Two eyes make a pair: facial organization and perceptual learning reduce visual extinction

We examined a patient with left spatial neglect and visual extinction due to right parietal damage in tasks where identical stimuli were presented before and after they were primed so as to be perceived as the eyes of schematic faces. In a first block, we presented alphanumeric stimuli (+, o, T, 6) on the right, left, or both sides of fixation on a blank background, and established that the patient could perceive unilateral stimuli on either side but extinguished most of the left-sided ones in the bilateral trials. In a second block, some of these stimuli (+, o) were presented again, but now in the position of eyes within the context of an oval frame which created the impression of a schematic face. Other stimuli (T, 6) were presented as previously on a blank background for an equal number of trials. In the third critical block, all stimuli were presented once again on a blank background, as in the first block. Now the patient extinguished very few of those left-sided stimuli primed to be seen as a pair of eyes in face configuration (+, o), but still extinguished most of the other stimuli (T, 6). A second control experiment showed no effect of repeatedly exposing stimuli in a common region of space defined by meaningless shape boundaries. These results suggest that facial organization can group eye features before the level where attentional selection or extinction occurs, and that such grouping may be influenced by rapid perceptual learning.