L'étude de la lecture s'intéresse, entre autres, aux facteurs déterminant la visibilité de lettres et les mouvements oculaires. Néanmoins, l'approche de ces mécanismes reste différente selon qu'elle concerne la vision centrale ou périphérique. Cette thèse proposait, au contraire, une approche conjointe dans le but (1) de mettre en évidence les effets des facteurs visuels limitant la reconnaissance de mots, (2) de mieux comprendre le comportement oculomoteur lors de la lecture en vision centrale et (3) d'étudier le rôle des facteurs oculomoteurs spécifiques à la lecture en vision périphérique. Trois expériences ont été menées. La première axée sur l'étude des facteurs visuels, a mis en évidence que l'effet OVP était moins important pour des mots présentés dans le champ visuel inférieur. Ce résultat pouvant s'expliquer par la géométrie de l'acuité visuelle et de l'encombrement, suggère que la lecture en périphérie est limitée par les mêmes facteurs qu'en vision centrale. La deuxième étude, concernant la stabilité de fixation durant la lecture en présence d'un scotome artificiel, a révélé que la vitesse de lecture pouvait être améliorée en présence d'une stimulation fovéale stable. Enfin, nous avons montré que les mouvements oculaires variaient selon la taille des lettres, et ce, différemment selon la position du regard par rapport au centre des mots. Ce résultat, nouveau, est vraisemblablement attribuable à l'effet de processus visuomoteurs précoces. En conclusion, l'étude conjointe de la lecture en vision centrale et périphérique est prometteuse, non seulement d'un point de vue fondamental, mais aussi pour l'aide aux patients atteints de DMLA. / Reading is a large research field, which investigates for a great part the variables influencing letter visibility and eye movements. However, its study in central and peripheral vision has been conducted in parallel and with different approaches. Our work relied, on the contrary, on a joint approach in order (1) to uncover the visual factors limiting word recognition, (2) to better determine how the eyes move during reading in central vision, and (3) to study the role of oculomotor factors that might affect reading in peripheral vision. Three experiments were conducted. The first study focused on the role of visual factors in word identification. It showed that the OVP effect is reduced for words displayed in the lower visual field. This result, which can be explained by the geometry of visual acuity andl crowding, suggests that reading in peripheral vision is limited by the same visual factors as in central vision. Then we investigated the influence of fixation stability on sentence reading using an artificial scotoma. It revealed that reading speed could be improved with a stable foveal stimulation. The third experiment re-examined the possible influence of character size on eye movements in central vision. It revealed that eye movements varied depending on letter size, and differently as a function of the location of the eye relative to the center of words. This novel finding was very likely the effect of early visuomotor processes. In conclusion, the joint study of reading in central and peripheral vision is promising, not only at a fundamental level, but also for a better understanding of retinal visual deficits, such as AMD.

Abstract The aim of this study was to create a mathematical model of the retinal nerve fiber layer and of the entire hill of vision, and to compare different perimetric methods and test grids in the detection of visual field loss in glaucoma and optic neuritis. A mathematical model of the retinal nerve fiber layer was developed, based on traced nerve fiber bundle trajectories extracted from 55 fundus photographs of 55 human subjects. The model resembled the typical retinal nerve fiber layer course within 20° eccentricity from the foveola. The standard deviation of the calculated corresponding angular location at the optic nerve head circumference ranged from less than 1° up to 18° (mean 8.8°). A smooth mathematical model of the hill of vision was created, based on 81 ophthalmologically healthy subjects. The model fit R2 was 0.72. Applying individually condensed test grids in 41 glaucomatous eyes of 41 patients enhanced remarkably the detection of progression. Seven out of 11 (64%) of the progressive scotomata detected by spatially condensed grids would have been missed by the conventional 6° × 6° grid. In 20 eyes of 20 patients with advanced glaucoma, the comparability of visual field areas obtained with semi-automated kinetic perimetry and automated static perimetry was satisfactory and within the range of the test-retest reliability of automated static perimetry. Using a standardized grid of 191 static targets within the central 30° visual field, the most common finding in 100 eyes of 99 patients with acute optic neuritis were central scotomas, accounting for 41% of all visual field defects in affected eyes. In conclusion, a model of the retinal nerve fiber layer was developed, which provided a detailed location specific estimate of the magnitude of the variability on the courses of retinal nerve fiber bundle trajectories in the human retina. A smooth mathematical model of the hill of vision with a satisfactory model fit was described for the 80° visual field. Individually condensed grids enabled the detection of a glaucomatous visual field progression more frequently and also earlier than conventional grids. Semi-automated kinetic perimetry was found to be a valuable alternative to automated static perimetry in monitoring advanced glaucomatous visual field loss. Using a grid with a higher spatial resolution may enhance the detection of small central visual field loss in optic neuritis.

Contrairement à la vision fovéale qui assure une perception détaillée de notre environnement visuelle, la périphérie ne permet qu’une vision globale. C’est pourquoi, nous bougeons nos yeux en permanence afin que l’image visuelle soit localisée sur la fovéa, où la résolution spatiale est la meilleure. Cependant, certaines pathologies sont à l’origine d’une perte de la vision centrale et provoquent de nombreuses difficultés dans la vie quotidienne notamment pour lire, conduire, identifier un visage, un objet ou encore naviguer dans l’espace. Contrairement à la lecture, peu d’études ont été réalisées sur la perception des objets et de l’espace dans ces maculopathies où ne persiste que la vision périphérique. Nous nous sommes intéressés à l’étude des capacités de la vision périphérique dans la perception des scènes et des objets.Dans un premier temps, nous avons étudié les capacités de la vision périphérique chez le sujet sain. Nous avons montré qu’en dépit de sa faible résolution spatiale, il était possible de reconnaître des objets et des scènes même à grande excentricité.Dans un second temps, nous nous sommes focalisés sur les effets de la perte de la vision centrale sur la reconnaissance des objets et des scènes. Nous montrons que l’absence de vision centrale induit une plus faible stabilité de fixation associée à un déficit marqué sur l’identification des objets et des scènes, ainsi que sur la recherche visuelle, notamment en condition d’encombrement.Ces études contribuent à comprendre la contribution de la vision centrale et de la vision périphérique sur la reconnaissance des objets et des scènes mais aussi sur le rôle de l’information contextuelle et comment les patients ayant perdu la vision centrale perçoivent le monde réel. / Unlike foveal vision that allows a detailed perception of our visual environment, the periphery only allows a coarse vision. This is why we have to move our eyes all the time in order to localize the image on the fovea, where spatial resolution is better. However, some diseases induce a loss of central vision and cause many difficulties in everyday life especially in reading, driving, face recognition and spatial cognition in general. Unlike word and face perception scene and object perception have had litte investigations in maculopathies in which people have to rely on peripheral vision. This thesis is based on the study of the capabilities of peripheral vision in scenes and objects perception.In the first part we studied scne perception at very large eccentricities in normally sighted young people. We show that, in spite of its low resolution, peripheral vision is efficient to recognize objects and scenes even at very large eccentricities (above 50°).In the second part, we investigated on effects of central vision loss on object and scene perception in identification and visual search tasks on small or realistic panoramic displays. We report a series of experiments showing that central vision loss induced a lower fixation stability which had a strong impact on object and scene and on visual search, especially in crowded conditions.These studies contribute to the understanding of the contribution of central and peripheral vision on object and scene gist recognition but also on the role of contextual information and how patients with central vision loss perceive real-world scenes.

Deafferented cortical visual areas exhibit topographical plasticity such that their constituent neural populations adapt to the loss of sensory input through the expansion and eventual remapping of receptive fields to new regions of space. Such representational plasticity is most compelling in the long-term (months or years) but begins within seconds of retinal deafferentation (short-term plasticity). The neural mechanism proposed to underlie topographical plasticity is one of disinhibition whereby long-range horizontal inputs are "unmasked" by a reduction in local inhibitory drive. In this dissertation, four experiments investigated the neural mechanisms of short-term visual plasticity and disinhibition in humans using a combination of psychophysics and event-related potentials (ERPs). Short-term visual plasticity was induced using a stimulus-induced analog of retinal deafferentation known as an artifical scotoma. Artificial scotomas provide a useful paradigm for the study of short-term plasticity as they induce disinhibition but are temporary and reversible. Experiment 1 measured contrast response functions from within the boundaries of an artificial scotoma and evaluated them relative to a sham control condition. Changes in the contrast response function suggest that disinhibition can be conceived of in terms of two dependent but separable processes: receptive field expansion and unrestricted neural gain. A two-process model of disinhibition is proposed. A complementary ERP study (Experiment 2) recorded visual evoked potentials elicited by probes appearing within the boundaries of an artificial scotoma. Results revealed a neural correlate of disinhibition consistent with origins in striate and extrastriate visual areas. Experiment 3 and 4 were exploratory examinations of the representation of space surrounding an artificial scotoma and revealed a neural correlate of invading activity from normal cortex. Together, the results of these four studies strengthen the understanding of the neural mechanisms that underlie short-term plasticity and provide a conceptual framework for their evaluation.

The loss of central vision subsequent to macular disease is often extremely debilitating. People with central field loss (CFL) must use other peripheral areas of the retina in order to see; areas with inferior resolution capacity, which are also affected by off-axis optical errors. The overall aim of the work encompassed by this thesis was to identify and evaluate methods of improving vision for people with CFL; with focus on the effects of off-axis optical correction and stimulus motion on resolution acuity and contrast sensitivity. Off-axis optical errors were measured using a commercially-available COAS-HD VR open-view aberrometer. We used adaptive psychophysical methods to evaluate grating resolution acuity and contrast sensitivity in the peripheral visual field; drifting gratings were employed to   measure the effect of motion on these two measures of visual performance. The effect of sphero-cylindrical correction and stimulus motion on visual performance in healthy eyes and in subjects with CFL was also studied; in addition, the effect of adaptive optics aberration correction was examined in one subject with CFL. The COAS-HD aberrometer provided rapid and reliable measurements of off-axis refractive errors. Correction of these errors gave improvements in low-contrast resolution acuity in subjects with higher amounts of oblique astigmatism. Optical correction also improved high-contrast resolution acuity in most subjects with CFL, but not for healthy subjects. Adaptive optics correction improved both high and low contrast resolution acuity in the preferred retinal locus of a subject with CFL. The effect of stimulus motion depended on spatial frequency; motion of 7.5 Hz improved contrast sensitivity for stimuli of low spatial frequency in healthy and CFL subjects. Motion of 15 Hz had little effect on contrast sensitivity for low spatial frequency but resulted in reduced contrast sensitivity for higher spatial frequencies in healthy subjects. Finally, high-contrast resolution acuity was relatively insensitive to stimulus motion in the periphery. This thesis has served to broaden the knowledge regarding peripheral optical errors, stimulus motion and their effects on visual function, both in healthy subjects and in people with CFL. Overall it has shown that correction of off-axis refractive errors is important for optimizing peripheral vision in subjects with CFL; the use of an open-view aberrometer simplifies the determination of these errors. In addition, moderate stimulus motion can have a beneficial effect on contrast sensitivity for objects of predominantly low spatial frequency.