Sensory deficits represent a major global public health problem. According to the World Health Organization, vision impairment affects an estimated 300 million people worldwide, and hearing impairment affects an estimated 360 million people worldwide. Consistent clinical evaluations for all individuals with sensory deficits cannot be practically realized due to the rising costs of healthcare, capital and labor limitations, and inaccessibility to healthcare due to a multitude of factors including proximity. The high prevalence of visual and hearing deficits can be lessened through consistent, comprehensive, at-home testing which can allow a larger amount of the affected and at-risk populations to be screened for abnormal function earlier and prior to permanent loss, and provide a wealth of patient-specific data that can be used to understand the time-scale of diseases and monitor the effectiveness of clinical interventions in unprecedented detail. While health-oriented smartphone applications exhibit a strong presence on the app stores, these applications are seldom vetted by expert scientists, engineers, and clinicians, and there are considerable opportunities for methodological improvements. The present work discusses the creation, calibration, and proof-of-concept, preliminary validation of a suite of psychophysical tests implemented as smartphone applications that can be utilized to rapidly and objectively quantify several functional sensory behaviors including flicker sensitivity, contrast sensitivity, visual acuity, and hearing-in-noise. Rigorous steps were undertaken to perform the necessary calibrations (a feat not routinely achieved by the creators of existing medical smartphone applications), and ensure the technical validity of the varying stimuli presented. Preliminary tests in the clinic have documented the potential of these tests to objectively provide numerous quantifications of, but not limited to, individual visual and hearing function, and variation between normal and abnormal subjects and function. The foundation laid by this work allows novel psychophysical tests to rapidly be implemented, vetted, and added to this battery of publicly and universally accessible medical smartphone applications.

As disturbed binocular functions in small children may lead to severe amblyopia it is of interest to detect it as early as possible. Most tests for binocular functions, however, demand active cooperation and may be unreliable in children up to 4-5 years of age. This study therefore aims to employ visual evoked potentials (VEP) to enable the examiner to evaluate the binocular function in a subject without need of active cooperation from the subject. Initially we studied the relation of suprathreshold contrast to the latency of the transient pattern VEP (tpVEP). Although suprathreshold contrast independently influenced the tpVEP latency, interindividual variation was too large to suggest tpVEP as a possible method for objectively measuring contrast sensitivity in a subject. The tpVEP latency in normal and microstrabismic adult subjects was examined. It was significantly shorter with binocular viewing in normals, but not in the microstrabismic group. Contrast sensitivity and tpVEP latency was examined in adults, both with normal binocularity and with microstrabismus, using both luminance (black-and-white) contrast and colour contrast patterns. The tpVEP latency to colour contrast, like that to luminance contrast, is shorter in normal subjects who view the stimulus binocularly. Interindividual variation or overlap between the normal and microstrabismic groups did not improve with colour contrast. The most significant features of the tpVEP are amplitude and latency. Depending on stimulus conditions, the response may show variations in configuration, amplitude and, to a lesser degree, latency. To decrease the influence of such variations steady-state VEP (ssVEP) can be used. The stimulus is presented in a fast repetitive manner, yielding a VEP response shaped as a continuous curve. The frequency components of this curve can be analysed using Fast Fourier Analysis. Fast Fourier analysis of ssVEP in children aged 8-15 years with normal binocularity and with microstrabismus showed that the power of the second harmonic (the double frequency of stimulus frequency) of the response with binocular viewing was larger than with monocular viewing, both in normals and microstrabismic subjects. For higher stimulus frequencies, microstrabismic subjects showed a significantly lower power of the second harmonic compared with subjects with normal binocularity, when the stimulus was presented binocularly. Finally, Fast Fourier analysed ssVEP in pre-school children aged 4-5 years was studied. A normal group was compared with a group with microstrabismus and a group with significant amblyopia. Amblyopic subjects had significant interocular differences in the first harmonic. We confirmed the significant difference found between microstrabismic subjects and subjects with normal binocularity regarding the second harmonic’s power with higher temporal frequency binocular stimulation, although at a slightly lower frequency than for older children. A low power of the second harmonic in the ssVEP to a binocular stimulus with high temporal frequency is a strong indicator of disturbed binocular function. / För att förhindra amblyopi (ensidig synsvaghet) hos barn är det viktigt att upptäcka störningar i samsynsfunktionerna så tidigt som möjligt. Samsynstester kräver dock aktiv medverkan och kan ge osäkra resultat hos barn upp till 4-5 års ålder. Den här avhandlingen studerar möjligheterna att utifrån tidsmässiga (temporala) egenskaper hos visual evoked potentials (VEP) undersöka samsynsfunktioner objektivt, utan att den undersökte behöver medverka aktivt. Första delstudien visar att ett synstimulus kontrastnivå i relation till kontrastkänslighetströskeln oberoende påverkar latensen i VEP, men variationer mellan individer gör metoden olämplig som objektiv kontrastkänslighetstest. Andra delstudien jämför latensen i VEP hos individer med normal samsyn med den hos personer med mikroskelning. Stimulering av båda ögonen gav signifikant kortare latens än stimulering av ett öga hos normala, men inte hos mikroskelare. I den tredje delstudien jämfördes känslighet för luminanskontrast och färgkontrast hos individer med normal samsyn och personer med mikroskelning. Både luminansmönster (svart-vita) och färgkontrastmönster upptäcktes vid lägre kontrast om båda ögonen stimulerades istället för ett i taget hos normalseende. Mikroskelare uppfattade mönstren sämre med båda ögonen än med ett öga (det dominanta). Latensen i VEP mättes i båda grupperna för både luminans- och färgkontrastmönster. Båda typerna av kontrast gav förkortning av latensen när båda ögonen stimulerades vid normal samsyn, men denna förkortning uteblev hos mikroskelare. Både luminans- och färgkontrast gav för varierande resultat för att utnyttja metoden för objektiv undersökning av samsynen. Fourier-analys innebär att en kurvform delas upp i sinuskurvor med olika frekvens, amplitud och fas. Om ett stimulus växlar hastigt får man ett steady-state VEP (ssVEP), dvs en kontinuerligt vågformad VEP-kurva, som kan delas upp i delsinuskurvor med Fourieranalys. Detta gör att man särskilt kan studera frekvenser som är relaterade till stimuleringsfrekvensen, till exempel grundton och övertoner (multipler av grundtonsfrekvensen). Barn 8-15 år gamla, med normal samsyn och med mikroskelning undersöktes med ssVEP i det fjärde delarbetet. Den första övertonen (= ”second harmonic”) var statistiskt signifikant svagare hos mikroskelare jämfört med normala individer, när stimuleringsfrekvensen var hög. Det femte och sista delarbetet undersökte ssVEP hos 4-5 år gamla förskolebarn på motsvarande sätt. I denna studie deltog också en grupp barn med amblyopi (synsvaghet) på ena ögat. På en något lägre stimuleringsfrekvens bekräftades den svagare första övertonen hos barnen med mikroskelning jämfört med barnen med normal samsyn. De amblyopa barnen visade tydligast förändringar vid lägre stimuleringsfrekvenser och i ssVEP:s grundtonsfrekvens (= ”first harmonic” eller ”fundamental harmonic”). Resultaten i de olika grupperna är så pass åtskilda att metoden verkar lämpa sig för objektiv undersökning av samsynsfunktioner, i det att en svag första överton i binokulärt ssVEP utlöst av hög stimuleringsfrekvens inger en stark misstanke om störd samsyn, medan en stor skillnad i grundtonens styrka i höger respektive vänster ögas ssVEP tyder på amblyopi.

Thesis (Ph. D.)--University of Washington, 2002. / Vita. Includes bibliographical references (p. 113-121).

Considerable evidence indicates that visual sensitivity is reduced during saccadic eye movement. A central question has been whether saccadic suppression results from a non-visual central signal, or whether the obligate image motion that accompanies saccades is itself sufficient to mask vision. In the first of a series of experiments described here, the visual and non-visual effects of saccades were distinguished by measuring contrast sensitivity to luminance modulated low spatial frequency gratings, at 17 cd·m¯² and 0.17 cd·m¯², in saccade conditions and in conditions in which saccade-like image motion was produced by the rotation of a mirror but when observers’ eyes were kept still. The time course of suppression was examined by making measurements from well before image motion began until well after it had ended. A tenfold decrease in contrast sensitivity was found for luminance-modulated gratings with saccades, but little suppression was found with simulated saccades. Adding high contrast noise to the visual display increased the magnitude and the duration of the suppression during simulated saccades but had little effect on suppression produced by real saccades. At lower luminance, suppression was found to be reduced, and its course shallower than at higher luminance. Simulated saccades produced shallower suppression over a longer time course at both higher and lower luminance. In a second experiment the time course of contrast sensitivity to chromatically modulated gratings, at 17 cd·m¯², was examined. No suppression was found; rather there was some evidence of an enhancement of sensitivity, both before and after saccades, relative to fixation conditions. Differences in the effects of real and simulated saccades in the magnitude and time course of sensitivity loss with luminance modulated gratings suggest that saccadic suppression has an extraretinal component that acts on the magnocellular system; the pattern of enhancement found in the later experiment suggests a selective favouring of the parvocellular system both immediately prior to and immediately after saccades. The possibility that the degree of enhancement in sensitivity varies across the visual field was examined using spatially localized stimuli (either high spatial frequency chromatically modulated gratings or letter combinations). Sensitivity was found to decrease at the initial fixation point during the 75 ms prior to saccadic onset and simultaneously to improve at the saccadic target. In the immediate post-saccadic period, sensitivity at the saccadic target was found to exceed that which had been manifest at the initial fixation point prior to saccades, suggesting that post-saccadic enhancement may improve the temporal contrast between one fixation and the next. The final experiments investigated the possibility that our sense of continuity across saccades (as opposed to stability) is influenced by saccade-induced errors in locating events in time. The results of these experiments suggest that saccades can result in errors in judging (a) the time at which external events occur relative to saccadic onset, (b) the temporal order of visual events, and (c) the magnitude of temporal intervals. It is concluded that apparent time is generally foreshortened prior to saccades. This might be due to selective suppression of magnocellular activity and might function to hide saccades and their effects from our awareness. A speculative synthesis is presented based on the idea that recurrent feedback between the neocortical and cortical structures on the one hand, and the thalamic nuclei on the other, has special importance for perception around the time of saccades

Thesis (M.S.)--Ohio University, June, 2003. / Title from PDF t.p. Includes bibliographical references (leaves 102-108).

Thesis (Ph. D.)--University of Chicago, Department of Psychology, March 2003. / Includes bibliographical references. Also available on the Internet.

Diss. (sammanfattning) Linköping : Linköpings universitet, 2006. / Härtill 5 uppsatser.

Thesis (M.S.)--Virginia Polytechnic Institute and State University, 1993. / Vita. Abstract. Includes bibliographical references (leaves 52-55). Also available via the Internet.

Title from first page of PDF document. Includes bibliographical references (p. 29-32).

A esquizofrenia é um distúrbio mental debilitante que afeta aproximadamente 1% da população mundial, caracterizado por sintomas produtivos como delírios e alucinações e sintomas negativos como apatia e decréscimo das emoções. O objetivo deste trabalho foi caracterizar a resposta do sistema visual humano de voluntários isentos de transtornos neuropsiquiátricos, portadores de esquizofrenia medicados e parentes não acometidos, utilizando a curva de sensibilidade ao contraste (FSC) escotópica e fotópica para estímulos de frequências espaciais com grades senoidais verticais e com grade senoidais angulares. As medidas de limiares ou sensibilidades ao contraste para grades senoidais verticais com frequências espaciais de 0,25; 2; 4 e 8 ciclos por grau de ângulo visual (cpg) e para grades senoidais angulares definidos com frequências espaciais de 3,0; 24; 48 e 96 ciclos/360° foram medidas com o método psicofísico da escolha forçada entre duas alternativas temporais. Os resultados mostram que os portadores de esquizofrenia apresentam prejuízo para os estímulos espaciais de grade senoidal vertical e angular em todas as frequências testadas e nas duas condições de luminância enquanto que os parentes não psicóticos apresentaram a sensibilidade ao contraste preservada para os dois estímulos nas duas condições de luminância. Estes dados sugerem prejuízos no processamento visual de contraste associados à esquizofrenia, sugerindo que esse transtorno altera as áreas visuais corticais de forma difusa. / Schizophrenia is a mental debilitating disorder that affects 1% of the world population. It is characterized by positive symptoms such as delirium and hallucinations and negative symptoms such as apathy and emotion decrease. The objective of this work was to characterize the response of the human visual system to vertical and angular sine-wave gratings in healthy adults (20-45 years of age), schizophrenia patients whom were receiving antipsychotic medications and unaffected relatives of schizophrenia patients. We measured the contrast sensitivity functions for vertical sine-wave gratings of 0.25, 1, 2 and 8 cycles per degree (cpd) of visual angle and angular sine-wave gratings of 3, 24, 48 and 96 cycle/360o Contrast threshold was measured using a temporal two-alternative forced choice (2-AFC) procedure with mean scotopic luminance of 0.06 cd/m2 and mean photopic luminance of 42 cd/m2. The results showed a decrease in sensitivity of schizophrenia patients to all the stimuli of vertical and angular sine-wave grating at all spatial frequencies and to the two luminance conditions, while the non-psychotic relatives showed preserved contrast sensitivity for the two stimuli in both luminance conditions. These data suggest that losses in the visual processing of contrast associated with schizophrenia, suggesting that this disorder alters the cortical visual areas in a diffuse way.