Visual Perception in Ophthalmology: Light Sense, Form Sense, Contrast and Colour Vision

Visual Perception

🔹 Introduction


1️⃣ Light Sense

👉 Awareness of light; ability to detect illumination.

  • Light Minimum = minimum brightness required to evoke light sensation.

  • Measured after 20–30 minutes dark adaptation.

  • Human eye functions in a wide illumination range → Visual adaptation.

a) Visual Adaptation

  • Dark Adaptation:

    • Eye adjusts to decreasing illumination.

    • Example: entering a dim room from sunlight.

    • Dark adaptation curve:

      • Initial cone adaptation (small curve).

      • Rod adaptation (main curve).

      • Retina becomes ~100,000 times more sensitive in dark.

    • Clinical Note: Delayed dark adaptation in retinitis pigmentosa & Vitamin A deficiency.

  • Light Adaptation:

    • From dim → bright light.

    • Initial discomfort → retina adapts quickly.

    • Occurs within 5 minutes.

    • Essentially disappearance of dark adaptation.


2️⃣ Form Sense

👉 Ability to discriminate shapes of objects.

  • Mediated mainly by cones.

  • Maximum at fovea, decreases towards periphery.

  • Clinically measured by Snellen’s chart.

Components of Visual Acuity

  1. Minimum Visible → detect object presence.

  2. Resolution (Ordinary Visual Acuity) → discriminate 2 separate points.

    • Minimum separation ≈ 0.004 mm (cone diameter).

    • Requires 1-minute visual angle at nodal point → MAR (Minimum Angle of Resolution).

    • Tests: Snellen’s letters, Landolt’s rings, gratings, checkerboards.

  3. Recognition → not just discrimination, but identification (e.g. faces, letters).

  4. Minimum Discriminable (Vernier Acuity) → detect alignment/misalignment of lines.


3️⃣ Sense of Contrast

👉 Ability to perceive small luminance differences.

Causes of Reduced Contrast

Measurement of Contrast Sensitivity


4️⃣ Colour Sense

👉 Ability to discriminate between different wavelengths of light.

Theories of Colour Vision

  1. Trichromatic Theory (Young–Helmholtz)

    • 3 types of cones:

      • L-cones (Red-sensitive, erythrolabe) → peak at 565 nm.

      • M-cones (Green-sensitive, chlorolabe) → peak at 535 nm.

      • S-cones (Blue-sensitive, cyanolabe) → peak at 440 nm.

    • Colour perception = mixture of these signals.

    • Genes:

      • Rhodopsin → Chromosome 3

      • Blue cone → Chromosome 7

      • Red & Green cones → X chromosome (q arm).

  2. Opponent Colour Theory (Hering)

    • Some colours are mutually exclusive (e.g. no reddish-green).

    • Occurs at ganglion cell level.

    • Two types of opponent cells:

      • Red-Green opponent cells.

      • Blue-Yellow opponent cells.

Integration of Both Theories

  • Trichromacy at receptor (cone) level.

  • Colour opponency from ganglion cells onwards.


📝 Conclusion

  • Visual perception = integrated function of light, form, contrast, and colour senses.

  • Retina + cortex in brain→ encode, process & interpret visual world.

  • Clinical tests (Snellen’s, contrast charts, colour vision tests) help diagnose visual pathway disorders

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