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Statistical learning is a powerful mechanism that enables the rapid extraction of regularities from sensory inputs. Although numerous studies have established that statistical learning serves a wide range of cognitive functions, it remains unknown whether statistical learning impacts conscious access. To address this question, we applied multiple paradigms in a series of experiments (A= 153 adults): Two reaction-time-based breaking continuous flash suppression (b-CFS) experiments showed that probable objects break through suppression faster than improbable objects. A preregistered accuracy-based b-CFS experiment showed higher localization accuracy for suppressed probable (versus improbable) objects under identical presentation durations, thereby excluding the possibility of processing differences emerging after conscious access (e.g., criterion shifts). Consistent with these findings, a supplemental visual-masking experiment reaffirmed higher localization sensitivity to probable objects over improbable objects. Together, these findings demonstrate that statistical learning alters the competition for scarce conscious resources, thereby potentially contributing to established effects of statistical learning on higher-level cognitive processes that require consciousness. [ABSTRACT FROM AUTHOR]

Introduction: Changes in vision that occur in normal healthy aging can be seen in fundamental measures of monocular vision. However, the nature of the changes in binocular vision with age remain unclear. Methods: A total of 28 older (53-66 years) and 28 younger adults (20-31 years) were enrolled in this study. We performed a battery of tests to assess differences in monocular contrast thresholds and various binocular visual functions including dichoptic masking weight and strength, the binocular balance point for fused stimuli, and stereoacuity in the aging and control groups. Results: Aging significantly increased monocular contrast thresholds (p < 0.001). Although this suggests that aging reduces the effective "input gain" to vision, we also found a significantly elevated contribution of those weaker signals to interocular suppression (p < 0.001). Consequently, there was no significant net difference in the strength of interocular suppression (p = 0.065). We did not find a significant difference of absolute balance point between the two groups (p = 0.090). Lastly, the mean stereoacuity was worse in the older group compared to the younger group (p = 0.002). Discussion: Our findings confirm previous results showing differences in contrast sensitivity and stereoacuity with aging. Furthermore, we find a change in interocular suppression that is a possible consequence of the change in contrast sensitivity. It is suggestive of a cortical system that maintains a homeostatic balance in interocular suppression across the lifespan. [ABSTRACT FROM AUTHOR]

Background and Objectives: Amblyopia is a neurodevelopmental disorder caused by interocular suppression of visual input, affecting visual acuity, stereopsis, contrast sensitivity, and other visual functions. Conventional treatment comprises occlusion of the sound eye. In recent years, novel therapies that deploy perceptual learning (PL) principles have been introduced. The purpose of this study is to assess the latest scientific data on this topic. Materials and Methods: For this purpose, we conducted a literature search for relevant studies published during the previous 4 years (2020–2023). Results: A plethora of visual perceptual learning protocols have been recently developed. Dichoptic video games, contrast rebalanced movies, and online perceptual training platforms are the main formats. Perceptual learning activates neuroplasticity, overcomes interocular suppression, and improves the visual impairments induced by amblyopia. Conclusions: This novel treatment is effective in both children and adults, as well as in patients non-responding to patching. [ABSTRACT FROM AUTHOR]

Purpose: We have demonstrated that the depth of unbalanced interocular suppression can be quantified by balancing the interocular luminance differences required when both eyes are viewing simultaneously. In this study, we aimed to investigate the applicability of this method in children with intermittent exotropia (IXT), offering a quantitative assessment of interocular suppression in individuals with binocular imbalance. Additionally, we evaluated its association with the clinical characteristics of IXT. Methods: Interocular suppression in IXT was quantitatively measured using a polarizer and neutral-density (ND) filters. The density of the ND filter was adjusted incrementally from 0.3ND to 3ND, with a step size of 0.3ND (a total of 10 levels). Our prospective study involved 46 patients with IXT (mean age: 10.12 ± 4.89 years; mean ± SD) and 24 normal observers (mean age: 7.88 ± 1.83 years). Results: The suppression test exhibited good test--retest reliability, supported by statistical analysis. We observed more pronounced interocular suppression in individuals with IXT compared to controls. Notably, the magnitude of suppression during distant and near viewing significantly differed in IXT (1.55 ± 0.93 vs. 0.57 ± 0.64; Z = 4.764, p < 0.001). Furthermore, we identified a positive correlation between interocular suppression and data obtained from the Worth-4-Dot test. Additionally, interocular suppression showed a significant association with distance control scores. Conclusion: Our novel test offers a convenient and reliable means to quantify interocular suppression in patients with IXT. The quantitative assessment of interocular suppression provides a sensitive tool to evaluate the clinical characteristics of IXT. [ABSTRACT FROM AUTHOR]

Continuous flash suppression (CFS) is a popular masking technique used to manipulate visual awareness. By presenting a rapidly changing stimulus to one eye (the 'mask'), a static image viewed by the other (the 'target') may remain invisible for many seconds. This effectiveness affords a means to assess unconscious visual processing, leading to the widespread use of CFS in several basic and clinical sciences. However, the lack of principled stimulus selection has impeded generalization of conclusions across studies, as the strength of interocular suppression is dependent on the spatiotemporal properties of the CFS mask and target. To address this, we created CFS-crafter, a point-and-click, open-source tool for creating carefully controlled CFS stimuli. The CFS-crafter provides a streamlined workflow to create, modify, and analyze mask and target stimuli, requiring only a rudimentary understanding of image processing that is well supported by help files in the application. Users can create CFS masks ranging from classic Mondrian patterns to those comprising objects or faces, or they can create, upload, and analyze their own images. Mask and target images can be custom-designed using image-processing operations performed in the frequency domain, including phase-scrambling and spatial/temporal/orientation filtering. By providing the means for the customization and analysis of CFS stimuli, the CFS-crafter offers controlled creation, analysis, and cross-study comparison. Thus, the CFS-crafter—with its easy-to-use image processing functionality—should facilitate the creation of visual conditions that allow a principled assessment of hypotheses about visual processing outside of awareness. [ABSTRACT FROM AUTHOR]

Background and Objectives: Amblyopia is a neurodevelopmental disorder caused by interocular suppression of visual input, affecting visual acuity, stereopsis, contrast sensitivity, and other visual functions. Conventional treatment comprises occlusion of the sound eye. In recent years, novel therapies that deploy perceptual learning (PL) principles have been introduced. The purpose of this study is to assess the latest scientific data on this topic. Materials and Methods: For this purpose, we conducted a literature search for relevant studies published during the previous 4 years (2020–2023). Results: A plethora of visual perceptual learning protocols have been recently developed. Dichoptic video games, contrast rebalanced movies, and online perceptual training platforms are the main formats. Perceptual learning activates neuroplasticity, overcomes interocular suppression, and improves the visual impairments induced by amblyopia. Conclusions: This novel treatment is effective in both children and adults, as well as in patients non-responding to patching.

One notion emerging from studies on unconscious visual processing is that different "blinding techniques" seem to suppress the conscious perception of stimuli at different levels of the neurocognitive architecture. However, even when only the results from a single suppression method are compared, the picture of the scope and limits of unconscious visual processing remains strikingly heterogeneous, as in the case of continuous flash suppression (CFS). To resolve this issue, it has been suggested that highlevel semantic processing under CFS is facilitated whenever interocular suppression is attenuated by the removal of visuospatial attention. In this behavioral study, we aimed to further investigate this "CFS-attenuation-by-inattention" hypothesis in a numerical priming study using spatial cueing. Participants performed a number comparison task on a visible target number ("compare number to five"). Prime-target pairs were either congruent (both numbers smaller, or both larger than five) or incongruent. Based on the "CFS-attenuation-by-inattention" hypothesis, we predicted that reaction times (RTs) for congruent prime-target pairs should be faster than for incongruent ones, but only when the prime was presented at the uncued location. In the invisible condition, we observed no priming effects and thus no evidence in support of the "CFS-attenuationby-inattention" hypothesis. In the visible condition, we found an inverse effect of prime-target congruency. Our results agree with the notion that the representation of CF-suppressed stimuli is fractionated, and limited to their basic, elemental features, thus precluding semantic processing. [ABSTRACT FROM AUTHOR]

One notion emerging from studies on unconscious visual processing is that different “blinding techniques” seem to suppress the conscious perception of stimuli at different levels of the neurocognitive architecture. However, even when only the results from a single suppression method are compared, the picture of the scope and limits of unconscious visual processing remains strikingly heterogeneous, as in the case of continuous flash suppression (CFS). To resolve this issue, it has been suggested that high-level semantic processing under CFS is facilitated whenever interocular suppression is attenuated by the removal of visuospatial attention. In this behavioral study, we aimed to further investigate this “CFS-attenuation-by-inattention” hypothesis in a numerical priming study using spatial cueing. Participants performed a number comparison task on a visible target number (“compare number to five”). Prime-target pairs were either congruent (both numbers smaller, or both larger than five) or incongruent. Based on the “CFS-attenuation-by-inattention” hypothesis, we predicted that reaction times (RTs) for congruent prime-target pairs should be faster than for incongruent ones, but only when the prime was presented at the uncued location. In the invisible condition, we observed no priming effects and thus no evidence in support of the “CFS-attenuation-by-inattention” hypothesis. In the visible condition, we found an inverse effect of prime-target congruency. Our results agree with the notion that the representation of CF-suppressed stimuli is fractionated, and limited to their basic, elemental features, thus precluding semantic processing.

Statistical learning is a powerful mechanism that enables the rapid extraction of regularities from sensory inputs. Although numerous studies have established that statistical learning serves a wide range of cognitive functions, it remains unknown whether statistical learning impacts conscious access. To address this question, we applied multiple paradigms in a series of experiments ( N = 153 adults): Two reaction-time-based breaking continuous flash suppression (b-CFS) experiments showed that probable objects break through suppression faster than improbable objects. A preregistered accuracy-based b-CFS experiment showed higher localization accuracy for suppressed probable (versus improbable) objects under identical presentation durations, thereby excluding the possibility of processing differences emerging after conscious access (e.g., criterion shifts). Consistent with these findings, a supplemental visual-masking experiment reaffirmed higher localization sensitivity to probable objects over improbable objects. Together, these findings demonstrate that statistical learning alters the competition for scarce conscious resources, thereby potentially contributing to established effects of statistical learning on higher-level cognitive processes that require consciousness.

The debate about the scope and limits of unconscious visual processing under continuous flash suppression (CFS) has created a heterogeneous set of divergent findings that are yet to be reconciled. Attention has been suggested as an important factor in modulating the processing of suppressed visual information under CFS. Specifically, Eo et al. (2016) reported that semantic processing under CFS can be significantly facilitated when spatial attention is diverted away from the suppressed stimulus. Based on event-related potential (ERP) findings involving the N400, they proposed that inattention attenuates interocular suppression and thereby makes semantic processing available unconsciously, potentially reconciling conflicting evidence in the literature. In this study, we aimed to further investigate the "CFS-attenuation-by-inattention" hypothesis using functional magnetic resonance imaging (fMRI) and multivariate pattern analysis (MVPA). We tested whether the decodability of object category increases under CFS when attention is diverted away from the suppressed stimulus in a spatial cueing task. Our results provide no evidence for the "CFS-attenuation-by-inattention" hypothesis, but show higher decoding accuracies for visible stimuli than for invisible stimuli. We discuss the implications of our findings for the important endeavor of trying to reconcile the divergent reports of unconscious processing under CFS. [ABSTRACT FROM AUTHOR]

• Pupil response and judgments about faces/houses measured in neurotypical subjects. • Pupil responses were larger for familiar faces relative to unfamiliar faces. • Strong interocular suppression blocked overt familiar face and house recognition. • Neither face/house discrimination nor pupil familiarity response were affected. • These results provide a model for covert face recognition in prosopagnosia. In prosopagnosia, brain lesions impair overt face recognition, but not face detection, and may coexist with residual covert recognition of familiar faces. Previous studies that simulated covert recognition in healthy individuals have impaired face detection as well as recognition, thus not fully mirroring the deficits in prosopagnosia. We evaluated a model of covert recognition based on continuous flash suppression (CFS). Familiar and unfamiliar faces and houses were masked while participants performed two discrimination tasks. With increased suppression, face/house discrimination remained largely intact, but face familiarity discrimination deteriorated. Covert recognition was present across all masking levels, evinced by higher pupil dilation to familiar than unfamiliar faces. Pupil dilation was uncorrelated with overt performance across subjects. Thus, CFS can impede overt face recognition without disrupting covert recognition and face detection, mirroring critical features of prosopagnosia. CFS could be used to uncover shared neural mechanisms of covert recognition in prosopagnosic patients and neurotypicals. [ABSTRACT FROM AUTHOR]

Introduction: Changes in vision that occur in normal healthy aging can be seen in fundamental measures of monocular vision. However, the nature of the changes in binocular vision with age remain unclear., Methods: A total of 28 older (53-66 years) and 28 younger adults (20-31 years) were enrolled in this study. We performed a battery of tests to assess differences in monocular contrast thresholds and various binocular visual functions including dichoptic masking weight and strength, the binocular balance point for fused stimuli, and stereoacuity in the aging and control groups., Results: Aging significantly increased monocular contrast thresholds ( p  < 0.001). Although this suggests that aging reduces the effective "input gain" to vision, we also found a significantly elevated contribution of those weaker signals to interocular suppression ( p  < 0.001). Consequently, there was no significant net difference in the strength of interocular suppression ( p  = 0.065). We did not find a significant difference of absolute balance point between the two groups ( p  = 0.090). Lastly, the mean stereoacuity was worse in the older group compared to the younger group ( p  = 0.002)., Discussion: Our findings confirm previous results showing differences in contrast sensitivity and stereoacuity with aging. Furthermore, we find a change in interocular suppression that is a possible consequence of the change in contrast sensitivity. It is suggestive of a cortical system that maintains a homeostatic balance in interocular suppression across the lifespan., Competing Interests: AB, (P) PCT Patent Application (CA2020050051) titled “System and Method for Digital Measurement of Stereo Vision.” This invention has been commercially licensed by McGill University to Novartis International AG. Development of this invention has been supported (separately and independently from this study) by grants, personal fees, and non-financial support from Novartis International AG under a research agreement with the Research Institute of the McGill University Health Centre. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Song, Wang, Liao, Baldwin and Liu.)

Background and Objectives : Amblyopia is a neurodevelopmental disorder caused by interocular suppression of visual input, affecting visual acuity, stereopsis, contrast sensitivity, and other visual functions. Conventional treatment comprises occlusion of the sound eye. In recent years, novel therapies that deploy perceptual learning (PL) principles have been introduced. The purpose of this study is to assess the latest scientific data on this topic. Materials and Methods : For this purpose, we conducted a literature search for relevant studies published during the previous 4 years (2020-2023). Results : A plethora of visual perceptual learning protocols have been recently developed. Dichoptic video games, contrast rebalanced movies, and online perceptual training platforms are the main formats. Perceptual learning activates neuroplasticity, overcomes interocular suppression, and improves the visual impairments induced by amblyopia. Conclusions: This novel treatment is effective in both children and adults, as well as in patients non-responding to patching.

Interocular suppression is commonly estimated by the contrast "balance point" between the eyes in individuals with amblyopia, in which the depth of suppression is defined as the increased contrast in the amblyopic eye that is perceptually matched to the fellow eye. However, this method may not be suitable for individuals with strabismus who have normal or even better contrast sensitivity in the non-fixating eye. In this study, I introduced a new approach that can be used for measuring interocular suppression for both amblyopia and strabismus without balancing contrasts between the eyes. The method consists of the following components: •The stimuli have equal contrasts in both eyes.•The percepts of objects seen monocularly and binocularly are compared.•Interocular suppression is defined as the percept of object in the amblyopic eye is suppressed when an object is presented in the fellow eye., Competing Interests: The author declares no competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Author. Published by Elsevier B.V.)

Statistical encoding compresses redundant information from multiple items into a single summary metric (e.g., mean). Such statistical representation has been suggested to be automatic, but at which stage it is extracted is unknown. Here, we examined the involvement of the subcortex in the processing of summary statistics. We presented an array of circles dichoptically or monocularly while matching the number of perceived circles after binocular fusion. Experiments 1 and 2 showed that interocularly suppressed, invisible circles were automatically involved in the summary statistical representation, but only when they were presented to the same eye as the visible circles. This same-eye effect was further observed for consciously processed circles in Experiment 3, in which the estimated mean size of the circles was biased toward the information transmitted by monocular channels. Together, we provide converging evidence that the processing of summary statistics, an assumed high-level cognitive process, is mediated by subcortical structures. [ABSTRACT FROM AUTHOR]

Purpose: We have demonstrated that the depth of unbalanced interocular suppression can be quantified by balancing the interocular luminance differences required when both eyes are viewing simultaneously. In this study, we aimed to investigate the applicability of this method in children with intermittent exotropia (IXT), offering a quantitative assessment of interocular suppression in individuals with binocular imbalance. Additionally, we evaluated its association with the clinical characteristics of IXT., Methods: Interocular suppression in IXT was quantitatively measured using a polarizer and neutral-density (ND) filters. The density of the ND filter was adjusted incrementally from 0.3ND to 3ND, with a step size of 0.3ND (a total of 10 levels). Our prospective study involved 46 patients with IXT (mean age: 10.12 ± 4.89 years; mean ± SD) and 24 normal observers (mean age: 7.88 ± 1.83 years)., Results: The suppression test exhibited good test-retest reliability, supported by statistical analysis. We observed more pronounced interocular suppression in individuals with IXT compared to controls. Notably, the magnitude of suppression during distant and near viewing significantly differed in IXT (1.55 ± 0.93 vs. 0.57 ± 0.64; Z  = 4.764, p  < 0.001). Furthermore, we identified a positive correlation between interocular suppression and data obtained from the Worth-4-Dot test. Additionally, interocular suppression showed a significant association with distance control scores., Conclusion: Our novel test offers a convenient and reliable means to quantify interocular suppression in patients with IXT. The quantitative assessment of interocular suppression provides a sensitive tool to evaluate the clinical characteristics of IXT., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The authors JZ and XY declared that they were editorial board members of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision., (Copyright © 2023 Chen, Jiang, Liu, Zhou, Chen, Sun, Liang, Lou, Yu and Qu.)

Human faces convey essential information for understanding others' mental states and intentions. The importance of faces in social interaction has prompted suggestions that some relevant facial features such as configural information, emotional expression, and gaze direction may promote preferential access to awareness. This evidence has predominantly come from interocular suppression studies, with the most common method being the Breaking Continuous Flash Suppression (bCFS) procedure, which measures the time it takes different stimuli to overcome interocular suppression. However, the procedures employed in such studies suffer from multiple methodological limitations. For example, they are unable to disentangle detection from identification processes, their results may be confounded by participants' response bias and decision criteria, they typically use small stimulus sets, and some of their results attributed to detecting high-level facial features (e.g., emotional expression) may be confounded by differences in low-level visual features (e.g., contrast, spatial frequency). In this article, we review the evidence from the bCFS procedure on whether relevant facial features promote access to awareness, discuss the main limitations of this very popular method, and propose strategies to address these issues. • Different complex facial features may promote faces' access to awareness. • Studies claim that configuration, emotion, gaze, and social traits promote access. • Techniques to assess how faces enter awareness suffer from several limitations. • Identification processes and decision criteria may confound detection responses. • Low-level visual features may confound reported effects of high-level attributes on access to awareness. [ABSTRACT FROM AUTHOR]

• Current perceptual multistability measures do not capture all perceptual states, have no estimates of what was seen (introspection), and lack high-temporal resolution. • We introduce InFoRM (Indicate-Follow-Replay-Me) and apply it to binocular rivalry. • Temporal resolution in the current study: 3600 data/min. • Measures multiple perceptual states: exclusive, piecemeal, equal-predominant, left-predominant, or right-predominant superimposition. • InFoRM provides new measures of multistable perception: introspection estimates, perceptual-state-specific dominance scores, velocity analysis for changing perceptual states, and size estimates of interocular suppression zones. Perceptual multistability, e.g. Binocular Rivalry, has been intensively used as a tool to study visual consciousness. Current methods to assess multistability do not capture all potentially occurring perceptual states, provide no estimate of introspection, and lack continuous, high-temporal resolution to resolve perceptual changes between states and within mixed perceptual states. We introduce InFoRM (Indicate-Follow-Replay-Me), a four-phase method that (1) trains a participant to self-generate estimates of perceptual introspection-maps that are (2) validated during a physical mimic task, (3) gathers perceptual multistability data, and (4) confirms their validity during a physical replay. 28 condition-blinded adults performed InFoRM while experiencing binocular rivalry evoked with orthogonal sinusoidal gratings. A 60 Hz joystick (3600 data samples/minute) was used to indicate continuously changes across six perceptual states within each 1 min trial. A polarized monitor system was used to present the stimuli dichoptically. Three contrast conditions were investigated: low vs low, high vs high, and low vs high. InFoRM replicates standard outcome measures, i.e. alternation rate, mean and relative proportions of perception, and distribution of exclusive percepts that are well fitted with gamma functions. Furthermore, InFoRM generates novel outcomes that deliver new insights in visual cognition via estimates of introspection maps, in ocular dominance via perceptual-state-specific dominance scores, in transitory dynamics between and within perceptual states, via techniques adopted from eye-tracking, and in rivalry-zone-size estimates utilizing InFoRM's ability to simulate piecemeal perception. The replay phase (physical replay of perceptual rivalry) confirmed good overall agreement (73% ±5 standard deviation). InFoRM can be applied to other multistable paradigms and can be used to study visual consciousness in typical and neuro-atypical populations. [ABSTRACT FROM AUTHOR]