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Published on: January 12, 2022
Pulfrich's phenomenon in optic nerve hypoplasia
Gordon Heron1, Gordon N Dutton, Daphne L McCulloch
1Department of Vision Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow, G4 OBA, UK. ghe@gcal.ac.uk
Summary
Mild optic nerve hypoplasia (ONH) can cause visual disturbances like the Pulfrich effect, even with normal vision. Tinted glasses effectively corrected these perceptual errors in a pediatric case.
Area of Science:
- Ophthalmology
- Neuroscience
- Visual Perception
Background:
- Optic nerve hypoplasia (ONH) is a congenital condition characterized by reduced retinal ganglion cells and optic nerve axons.
- ONH can lead to a spectrum of visual deficits, from severe impairment to normal vision in mild cases.
Observation:
- A 12-year-old girl with mild ONH experienced visual symptoms including veering and bumping into objects, consistent with the Pulfrich effect.
- She perceived a clockwise elliptical path when tracking a pendulum, indicating a left-sided Pulfrich effect.
Findings:
- Ophthalmic examination revealed asymmetry in optic nerve dimensions, with the left nerve being smaller.
- Despite normal visual acuity, visual fields, color vision, and stereopsis, a small inter-ocular latency difference (0.88 ± 0.55 ms) was measured.
- Pattern electroretinography (PERG) showed a borderline reduction in the affected eye.
Implications:
- This case demonstrates that mild ONH can manifest with perceptual visual disturbances like the Pulfrich effect, despite preserved standard visual functions.
- The use of a tinted lens in glasses successfully neutralized the Pulfrich effect, offering a simple corrective strategy.
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