Orientation discrimination is impaired in the absence of the striate cortical contribution to human vision

We have examined visual discrimination of orientation for bars and edges presented to the 'blind' hemifield of a patient, GY, who has an extensive lesion involving the left striate and prestriate cortex. The patient's residual vision in response to transient light stimulation of his 'blind' hemifield has been well characterized, and it provides discrimination on the basis of differences in target velocity, flicker frequency or colour. We now show that using his residual vision, GY can identify accurately the orientation of a flickering bar, although his performance is sub-normal for bars shorter than 10 deg. He is, however, unable to identify the orientation of a one-dimensional grating presented within a circular aperture, and is unable to detect a grating structure formed by equiluminant coloured bars or by alternating, equiluminant flickering and steady bars. We also show that he has poor orientation discrimination for edges formed by colour contrast, by contrast between moving stimuli or by flicker contrast. We conclude that in the absence of the striate cortical input, the residual mechanisms which provide discriminations for colour, flicker or movement are not well organized for the detection and discrimination of stimulus orientation. We discuss the physiological mechanisms responsible for the various aspects of GY's residual vision.