Filling-in of retinal scotomas

In this study we examined the perception of one- and two-dimensional patterns across central retinal scotomas, caused by age-related macular degeneration. In contrast with previous studies of disrupted visual input that used the blind spot and artificial scotomas, the current study used large central scotomas caused by physical retinal damage. Such damage is associated with atrophy and long-term cortical reorganization, and it was therefore unclear whether perceptual completion in the damaged system will be similar to that reported for artificial scotomas and the blind spot. In addition, the scotomas under study were much larger and more central than artificial scotomas for which perceptual completion has been reported. For 1-D line and grating patterns, we found perceptual completion across large central scotomas (up to radius of 7 degrees ), which is significantly beyond the range of perceptual completion in artificial scotomas. Gratings completion was better than that of a single line, and increased with bars density. The use of central scotomas allowed us to test the completion of 2-D patterns that are difficult to study in peripheral vision. We found completion of two-dimensional dot arrays over large regions that improved with pattern density and regularity. The results show that in the physically damaged system the range of perceptual completion is increased compared with artificial scotomas, they strongly support the view of an active filling-in process rather than simply ignoring the damaged location, and they show that perceptual completion of physical scotomas is likely to involve cortical processing at multiple levels. We finally discuss implications of the results to the possible use of image enhancement techniques to facilitate the perception of low-vision individuals.