Vision (ch2-2.2 retina)

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32 Terms

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light

a wave; a stream of photons, tiny particles, that each consist of one quantum of energy

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Wavelength

distance between the peaks of an energy wave

  • wavelengths between 400 nm and 700 nm are visible (nm=10-9 m)

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Visible spectrum

wavelength determines colour (hue) perceived (ROYGBIV)

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intensity

  • wave property: height of the peaks of an energy wave (amplitude)

  • particle property: number of quanta emitted by a light source or reflected off a surface determines brightness perceived → determines brightness perceived

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Different light sources emit energy at different wavelengths

Sunlight has more short wavelengths (blue); light bulbs more longer wavelengths (yellow)

<p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Sunlight has more short wavelengths (blue); light bulbs more longer wavelengths (yellow)</span></span></p>
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once emitted, light can be

  • absorbed: taken up and not transmitted at all

  • diffracted (scattered): dispersed in an irregular fashion

    • by dust or water particles in air

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At the interface between 2 media(e.g. Air, water, glass), light may be

  • transmitted: conveyed from one place to another, usually with refraction (ex. Light entering water)

  • absorbed: Light energy is taken and converted to heat (ex. Concrete or black shirt absorb light → heated)

  • reflected: redirected back toward its origin (ex. Mirror reflection)

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><span>transmitted:</span></strong><span> conveyed from one place to another, usually with refraction (ex. Light entering water)</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><span>absorbed:</span></strong><span> Light energy is taken and converted to heat (ex. Concrete or black shirt absorb light → heated)</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><span>reflected</span></strong><span>: redirected back toward its origin (ex. Mirror reflection)</span></span></p></li></ul><p></p>
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Color of solid vs translucent object and wavelengths

  • Solid objects colored cuz of wavelengths reflected off object to eye (light they reflect)

  • Translucent object colored cuz of wavelengths transmitted through object to eye

  • The more wavelength reflect, the more you will perceive that color

  • Blue/violet shortest wavelength

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refraction

change in direction (bending) of light ray passing from one transmitting medium into another. Refraction depends on wavelength

shorter WL refract more: Red (long wavelengths) bend (refracted) a little, purple (short wavelengths) bend the most

<p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>change in direction (bending) of light ray passing from one transmitting medium into another. Refraction depends on </span><strong><span>wavelength</span></strong></span></p><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><u><span>shorter  WL refract more: </span></u></strong><span>Red (long wavelengths) bend (refracted) a little, purple (short wavelengths) bend the most</span></span></p>
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Anatomy of the human eyeball

  • cornea - very sensitive to touch, transparent (transmit), tear films, first place light arrives

  • pupil - hole in iris; light entry

  • iris - muscular structure, outer colored layer; control size of pupil and amount of light that reaches retina (pupillary light reflex) inner layer of blood vessels

  • Lens - no blood supply, transparent, light pass after pupil in iris

  • ciliary muscle - controls shape of lens

  • aqueous humor - fluid from blood, in anterior chamber; continually replenished, feed and take care of cornea and lens

  • vitreous humor - fluid in posterior chamber, 80% of internal volume of eye, not replenished; transparent, floaters (small bits of debris drift around)

  • retina - detects light, initiates neural messages (only half of the light that arrives cornea will reach retina)

  • sclera - protective white outer surface

  • choroid - blood vessels; nourishes retina

  • macula - yellow pigmented spot, under fovea, seen thru ophthalmoscope

  • optic disk - axons leave eye

  • fovea - where we have best vision

  • optic nerve (II) – axons of retinal neurons (emerge from the eyeball thru the optic disk and form the optic nerve → signals to brain

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>cornea - very sensitive to touch, transparent (transmit), tear films, first place light arrives</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>pupil - hole in iris; light entry</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>iris - muscular structure, outer colored layer; control size of pupil and amount of light that reaches retina (pupillary light reflex) inner layer of blood vessels</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Lens - no blood supply, transparent, light pass after pupil in iris</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>ciliary muscle - controls shape of lens</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>aqueous humor - fluid from blood, in anterior chamber; </span><strong><span>continually replenished,</span></strong><span> feed and take care of cornea and lens</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>vitreous humor - fluid in posterior chamber, 80% of internal volume of eye, </span><strong><span>not replenished</span></strong><span>; transparent, floaters (small bits of debris drift around)</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>retina - detects light, initiates neural messages (only half of the light that arrives cornea will reach retina)</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>sclera - protective white outer surface</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>choroid - blood vessels; nourishes retina</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>macula - yellow pigmented spot, under fovea, seen thru ophthalmoscope</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>optic disk - axons leave eye</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>fovea - where we have best vision</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>optic nerve (II) – axons of retinal neurons (emerge from the eyeball thru the optic disk and form the optic nerve → signals to brain</span></span></p></li></ul><p></p>
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Parts of the eye for seeing

  • Optical apparatus: cornea, aqueous humor, lens, vitreous humor, pupil (iris)

  • Neural apparatus: retina

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Visual system overview

Optic chiasm: Some of axons of neurons whose cell bodies in the nearest to the nose in optic nerve cross e/o at optic chiasm (ex. Left half of each eye sees the right side of the world) 

Superior colliculus: Most axons in optic nerve connect to LGN, some synapse w here. 

  • Eye movements, older than LGN evolutionarily

Lateral geniculate nucleus (LGN)

  • Primary relay station for info flowing from eye to brain. Axons leaving the retina via optic nerve, then synapse w new neurons

  • Contains 6 layers of neurons

Optic radiation

Axons from cells that synapse w optic nerve fibers in LGN → optic radiations to primary visual cortex (Contralateral: Radiations on left side of brain are carrying info from right side of the world)

Striate cortex (primary visual cortex): First place in cerebral cortex where visual info is received and processed (40% of cortex is directly involved in processing visual info)

<p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Optic chiasm: Some of axons of neurons whose cell bodies in the nearest to the nose in optic nerve cross e/o at optic chiasm (ex. Left half of each eye sees the right side of the world)&nbsp;</span></span></p><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Superior colliculus: Most axons in optic nerve connect to LGN, some synapse w here.&nbsp;</span></span></p><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Eye movements, older than LGN evolutionarily</span></span><br></p></li></ul><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Lateral geniculate nucleus (LGN)</span></span></p><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Primary relay station for info flowing from eye to brain. Axons leaving the retina via optic nerve, then synapse w new neurons</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Contains 6 layers of neurons</span></span></p></li></ul><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Optic radiation</span></span></p><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Axons from cells that synapse w optic nerve fibers in LGN → optic radiations to primary visual cortex (Contralateral: Radiations on left side of brain are carrying info from right side of the world)</span></span></p><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Striate cortex (primary visual cortex): First place in cerebral cortex where visual info is received and processed (40% of cortex is directly involved in processing visual info)</span></span></p>
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Optical apparatus of the human eye

photoreceptors in retina absorb light

light emitted, transmitted or reflected to eye is transmitted through cornea, aqueous humor, lens and vitreous humor

Image focused on retina

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sharpness of image depends on ability of…

 cornea (2/3) + lens, aqueous & vitreous humors (1/3) to refract light

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accommodation

the process by which the eye changes its focus by changing the shape of the lens

  • Done through contraction of ciliary muscle (attached to lens)

  • When focus: Zonules of zinn RELAXED, ciliary muscle contracted, accommodated lens

  • a fatter lens increases the optical power of the eye to bring images of near objects into focus 

  • in a camera the lens is moved closer or farther from the film/sensors to change the focus

<p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>the process by which the eye changes its focus by </span><strong><u><span>changing the shape of the lens</span></u></strong></span></p><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Done through contraction of ciliary muscle (attached to lens)</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>When focus: Zonules of zinn RELAXED, ciliary muscle contracted, accommodated lens</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>a fatter lens increases the optical power of the eye to bring images of near objects into focus&nbsp;</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>in a camera the lens is moved closer or farther from the film/sensors to change the focus</span></span></p></li></ul><p></p>
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cataract

  • Opacity of the crystalline lens (harder to move lens, blurry image) of the eye can be congenital (since birth) or develop in later adulthood

  • Interferes with retinal image quality

  • Treated by surgical removal and replacement of lens

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Pupil and reflexes

  • Size controlled by iris depending on light level

  • Direct light reflex: shining a light into one eye causes the pupil of that eye to constrict

  • Consensual light reflex: shining a light into one eye causes the pupil of the other eye to constrict

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Size controlled by iris depending on light level</span></span></p></li></ul><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><span>Direct light reflex:</span></strong><span> shining a light into one eye causes the pupil of that eye to constrict</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><span>Consensual light reflex:</span></strong><span> shining a light into one eye causes the pupil of the </span><strong><u><span>other eye</span></u></strong><span> to constrict</span></span></p></li></ul><p></p>
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abnormal light reflexes in pupil can indicate..

…brain injury

  • eg. no direct or consensual reflex in right eye, normal reflexes in left eye

    • problem with oculomotor nerve (III) in right eye

  • eg. consensual but no direct reflex in right eye, direct but no consensual reflex in left eye

    • problem with optic nerve (II): right eye not sensitive to light (cuz II is sensory — no direct reflex on damaged eye, but still consentual, and III is motor — can’t send signals, don’t have reflexes)

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Pupil size

  • Ranges from 2 to 8 mm; changes with light level & emotional responses

  • Constricts due to increased light level

  • Dilates for emotionally arousing pictures

  • Responses were similar to skin conductance changes, which supports involvement of autonomic nervous system

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Ranges from 2 to 8 mm; changes with light level &amp; emotional responses</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Constricts due to increased light level</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Dilates for emotionally arousing pictures</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Responses were similar to skin conductance changes, which supports involvement of autonomic nervous system</span></span></p></li></ul><p></p>
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Small pupil provides

Greater depth of field: range of distances over which objects are in focus

<p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Greater depth of field: range of distances over which objects are in focus</span></span></p>
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Emmetropia

eyeball right length for optical elements; distant objects in focus on retina; focal length 16.8 mm, optical power 59.52 D

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Myopia

Nearsightedness, eyeball too long or optics too strong, distant objects in focus in front of retina

  • tends to run in families (genetic)

  • incidence is increasing due to environmental factors

  • near-work (e.g. reading) especially under low illumination causes eyeball to continue to grow

  • Need concaved lens

<p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><span>Nearsightedness,</span></strong><span> eyeball too long or optics too strong, distant objects in focus in front of retina</span></span></p><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>tends to run in families (genetic)</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>incidence is increasing due to environmental factors</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>near-work (e.g. reading) especially under low illumination causes eyeball to continue to grow</span></span></p></li><li><p><strong><u>Need concaved lens</u></strong></p></li></ul><p></p>
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Hyperopia

farsightedness, eyeball too short or optics too weak; distant objects in focus behind retina

  • easier to see distant objects; accommodation brings them into focus on retina

  • can’t bring near objects into focus

  • need positive, convex lens adds optical power to bring both near & distant objects into focus

  • present in most newborns; many become emmetropic as eyeball grows

<p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>farsightedness, eyeball too short or optics too weak; distant objects in focus behind retina</span></span></p><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>easier to see distant objects; accommodation brings them into focus on retina</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>can’t bring near objects into focus</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><u><span>need positive, convex lens </span></u></strong><span>adds optical power to bring both near &amp; distant objects into focus</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>present in most newborns; many become emmetropic as eyeball grows</span></span></p></li></ul><p></p>
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What protects against myopia onset in children?

Outdoor activity!

  • light-induced retinal dopamine may be protective mechanism

  •  2 hrs per day of sunlight is recommended (not clear if this slows myopia progression)

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Myopia progression may be slowed by

  • keeping reading distance of books, phones and tablets >20 cm

  • low-dose atropine eye drops

  • overnight orthokeratotic lenses

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astigmatism

  • Unequal curving of eye’s refractive surfaces

  • visual distortion produced by nonspherical cornea

  • cause unknown; genetic & environmental factors

  • astigmatism causes one line to look blacker 

  • Vertical axis stretched in their sight

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Unequal curving of eye’s refractive surfaces</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>visual distortion produced by nonspherical cornea</span></span></p></li></ul><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>cause unknown; genetic &amp; environmental factors</span></span></p></li></ul><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>astigmatism causes one line to look blacker&nbsp;</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Vertical axis stretched in their sight</span></span></p></li></ul><p></p>
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Correcting vision (lens needed)

  • Correction with a cylindrical lens with 2 focal points: provide different optical power for 2 axes/orientations because the cornea has a non-spherical shape

  • needed for distance and near vision

  • rigid contact lenses for myopia or hyperopia may also correct astigmatism

  • young people with myopia or hyperopia can also wear their glasses to use accommodation to change the optical power of their eye

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><span>Correction with a cylindrical lens with 2 focal points: </span></strong><span>provide different optical power for 2 axes/orientations because the cornea has a non-spherical shape</span></span></p></li></ul><ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>needed for distance and near vision</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><u><span>rigid contact lenses for myopia or hyperopia may also correct astigmatism</span></u></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>young people with myopia or hyperopia can also wear their glasses to use accommodation to change the optical power of their eye</span></span></p></li></ul><p></p>
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Presbyopia

  • Lose ability to accommodate on near objects

  • Due to aging

  • Due to stiffening of lens and loss of mobility in ciliary muscles

  • near point: closest distance at which objects can be brought into focus (~6.7 cm in young emmetropic eyes [optical power of 15 D])

  • accommodative amplitude (maximum increase in optical power) decreases with age

  • dashed line shows amplitude needed to focus at 40 cm (typical reading distance)

  • corrected with positive, convex lens for near sight (reading glasses)(so same lens as for hyperopia)

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bifocals are glasses with

  •  a near vision correction (for presbyopia) on the bottom to compensate for the loss of accommodation with normal aging

  • a distance vision correction in the rest of the lens to compensate for refractive errors due to length of eyeball (myopia or hyperopia)

  • if astigmatism is present, it needs to be corrected in the top and bottom part of the lenses

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>&nbsp;a near vision correction (for presbyopia) on the bottom to compensate for the loss of accommodation with normal aging</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>a distance vision correction in the rest of the lens to compensate for refractive errors due to length of eyeball (myopia or hyperopia)</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>if astigmatism is present, it needs to be corrected in the top and bottom part of the lenses</span></span></p></li></ul><p></p>
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Neural apparatus of the human eye (retina)

  • fundus photograph obtained with ophthalmoscope

  • retinal blood vessels (“vascular tree” in textbook) lie in front of retina

  • Retinal blood vessels move with the eye and cast shadows on the retina

  • Usually you don’t see them cuz their images are stabilized

  • Stabilized image: A retinal image that stimulates the same photoreceptors without moving, and quickly fades from view

  • A jiggling light makes shadows visible briefly (you can see blood vessels!)

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>fundus photograph obtained with ophthalmoscope</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>retinal blood vessels (“vascular tree” in textbook) lie in front of retina</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Retinal blood vessels move with the eye and cast shadows on the retina</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Usually you don’t see them cuz their images are stabilized</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><strong><span>Stabilized image:</span></strong><span> A retinal image that stimulates the same photoreceptors without moving, and quickly fades from view</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>A jiggling light makes shadows visible briefly (you can see blood vessels!)</span></span></p></li></ul><p></p>
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Fixational eye movements

  • Still see the squares when look away (esp high contrast) cuz your brain still memorize it

  • Images of objects outside the eye aren’t usually stabilized cuz of involuntary fixational eye movements

<ul><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Still see the squares when look away (esp high contrast) cuz your brain still memorize it</span></span></p></li><li><p><span style="background-color: transparent; font-family: &quot;Times New Roman&quot;, serif;"><span>Images of objects outside the eye aren’t usually stabilized cuz of involuntary fixational eye movements</span></span></p></li></ul><p></p>