does not require the attainment of accurate vergence control
  • 88% show brief periods of misalignment up to 6 mos
  • Diplopia unlikely due to:
    – Panum’s fusional area
    » 15 minarc near fixation in adults
    – Fovea immature, tolerates small degree of eye misalignment
  • Stereopsis for crossed disparity precedes uncrossed disparity
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11
Q

Stereopsis not limited by retinal maturation alone

A
  • Studies on stereopsis use stimuli within visual acuity limit of infant
  • No abrupt change in visual acuity accompanies the onset of stereopsis
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12
Q

Correlation of onset of stereopsis and segregation of ocular dominance columns

A
  • Segregation of ocular dominance columns occurs at the input layer of the visual cortex (layer IV)
  • At birth, afferents from the left and right eyes overlap and synapse onto the same neurons in IV
  • Sometime after birth segregate into separate right/left columns and convergence occurs at next cortical layer
    – Cats- segregation of afferents at 5 -6 weeks coincides with development of disparity detection
    – Monkeys: stereopsis appears at 4 weeks and improves between 4-8 weeks while the left and right eye afferents are segregating
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13
Q

Pre-and Post-Stereoptic Periods

A

Two aspects of binocular summation differ in the period before and after the development of stereopsis
1. Visual acuity is better by square root of 2 when both eyes are viewing
2. Size of the pupil

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14
Q

Pre- and Post-Stereoptic Periods of fusion vs rivalry

A
  • Using FPL, infants prefer the left screen in the pre-stereoptic period, presumably because they see the fused percept (B2)
  • In the post-stereoptic period, infants prefer the right screen, presumably because the left screen has become rivalrous and is unpleasant (B1)
  • Avoidance of rivalrous stimuli coincides with emergence of stereopsis
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15
Q

BV Clinical Impact

A
  • Binocular fusion at mean age 12.8 weeks
  • Disparity detection by 3-4 months
  • Stereopsis
    At 16 weeks with PL; 5-6 mo achieve <1 minarc
    At 3-4 mo with VEP; youngest age 7-8 weeks

Clinical Impact
* Lack of stereopsis may indicate amblyopia and/or strabismus

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16
Q

Stereopsis in Infantile Esotropia

A

Infantile Esotropia?
* Fusion and stereopsis more common in children with ET surgically aligned by 24 months
* Stereoacuity > 400 s – Evidence of peripheral binocularity
* Stereoacuity 80-200 s – Evidence of macular binocularity
* Stereoacuity of < 60 s – Evidence of foveal binocularity

17
Q

Stereopsis Development

A
  • Response to stereoscopic stimuli is absent at birth
  • Stereopsis has a sudden onset at 3 - 5 months
  • Onset of response to crossed disparities precedes onset of response to uncrossed disparities
  • Following onset of stereopsis, there is a period of rapid improvement in stereopsis over next several weeks
  • Limiting factor in the onset of stereopsis is cortical development
18
Q

BV at birth

A

– Fovea immature; poor grating acuity
– Eyes look in ~ same direction
– Some binocular coordination

19
Q

BV birth to 3 mo

A

– Fovea matures; grating acuity improves
– Eyes more able to fixate together on an object
– Cells in layer IV of cortex acquiring characteristics to enable them to act as an appropriate input to near and far cells after stereopsis occurs

20
Q

BV Between 3 and 6 months

A

– Dramatic alterations in visual cortex and ability of eyes to work together
– Stereopsis becomes detectable; rapid increase in stereoscopic acuity
– Full convergence EM, orthotropia
– Binocular summation and rivalry occur

21
Q

BV after 6 mo

A

– Grating acuity improves
– Stereoscopic acuity reaches 1 minute of arc

22
Q

Clinical Tests for Stereopsis

A

A. Separation of images to eyes using spectacles
1. Colored filters (TNO)
2. Polaroid filters
-StereoSmile (PASS), Randot, Titmus, Randot preschool
B. Real depth separation Frisby
C. Prism

23
Q

Randot versus BEST

A
  • Better stereo with Randot v. BEST with good stereo
  • Better stereo with BEST v. Randot with poorer stereo
24
Q

Preschool Assessment of Stereopsis with a Smile (PASS test)

A
  • 3-5 yr old n = 2898
  • 2 alternative forced-choice
  • Demo, 480, 240, 120, 60
  • Testability = 99%
  • Vision disorders n =871
    – Had worse stereoacuity
    – Higher % of unables
    – Higher % of no stereopsis
  • Presence, type, and increasing severity of any VIP vision disorder is highly associated with worse stereoacuity in preschool children
25
Q

Why do we need depth perception?

A
  • Pilot
  • Architect
  • Surgeon
  • Dentist
  • Baseball player
  • Driver
  • Waitress
  • Driving and parking a car
  • Pouring into a container
  • Threading a needle and sewing
  • Planning & building a three dimensional object