Lecture 11 Flashcards

visual disorders (39 cards)

1
Q

REFER TO LECTURE 11 FOR SUMMARY OF VISUAL SYSTEM AND CELLS

A

NOTE

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2
Q

Amblyopia

A
  • occurs during development (before age 6) where it stops the two eyes working together
  • anything that leads to imbalance or mis-integration of the signals from two eyes
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3
Q

ocular dominance columns in V1

A
  • alternate between left and right
  • highlighted as alternating bars when injected with radioligand in V1
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4
Q

effects of monocular deprivation on ocular dominance columns in V1

A
  • V1 eyes deprived of light temporarily in development after birth blocks vision from that eye
  • results in wider ocular dominance columns of the non-deprived eye even years after (permanent change the way the cortex is organised even if it happened during young age)
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5
Q

timing of monocular deprivation is critical

A
  • as you get older you need a longer period of monocular deprivation for the same effect / maybe no effect after adolescence
  • better to do when younger
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6
Q

Hubel and Wiesel ocular dominance scale

A
  • quantifies electrophysiological responses of V1 cells to stimuli applied to left or right eye on a scale
  • contralateral (!) –> ipsilateral (7)
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7
Q

ocular dominance scale in monocular deprivation

A
  • majority of cells are driven exclusively by non-deprived eye - more activity at 7 (ipsilateral)
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8
Q

which eye was deprived ?

A

left eye

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9
Q

developmental changes in V1

A
  • axons of left and right eye become more separated and more branched
  • to do with ocular dominance columns
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10
Q

functional changes in V1 following monocular deprivation

A

signals from deprived eye are actively suppressed by local interneurons

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11
Q

Stroke types that can causes vision problems

A
  • occlusive
  • hemorrhagic
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12
Q

occlusive

A
  • > 80% of strokes
  • due to closure of a blood vessel
  • blood clot, embolism
  • atheroscelerosis
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13
Q

hemorrhagic

A
  • due to rupture of a blood vessel
  • hypertension, aneurysm
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14
Q

scotoma

A

‘a blind or partially blind spot in the visual field’

  • occurs if stroke affects V1
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15
Q

absolute scotoma

A

no remaining vision

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16
Q

relative scotoma

A

some remaining vision

17
Q

hemianopic scotoma

A

one half of visual field gone

18
Q

facultative / suppression scotoma

A

in alternating foveation in squint conditions

19
Q

V1 blood supply

A

posterior cerebral artery

20
Q

what happens if artery is blocked

A

widespread loss of vision across one full hemisphere

21
Q

homoymous hemianopia

A
  • loss of vision of the same side of the world on both eyes
  • often as a result of V1 damage
  • but are aware they can’t see that part of the world - ‘blindsight’
22
Q

blindsight

A
  • when guessing is good / better than chance e.g. with orientation and colour
  • result of extensive damage to striate cortex
  • patient ‘unaware’of blind hemifield
23
Q

mechanisms of ‘blindsight’

A
  • proportions of V1 remain intact and active
  • residual vision in higher cortices
  • can be tested by V1 lesions in monkeys
24
Q

role of V1 in blindsight

A
  • removed V1 in 3 monkeys
  • fixation task
  • detection of targets in blind hemifield still much better than chance

but in another test
with probe trials where a target appears in the blind field but they are given an option to touch the rectangle if nothing appears, lesioned monkeys respond as if no target appears, showing blindsight

25
Zihl's patient
had motion agnosia
26
motion agnosia
- a patient with intact visual fields lost all perception of motion and could not distinguish between stationary and moving objects - loss of movement vision in all three dimensions e.g. fluid would appear as a glacier e.g. tea or coffee e.g. people are not seen moving e.g. unable to cross roads as can't see the speed of a vehicle
27
what is motion agnosia due to
- bilateral damage to V5 (MT)
28
parietal damage
- gives rise to errors in interpretation and interaction with objects in space - e.g. misses glass even though gaze is directed to it when pouring water
29
neglect
- extreme parietal cortex damage - loss of one half of the world - different to scotoma, don't interact with things on other side of the world they can't see - arrangement of the world spatially is wrong - (supra-retinal reference frame)
30
supra-retinal reference frame
more than what is immediately visible, it is the brain's map of the world
31
where is neglect more often seen
damage to right parietal cortex (left side of the world)
32
what may neglect may be due to
- competition or inability to disengage attention from one side of the brain
33
prosopagnosia
- object agnosia - inability to recognize faces
34
agnosia
loss of knowledge - Freud
35
what is prosopagnosia due to
- damage to 'what' stream / inferior temporal cortex - can identify what a face is and things on a face and emotions, but not individual identities (maybe even own face) - identities not lost, only the connections between particular faces and identities
36
V1 damage
scotoma, blindsight
37
temporal damage
prosopagnosia
38
V5/MT damage
motion agnosia
39
parietal damage
spatial neglect