Stereopsis and Amblyopia

Child playing

Amblyopia is an important condition since it is one of a leading cause of visual loss in infants and young children. It reflects the neurological damage that arises when normal visual development is disrupted. Amblyopia is a condition that provokes professionals to understand when and how brain plasticity can be used to restore visual functions.

Binocular Vision

Binocular vision refers to the ability of humans and some other animals to perceive depth and three-dimensional (3D) visual information by combining the images seen by each eye. It is the coordinated use of both eyes to create a single, unified perception of the visual world. Binocular vision allows us to have a sense of depth and perceive objects in three dimensions.

What is Stereopsis?

Stereopsis, on the other hand, is a specific aspect of binocular vision. It is the ability to perceive depth and perceive objects in 3D by comparing the slightly different images seen by each eye. Our eyes have a slight separation, which results in each eye seeing a slightly different view of the world. Stereopsis occurs when the brain processes these differences and merges the two images into a single perception that includes depth and 3D information.

Connection Between Stereopsis and Amblyopia

Amblyopia has a significant influence on visual motor activities and sports performance in children. Under binocular viewing conditions, the most prevalent defect associated with amblyopia is impaired stereoscopic depth perception. In this blog, we are going to focus on stereopsis, i.e., the perception of depth and three-dimensional structure through binocular vision and the possibilities for recovery of it. What is more, stereopsis is more impacted in strabismic than in anisometropic amblyopia.

Treating Amblyopia

There are various approaches to treating amblyopia (patching, perceptual learning, videogames), both in anisometropic and strabismic amblyopes. However, recovery of stereoacuity may require more active treatment in strabismic than in anisometropic amblyopia. Individuals with strabismic amblyopia have a very low probability of improvement with monocular training.

Why does Stereopsis Matter?

Stereoscopic disparities strongly contribute to depth and shape perception when presented in conjunction with other depth cues. Studies found that there is a correlation between stereopsis acuity and driving performance. Moreover, amblyopes with poor stereopsis have visual-guided hand movement impairments identical to those generated by occluding vision in one eye in normally sighted participants, according to a number of studies.

Bad driving can be the result of poor stereopsis.
Bad driving performance may result from poor stereopsis

Poor stereopsis, rather than lower visual acuity, fixation instability, or impaired vergence control, is considered to be the cause of these deficiencies. In addition, poor stereoacuity in amblyopic individuals appears to hinder visual feedback control of motions, leading to much longer and less precise hand movements. Losing stereopsis has consequences that go beyond hand motions. Without stereopsis, adaptations to change in terrain (e.g. steps) are significantly less accurate, both in normally sighted monocular individuals and in persons with amblyopia and reduced stereoacuity or no stereopsis.

Key Findings

– Impaired stereopsis is very common deficit associated with amblyopia.
– Impaired stereopsis may have a substantial impact on visuomotor tasks.
– Impaired stereopsis may also limit career options for adults with amblyopia.

Frequently Asked Questions

What is stereopsis?

Stereopsis is a specific aspect of binocular vision. It is the ability to perceive depth and perceive objects in 3D by comparing the slightly different images seen by each eye.

What is connection between stereopsis and amblyopia?

Under binocular viewing conditions, the most prevalent defect associated with amblyopia is impaired stereoscopic depth perception.

Why does stereopsis matter?

Stereoscopic disparities strongly contribute to depth and shape perception when presented in conjunction with other depth cues.

Source: Levi, D. M., Knill, D. C., & Bavelier, D. (2015). Stereopsis and amblyopia: A mini-review. Vision Research, 114, 17–30. https://doi.org/10.1016/j.visres.2015.01.002

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