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Lesions of the occipital cortex result in areas of cortical blindness affecting the corresponding regions of the patient's visual field. The traditional view is that, aside from some spontaneous recovery in the first few months after the damage, when acute effects have subsided the areas of blindness are absolute and permanent. It has been found, however, that within such field defects some residual visual capacities may persist in the absence of acknowledged awareness by the subject (blindsight type 1) or impaired awareness (type 2). Neuronal pathways mediating blindsight have a specific and narrow spatial and temporal bandwidth. A group of cortically blind patients (n = 12) carried out a daily detection "training" task over a 3-month period, discriminating grating visual stimuli optimally configured for blindsight from homogeneous luminance-matched stimuli. No feedback was given during the training. Assessment of training was by psychophysical measurements carried out before and after training and included detection of a range of spatial frequencies (0.5-7 cycles per degree), contrast detection at 1 cycle per degree, clinical perimetry, and subjective estimates of visual field defect. The results show that repeated stimulation by appropriate visual stimuli can result in improvements in visual sensitivities in the very depths of the field defect.

Original publication

DOI

10.1073/pnas.0607073103

Type

Journal article

Journal

Proc Natl Acad Sci U S A

Publication Date

03/10/2006

Volume

103

Pages

14971 - 14976

Keywords

Adult, Aged, Aged, 80 and over, Awareness, Blindness, Cortical, Case-Control Studies, Contrast Sensitivity, Discrimination, Psychological, Female, Humans, Male, Middle Aged, Neural Pathways, Photic Stimulation, Psychophysics, Visual Field Tests, Visual Fields, Visual Perception