Pyschophysical methodology Flashcards
why do we check VA/visual functions as optometrists
- to chekc if pts vision is normal
- to check if a disease has progressed
- to check whether a treatment is effective
- for legal purposes
- for occupational purposes
what are objective tests
examples?
a test that doesnt require any feedback or action for a pt
- ret
- electroretinography (ERGs)
- visual evoked potentials (VEPs)
what are subjective tests
a tests that requires feedback or action from a pt
what does an electroretinography do
the function of the retina is assessed w/ means of electrophysiology
-the pts eye is stimulated by light and the retinal neuron’s electrical impulses are collected w/ electrodes
what does a visual evoked potention (VEP) do
- the electrode collects the electrical activity of the retina which then can be used to assess the retinal function
- fucntion of the visual pathway (from retina to V1) is assesed w/ means of electroretinography and compared to normal values
- pts eye is stimulated w/ patterns of light and the elctrical responses from neurons from the primary visual cortex are collected w/ electrods
why are subjective tests called psychophysics
perceptual processes are involved in subjective testing
-psychophysics is a procedure that correlates a physical stimulus w/ mechanisms of the visual system after a pt has given a feedback or taken an actoin
what are some visual processes that can be asssessed by psychophysics
- detection-the minimum amt of energy so as to perceive light
- discrimination-ability to differentiate btwn 2 wavelengths of light
- recognition-min letter size you can recognize
- speed of response-min amount of time needed to respond to a stimulus
what is the central concept to psychophysics? what does this mean
sensory threshold: the threshold is the idea that mental events have to be stronger than some critical amount in order to be perceived
what are some examples of psychophysical tests
VA vf accomadative tests (perimetry) color vision tests steroscopic acuity refraction
what is absolute threshold or RL (Reiz Limen)
-how do you measure it
the smallest amount of stimulus energy necessary to produce sensation
-measured in spectral sensitivity curves or dark adaptation curves
ex. need at least 1 cd/m^2 of 500 nm stimulus so as to be able to see it
what is the difference threshold?
what do you use to measure it
amount of change in a stimulus required to produce a just noticeable difference (jnd) in the sensation
-measured in light adapatation curve, refers to Weber fraction
ex. need to add 2 cd/m^2 on a stimulus of 10 cd/m^2 so as to see the change
what is threshold
the intensity for which we perceive 50% of the stimuli
what are the classical psychophysical methods for measuring threshold
method of constant stimuli
method of limits
method of adjustment
what is the method of limits
finds the transition or ‘limit’ btwn yes and no responses
2 types: ascedning and descednign
what is the ascending method of limits
on the ascending method of limits, the stimulus characteristic (ex. intensity or size) changes from values that are below threshold to values that are above threshold
-point where there is a transition from yes to no is considered to be threshold
what is the subthreshold
what is the suptrathreshold
subthreshold: stimulus below threshold
suprathreshold: stimulus above threshodl
what are the advantages to ascending limits
what are the disadvantages
advt: does not disrupt the adaptation of the subject (preferred for dark adaptation)
disadv: patient’s anticipation, habituation, practice, fatigue
what are some precautions you must take for the ascending limits
- make sure pt undertsands the test
- test the pt multiple times for reliability
- vary the starting point
what visual test uses the ascending limits
visual fields
what is the descending method of limits
the stimulus characteristic changes from values that are above threshold to values that are below threshold
what are the advantages and disadvantes of the method of descending limits
advantages: the pt is familiarized w/ the stimulus
- obtains practice before reaches the threshold
disadvantages: disrupts adaptattion (not good for dark adapt)
- pts anticipation
- habituation
- fatigue
what are the precautions of the method of descending limits
- test the pt multiple times for reliability
2. vary the starting point
what are some techniques that use the method of descending limits
snellen VA
-test starts w/ letter sizes that are well above threshold and pt is familiarized w/ procedure
by combining the ascending and descending methods of limits, what are cancelled out
habituation and anticipation
-pt isnt habituated in the one direction of responses and they dont anticipate a certain response as they dont know what stimlul will b enext
how do you determine the threshold for the method of limits
for dtermining the difference threshold you usually need to make a comparison btwn a standard stimulus (reference) and a comparison stimulus
what is the interval of uncertainty
the stimulus range over which the subject does not notice a difference btwn the reference and comparison stimulus
-the range of stimulus intensity values in which the subject perceives the values as the same