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Published on: August 11, 2016
Absence of subcortical pathway optokinetic eye movements in an infant with cortical blindness
1Department of Ophthalmology and Visual Sciences, St. Louis Children's Hospital at Washington University School of Medicine, St Louis, MO, USA.
Insights
Infants with cortical vision damage cannot guide eye movements using subcortical vision. Retinotectal pathways do not drive eye movements in young humans without cortical vision, even with visual stimuli.
Area of Science:
- Neuroscience
- Developmental Psychology
- Ophthalmology
Background:
- Infants' visuomotor behaviors are thought to be guided by subcortical vision.
- Previous studies suggest infants with visual cortex damage may rely on subcortical pathways.
Purpose of the Study:
- To investigate the role of subcortical vision in infant eye movement control.
- To determine if retinotectal visual inputs can drive eye movements in the absence of cortical vision.
Main Methods:
- Recorded eye movements in a 5-month-old infant with acquired cortical blindness.
- Presented a full-field, high-contrast visual stimulus to assess optokinetic nystagmus.
Main Results:
- The infant showed no evidence of optokinetic nystagmus despite the visual stimulus.
- This indicates a lack of visually guided eye movements.
Conclusions:
- Retinotectal visual inputs are insufficient to drive eye movements in young humans without cortical vision.
- Cortical vision is essential for developing visuomotor behaviors in infants.
Abstract:
Tracking of large visual targets by normal neonates and by infants with visual cortex damage has led to the suggestion that infants use subcortical vision to guide visuomotor behaviors. To test this assertion, the author recorded eye movements in a five-month-old infant who became cor-tically-blind following an anoxic episode. Use of a full-field, high-contrast visual stimulus failed to elicit any evidence of optokinetic nystagmus. The findings in this infant lead to the conclusion that retinotectal visual inputs are incapable of driving eye movements in the young human in the absence of cortical vision.
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