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. 1985 Nov;48(11):1113–1124. doi: 10.1136/jnnp.48.11.1113

Visual field rehabilitation in the cortically blind?

R Balliet, K M Blood, P Bach-y-Rita
PMCID: PMC1028570  PMID: 4078577

Abstract

Investigators have recently reported that specific practice facilitates the restitution of visual fields in partially blinded humans with lesions to the striate cortex. In order to further evaluate this work, attempts were made to retrain twelve homonymous hemianopic or quadrantanopic patients with similar methods, but under conditions in which possible contaminating experimental variables were controlled, including: reliance on gross subjective impressions, large visual stimuli response variability, changes in detection strategies with practice and compensatory eccentric fixation. The results indicate that visual field increases are not trainable. It is concluded that previous studies should be regarded with caution and the restitution of visual fields after damage to the striate cortex in humans is probably not possible with existing methods.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BERGMAN P. S. Cerebral blindness; an analysis of twelve cases, with especial reference to the electroencephalogram and patterns of recovery. AMA Arch Neurol Psychiatry. 1957 Dec;78(6):568–584. [PubMed] [Google Scholar]
  2. Bach y Rita P. Central nervous system lesions: sprouting and unmasking in rehabilitation. Arch Phys Med Rehabil. 1981 Sep;62(9):413–417. [PubMed] [Google Scholar]
  3. Bach-y-Rita P. Brain plasticity as a basis of the development of rehabilitation procedures for hemiplegia. Scand J Rehabil Med. 1981;13(2-3):73–83. [PubMed] [Google Scholar]
  4. Balliet R., Nakayama K. Training of voluntary torsion. Invest Ophthalmol Vis Sci. 1978 Apr;17(4):303–314. [PubMed] [Google Scholar]
  5. Bebie H., Fankhauser F., Spahr J. Static perimetry: strategies. Acta Ophthalmol (Copenh) 1976 Jul;54(3):325–338. doi: 10.1111/j.1755-3768.1976.tb01262.x. [DOI] [PubMed] [Google Scholar]
  6. Brindley G. S., Gautier-Smith P. C., Lewin W. Cortical blindness and the functions of the non-geniculate fibres of the optic tracts. J Neurol Neurosurg Psychiatry. 1969 Aug;32(4):259–264. doi: 10.1136/jnnp.32.4.259. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Brindley G. S., Janota I. Observations on cortical blindness and on vascular lesions that cause loss of recent memory. J Neurol Neurosurg Psychiatry. 1975 May;38(5):459–464. doi: 10.1136/jnnp.38.5.459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. CORNSWEET T. N. The staircrase-method in psychophysics. Am J Psychol. 1962 Sep;75:485–491. [PubMed] [Google Scholar]
  9. Cowey A. Perimetric study of field defects in monkeys after cortical and retinal ablations. Q J Exp Psychol. 1967 Aug;19(3):232–245. doi: 10.1080/14640746708400098. [DOI] [PubMed] [Google Scholar]
  10. Fankhauser F., Haeberlin H. Dynamic range and stray light. An estimate of the falsifying effects of stray light in perimetry. Doc Ophthalmol. 1980 Dec 15;50(1):143–167. doi: 10.1007/BF00161159. [DOI] [PubMed] [Google Scholar]
  11. HARMS H. Die praktische Bedeutung quantitativer Perimetrie. Klin Monbl Augenheilkd Augenarztl Fortbild. 1952;121(6):683–692. [PubMed] [Google Scholar]
  12. Johnson C. A., Keltner J. L., Balestrery F. G. Static and acuity profile perimetry at various adaptation levels. Doc Ophthalmol. 1981 Mar 20;50(2):371–388. doi: 10.1007/BF00158022. [DOI] [PubMed] [Google Scholar]
  13. Johnson C. A., Leibowitz H. W. Practice effects for visual resolution in the periphery. Percept Psychophys. 1979 May;25(5):439–442. doi: 10.3758/bf03199854. [DOI] [PubMed] [Google Scholar]
  14. Lynch J. C., Mountcastle V. B., Talbot W. H., Yin T. C. Parietal lobe mechanisms for directed visual attention. J Neurophysiol. 1977 Mar;40(2):362–389. doi: 10.1152/jn.1977.40.2.362. [DOI] [PubMed] [Google Scholar]
  15. Meienberg O., Zangemeister W. H., Rosenberg M., Hoyt W. F., Stark L. Saccadic eye movement strategies in patients with homonymous hemianopia. Ann Neurol. 1981 Jun;9(6):537–544. doi: 10.1002/ana.410090605. [DOI] [PubMed] [Google Scholar]
  16. Mohler C. W., Wurtz R. H. Role of striate cortex and superior colliculus in visual guidance of saccadic eye movements in monkeys. J Neurophysiol. 1977 Jan;40(1):74–94. doi: 10.1152/jn.1977.40.1.74. [DOI] [PubMed] [Google Scholar]
  17. Mountcastle V. B. Brain mechanisms for directed attention. J R Soc Med. 1978 Jan;71(1):14–28. doi: 10.1177/014107687807100105. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Perenin M. T., Jeannerod M. Residual vision in cortically blind hemiphields. Neuropsychologia. 1975 Jan;13(1):1–7. doi: 10.1016/0028-3932(75)90041-x. [DOI] [PubMed] [Google Scholar]
  19. Poppel E., Held R., Frost D. Leter: Residual visual function after brain wounds involving the central visual pathways in man. Nature. 1973 Jun 1;243(5405):295–296. doi: 10.1038/243295a0. [DOI] [PubMed] [Google Scholar]
  20. Richards W. Visual processing in scotomata. Exp Brain Res. 1973 Jun 29;17(4):333–347. doi: 10.1007/BF00234098. [DOI] [PubMed] [Google Scholar]
  21. SWETS J., TANNER W. P., Jr, BIRDSALL T. G. Decision processes in perception. Psychol Rev. 1961 Sep;68:301–340. [PubMed] [Google Scholar]
  22. SYMONDS C., MACKENZIE I. Bilateral loss of vision from cerebral infarction. Brain. 1957 Dec;80(4):415–455. doi: 10.1093/brain/80.4.415. [DOI] [PubMed] [Google Scholar]
  23. Weiskrantz L., Cowey A., Passingham C. Spatial responses to brief stimuli by monkeys with striate cortex ablations. Brain. 1977 Dec;100(4):655–670. doi: 10.1093/brain/100.4.655. [DOI] [PubMed] [Google Scholar]
  24. Weiskrantz L., Warrington E. K., Sanders M. D., Marshall J. Visual capacity in the hemianopic field following a restricted occipital ablation. Brain. 1974 Dec;97(4):709–728. doi: 10.1093/brain/97.1.709. [DOI] [PubMed] [Google Scholar]
  25. Wurtz R. H., Goldberg M. E. The primate superior colliculus and the shift of visual attention. Invest Ophthalmol. 1972 Jun;11(6):441–450. [PubMed] [Google Scholar]
  26. Zihl J. "Blindsight": improvement of visually guided eye movements by systematic practice in patients with cerebral blindness. Neuropsychologia. 1980;18(1):71–77. doi: 10.1016/0028-3932(80)90085-8. [DOI] [PubMed] [Google Scholar]
  27. Zihl J. Recovery of visual functions in patients with cerebral blindness. Effect of specific practice with saccadic localization. Exp Brain Res. 1981;44(2):159–169. doi: 10.1007/BF00237337. [DOI] [PubMed] [Google Scholar]
  28. Zihl J., von Cramon D. Registration of light stimuli in the cortically blind hemifield and its effect on localization. Behav Brain Res. 1980 Aug;1(4):287–298. doi: 10.1016/0166-4328(80)90022-4. [DOI] [PubMed] [Google Scholar]
  29. Zihl J., von Cramon D. Restitution of visual field in patients with damage to the geniculostriate visual pathway. Hum Neurobiol. 1982 Mar;1(1):5–8. [PubMed] [Google Scholar]
  30. Zihl J., von Cramon D. Restitution of visual function in patients with cerebral blindness. J Neurol Neurosurg Psychiatry. 1979 Apr;42(4):312–322. doi: 10.1136/jnnp.42.4.312. [DOI] [PMC free article] [PubMed] [Google Scholar]

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