June 2015
Volume 56, Issue 7
ARVO Annual Meeting Abstract  |   June 2015
Cortical hyperexcitability and sensitivity to discomfort glare
Author Affiliations & Notes
  • Gary Bargary
    School of Health Sciences, City University London, London, United Kingdom
  • Michele Furlan
    Royal Holloway University of London, London, United Kingdom
  • Peter Raynham
    University College London, London, United Kingdom
  • John L Barbur
    School of Health Sciences, City University London, London, United Kingdom
  • Andrew T Smith
    Royal Holloway University of London, London, United Kingdom
  • Footnotes
    Commercial Relationships Gary Bargary, None; Michele Furlan, None; Peter Raynham, None; John Barbur, None; Andrew Smith, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 454. doi:https://doi.org/
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      Gary Bargary, Michele Furlan, Peter Raynham, John L Barbur, Andrew T Smith; Cortical hyperexcitability and sensitivity to discomfort glare. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):454. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: It is well established that there are two main aspects to glare, the visual impairment and the discomfort, known as disability and discomfort glare, respectively. In contrast to the case of disability glare we understand very little about the underlying mechanisms or physiology of discomfort glare. This study attempts to elucidate the neural mechanisms involved using fMRI and glare sources with controlled levels of retinal illuminance.

Methods: Prior to carrying out the fMRI experiment, we determined each participant’s discomfort glare threshold. The participants were then divided into two groups of equal size based on their ranked sensitivity to discomfort glare, a low and high sensitivity group. In the fMRI experiment each participant was presented with three levels of glare intensity whilst simultaneously required to carry out a simple behavioural task.

Results: We compared BOLD responses between the two groups and found that the group more sensitive to glare had an increased response that was localized at three discrete, bilateral cortical locations: one in the cunei, one in the lingual gyri and one in the superior parietal lobules. This increased response was present for all light levels tested, whether or not they were intense enough to cause discomfort glare.

Conclusions: The results suggest that sensitivity to discomfort glare is determined, at least in some degree, by the level of intrinsic excitability of ones visual neurons.


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