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Challenging the Dogma of Visual Rehabilitation for Cortical Blindness - Perceptual Re-Learning in V1-Damaged Humans

机译:挑战视觉失明的大脑皮层盲法的信条-对受V1伤害的人类进行感知再学习

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Unilateral damage to the adult primary visual cortex causes a loss of conscious vision over contra-lateral parts of the visual field in both eyes. Such partial cortical blindness hinders every aspect of daily life, including reading, navigation, and driving. While visual rehabilitation for this condition has been controversial, the existence of residual visual processing abilities in cortically blind fields (commonly known as a??blindsighta??) suggests that it might be possible to recover vision though perceptual training. Our laboratory has focused on retraining motion perception, studying the properties of recovered vision psychophysically and using fMRI. To date, we have shown that discrimination of both simple and complex, moving visual stimuli can be retrained back to normal levels of threshold performance in cortically blind fields. Testing with controlled fixation shows that the recovered abilities are localized to retrained visual field locations, but generalize to discrimination of untrained (including non-motion) stimuli and tasks. Supporting this broad generalizability of re-learning, fMRI data suggest that visual training in cortically blind fields may not just recruit brain circuits mediating blindsight. Instead, altered activity in spared early and higher-level visual areas points to largely canonical routes of visual processing as the substrates of recovered vision.
机译:对成人初级视觉皮层的单方面损害会导致两只眼睛视野对侧部分的意识丧失。这种部分皮质失明会阻碍日常生活的方方面面,包括阅读,导航和驾驶。尽管针对这种情况的视觉康复一直存在争议,但在皮质盲区(通常称为“盲视”)中存在剩余的视觉处理能力,这表明有可能通过知觉训练来恢复视力。我们的实验室致力于重新训练运动知觉,从心理上研究恢复视力的特性并使用fMRI。迄今为止,我们已经表明,在皮质盲区中,对简单和复杂的移动视觉刺激的区分都可以重新训练到阈值性能的正常水平。在固定注视下进行的测试表明,恢复的能力仅限于经过重新训练的视野位置,但可以普遍用于区分未经训练(包括非运动)的刺激和任务。为了支持这种广泛的再学习通用性,fMRI数据表明在皮质盲区的视觉训练可能不只是招募介导盲视的大脑回路。取而代之的是,在备用的早期和较高级别的视觉区域中活动的改变表明,视觉处理在很大程度上是规范的路线,是恢复视觉的基础。

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