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First published: 23 December 2021 Prior research suggests that we may access the meaning of parafoveal words during reading. We explored how semantic-plausibility parafoveal processing takes place in natural reading through the co-registration of eye movements (EM) and fixation-related potentials (FRPs), using the boundary paradigm. We replicated previous evidence of semantic parafoveal processing from highly controlled reading situations, extending their findings to more ecologically valid reading scenarios. Additionally, and exploring the time-course of plausibility preview effects, we found distinct but complementary evidence from EM and FRPs measures. FRPs measures, showing a different trend than EM evidence, revealed that plausibility preview effects may be long-lasting. We highlight the importance of a co-registration set-up in ecologically valid scenarios to disentangle the mechanisms related to semantic-plausibility parafoveal processing. Ministerio de Ciencia e Innovación, Grant/Award Number: PID2020-118487GB- I00; Ministerio de Economía, Industria y Competitividad, Gobierno de España, Grant/Award Number: BES-2017- 081797

PURPOSE To explore regional variation of the macular microvasculature in patients with mild cognitive impairment (MCI) and Alzheimer's disease (AD), also to detect the association between retinal macular microvascular parameters and the progress of preclinical AD. METHODS Prospective study of healthy controls, patients with MCI and patients with AD by using Optical coherence tomography angiography (OCT-A). We quantified foveal avascular zone (FAZ) areas, densities of the superficial retinal capillary plexuses (SRCP) and deep retinal capillary plexuses (DRCP). The SRCP and DRCP were divided into inner (3 mm) and external (6 mm) annular rings, each containing four quadrants (SI, II, TI, NI, SE, IE, TE and NE). The data were analysed statistically by using SPSS 22 software. RESULTS Totally, 60 subjects including 21 HC (33 eyes), 21 patients with MCI (32 eyes) and 18 AD patients (28 eyes) were recruited. The microvascular densities of DRCP at all quadrants of the parafovea and perifovea were significantly lower in AD patients compared to HC group (p

Human brain can be divided into multiple brain regions based on anatomical and functional properties. Recent studies showed that resting‐state connectivity can be utilized for parcellating brain regions and identifying their distinctive roles. In this study, we aimed to parcellate the primary and secondary visual cortices (V1 and V2) into several subregions based on functional connectivity and to examine the functional characteristics of each subregion. We used resting‐state data from a research database and also acquired resting‐state data with retinotopy results from a local site. The long‐range connectivity profile and three different algorithms (i.e., K‐means, Gaussian mixture model distribution, and Ward's clustering algorithms) were adopted for the parcellation. We compared the parcellation results within V1 and V2 with the eccentric map in retinotopy. We found that the boundaries between subregions within V1 and V2 were located in the parafovea, indicating that the anterior and posterior subregions within V1 and V2 corresponded to peripheral and central visual field representations, respectively. Next, we computed correlations between each subregion within V1 and V2 and intermediate and high‐order regions in ventral and dorsal visual pathways. We found that the anterior subregions of V1 and V2 were strongly associated with regions in the dorsal stream (V3A and inferior parietal gyrus), whereas the posterior subregions of V1 and V2 were highly related to regions in the ventral stream (V4v and inferior temporal gyrus). Our findings suggest that the anterior and posterior subregions of V1 and V2, parcellated based on functional connectivity, may have distinct functional properties.

Purpose To examine the capability of optical coherence tomography-derived retinal thickness measures in detecting 4-year incident diabetic peripheral neuropathy (DPN). Methods 145 eyes of 145 participants with diabetes but no DPN at baseline were examined for incident DPN. HbA1c levels, nephropathy, neuropathy (DPN), cardiovascular measures, and various retinal thickness measures were examined at baseline and after 4 years. Incidence of DPN was defined as newly developed DPN at follow-up. Baseline factors were assessed by univariate and a step-wise multiple logistic regression, and the predictors were examined for diagnostic capabilities. Results Of the 145 participants without DPN at baseline, 51 had developed DPN when examined after 4 years (35% incidence). Of the ophthalmic variables, the mean (S.D.) of the overall thickness in the parafovea at baseline was 315 (18) μm in the no DPN group and 306 (18) μm in the ‘incidence’ group, and the differences were significant, p = 0.005. The superior hemisphere parafovea (mean (S.D.): 318 (17) μm vs 310 (20) μm, p = 0.02) and inferior hemisphere parafovea (313 (19) μm vs 302 (18) μm, p = 0.002) were different in the incident DPN group compared with the no DPN group. When adjusted for age, retinal thickness in the parafovea (AUC = 0.65, p = 0.003, 86% sensitivity and 44% specificity at 321 μm criterion), and body mass index or BMI (AUC = 0.65, p = 0.003, 49% sensitivity and 83% specificity at 29.3 kg m−2 criterion) at baseline were significant predictors for 4-year incident DPN. Conclusions A lower retinal thickness at the parafovea and a higher BMI can predict 4-year incident neuropathy in patients with diabetes, with acceptable diagnostic accuracies. This OCT-derived measure may serve as a potential ophthalmic marker in the screening of patients at risk of developing DPN.

PURPOSE To find the potential relation between changes in retinal large vessels and terminal vessels using colour Doppler flow imaging (CDFI) and optical coherence tomography angiography (OCTA) and to compare the respective advantages of CDFI and OCTA in evaluating vascular changes in retinitis pigmentosa (RP) patients. METHODS A prospective series of case study was conducted to enrol RP patients and age-matched controls, who were, respectively, imaged by CDFI and OCTA. Repeatability and reproducibility of both CDFI and OCTA were performed among healthy volunteers. The central retinal artery (CRA) was detected by CDFI analysis to provide parameters of peak systolic velocity (PSV), end-diastolic velocity (EDV) and time-averaged maximum velocity (TAMV). Retinal parameters were evaluated from OCTA images, including vascular area density (VAD) of the superficial vascular layer, the fovea avascular zone (FAZ) area and retinal thickness. RP patients were separated into a high-vision group and a low-vision group, according to median vision (0.3, LogMAR 0.5). Multiple comparisons were used to analyse the data between groups. A correlation analysis was used to determine the correlation between CDFI and OCTA parameters. RESULTS Twenty RP patients (40 eyes) and thirteen normal volunteers (26 eyes) were enrolled in this study. Repeatability and reproducibility of the measurements by CDFI had higher CVs, from 4.5% to 15.4%, than those measurements by OCTA (

During reading, the parafoveal processing of an upcoming word n+1 can influence word recognition in two ways: It can affect fixation behavior during the preceding fixation on word n (parafovea-on-fovea effect, POF), and it can facilitate subsequent foveal processing once word n+1 is fixated (preview benefit). While preview benefits are established, evidence for POF effects is mixed. Recently, it has been suggested that POF effects exist, but have a delayed impact on saccade planning and thus coincide with preview benefits measured on word n+1. We combined eye movement and EEG recordings to investigate and separate neural correlates of POF and preview benefit effects. Participants read lists of nouns either in a boundary paradigm or the RSVP-with-flankers paradigm, while we recorded fixation- or event-related potentials (FRPs/ERPs), respectively. The validity and lexical frequency of the word shown as preview for the upcoming word n+1 were orthogonally manipulated. Analyses focused on the first fixation on word n+1. Preview validity (correct vs. incorrect preview) strongly modulated fixation times and electrophysiological N1 amplitudes, replicating previous findings. Importantly, gaze durations and FRPs measured on word n+1 were also affected by the frequency of the word shown as preview, with low-frequency previews eliciting a sustained, N400-like centroparietal negativity. Results support the idea that POF effects exist but affect word recognition with a delay. Lastly, once word n+1 was fixated, its frequency also modulated N1 amplitudes in ERPs and FRPs. Taken together, we separated immediate and delayed effects of parafoveal processing on brain correlates of word recognition.

Natural reading involves the preprocessing of upcoming words, resulting in shorter fixations on words visible in the parafovea during preceding fixations. While this preview benefit is established in behavior, its brain-electric correlates have only recently been investigated. Using fixation-related potentials, an attenuation of the occipitotemporal N1 component for words that were parafoveally visible during preceding fixations has been demonstrated. In contrast, another study, using an RSVP paradigm with parafoveal flanker words, observed no such general preview benefit in ERPs, but instead reported N400 effects triggered by semantically incongruous parafoveal words. To follow up on these discrepant findings and to extend them to a nonalphabetic writing system, we conducted two ERP experiments with Chinese readers using the RSVP-with-flankers paradigm and rigorous fixation control via eye tracking. We replicate robust parafoveal N400 semantic congruency effects in Chinese participants. Additionally, we found that, once a word was directly looked at, words after a valid preview elicited a smaller N1 and a weaker N400 than those after an invalid preview. Results underline the importance of considering parafoveal vision in ERP studies on reading.

Due to capacity limitation, visual attention must be focused to a limited region of the visual field. Nevertheless, it is assumed that the size of that region may vary with task demands. We aimed to obtain direct evidence for the modulation of visuospatial attention as a function of foveal and parafoveal task load. Participants were required to fixate the center word of word triplets. In separate task blocks, either just the fixated word or both the fixated and the parafoveal word to the right should be semantically classified. The spatiotemporal distribution of attention was assessed with task-irrelevant probes flashed briefly at center or parafoveal positions, during or in between word presentation trials. The N1 component of the ERP elicited by intertrial probes at possible target positions increased with task demands within a block. These results suggest the recruitment of additional attentional resources rather than a redistribution of a fixed resource pool, which persists across trials.

Purpose To study if hydroxychloroquine (HCQ) patients with apparent no retinal toxicity will show lower retinal thickness in inner layers as compared to healthy controls. Methods Retrospective study of 43 patients (86 eyes) evaluated for HCQ macular toxicity with spectral-domain OCT (SD-OCT) and with no OCT signs of maculopathy were subdivided into two groups: (1) no blunting of the foveal contour (foveal splaying), (2) with foveal splaying. Age and sex-matched controls were used for comparison. Automated retinal layer segmentation at the center of fovea and at a radius of 3 (parafoveal) to 6mm (perifoveal) from the superior, inferior, temporal and nasal sectors was performed. Statistical analysis using two sample t-test was made to calculate significant results between groups. Results Center macular and internal retinal layers thickness in all parafoveal sectors, particularly in the retinal nerve fibre (RNFL) and ganglion cell layer (GCL), was statistically reduced when compared to control group (p

The current paper examined the role of plausibility information in the parafovea for Chinese readers by using two-character transposed words (in which the order of the component characters is reversed but are still words). In two eye-tracking experiments, readers received a preview of a target word that was (1) identical to the target word, (2) a reverse word that was the target word with the order of its characters reversed or (3) a control word different from the target word. Reading times on target words were comparable between the identical and the reverse preview conditions when the reverse preview words were plausible. This plausibility preview effect was independent of whether the reverse word shared the meaning with the target word or not. Furthermore, the reverse preview words yielded shorter fixation durations than the control preview words. Implications of these results for preview processing during Chinese reading are discussed.

During natural reading, parafoveal information is processed to some degree. Although isolated words can be fully processed in the parafovea, not all sentence reading experiments have found evidence of semantic processing in the parafovea. We suggest a possible reconciliation for these mixed results via two ERP studies in which volunteers read sentences presented word by word at fixation, flanked bilaterally by the next word to its right and the previous word to its left. Half the words in the right parafovea of critical triads and in the fovea for the subsequent triad were semantically incongruent. The conditions under which parafoveal words elicit canonical visual N400 congruity effects suggest that they are processed in parallel with foveal words, but that the extraction of semantic information parafoveally is a function of contextual constraint and presentation rate, most likely under high contextual constraint and at slower rates.

Purpose: To assess the macular ERG responses in different forms of AMD with OCT-visualisation. Methods: 60 patients (120 eyes) with AMD, aged 57-82, were examined. The groups were formed based on clinical examination, OCT and fluorescein angiography data. Local ERG (L-ERG) to a red and green stimulus was recorded with MBN ERG system (Russia). Multifocal ERG was recorded with RETIscan system (Roland Consult, Germany). Results: In group 1 with hard drusen (18 eyes) ERG responses were in normal range. In group 2 with soft confluent drusen (18 eyes) a-wave implicit time (IT) was prolonged (p=0,007);N1 of mfERG in normal range. b-wave amplitude of L-ERG to red stimulus was reduced (p=0,014), P1 of mf-ERG reduced in fovea and parafovea (р