Spatial attention and central crowding in primary open angle glaucoma - Archive ouverte HAL
Article Dans Une Revue Clinical and Experimental Optometry Année : 2023

Spatial attention and central crowding in primary open angle glaucoma

Résumé

Clinical relevance: Measuring the impact of spatial attention on signal detection in damaged parts of the visual field can be a useful tool for clinicians in ophthalmology. Background: Studies on letter perception have shown that glaucoma exacerbates difficulties to detect a target within flankers (crowding) in parafoveal vision. A target can be missed because it is not seen or because attention was not focused at that location. This prospective study evaluates the contribution of spatial pre-cueing on target detection. Method: 15 patients and 15 age-matched controls were presented with letters displayed for 200ms. Participants were asked to identify the orientation of the target letter T in two conditions: an isolated letter (uncrowded condition) and a letter with two flankers (crowded condition). The spacing between target and flankers was manipulated. The stimuli were randomly displayed at the fovea and at the parafovea at 5° left or right of fixation. A spatial cue preceded the stimuli in 50% of the trials. When present, the cue always signaled the correct location of the target. Results: Pre-cueing the spatial location of the target significantly improved performance for both foveal and parafoveal presentations in patients but not in controls who were at ceiling level. Unlike controls, patients exhibited an effect of crowding at the fovea with a higher accuracy for the isolated target than for the target flanked by two letters with no spacing between the elements. Conclusion: Higher susceptibility to central crowding supports data showing abnormal foveal vision in glaucoma. Exogenous orienting of attention facilitates perception in parts of the visual field with reduced sensitivity.
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Dates et versions

hal-04177843 , version 1 (07-08-2023)

Identifiants

Citer

Theophile Davost, Jean François Rouland, Edouard Blanckaert, Aude Warniez, Muriel Boucart. Spatial attention and central crowding in primary open angle glaucoma. Clinical and Experimental Optometry, 2023, ⟨10.1080/08164622.2023.2182185⟩. ⟨hal-04177843⟩

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