TY - JOUR
T1 - A novel motion-on-color paradigm for isolating magnocellular pathway function in preperimetric glaucoma
AU - Wen, Wen
AU - Zhang, Peng
AU - Liu, Tingting
AU - Zhang, Ting
AU - Gao, Jian
AU - Sun, Xinghuai
AU - He, Sheng
N1 - Publisher Copyright:
© 2015 The Association for Research in Vision and Ophthalmology, Inc.
PY - 2015
Y1 - 2015
N2 - PURPOSE. This study investigated a novel motion-on-color paradigm to functionally isolate the magnocellular pathway and evaluate its diagnostic value in preperimetric glaucoma patients. METHODS. Thirty patients with preperimetric primary open-angle glaucoma and 30 controls participated in this study. They were tested in both the foveal and peripheral locations. Contrast sensitivity was assessed for the direction discrimination of a moving luminancemodulated grating presented on top of a red/green isoluminant grating. The moving test grating was designed to target the magnocellular pathway, while the background red/green isoluminant grating was designed to saturate the parvocellular pathway. The luminancemodulated grating was presented at spatial frequency of 0.5 cyc/deg, moving horizontally at four temporal frequencies (3 Hz, 8 Hz, 15 Hz, 25 Hz). Participants were asked to indicate the direction of motion for the luminance grating. As a comparison condition, frequency-doubling stimuli were also presented in the periphery and participants were asked to detect the occurrence of the frequency-doubled pattern. Two-way repeated-measures analysis of variance was performed with temporal frequency modulations as within-subject factor and group as between-subject factor, while contrast sensitivity was the dependent variable. Receiver operating characteristic (ROC) analysis was used to characterize diagnostic performance of the new procedure in comparison with the frequency-doubling tests for preperimetric glaucoma. RESULTS. The contrast sensitivity function in both the fovea and the periphery showed an inverted “V” shape with highest sensitivity in the intermediate temporal frequencies, consistent with physiological properties of the magnocellular pathway. At the fovea, compared to the control group, the sensitivity for the glaucoma patients was slightly but not significantly reduced (P > 0.05), and there was no significant interaction between groups and temporal frequency (P > 0.05). In the periphery, patients’ sensitivity was significantly lower (P < 0.001) than that of normal participants, especially in high temporal frequencies, as supported by a statistically significant interaction between groups and temporal frequency (P < 0.001). The areas under ROC curves (AUROC) obtained for the motion-on-color paradigm in the periphery were 0.957 (25 Hz), 0.870 (15 Hz), 0.758 (8 Hz), and 0.561 (3 Hz) and were 0.761 for the traditional frequency-doubling test. CONCLUSIONS. The motion-on-color paradigm revealed a loss of contrast sensitivity in the peripheral visual field in preperimetric glaucoma. When applied with stimuli at high temporal frequency, the new paradigm had higher diagnostic sensitivity and specificity than the traditional frequency-doubling test. The findings also support the viewpoint that selective evaluation of magnocellular pathway function could facilitate the earlier detection of functional defects in glaucoma before visual field defects by standard perimetry.
AB - PURPOSE. This study investigated a novel motion-on-color paradigm to functionally isolate the magnocellular pathway and evaluate its diagnostic value in preperimetric glaucoma patients. METHODS. Thirty patients with preperimetric primary open-angle glaucoma and 30 controls participated in this study. They were tested in both the foveal and peripheral locations. Contrast sensitivity was assessed for the direction discrimination of a moving luminancemodulated grating presented on top of a red/green isoluminant grating. The moving test grating was designed to target the magnocellular pathway, while the background red/green isoluminant grating was designed to saturate the parvocellular pathway. The luminancemodulated grating was presented at spatial frequency of 0.5 cyc/deg, moving horizontally at four temporal frequencies (3 Hz, 8 Hz, 15 Hz, 25 Hz). Participants were asked to indicate the direction of motion for the luminance grating. As a comparison condition, frequency-doubling stimuli were also presented in the periphery and participants were asked to detect the occurrence of the frequency-doubled pattern. Two-way repeated-measures analysis of variance was performed with temporal frequency modulations as within-subject factor and group as between-subject factor, while contrast sensitivity was the dependent variable. Receiver operating characteristic (ROC) analysis was used to characterize diagnostic performance of the new procedure in comparison with the frequency-doubling tests for preperimetric glaucoma. RESULTS. The contrast sensitivity function in both the fovea and the periphery showed an inverted “V” shape with highest sensitivity in the intermediate temporal frequencies, consistent with physiological properties of the magnocellular pathway. At the fovea, compared to the control group, the sensitivity for the glaucoma patients was slightly but not significantly reduced (P > 0.05), and there was no significant interaction between groups and temporal frequency (P > 0.05). In the periphery, patients’ sensitivity was significantly lower (P < 0.001) than that of normal participants, especially in high temporal frequencies, as supported by a statistically significant interaction between groups and temporal frequency (P < 0.001). The areas under ROC curves (AUROC) obtained for the motion-on-color paradigm in the periphery were 0.957 (25 Hz), 0.870 (15 Hz), 0.758 (8 Hz), and 0.561 (3 Hz) and were 0.761 for the traditional frequency-doubling test. CONCLUSIONS. The motion-on-color paradigm revealed a loss of contrast sensitivity in the peripheral visual field in preperimetric glaucoma. When applied with stimuli at high temporal frequency, the new paradigm had higher diagnostic sensitivity and specificity than the traditional frequency-doubling test. The findings also support the viewpoint that selective evaluation of magnocellular pathway function could facilitate the earlier detection of functional defects in glaucoma before visual field defects by standard perimetry.
KW - Glaucoma
KW - Magnocellular/parvocellular
KW - Psychophysics
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U2 - 10.1167/iovs.15-16394
DO - 10.1167/iovs.15-16394
M3 - Article
C2 - 26193920
AN - SCOPUS:84939856521
SN - 0146-0404
VL - 56
SP - 4439
EP - 4446
JO - Investigative Ophthalmology and Visual Science
JF - Investigative Ophthalmology and Visual Science
IS - 8
ER -