Optometry and Vision Sciences - Research Publications
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ItemMigraine Increases Centre-Surround Suppression for Drifting Visual Stimuli(PUBLIC LIBRARY SCIENCE, 2011-04-11)BACKGROUND: The pathophysiology of migraine is incompletely understood, but evidence points to hyper-responsivity of cortical neurons being a key feature. The basis of hyper-responsiveness is not clear, with an excitability imbalance potentially arising from either reduced inhibition or increased excitation. In this study, we measure centre-surround contrast suppression in people with migraine as a perceptual analogue of the interplay between inhibition and excitation in cortical areas responsible for vision. We predicted that reduced inhibitory function in migraine would reduce perceptual surround suppression. Recent models of neuronal surround suppression incorporate excitatory feedback that drives surround inhibition. Consequently, an increase in excitation predicts an increase in perceptual surround suppression. METHODS AND FINDINGS: Twenty-six people with migraine and twenty approximately age- and gender-matched non-headache controls participated. The perceived contrast of a central sinusoidal grating patch (4 c/deg stationary grating, or 2 c/deg drifting at 2 deg/sec, 40% contrast) was measured in the presence and absence of a 95% contrast annular grating (same orientation, spatial frequency, and drift rate). For the static grating, similar surround suppression strength was present in control and migraine groups with the presence of the surround resulting in the central patch appearing to be 72% and 65% of its true contrast for control and migraine groups respectively (t(44) = 0.81, p = 0.42). For the drifting stimulus, the migraine group showed significantly increased surround suppression (t(44) = 2.86, p<0.01), with perceived contrast being on average 53% of actual contrast for the migraine group and 68% for non-headache controls. CONCLUSIONS: In between migraines, when asymptomatic, visual surround suppression for drifting stimuli is greater in individuals with migraine than in controls. The data provides evidence for a behaviourally measurable imbalance in inhibitory and excitatory visual processes in migraine and is incompatible with a simple model of reduced cortical inhibitory function within the visual system.
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ItemSimultaneous retinal and cortical visually evoked electrophysiological responses in between migraine attacks(SAGE PUBLICATIONS LTD, 2012-09)PURPOSE: People with migraine often report aversion to flickering lights and show abnormal results on behavioural tasks that require the processing of temporal visual information. Studies have reported that the cortically evoked electrophysiological response to a flickering visual stimulus is abnormal; however, none have considered whether there is an underlying pre-cortical abnormality. In this cross-sectional study, we consider whether people with migraine have retinal and cortical electrophysiological abnormalities to flickering stimuli. METHODS: Monocular transient (1 Hz) and steady-state (8.3 Hz) pattern reversal electroretinograms (PERGs) and pattern visual evoked responses (PVERs) were measured simultaneously in 45 people with migraine (26 without aura, 19 with aura) and 30 non-headache controls at a time between migraine attacks. RESULTS: PERG amplitude and timing did not differ significantly between groups. Transient PVER amplitude was significantly reduced (28%) in the migraine with aura group compared to the controls F(2,72) = 3.6, p = 0.03). Both migraine groups showed significant reductions (32%, 39%) in steady-state PVER amplitude relative to controls (F(2,70) = 4.3, p = 0.02). CONCLUSIONS: This study finds normal retinal processing of flickering stimuli in the presence of abnormal cortical function between migraine attacks.
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ItemEvidence for increased internal noise in migraineurs for contrast and shape processing(SAGE PUBLICATIONS LTD, 2012-01)AIM: Increased contrast-level dependent internal noise has been reported in migraine. This study aimed to investigate whether a general increase in internal noise impacted on other tasks thought to assess functioning in cortical area V1 and was evident in global contour coding (V4). METHODS: Eleven migraineurs (six with aura) and 12 headache-free controls completed three psychophysical tasks: (i) contrast detection, (ii) discrimination of the angle of a spiral path and (iii) detection of deformation from circularity. Internal noise estimates were obtained using an N-pass method that compared responses to repeated presentations of identical stimuli. Internal noise results in inconsistent responses across different runs. RESULTS: Migraineurs had significantly higher contrast thresholds when there was high external luminance noise. There were no other significant group differences in thresholds. Increased multiplicative noise associated with contrast processing was replicated and increased additive noise, which is independent of the visual input, was found for the global form task. CONCLUSIONS: This study provides further evidence for increased multiplicative internal noise associated with contrast processing in migraineurs. However there is no generalised increase in internal noise in V1 as noise estimates for angular discrimination were normal. Increased additive internal noise was associated with the global shape task, co-occurring with increased efficiency.
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ItemEntropy of the Retina Template(SPRINGER-VERLAG BERLIN, 2009)