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Binocular Vision and
Space Perception
Eric Borsting, OD, MS
Professor
Dr. B
Graduate from SUNY in 1987
Residency in Peds/VT
Staff in VT
Teaching at SCCO for over 20 years
Teaching this course for 3 years
Live in Brea with my wife and 2 kids
Overview
Ground rules
Lecture and lab schedule
No labs week of January 3
Outside of class work
Quizzes,
presentations, self-study material
Ground Rules
Office Hours C126
Attendance
Grading
Textbook
Testing
Mainly multiple choice
Study guide questions
No surprises
Problem Sets
Quizzes
Moodle
Assignments
Quizzes
Calendar
Grades
Lab
Bring trial lens set to all labs
Demonstrate principles taught in lecture
Presentation
C113
Why is this important?
The visual system helps us orient and
move through space.
The visual system provides the most
precise information about our position and
the position of objects in the environment.
Two systems used for perceiving
space
Monocular
Several
cues
Occlusion
Binocular
Stereopsis
Why is this important?
The visual system is highly adaptable.
This course will look at the ability to adapt
to lenses and prism that alter space
perception.
The visual system will adapt to
developmental or acquired anomalies that
affect binocular vision or space perception.
Clinical applications
Strabismus
Amblyopia
Aniseikonia
Unilateral visual neglect
Clinical applications
Monovision
Correcting anisometropia
Correcting astigmatism
Occlusion therapy
Bifocal correction
One Eyed Optometry
This is what we do most of the time
Two-Eyed Optometry
Binocularity makes us look at one eyes
condition relative to the other eye.
Problems
Why do we need two eyes?
Advantages of two eyes
Stereopsis
Insurance
policy
Wider visual field for binocular viewing
Spatial vision
Why do we need two eyes?
Disadvantages of two eyes
Prevalence
of binocular problems quite high
Why do we need two eyes?
Linkage of the two eyes
Very
precise compared to other systems
Hands versus eyes
Evolutionary Aspects
Parameter
Species
Binocular
Field
Vergence Eye
Movement
Decussation
Lateral Eye
Placement
Lower
Frontal Eye
Placement
Higher
Very little
A lot
Poorly
developed
Highly linked
Total
Partial
Why do we need two eyes?
Correspondence
Examples
Defining Visual Space
Objective visual space
Infinite boundaries
Objects move without being
deformed
Can measure very precisely
Defining Visual Space
Image Space
The image of space at the retina
Defining Visual Space
Subjective visual space (perceived,
phenomenal, or experiential spaces)
The space of perceived things
Finite boundaries
Objects can be distorted
Defining Visual Space
Subjective visual space
Body (personal) space
Reaching (peripersonal) space
Far (extrapersonal) space
Monocular or Oculocentric Visual
Direction
Local sign: Each neuron encodes a unique
visual direction
Principle visual direction: The direction
signaled by the fovea
Secondary visual direction: All directions
other than the principle direction
Clinical application
Eccentric Fixation
Occurs when the principle visual direction
is different from the fovea. This can occur
in strabismic amblyopia.
Objective
visual direction
Visuoscopy
Subjective
visual direction
Clinical application
Eccentric viewing: Patient uses a point
other than the fovea when looking straight
ahead secondary to vision loss at the
fovea. Commonly seen in macular
degeneration.
Demonstration
Use ophthalmoscopes to find the fovea
Look at the center of the target
Now look off to the side
Subjective Visual Direction
The perception of looking straight ahead
Eccentric viewing
Eccentric fixation
The
principle visual direction has shifted away
from the fovea.
How do we combine two different
views of the world?
Two separate principle visual directions
Correspondence problem
Law of identical visual direction
Objects lying in the same visual direction
in each eye will be seen as lying in a
single visual direction under binocular
viewing conditions. The foveas indicate
the same principle visual direction
How do put the two eyes together?
Hering window experiment
Hole in your hand
Sausage
Egocentric localization
Objects from striking each fovea are
perceived to fall on a single point midway
between the two eyes. This has been
called the cyclopean eye.
Dominant Eye
Common methods used to determine
Effect on egocentric localization
Most individuals egocentric point is shifted
towards the dominant eye.
Corresponding retinal points
These are pairs of points one in each that
when stimulated simultaneously give rise
to a common visual direction.
Vieth Muller Circle
This is a geometric representation of the
corresponding points in each eye. It is
formed by drawing a circle through the
fixation point and the entrance pupil of
each eye.
Binocular disparity
What happens to objects not lying on the
Vieth-Muller circle?
The difference in visual direction between
the two eyes. This occurs when noncorresponding points are stimulated.
Binocular Disparity
Horizontal disparity gives rise to stereopsis
or the perception of depth.
Vertical disparity does not give rise to
depth perception.
Binocular Disparity
Crossed disparity
Uncrossed disparity
Panum’s Area
Allows for small disparities to give rise to
depth perception within and single vision
within a certain range.
Diplopia
Physiological diplopia occurs when images
are outside of Panum’s areas and are on
non-corresponding points.
Crossed and uncrossed diplopia
Examples
Pathological Diplopia
Diplopia of a fixated target
Occurs in strabismus with minimal
suppression.
Esotropia it is uncrossed
Exotropia it is crossed
Confusion
Binocular confusion occurs when two
different objects are seen in one direction
or location.
Examples