The effect of central (macula) sparing on contralateral line bisection bias: a study with virtual hemianopia

Hemianopic patients show a contralesional bisection bias, but it is unclear whether this is a consequence of their field loss or related to extrastriate damage. One observation cited against the former is that hemianopic bisection bias does not vary with the degree of central (macular) sparing; however, it is unclear to what extent central sparing should affect this bias. Our goal was to determine the effect of central sparing on line bisection biases from field loss alone, with two approaches. First, we studied 12 healthy subjects viewing lines under conditions of virtual hemianopia, created by a gaze-contingent technique. Second, we calculated the effect predicted by a visuospatial model of the effect of central magnification on line representations in the visual system. Our results first replicated the contralateral line bisection bias with hemianopia, confirming that this can be generated by visual hemifield loss in the absence of extrastriate damage. Central sparing had only a modest effect on hemianopic bisection bias, with only slightly less bias with 10° compared to 2° of central sparing. In accordance with these empiric data, computing the center of mass for line representations in our model showed only a shallow decline in bisection bias as central sparing increased from 0 to 10°. We conclude that contralateral bisection bias only decreases slightly with central sparing, and that the absence of a statistically significant effect of central sparing in patients cannot be taken as evidence against a visual origin of contralateral hemianopic line bisection bias.