Breakthrough In Diagnosing VSS

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What Is The Visual Snow Diagnosis Research About?

  • Visual snow syndrome (VSS) is a syndrome because many visual and non-visual symptoms range from tolerable to life-altering.
  • It is a misdiagnosed neurological condition since visual snow diagnosis is complex.
  • Also, the cause, area of the brain affected, or how to treat visual snow syndrome is unknown
  • In addition, the hallmark symptom is that people with VSS see the world through an overlay of moving dots throughout their entire field of vision. 
  • Besides, people with VSS experience these symptoms all the time, every day, irrespective of whether their eyes are open or closed.
  • Indeed, a diverse range of visual symptoms suggests that a unique processing error may cause the syndrome as the brain relays visual information.
  • Studying the precise point in which visual processing is affected in the brain can help us understand the condition and hence, visual snow diagnosis.
  • Furthermore, investigations to find out what causes VSS can be done by activating the ocular motor network using key tasks.

Key Definitions & Terms

1. Visual processing – Acquiring and transmitting visual information from the eyes, integrating and interpreting this information into a meaningful image to move the eyes or head.
2. Ocular motor network – The system responsible for moving the eyes and maintaining a stable visual image.
3. Stimulus – A visual event that brings about or increases the likelihood of an eye movement.
4. Central cognitive executive control – Integration of visual sensory information with a person’s intentions (derived from memory, attention, and psycho-emotional processes), resulting in the perception of a unified visual image within the brain’s consciousness.
5. Saccade – Quick movement of the eyes from one location to another.

What DId The Researchers Do?

  •  A group of people (64) diagnosed with visual snow syndrome had their visual processing observed. 
  • Afterward, researchers compared them with a control group (23) by studying the ocular motor network.
  • Three validated and distinct ocular motor tasks (e.g. a prosaccade, an antisaccade and an interleaved antisaccade-prosaccade) were perfomed.
  • Each task placed different demands on the ocular motor network
  • Therefore, allowing us to illustrate the types of visual processing changes occurring in people with the condition.

What Did The Researchers Find?

  • Fundamental execution of an eye movement towards a suddenly appearing stimulus in the visual field occurred faster in people with VSS than in the control group.
  • When people with visual snow syndrome performed the opposite action, i.e., prevent an eye movement towards a suddenly appearing stimulus, they were likelier to move their eyes towards the stimulus erroneously.
  • However, when a task’s difficulty level increased (i.e., requiring increased demands on central-cognitive executive visual processing), neither the faster eye movement response nor the proportion of erroneous eye movements changed.
  • Indicating that these visual processing changes are not a consequence of a disruption to the decision-making centers of the brain.
  • Instead, people with VSS appear to be processing visual stimuli more quickly than healthy people, leading to hyper-accelerated eye movements to visual stimuli.

What Does This Mean For Visual Snow Diagnosis

  • This research indicates a possible first-ever science-based visual snow diagnosis as revealed by, objectively using simple ocular motor tasks.
  • Changes seen in people with VSS indicate that their attention when filtering visual information may be affected and may be a contributing factor.

Written by Dr. Meaghan Clough, Post-doctoral fellow, Ocular Motor Research Group, Department of Neuroscience, Central Clinical School, Monash University. Here is the research summary: Fielding/White group

References

White OB, Clough M, McKendrick AM, Fielding J. Visual Snow. Journal of neuro-ophthalmology. 2018

Emma J Solly, Meaghan Clough, Allison M McKendrick, Paige Foletta, Owen B White, Joanne Fielding. Ocular motor measures of visual processing changes in visual snow syndrome. Neurology. First published July 16, 2020, https://doi.org/10.1212/WNL.0000000000010372

Contact Us

Associate Professor Joanne Fielding
Head of Ocular Motor Laboratory
Dept of Neuroscience, CCS
E: [email protected]

View PDF: VSI Monash_Visual Snow Syndrome Breakthroughs

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