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This paper describes a new algorithm for adaptive selection of DCT quantization parameters in the JPEG compressor. The quantization parameters are selected by classification of blocks based on the composition of fine details whose contrast exceeds the threshold visual sensitivity. Fine details are identified by an original search and recognition algorithm in the N-CIELAB normalized color space, which allows us to take visual contrast sensitivity into account. A distortion assessment metric and an optimization criterion for quantization of classified blocks to a high visual quality are proposed. A comparative analysis of test images in terms of compression parameters and quality degradation is presented. The new algorithm is experimentally shown to improve the compression of photorealistic images by 30% on average while preserving their high visual quality.

Sensory systems adapt to environmental change. It has been argued that adaptation should have the effect of optimizing sensitivity to the new environment. Here we consider a framework in which this premise is made concrete using an economic normative theory of visual motion perception. In this framework, visual systems adapt to the environment by reallocating their limited neural resources. The allocation is optimal when uncertainties about different aspects of stimulation are balanced. This theory makes predictions about visual sensitivity as a function of environmental statistics. Adaptive optimization of the visual system should be manifested as a change in sensitivity for an observer and for the underlying motion-sensitive neurons. We review evidence supporting these predictions and examine effects of adaptation on the neuronal representation of visual motion.

Background Balance rehabilitation should consider individual comportments according to visual input (VI). Indeed, visual dependence (VD), defined as the predominance given to the VI whatever the circumstances, frequent after stroke it could disturb balance. Because the term VD is a bit restrictive and cannot be deduced from clinical tests, the term visual sensitivity (VS) is preferred here. Hypothesis VI could have different influence depending on the task for a given individual. Methods We retrospectively compared 2 VS tests routinely used: the rod and frame test (RFT) and optokinetic stimulation (OKS). In RFT, VS was defined by a misperception of the visual verticality induced by a tilted frame (VS RFT) and in OKS by tilted sitting posture induced by rotational OKS (VS OKS). We studied the relations between VS RFT and VS OKS. Results We analysed data for 84 patients, mean age 55 ± 10 years, 45 ± 30 days after stroke. Scores for both tests were correlated with autonomy measured by the functional independence measure (r = −0.3, p = 0.01 and r = −0.2, p = 0.02). VS OKS score was also correlated with balance measured by the postural assessment scale for stroke (r = −0.3, p = 0.03). VS RFT score was not correlated with VS OKS score (p = 0.4, r = 0.04). Discussion - conclusion A patient may display VS for one test without sensitivity for the other because these tests investigate different neural organisation — perception for RFT or action for OKS. Their relation to balance disorders should be further investigated to build individualized rehabilitation programs.

Saccadic eye movements provide a valuable model to study the brain mechanisms underlying motor learning. If a target is displaced surreptitiously while a saccade is underway, the saccade appears to be in error. If the error persists gradual neuronal adjustments cause the eye movement again to land near the target. This saccade adaptation typically follows an exponential time course, i.e., adaptation speed slows as adaptation progresses, indicating that the sensitivity to error decreases during adaptation. Previous studies suggested that the superior colliculus (SC) sends error signals to drive saccade adaptation. The objective of this study is to test whether the SC error signal is related to the decrease in the error sensitivity during adaptation. We show here that the visual activity of SC neurons, which is induced by a constant visual error that drives adaptation, decreases during saccade adaptation. This decrease of sensitivity to visual error was not correlated with the changes of primary saccade amplitude. Therefore, a possible interpretation of this result is that the reduction of visual sensitivity of SC neurons contributes an error sensitivity signal that could help control the saccade adaptation process.

Action and perception are intimately coupled systems. One clear case is saccadic suppression, the reduced visibility around the time of saccades, which is important in mediating visual stability; another is the oscillatory modulation of visibility synchronized with hand action. To suppress effectively the spurious retinal motion generated by the eye movements, it is crucial that saccadic suppression and saccadic onset be temporally synchronous. However, the mechanisms that determine this temporal synchrony are unknown. We investigated the effect of saccades on contrast discrimination sensitivity over a long period stretching over >1 s before and after saccade execution. Human subjects made horizontal saccades at will to two stationary saccadic targets separated by 20°. At a random interval, a brief Gabor patch was displayed between the two fixations in either the upper or lower visual field and the subject had to detect its location. Strong saccadic suppression was measured between −50 and 50 ms from saccadic onset. However, the suppression was systematically embedded in a trough of oscillations of contrast sensitivity that fluctuated rhythmically in the delta range (at ∼3 Hz), commencing ∼1 s before saccade execution and lasting for up to 1 s after the saccade. The results show that saccadic preparation and visual sensitivity oscillations are coupled and the coupling might be instrumental in temporally aligning the initiation of the saccade with the visual suppression.SIGNIFICANCE STATEMENTSaccades are known to produce a suppression of contrast sensitivity at saccadic onset and an enhancement after saccadic offset. Here, we show that these dynamics are systematically embedded in visual oscillations of contrast sensitivity that fluctuate rhythmically in the delta range (at ∼3 Hz), commencing ∼1 s before saccade execution and lasting for up to 1 s after the saccade. The results show that saccadic preparation and visual sensitivity oscillations are coupled and the coupling might be instrumental in aligning temporally the initiation of the saccade with the visual suppression.

Objective: To detect determinants for photoparoxysmal EEG response (PPR) in SCN1A -related Dravet syndrome (DS). Methods: Data were studied from nationwide medical histories and EEGs of DS-patients ( n =53; 31 males, age 2–19years). Detailed questionnaires on visual stimuli were completed by parents ( n =49). Results: PPR was found in 22 patients (42%; median age 1.25yr), and repeatedly in 17%. PPR (17% of 249 intermittent photic stimulation (IPS)-EEGs) occurred more often with optimal IPS protocols (OR 2.11 [95%CI 1.09–4.13]) and in EEGs showing spontaneous epileptiform abnormalities (OR 5.08 [95%CI 2.05–12.55]). PPR-positive patients tended to be younger at first ( p =0.072) and second seizure ( p =0.049), showed severe intellectual disability ( p =0.042), and had more often spontaneous occipital epileptiform abnormalities ( p Clinical sensitivity was reported in medical files in 22% of patients and by parents in 43% (self-induction 24%). Clinical or EEG proven visual sensitivity was detected in 65% of cases. Conclusions: Sensitivity to visual stimuli is very common in DS and more often noticed by parents than confirmed by EEG. Detection of PPR improves with repetitive tests using accurate IPS protocols. Significance: Photosensitivity is an important feature in DS and seems to be a marker of the severity of the disorder. Therefore repeated standardized IPS should be encouraged.

Every day and night, the retina undergoes dramatic changes in its physiology and function. The prevailing view is that these daily changes affect the retinal output and thereby visual perception. Recent evidence suggests that modifications in higher-order processing centers, and not in retinal computations, account for variations in visual sensitivity.

Purpose Postchiasmatic brain damage commonly results in an area of reduced visual sensitivity or blindness in the contralesional hemifield. Previous studies have shown that the ipsilesional visual field can be impaired too. Here, we examine whether assessing visual functioning of the "intact" ipsilesional visual field can be useful to understand difficulties experienced by patients with visual field defects. Methods We compared the performance of 14 patients on a customized version of the useful field of view test that presents stimuli in both hemifields but only assesses functioning of their intact visual half-field (iUFOV) with that of equivalent hemifield assessments in 17 age-matched healthy control participants. In addition, we mapped visual field sensitivity with the Humphrey Field Analyzer. Last, we used an adapted version of the National Eye Institute Visual Quality of Life-25 to measure their experienced visual quality of life. Results We found that patients performed worse on the second and third iUFOV subtests, but not on the first subtest. Furthermore, patients scored significantly worse on almost every subscale, except ocular pain. Summed iUFOV scores (assessing the intact hemifield only) and Humphrey field analyzer scores (assessing both hemifields combined) showed almost similar correlations with the subscale scores of the adapted National Eye Institute Visual Quality of Life-25. Conclusions The iUFOV test is sensitive to deficits in the visual field that are not picked up by traditional perimetry. We therefore believe this task is of interest for patients with postchiasmatic brain lesions and should be investigated further.

Objective To quantify photophobia in visual snow syndrome (VSS), a debilitating migraine-associated visual disturbance manifesting with continuous “TV snow-like” flickering dots in the entire visual field and additional visual symptoms, such as photophobia. Methods Photophobia was compared between 19 patients with VSS and 19 controls matched for age, sex, migraine and aura using the Leiden Visual Sensitivity Scale (L-VISS). Results Patients with VSS had an increased L-VISS-score compared to matched controls [(22.2 ± 5.9 vs. 4.4 ± 4.8; ANOVA, factors VSS and comorbid migraine: Main effect for VSS (F = 100.70; p Conclusion Patients with VSS suffer continuously from photophobia at a level similar to chronic migraineurs during attacks. Although migraine and VSS share dysfunctional visual processing, patients with VSS might be more severely affected.

The zebrafish (Danio rerio) is a popular vertebrate model for studying visual development, especially at the larval stage. For many vertebrates, post-natal visual experience is essential to fine-tune visual development, but it is unknown how experience shapes larval zebrafish vision. Zebrafish swim with a moving texture; in the wild, this innate optomotor response (OMR) stabilises larvae in moving water, but it can be exploited in the laboratory to assess zebrafish visual function. Here, we compared spatial-frequency tuning inferred from OMR between visually naïve and experienced larvae from 5 to 7 days post-fertilisation. We also examined development of synaptic connections between neurons by quantifying post-synaptic density 95 (PSD-95) in larval retinae. PSD-95 is closely associated with N-methyl-D-aspartate (NMDA) receptors, the neurotransmitter-receptor proteins underlying experience-dependent visual development. We found that rather than following an experience-independent genetic programme, developmental changes in visual spatial-frequency tuning at the larval stage required visual experience. Exposure to motion evoking OMR yielded no greater improvement than exposure to static form, suggesting that increased sensitivity as indexed by OMR was driven not by motor practice but by visual experience itself. PSD-95 density varied with visual sensitivity, suggesting that experience may have up-regulated clustering of PSD-95 for synaptic maturation in visual development.

Previously, in (Hermundstad et al., 2014), we showed that when sampling is limiting, the efficient coding principle leads to a "variance is salience" hypothesis, and that this hypothesis accounts for visual sensitivity to binary image statistics. Here, using extensive new psychophysical data and image analysis, we show that this hypothesis accounts for visual sensitivity to a large set of grayscale image statistics at a striking level of detail, and also identify the limits of the prediction. We define a 66-dimensional space of local grayscale light-intensity correlations, and measure the relevance of each direction to natural scenes. The "variance is salience" hypothesis predicts that two-point correlations are most salient, and predicts their relative salience. We tested these predictions in a texture-segregation task using un-natural, synthetic textures. As predicted, correlations beyond second order are not salient, and predicted thresholds for over 300 second-order correlations match psychophysical thresholds closely (median fractional error, 33 pages, 12 figures

In the visual oddball paradigm, surprising inputs can seem expanded in time relative to unsurprising repeated events. A horizontal input embedded in a train of successive vertical inputs can, for instance, seem relatively protracted in time, even if all inputs are presented for an identical duration. It is unclear if this effect results from surprising events becoming apparently protracted, or from repeated events becoming apparently contracted in time. To disambiguate, we used a non-relative duration reproduction task, in which several standards preceded a test stimulus that had to be reproduced. We manipulated the predictability of test content over successive presentations. Overall, our data suggest that predictable stimuli induce a contraction of apparent duration (Experiments 1, 3, and 4). We also examine sensitivity to test content, and find that predictable stimuli elicit less uptake of visual information (Experiments 2 and 3). We discuss these findings in relation to the predictive coding framework.

The development of immersive display technology enables to represent the details of contents more naturally by providing a more realistic viewing environment while increasing immersion. In parallel, quality of experience (QoE) has been dealt with and discussed from both academy and industry to grade consumer products from the quality perspective. However, for quantification of QoE, it is very challengeable to analyze the human perception more accurately, even if it has been studied in many decades. Currently, there is no solid methodology to verify human perception as a closed-form objectively due to the limitation of human perception analysis. Recently, the deep convolutional neural network (CNN) has emerged as a core technology while breaking most performance records in the area of artificial intelligence via intensive training in accordance with the massive dataset. The main motivation of this paper lies in finding new insight into human perception analysis for QoE evaluation through visualization of intermediate node values. This new QoE assessment approach enables us to figure out the human visual sensitivity without using any prior knowledge. Toward the end, we provide a novel clue of how to obtain visual sensitivity, which is expected to be essentially applied for future QoE applications. In addition, we discuss future applications in QoE assessment with respect to the display types.

In humans, vision is limited to a small fraction of the whole electromagnetic spectrum. One possible strategy for enhancing vision in deep-red or poor-light conditions consists of recruiting chlorophyll derivatives in the rod photoreceptor cells of the eye, as suggested in the case of some deep-sea fish. Here, we employ all-atom molecular simulations and high-level quantum chemistry calculations to rationalize how chlorin e6 (Ce6), widely used in photodynamic therapy although accompanied by enhanced visual sensitivity, mediates vision in the dark, shining light on a fascinating but largely unknown molecular mechanism. First, we identify persistent interaction sites between Ce6 and the extracellular loops of rhodopsin, the transmembrane photoreceptor protein responsible for the first steps in vision. Triggered by Ce6 deep-red light absorption, the retinal within rhodopsin can be isomerized thus starting the visual phototransduction cascade. Our data largely exclude previously hypothesized energy-transfer mechanisms while clearly lending credence to a retinal isomerization indirectly triggered by singlet oxygen, proposing an alternative mechanism to rationalize photosensitizer-mediated night vision.

Deep Convolutional Neural Network (CNN) features have been demonstrated to be effective perceptual quality features. The perceptual loss, based on feature maps of pre-trained CNN's has proven to be remarkably effective for CNN based perceptual image restoration problems. In this work, taking inspiration from the the Human Visual System (HVS) and visual perception, we propose a spatial attention mechanism based on the dependency human contrast sensitivity on spatial frequency. We identify regions in input images, based on the underlying spatial frequency, which are not generally well reconstructed during Super-Resolution but are most important in terms of visual sensitivity. Based on this prior, we design a spatial attention map that is applied to feature maps in the perceptual loss and its variants, helping them to identify regions that are of more perceptual importance. The results demonstrate the our technique improves the ability of the perceptual loss and contextual loss to deliver more natural images in CNN based super-resolution.

We investigated the role of inhibition failure in Obsessive Compulsive Disorder (OCD) through an eye tracking experiment. Twenty‐five subjects with OCD were recruited, as well as 25 with Generalized Anxiety Disorder (GAD) and 25 healthy controls. A 3 (group: OCD group, GAD group and control group) × 2 (target eccentricity: far and near) × 2 (saccade task: prosaccade and antisaccade) mixed design was used, with all participants completing two sets of tasks involving both prosaccade (eye movement towards a target) and antisaccade (eye movement away from a target). The main outcome was the eye movement index, including the saccade latency (the time interval from the onset of the target screen to the first saccade) and the error rate of saccade direction. The antisaccade latency and antisaccade error rates for OCDs were much higher than those for GADs and healthy controls. OCDs had longer latency and error rates for antisaccades than for prosaccades, and for far‐eccentricity rather than near‐eccentricity stimuli. These results suggest that OCDs experience difficulty with behavior inhibition, and that they have higher visual sensitivity to peripheral stimuli. In particular, they show greatest difficulty in inhibiting behavior directed towards peripheral stimuli.

Encoding of visual information requires precisely timed spiking activity in the network of cortical neurons; irregular spiking can interfere with information processing especially for low-contrast images. The vision of newborn infants is impoverished. An infant's contrast sensitivity is low and the ability to discriminate complex stimuli is poor. The neural mechanisms that limit the visual capacities of infants are a matter of debate. Here we asked whether noisy spiking and/or crude information processing in visual cortex limit infant vision. Since neurons beyond the primary visual cortex (V1) have rarely been studied in neonates or infants, we focused on the firing pattern of neurons in visual area V2, the earliest extrastriate visual area of both male and female macaque monkeys (Maccaca mulatta). For eight stimulus contrasts ranging from 0% to 80%, we analyzed spiking irregularity by calculating the square of the coefficient of variation (CV(2)) in interspike intervals, the trial-to-trial fluctuation in spiking (Fano factor), and the amount of information on contrast conveyed by each spiking (information density). While the contrast sensitivity of infant neurons was reduced as expected, spiking noise, both the magnitude of spiking irregularity and the trial-to-trial fluctuations, was much lower in the spike trains of infant V2 neurons compared with those of adults. However, information density for V2 neurons was significantly lower in infants. Our results suggest that poor contrast sensitivity combined with lower information density of extrastriate neurons, despite their lower spiking noise, may limit behaviorally determined contrast sensitivity soon after birth. SIGNIFICANCE STATEMENT Despite >50 years of investigations on the postnatal development of the primary visual cortex (V1), cortical mechanisms that may limit infant vision are still unclear. We investigated the quality and strength of neuronal firing in primate visual area V2 by analyzing contrast sensitivity, spiking variability, and the amount of information on contrast conveyed by each action potential (information density). Here we demonstrate that the firing rate, contrast sensitivity, and dynamic range of V2 neurons were depressed in infants compared with adults. Although spiking noise was less, information density was lower in infant V2. Impoverished neuronal drive and lower information density in extrastriate visual areas, despite lower spiking noise, largely explain the impoverished visual sensitivity of primates near birth.

With the increase of building density in contemporary urban building space, the layout design of guiding signs has become a typical problem. There are few studies on the special characteristics of the building environment such as narrow passageways. Therefore, this paper studies the angle of clearly can be seen and the angle of comfortably can be seen based on visual sensitivity by experimental method, considering different eye heights and viewing distances so as to provide some references for the guided sign setting in narrow passageways and similar environment.

Urban forest parks are different from urban parks and forest parks. They are located in the central area or suburbs of the city. They are supported by forest ecological landscapes, supplemented by man-made natural landscapes, and provide the citizens with a place for forest ecotourism, which has certain special characteristics. Therefore, the evaluation of landscape resources of urban forest parks can objectively analyze the landscape effects of urban forest parks. This paper takes Beijing Tongzhou Grand Canal Forest Park as an example. Based on the basic geographic data combined with DEM as the data foundation, the ENVI software and Arc GIS software are used as the specific implementation platform to select the representative forest park 18 scenes. Quantitative analysis of slope, aspect, elevation, and landscape visual sensitivity. Finally, it was found that the scenic spots of scenic spot 2, scenic spot 4 and scenic spot 15 were lower; the scenic spots 1, scenic spots 6, and scenic spots 14 and 18 scored higher. This verifies the feasibility of applying GIS technology in landscape resource evaluation of urban forest parks, and provides reference and basis for landscape resource evaluation techniques in similar areas.

Visual features such as edges and corners are carried by high-order statistics. Previous analysis of discrimination of isodipole textures, which isolate specific high-order statistics, demonstrates visual sensitivity to these statistics but stops short of analyzing the underlying computations. Here we use a new texture centroid paradigm to probe these computations. We focus on two canonical isodipole textures, the even and odd textures: any 2 × 2 block of even (odd) texture contains an even (odd) number of black (and white) checks. Each stimulus comprised a spatially random array of black-and-white texture-disks (background = mean gray) that varied in their fourth-order statistics. In the Even (Odd) condition, disks varied along the continuum between random coinflip texture and pure (highly structured) even (odd) target texture. The task was to mouse-click the centroid of the disk array, weighting each disk location by the target structure level of the disk-texture (ranging from 0 for coinflip to 1 for even or odd). For each of block-sizes S = 2 × 2 , 2 × 3, 2 × 4 and 3 × 3, a linear model was used to estimate the weight exerted on the subject’s responses by the differently patterned blocks of size S. Only the results with 2 × 4 and 3 × 3 blocks were consistent with the data. In the Even condition, homogeneous blocks exerted the most weight; in the odd condition, block-pattern symmetry was important. These findings show that visual mechanisms sensitive to four-point correlations do not compute evenness or oddness per se, but rather are activated selectively by features whose frequency varies across isodipole textures.

Jumping spiders (family Salticidae) are known for their intricate vision-based behavior during encounters with prey and conspecific individuals. This is achieved using eyes specialized for discerning fine detail, but there has been minimal research on the capacities that salticids might have for visual performance under low ambient light levels. Here we investigate the capacity of two salticid species, Cyrba algerina from Portugal and C . ocellata from Kenya, to perform two specific visual tasks under low ambient light levels. We used lures made from spiders and midges in prey-identification experiments and mirror images (virtual conspecifics) in rival-identification experiments. These experiments were implemented under a range of ambient light levels (234 cd m −2 , 1.35 cd m −2 , 0.54 cd m −2 , 0.24 cd m −2 ). In most instances, C . algerina and C . ocellata were proficient at performing both of these visual tasks when ambient light was 234 cd m −2 and 1.35 cd m −2 , and a minority performed these tasks at 0.54 cd m −2 , but none succeeded when light level was 0.24 cd m −2 . C. algerina and C. ocellata made vision-based discriminations under low ambient light levels previously associated with nocturnal species.

Both patients with eye movement disorders and healthy participants whose oculomotor range had been experimentally reduced have been reported to show attentional deficits at locations unreachable by their eyes. Whereas previous studies were mainly based on the evaluation of reaction times, we measured visual sensitivity before saccadic eye movements and during fixation at locations either within or beyond participants’ oculomotor range. Participants rotated their heads to prevent them from performing large rightward saccades. In this posture, an attentional cue was presented inside or outside their oculomotor range. Participants either made a saccade to the cue or maintained fixation while they discriminated the orientation of a visual noise patch. In contrast to previous reports, we found that the cue attracted visual attention regardless of whether it was presented within or beyond participants’ oculomotor range during both fixation and saccade preparation. Moreover, when participants aimed to look to a cue that they could not reach with their eyes, we observed no benefit at their actual saccade endpoint. This demonstrates that spatial attention is not coupled to the executed oculomotor program but instead can be deployed unrestrictedly also toward locations to which no saccade can be executed. Our results are compatible with the view that covert and overt attentional orienting are guided by feedback projections of visual and visuomotor neurons of the gaze control system, irrespective of oculomotor limitations.

Purpose To investigate the relationship between intereye visual field defect (VFD) asymmetry and subsequent VF progression in primary open-angle glaucoma (POAG). Methods Moderate-stage patients with POAG (226 eyes of 113 patients) with a single hemifield defect were followed for 8.7 years. Participants were categorized into three groups by initial VF pattern: (1) unilateral VFD, (2) bilateral VFD within same hemifield (superior–superior, inferior–inferior), (3) bilateral VFD within opposite hemifield (superior–inferior). The mean deviation (MD) difference between the intereye was defined as the intereye MD asymmetry index (iMAI). Intereye visual-sensitivity difference within the same hemifield was calculated as the intereye hemifield visual-sensitivity asymmetry index. Functional progression was detected by Glaucoma Progression Analysis. The overall rate of MD change and the association between new indices were evaluated by linear regression. A Kaplan-Meier survival analysis was performed and the factors associated with glaucoma progression were evaluated by Cox proportional hazard modeling. Results Unilateral VFD eyes and bilateral VFD eyes within opposite VF hemifield showed significant progression and faster rate of MD change compared with bilateral VFD eyes within same VF hemifield (71.1% vs. 45.9% vs. 21.1% [P = 0.001]; –1.27 dB/y vs. −0.64 dB/y vs. −0.32 dB/y [P = 0.001]). Unilateral VFD eyes showed the fastest time to VF progression compared with other groups (P = 0.002). A faster rate of MD change was associated with greater intereye MD asymmetry index (P = 0.001) and greater intereye hemifield visual-sensitivity asymmetric index (P = 0.031), which were significant risk factors for glaucoma progression (all P < 0.001). Conclusions Among POAG eyes with comparable hemifield VFDs, eyes without a corresponding hemifield defect in the fellow eye showed faster rates of progression compared with those with a corresponding hemifield defect.

Discomfort provoked by normally innocuous visual stimuli has been reported by people with chronic pain. Visual discomfort may be higher in pain conditions in which central sensitization is implicated, such as Complex Regional Pain Syndrome (CRPS) and fibromyalgia. In an online study, we validated the Leiden Visual Sensitivity Scale (L-VISS) and Visual Discomfort Scale (VDS) in people with CRPS ( n = 57), fibromyalgia ( n = 75), and general chronic pain ( n = 53); investigated whether these groups and pain-free controls ( n = 125) differed in visual discomfort; and evaluated the effect of age. The L-VISS and VDS had good internal consistency. Both scales were positively related with experimentally induced visual distortions for mid-spatial frequency striped patterns, suggesting good construct validity. The scales were positively related with each other, and dissociated between the pain and pain-free groups in similar ways, suggesting good construct validity. There was no relationship between age and L-VISS scores and a small negative relationship between age and VDS scores. Visual discomfort was highest in the fibromyalgia group, followed by the CRPS group. This research confirms the utility of the L-VISS and VDS for measuring visual sensitivity in chronic pain and adds to evidence that central sensitization is an important mechanism of visual discomfort.