Das Visus-VEP wird angewendet bei Patienten mit eingeschränkter Kooperation (Kinder, retardierte Personen), unklarer Visusminderung, funktionellen Sehstörungen, Verdacht auf Simulation sowie zur Verlaufskontrolle von Erkrankungen der Sehbahn. Ziel dieser Arbeit war es, die bisherigen Methoden zu optimieren. An 20 augengesunden Probanden wurden monokular Messungen mit Sinusgitter-Reizen bei 12 Ortsfrequenzen zwischen 1 und 20 cpd durchgeführt. Die Präsentation erfolgte jeweils im Pattern-reversal- und Pattern-onset-Modus. Die VEP-Signale wurden über eine auf der Position Oz liegende Elektrode sowie über zusätzlich zwei laterale (L, R) und eine kraniale Elektrode (O) abgeleitet. Durch ein mittels Igor Pro© geschriebenes Programm wurden zur Auswertung für jede Versuchsperson insgesamt 12 Graphen erstellt, in denen die Fourier-Amplitude als Funktion der Ortsfrequenzen aufgetragen wurde, sog. Tuning-Kurven: Für beide Reizmuster wurde neben der Oz -Ableitung eine 3-Punkt- (VEP-Signale von Oz, L, R) und eine 4-Punkt-Laplacian-Ableitung (VEP-Signale von Oz, L, R, O) durchgeführt. Zusätzlich erfolgte jeweils eine alleinige Auswertung der Fourier-Amplitude der Reizfrequenz sowie eine Auswertung unter Einbeziehen der ersten Oberwelle der Reizfrequenz im Fourier-Spektrum. Der Einfluss dieser Methoden auf die Grenzortsfrequenz, die Amplitude, das Signal-Rausch-Verhältnis (SNR) und die Anzahl der signifikanten Antworten wurde untersucht. Die Elektrodenanordnung hatte keinen signifikanten Einfluss auf die Grenzortsfrequenz. Beim Pattern-reversal-Reiz waren durch die Laplacian-Ableitungen die Amplituden signifikant niedriger, beim Pattern-onset-Reiz bestand diesbezüglich kein Unterschied. Für den Pattern-reversal-Reiz erbrachte 4-Punkt-Laplacian das beste SNR, für den Pattern-onset-Reiz gab es hierbei keine signifikanten Unterschiede. Bei der Zahl der signifikanten Datenpunkte erwiesen sich beide Laplacian-Anordnungen bei beiden Reizmustern als vorteilhaft. Auch Mackay et al. (2003a,b) erreichten durch eine 3-Punkt-Laplacian-Anordnung ein verbessertes SNR und mehr signifikante Ereignisse. Trotz des Mehraufwandes empfehlen wir aufgrund dieses Ergebnisses in der Klinik die Verwendung einer Laplacian-Ableitung. Wegen einer Verminderung der Amplitudenhöhe kann jedoch die Laplacian-Ableitung in wenigen Fällen bei Personen mit sehr niedrigen VEP-Amplituden von Nachteil sein. Eine Auswertung mit Oberwelle lieferte keine signifikanten Unterschiede für die Grenzortsfrequenzen. Die Amplituden lagen hierbei signifikant höher. Für den Pattern-onset-Reiz wurde das SNR sogar niedriger, für den Pattern-reversal-Reiz änderte es sich nicht. Bezüglich der Anzahl der signifikanten Datenpunkte bestand kein Einfluss der Oberwelle. Wegen der letzten beiden Punkte bewerten wir eine Auswertung mit erster Oberwelle nicht als vorteilhaft in der klinischen Routine. Bei einzelnen Patienten mit besonders niedrigen Amplituden im VEP kann diese Auswertungsmethode jedoch eine Möglichkeit sein. Für den Pattern-onset-Reiz lagen die Grenzortsfrequenzen signifikant höher, ihr Spektrum war vergleichbar mit denen der Studien von Strasburger et al. (1996) und Bach et al. (2008). Im Hinblick auf die Amplitude bestand zwischen den beiden Reizmuster entgegen Strasburger et al. (1996) und Parry et al. (1999) in unserer Studie kein signifikanter Unterschied. Bei 12 Versuchspersonen konnten beim Pattern-onset-Reiz aus den Messdaten keine Tuning-Kurven erstellt werden, da es bei den niedrigen Ortsfrequenzen wieder zu einem Anstieg der VEP-Amplitude gekommen war. In einem Nachexperiment erscheinen Helligkeitsartefakte des Monitors als wahrscheinlichste Ursache, für die der Pattern-onset-Reiz anfällig ist (Fahle & Bach, 2006). Wegen eines zusätzlichen Zeitaufwandes durch nicht auswertbare Messungen oder sogar verfälschter objektiver Visus-Werte durch falsch hohe VEP-Amplituden beim Pattern-onset-Reiz, empfehlen wir für die Praxis den Einsatz von Pattern-reversal-Mustern. In weiterführende Studien sollte der Einfluss der in unserer Arbeit untersuchten Parameter (Reizart, Oberwelle, Ableitung) bei unterschiedlichen Augenerkrankungen sowie bei Personen mit besonders niedrigem Visus erforscht werden. / Objective assessment of visual acuity by visual evoked potentials: Influence of electrode arrangement, harmonics and stimulus pattern

Purpose and hypothesis: The purpose of this study was to optimize and standardize the following parameters of sweep Visually Evoked Potential (sVEP) in adults: criteria for fitting the regression line to estimate threshold, luminance, electrode placement, temporal frequency, sweep direction, presence of fixation target and stimulus area. The hypothesis is that the parameters chosen will have an impact on the measured visual acuity, contrast threshold and on the number of viable sVEP plots. Methods: The Power Diva software, Version 1.9 was used for this study. Five gold cup active electrodes, one reference electrode and one ground electrode were used to measure the Electroencephalography (EEG) signals. Six adult participants (aged 17 to 35 years), with corrected to normal visual acuity and no history of ocular disease took part in each experiment, except for the repeatability experiment in which 3 subjects participated. Four criteria for regression line fitting were compared. Psychophysical thresholds were used to validate the sVEP measures for the different criterion and repeatability of sVEP was estimated for 10 sessions. The effect of luminance (25 cd/m2, 50 cd/m2, 100 cd/m2), electrode placement (Power Diva and ISCEV), temporal frequency (6 Hz, 7.5 Hz, 10 Hz), sweep direction, fixation target and stimulus area were investigated. A repeated measure ANOVA statistical method was used to analyze the average threshold and the number of viable plots out of five active channels for all subjects. Results: Criterion 2 and 3 gave better visual acuity, higher contrast sensitivity, better repeatability and gave results that were closer to the psychophysical threshold than criterion 0 and 1. Luminance of 25 cd/m2 gave significantly fewer viable readings than 50 and 100 cd/m2 while measuring visual acuity (F = 5.11, df = 2, p = 0.0295). Temporal frequency of 7.5 Hz gave significantly more viable readings than 6 and 10 Hz while measuring visual acuity (F = 50.53, df = 2, p < 0.0001) and contrast threshold (F = 9.87, df = 2,p = 0.0043). There was a highly significant interaction of criterion with temporal frequency (F = 1536.98, df = 6, p < 0.0001) while measuring contrast threshold. There was a significant interaction of criterion with sweep direction (F = 4.26, df = 3, p = 0.0231) and for the number of readings (F = 3.75, df = 3, p = 0.0343) while measuring visual acuity. There was an interaction of criterion with sweep direction (F = 4.97, df = 3, p = 0.0136) while measuring contrast threshold at a spatial frequency of 1 cpd. There was a significant effect of fixation target (F = 7.64, df = 1, p = 0.0396) while measuring visual acuity. There was a significant effect of stimulus area (F = 11.78, df = 4, p < 0.0001) on the number of readings while measuring contrast threshold. Conclusion: The sVEP parameters chosen do have a significant effect on visual acuity, contrast threshold and on the number of viable readings. The following parameters are recommended in adults on the basis of results; Criterion 2 or 3 for fitting regression line (C2 - regression line fitted from the signal peak amplitude to the last data point with a signal to noise ratio (SNR) >1; C3 – similar to criterion 2, but the threshold should be within sweep range used), luminance of 50 or 100 cd/m2 , either Power Diva (PD) or International Society for Clinical Electrophysiology of Vision (ISCEV) electrode placement, temporal frequency of 7.5 Hz, either sweep direction, measurement with the central fixation target, larger stimulus area.

Purpose and hypothesis: The purpose of this study was to optimize and standardize the following parameters of sweep Visually Evoked Potential (sVEP) in adults: criteria for fitting the regression line to estimate threshold, luminance, electrode placement, temporal frequency, sweep direction, presence of fixation target and stimulus area. The hypothesis is that the parameters chosen will have an impact on the measured visual acuity, contrast threshold and on the number of viable sVEP plots. Methods: The Power Diva software, Version 1.9 was used for this study. Five gold cup active electrodes, one reference electrode and one ground electrode were used to measure the Electroencephalography (EEG) signals. Six adult participants (aged 17 to 35 years), with corrected to normal visual acuity and no history of ocular disease took part in each experiment, except for the repeatability experiment in which 3 subjects participated. Four criteria for regression line fitting were compared. Psychophysical thresholds were used to validate the sVEP measures for the different criterion and repeatability of sVEP was estimated for 10 sessions. The effect of luminance (25 cd/m2, 50 cd/m2, 100 cd/m2), electrode placement (Power Diva and ISCEV), temporal frequency (6 Hz, 7.5 Hz, 10 Hz), sweep direction, fixation target and stimulus area were investigated. A repeated measure ANOVA statistical method was used to analyze the average threshold and the number of viable plots out of five active channels for all subjects. Results: Criterion 2 and 3 gave better visual acuity, higher contrast sensitivity, better repeatability and gave results that were closer to the psychophysical threshold than criterion 0 and 1. Luminance of 25 cd/m2 gave significantly fewer viable readings than 50 and 100 cd/m2 while measuring visual acuity (F = 5.11, df = 2, p = 0.0295). Temporal frequency of 7.5 Hz gave significantly more viable readings than 6 and 10 Hz while measuring visual acuity (F = 50.53, df = 2, p < 0.0001) and contrast threshold (F = 9.87, df = 2,p = 0.0043). There was a highly significant interaction of criterion with temporal frequency (F = 1536.98, df = 6, p < 0.0001) while measuring contrast threshold. There was a significant interaction of criterion with sweep direction (F = 4.26, df = 3, p = 0.0231) and for the number of readings (F = 3.75, df = 3, p = 0.0343) while measuring visual acuity. There was an interaction of criterion with sweep direction (F = 4.97, df = 3, p = 0.0136) while measuring contrast threshold at a spatial frequency of 1 cpd. There was a significant effect of fixation target (F = 7.64, df = 1, p = 0.0396) while measuring visual acuity. There was a significant effect of stimulus area (F = 11.78, df = 4, p < 0.0001) on the number of readings while measuring contrast threshold. Conclusion: The sVEP parameters chosen do have a significant effect on visual acuity, contrast threshold and on the number of viable readings. The following parameters are recommended in adults on the basis of results; Criterion 2 or 3 for fitting regression line (C2 - regression line fitted from the signal peak amplitude to the last data point with a signal to noise ratio (SNR) >1; C3 – similar to criterion 2, but the threshold should be within sweep range used), luminance of 50 or 100 cd/m2 , either Power Diva (PD) or International Society for Clinical Electrophysiology of Vision (ISCEV) electrode placement, temporal frequency of 7.5 Hz, either sweep direction, measurement with the central fixation target, larger stimulus area.

Purpose: There is little agreement on the age at which visual acuity (VA) and contrast sensitivity (CS) become adult-like. The ultimate purpose of this thesis was to determine whether VA and CS are adult-like at the age of 6-8 or 9-12 years by using both objective and subjective methods in the same individuals. The objective method (sweep visually evoked potentials [sVEP]) has many parameters that may affect the measurement of VA or CS and previously these had not been studied systematically, especially in children. Therefore, a second purpose was to study the effects of these parameters on VA and contrast thresholds and to determine the parameters that give the most repeatable measurements and the greatest number of viable readings in children, to be compared to previous data obtained in adults. Methods: The effect of five criteria (C0-C4) for choosing the endpoint for the regression line fitting and three luminance levels (25, 50, and 100 cd/m2) on the sVEP VA and contrast thresholds (at 1 and 8 cpd) was investigated in six 6-8 year old children. Additionally, the effect of these parameters on the number of viable readings obtained from five active electrodes was investigated. C0 was derived from the sVEP software (PowerDiva), C1 used the best fit by eye to determine the range over which the regression line was fitted, C2 used the data point between signal peak and the last data point with an SNR ≥ 1, C3 was similar to C2 but was defined so that the threshold should be within the sweep range, and C4 was similar to C2 except that the SNR should not fall below one at any point within the range used for the regression line fitting. The effects of two electrode placements, three temporal frequencies (6, 7.5, and 10 Hz), sweep direction (low to high and high to low), presence or absence of a fixation target, three stimulus areas (6, 4, and 2° for VA and 15, 10, and 6° for contrast thresholds) and three sweep durations (10, 15, and 20 sec) on VA and contrast thresholds (at 1, 4, or 8 cpd) measured with sVEP were also investigated in six 6-8 year-old children and six adults with normal vision. Additionally, the effect of these parameters on the number of viable readings obtained from five active electrodes was investigated. The sVEP parameters that were found to give the best threshold measurements were employed in a cross sectional study of the development of VA and CS. In this study the objective sVEP technique and two psychophysical techniques were used. The psychophysical techniques were comprised of a two-alternative forced choice (2AFC) staircase for measuring VA and contrast thresholds and signal detection theory (SDT) for measuring contrast threshold. Crowded and uncrowded logMAR VA were also measured with a Bailey-Lovie logMAR chart. The study included three age groups (6-8, 9-12 year olds and adults). The criterion employed by each age group as indicated by the SDT was compared. Results: There was a significant effect of the criterion for choosing the endpoint for the regression line fitting (p < 0.05) on all the measures and a significant effect of luminance (p = 0.036) on contrast threshold at 1 cpd. Criterion C2 (in which the range for the regression line fit was defined to include all the data between the signal peak and the last data point [furthest from the peak] with an SNR ≥ 1) consistently gave more viable readings and better thresholds (i.e. higher VA and lower contrast thresholds) than the other criteria. Also C2 was the best criterion in terms of repeatability in children, and repeatability and validity in adults (Yadav et al., 2009). The luminance of 25 cd/m2 gave higher contrast thresholds than 50 or 100 cd/m2. There was a significant effect of temporal frequency on the number of viable readings for VA (p < 0.0001) and for contrast thresholds (p = 0.0001), with more viable readings at 7.5 Hz than at either 6 or 10 Hz. The adults gave more readings with the fixation target than without it (p = 0.04) for contrast threshold at 1 cpd. The smallest stimulus area used gave rise to fewer viable readings in both adults and children (p = 0.022 for VA and 0.0001 for contrast threshold). The other parameters (electrode placement, sweep direction and sweep duration) did not result in significant differences. There was a significant effect of age on crowded (p = 0.0001) and uncrowded (p < 0.0001) VA. The 6-8 year olds gave poorer VA than the 9-12 year olds or adults for both crowded and uncrowded VA. For the grating VA (sVEP and 2AFC staircase) there was a significant effect of age (p = 0.002). The 6-8 year olds had poorer VA than the 9-12 year olds or adults. For contrast threshold at 1 cpd, a significant effect of age was found for the 2AFC (p = 0.008) and SDT (p = 0.0003). The 6-8 year olds gave poorer contrast thresholds than adults with each procedure. For contrast thresholds at 8 cpd, there was a significant effect of age with the 2AFC staircase (p = 0.036). The 6-8 year olds gave poorer contrast thresholds than the 9-12 year olds. For SDT, there was a significant effect of age on criterion (p < 0.05), with adults being more likely to say “no” in the yes-no SDT procedure than both the 6-8 year olds and the 9-12 year olds for contrast threshold at 1 cpd. Adults were also more likely to say “no” than the 9-12 year olds for contrast thresholds at 8 cpd. Conclusions: This thesis has shown that VA and CS are not adult-like until the age of 9-12 years by these measures and that children do show differences in criterion compared to adults in psychophysical testing. This difference in criterion indicates the use of SDT or force-choice procedures to avoid this problem in any psychophysical developmental study. It has also shown that criterion for choosing the endpoint for the regression line fitting in the sVEP technique has the greatest effect on VA and contrast thresholds measurements and viable readings, while the other sVEP parameters have little effect on the thresholds.

Purpose: There is little agreement on the age at which visual acuity (VA) and contrast sensitivity (CS) become adult-like. The ultimate purpose of this thesis was to determine whether VA and CS are adult-like at the age of 6-8 or 9-12 years by using both objective and subjective methods in the same individuals. The objective method (sweep visually evoked potentials [sVEP]) has many parameters that may affect the measurement of VA or CS and previously these had not been studied systematically, especially in children. Therefore, a second purpose was to study the effects of these parameters on VA and contrast thresholds and to determine the parameters that give the most repeatable measurements and the greatest number of viable readings in children, to be compared to previous data obtained in adults. Methods: The effect of five criteria (C0-C4) for choosing the endpoint for the regression line fitting and three luminance levels (25, 50, and 100 cd/m2) on the sVEP VA and contrast thresholds (at 1 and 8 cpd) was investigated in six 6-8 year old children. Additionally, the effect of these parameters on the number of viable readings obtained from five active electrodes was investigated. C0 was derived from the sVEP software (PowerDiva), C1 used the best fit by eye to determine the range over which the regression line was fitted, C2 used the data point between signal peak and the last data point with an SNR ≥ 1, C3 was similar to C2 but was defined so that the threshold should be within the sweep range, and C4 was similar to C2 except that the SNR should not fall below one at any point within the range used for the regression line fitting. The effects of two electrode placements, three temporal frequencies (6, 7.5, and 10 Hz), sweep direction (low to high and high to low), presence or absence of a fixation target, three stimulus areas (6, 4, and 2° for VA and 15, 10, and 6° for contrast thresholds) and three sweep durations (10, 15, and 20 sec) on VA and contrast thresholds (at 1, 4, or 8 cpd) measured with sVEP were also investigated in six 6-8 year-old children and six adults with normal vision. Additionally, the effect of these parameters on the number of viable readings obtained from five active electrodes was investigated. The sVEP parameters that were found to give the best threshold measurements were employed in a cross sectional study of the development of VA and CS. In this study the objective sVEP technique and two psychophysical techniques were used. The psychophysical techniques were comprised of a two-alternative forced choice (2AFC) staircase for measuring VA and contrast thresholds and signal detection theory (SDT) for measuring contrast threshold. Crowded and uncrowded logMAR VA were also measured with a Bailey-Lovie logMAR chart. The study included three age groups (6-8, 9-12 year olds and adults). The criterion employed by each age group as indicated by the SDT was compared. Results: There was a significant effect of the criterion for choosing the endpoint for the regression line fitting (p < 0.05) on all the measures and a significant effect of luminance (p = 0.036) on contrast threshold at 1 cpd. Criterion C2 (in which the range for the regression line fit was defined to include all the data between the signal peak and the last data point [furthest from the peak] with an SNR ≥ 1) consistently gave more viable readings and better thresholds (i.e. higher VA and lower contrast thresholds) than the other criteria. Also C2 was the best criterion in terms of repeatability in children, and repeatability and validity in adults (Yadav et al., 2009). The luminance of 25 cd/m2 gave higher contrast thresholds than 50 or 100 cd/m2. There was a significant effect of temporal frequency on the number of viable readings for VA (p < 0.0001) and for contrast thresholds (p = 0.0001), with more viable readings at 7.5 Hz than at either 6 or 10 Hz. The adults gave more readings with the fixation target than without it (p = 0.04) for contrast threshold at 1 cpd. The smallest stimulus area used gave rise to fewer viable readings in both adults and children (p = 0.022 for VA and 0.0001 for contrast threshold). The other parameters (electrode placement, sweep direction and sweep duration) did not result in significant differences. There was a significant effect of age on crowded (p = 0.0001) and uncrowded (p < 0.0001) VA. The 6-8 year olds gave poorer VA than the 9-12 year olds or adults for both crowded and uncrowded VA. For the grating VA (sVEP and 2AFC staircase) there was a significant effect of age (p = 0.002). The 6-8 year olds had poorer VA than the 9-12 year olds or adults. For contrast threshold at 1 cpd, a significant effect of age was found for the 2AFC (p = 0.008) and SDT (p = 0.0003). The 6-8 year olds gave poorer contrast thresholds than adults with each procedure. For contrast thresholds at 8 cpd, there was a significant effect of age with the 2AFC staircase (p = 0.036). The 6-8 year olds gave poorer contrast thresholds than the 9-12 year olds. For SDT, there was a significant effect of age on criterion (p < 0.05), with adults being more likely to say “no” in the yes-no SDT procedure than both the 6-8 year olds and the 9-12 year olds for contrast threshold at 1 cpd. Adults were also more likely to say “no” than the 9-12 year olds for contrast thresholds at 8 cpd. Conclusions: This thesis has shown that VA and CS are not adult-like until the age of 9-12 years by these measures and that children do show differences in criterion compared to adults in psychophysical testing. This difference in criterion indicates the use of SDT or force-choice procedures to avoid this problem in any psychophysical developmental study. It has also shown that criterion for choosing the endpoint for the regression line fitting in the sVEP technique has the greatest effect on VA and contrast thresholds measurements and viable readings, while the other sVEP parameters have little effect on the thresholds.

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.

Photography and tourism have been developing in parallel with each other and leaving memories of the trip in photographs still remains as a significant part of traveling today. Tourist photograph is an effective tool to display the way tourists see the destination they visited. However, while there are studies regarding general relationships between photography and tourism, what tourists see and photograph in each destination has not yet profoundly been investigated.This study first investigates images of Kiruna, Sweden, utilized in its promotion as atourist destination to understand how it is expected to be perceived by tourists. Then these images are compared with tourist photographs to understand how they actually respond to this expectation.Also, this thesis aims to add a new perspective to the concept of ‘hermeneutic circle’ proposed by John Urry (1990). Specifically, it takes particular note of ‘nationality’ and ‘culture’, and focuses on two specific tourist groups in Kiruna, Japanese and German tourists, to investigate differences between these nationality groups in the way they perceive Kiruna as a tourist destination. In order to fulfill this aim, Volunteer Employed Photography (VEP) was applied and photographs they took in Kiruna were collected. In order to enrich the photographic data, semi-structured interviews were also conducted with each study participant.The results revealed that the study participants photographed subjects that were both appeared and not appeared in the promotional images of Kiruna. The study also revealed that there were certain differences between Japanese and German tourists in the way they perceived Kiruna and each nationality group has its own hermeneutic circle.

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Brain-machine interfaces (BMIs) are the only currently viable means of communication for many individuals suffering from locked-in syndrome (LIS) – profound paralysis that results in severely limited or total loss of voluntary motor control. By inferring user intent from task-modulated neurological signals and then translating those intentions into actions, BMIs can enable LIS patients increased autonomy. Significant effort has been devoted to developing BMIs over the last three decades, but only recently have the combined advances in hardware, software, and methodology provided a setting to realize the translation of this research from the lab into practical, real-world applications. Non-invasive methods, such as those based on the electroencephalogram (EEG), offer the only feasible solution for practical use at the moment, but suffer from limited communication rates and susceptibility to environmental noise. Maximization of the efficacy of each decoded intention, therefore, is critical. This thesis addresses the challenge of implementing a BMI intended for practical use with a focus on an autonomous assistive robot application. First an adaptive EEG- based BMI strategy is developed that relies upon code-modulated visual evoked potentials (c-VEPs) to infer user intent. As voluntary gaze control is typically not available to LIS patients, c-VEP decoding methods under both gaze-dependent and gaze- independent scenarios are explored. Adaptive decoding strategies in both offline and online task conditions are evaluated, and a novel approach to assess ongoing online BMI performance is introduced. Next, an adaptive neural network-based system for assistive robot control is presented that employs exploratory learning to achieve the coordinated motor planning needed to navigate toward, reach for, and grasp distant objects. Exploratory learning, or “learning by doing,” is an unsupervised method in which the robot is able to build an internal model for motor planning and coordination based on real-time sensory inputs received during exploration. Finally, a software platform intended for practical BMI application use is developed and evaluated. Using online c-VEP methods, users control a simple 2D cursor control game, a basic augmentative and alternative communication tool, and an assistive robot, both manually and via high-level goal-oriented commands.

This project examined the effects menstruation may have on visual attention in women. A recent study examined electroencephalographic (EEG) gender differences using a visual object recognition task. Results indicated certain EEG amplitudes (specifically, P300 and N400) are greater in women than men. This study extended the previous findings to determine if these increased EEG amplitudes vary across menstrual phases. Eighteen female participants participated in a series of 3 EEG recording sessions using the same visual object recognition task from the previous study; 18 male participants completed this task once. Analyses from 15 of the 18 female and 16 of the 18 male participants support the previous finding of larger P300 amplitudes in response to relevant stimuli for women compared with men. While there was no distinctive N400 component in this study, there was a late negative (LN) component which was found to vary significantly between men and women. In addition, multiple visual evoked potential (VEP) components varied significantly across the menstrual cycle. In particular, the N200 component appeared to provide greater differences between menstrual phases than either the P300 or LN components; however, the results varied greatly by head location. The differentiation found with VEP components in response to the pop-out task used in this study provide support for basic visual processing variation across the menstrual cycle and between genders.