Monday, March 10, 2014

Does stereo vision make that big of a difference?

I remember having a conversation with Ewa, a member of DIY Vision Therapy, a long time back about the visual difference between having stereopsis and having stereoblindness.  She asked the question 'Does it really make that big of a difference?' or 'I wonder if it really makes that big of a difference.'  I made some long response (heh), about how yes, it makes a giant difference.

The first hint that I got that they are very different ways of seeing is when I was a child and when my brothers and I were sharing a View-Master (one of those red things that shows you joint pictures with stereo disparity cues).  When they looked in, they were in awe, clearly impressed by what they saw.  When I looked in, I was like 'okay, there's a picture of a car... it looks fine, what's the big deal?'  Of course, my brothers and I were like three or four years old and so lacked the vocabulary to explain the difference.

Then when I was around five or six on vacation with my family I saw a row of people watching a 3d movie at Universal Theaters.  The entire row was freaking out as though things were coming at them within inches of their faces.  When six year old me watched the movie, everyone around me reacted similarly.  I just sat there.  What the hell?

Later in life when I learned about my condition, and had read Fixing My Gaze, I became aware of all of the different accounts of those who had been stereoblind and through one method or another recovered stereopsis.  These people describe the difference between the two ways of seeing as fundamentally different, with stereopsis being vastly superior.  A common response is 'This is how normal people see?!!'  Then they want to re-look at everything, go to art museums, and look at sculptures.  They become fixated on trees (people often talk about how amazing it is to look at trees after they've recovered stereopsis).

Here is a quote from a Reddit AMA from someone who recovered stereopsis via surgery.
woah.... you mean to tell me the doctor literally pulled and tugged your eye into place? damn thats nuts
whats the most beautiful thing / amazing thing you have seen now?
[–]souobixo[S] 164 points  ago
He literally did just that. It's hard to name just one thing that stood out. I would have to say trees have been the one thing that comes to mind. They have SOOOO much depth and detail. There is a national park not too far from where I live that has absolutely amazing colors in the fall. Even little things like chairs in the kitchen, or people walking around in a crowded room still make me stop and just look.
Someone that I know online named Heather explained the difference saying (paraphrased) 'Things are not the way that I thought they were.  Walls that I thought were straight, actually are not, and vice versa.  I feel like the world is more real now'.

Here is a long quote from Oliver Sacks's book The Mind's Eye, which I scraped from Michael Lievens's review of the book.  He has a great blog with a lot of good book reviews.  He's linked below.  
One has to lose the use of an eye for a substantial period to find how life is altered in its absence. Paul Romano, a sixty-eight-year-old retired pediatric ophthalmologist, recounted his own story in the Binocular Vision & Strabismus Quarterly. He had suffered a massive ocular hemorrhage, which caused him to lose nearly all sight in one eye. After a single day of monocular vision, he noted, “I see items but I often don’t recognize them: I have lost my physical localization memory.… My office is a mess.… Now that I have been reduced to a two-dimensional world I don’t know where anything is.”
The next day he wrote, “Things are not the same at all monocularly as they were binocularly.… Cutting meat on the plate—it is difficult to see fat and gristle that you want to cut away.… I just don’t recognize it as fat and gristle when it only has two dimensions.” After almost a month, though Dr. Romano was becoming less clumsy, he still had a sense of great loss:
Although driving at normal speed replaces the loss of depth perception with motion stereopsis, I have lost my spatial orientation. There is no longer the feeling I used to have of knowing exactly where I am in space and the world. North was over here before—now I don’t know where it is.… I am sure my dead reckoning is gone.
His conclusion, after thirty-five days, was that “even though I adapt better to monocularity every day, I can’t see spending the rest of my life in this way.… Binocular stereoscopic depth perception is not just a visual phenomenon. It is a way of life.… Life in a two-dimensional world is very different from that in a three-dimensional world and very inferior.” As the weeks passed, Dr. Romano became more at home in his monocular world, but it was with enormous relief that, after nine months, he finally recovered his stereo vision.
http://livingwithdiplopia.blogspot.be/2013/07/book-review-minds-eye-by-oliver-sacks.html

Susan herself describes the sensation of stereopsis as 'touching with the eyes'.  Objects are suddenly in your face.  Seeing is now intensely stimulating.

In her book, Susan talks about the experience, and how even though you've essentially gained another eye, it's not quite enough to say that your vision has improved by a factor of two. A person with stereopsis has vision that is much more than twice as good as a person who has stereoblindness.  It has to do with way that the two eyes are used together. This, I told Ewa, is because of evolution.  Evolution is all about optimization, and optimizing a function with what is currently available to work with. That is why the mammalian eye, even with all of its flaws, works pretty well.

If we dare anthropomorphize evolution, we might imagine evolution asking 'How can we improve situational awareness?  We've got two forward-facing eyes.  Each eye sees well.  Are there any inferences we could make by combining their input?  Would that enhance situational awareness?'

When we look at something, we direct our eyeballs, pointing at that object with our foveas.  The fovea is the dead center of our retina.  It is the area most densely packed with photoreceptors.  The area of our fields that we look at with our foveas is quite small.  If you extend your hand out in front of you looking at your thumb, the size of your thumbnail represents your foveal viewing field.  It's pretty small.  Everything else is seen with our peripheral vision.  We're not aware of how low-resolution everything else is because filling in gaps is one of the primary jobs of the brain.  When we switch our attention to something that was in our blurry periphery, we put our foveas and attention on the object, and then suddenly that object is in sharp focus.  Everything else is back in our blurry periphery and out of our attention.

But the periphery is a giant part of our visual field.  What if evolution could take advantage of the massive peripheral overlap between the two eyes to make some valuable inferences about the environment?  Well, that's precisely what it did by evolving specialized neurons to do that job (binocular depth neurons).  This is why building peripheral vision is an important part of stereopsis recovery.  It's because peripheral vision, while beneficial on its own, becomes vastly more beneficial when the giant overlap between the eyes can be combined to make inferences about the environment.

So even though the visual information coming in from our periphery is low-resolution and it's not providing a ton of information, the real benefit comes from the special sense of depth inferred by binocular depth neurons via processing both foveal and non-foveal visual input of each eye.  This, I suspect, is a big part of why a person who has stereopsis has vision much more than twice as good as a person with stereoblindness.  This is why people who have recovered stereopsis are stunned by how different and how wonderful things look.  The massive difference between the two ways of seeing is why I've put so much time and investment into fixing my vision.  That's why when Ewa innocently asked me 'Is it worth it?  Is the difference between stereopsis and stereoblindess really that big?'  I answered with conviction Yes! and Yes!

Monday, March 3, 2014

#260 session: improved accuracy and alignment

I didn't see too much subjective improvement this week, although I did have a particularly 'good eye' day on Friday.

I spent the week doing the normal thing (motion exercises), but with the dark red Alpha Omega filters.  With those filters, the accommodation out-of-sync problem is more noticeable than it is with other filters.  Doing the light tube exercises, typically I would start out with it being very difficult to squash the out-of-sync accommodation problem, but then after around 20-30 minutes, I'd have it pretty well controlled.  Then the next day when I do it, the same thing would happen, except it would take less time to have it squashed.  By Friday of last week I had it to the point where I could have it squashed by around the five minute mark.  That is to say, it's not 100% where it needs to be.  It's because of this, and the fact that the Alpha Omega filters seem to be more challenging, that I considered just staying with and running with those filters for another week.

Instead I just went to the next filters--Mu Delta (green-yellow).  Predictably it's very bright, and clear.  That was Saturday and Sunday.  I haven't noticed too much of a change in subjective experience.  What I did notice is improvement in accuracy of eye movements and eye alignment,especially when I saccade from one side of my visual field to another.  The lazy eye image is landing damn near perfectly on target.  Is this a result of improved coordination?  Or is it the fact that I'm making progress with squashing the out-of-sync accommodation problem?  I'm betting it's the latter, and that is causing improved coordination and alignment.

Perhaps I'll have some good eye days this week.  It seems that those days are actually coming with decreasing frequency, but when they do come, it's a lot of eye candy.  The visual treat is very intense, because every time I have one of those days I'm intercepting more visual information than ever before in my life.  It's something to look forward to.

Sunday, February 23, 2014

#252 session: stereopsis recovery is a slow and steady process for me

I honestly expected to see more changes occur this week, but I did have a particularly 'good eye' day yesterday in which I noticed my stereo cues to be particularly strong.  I just went through the week with the Mu Upsilon filters, doing clown saccades, tracking finger monster, and doing Columns.

It's the light tube that really enables me to practice good binocular posture.  That's where I really try to gaze at the glowing circle with both eyes simultaneously and try to squash the out-of-sync accommodation problem by keeping both input streams clear and sharp.

In my blog entry What does it mean to have good binocular posture? I talk about the importance of being able to accommodate with both eyes simultaneously and how accommodation is linked with attention.  When you pay attention to an object, you're automatically going to try to accommodate for it and get it into focus.  This can almost be called a reflex, similar to the accommodation reflex.  The two occur in tandem and they happen automatically.  If accommodation is out of sync across the two eyes--that is, the two eyes don't want to accommodate simultaneously--you're not going to be able to give the object proper focus and attention.  Also, you're going to continue suppressing that input that's not being accommodated.  Another consequence is that because you're not paying proper attention through that unaccommodated eye, you won't be able to give it proper movements.

This must be fixed in order for a stereoblind person to gain stereopsis.  It is a huge deal.  You simply cannot progress when accommodation is out of sync across the eyes.  I remember when I was on my first year of VT and I noticed this.  I explained to my vision therapist 'Hmm, I seem to be able to get this eye into focus, but not the other.  Then I get the other eye into focus, then the other goes out of focus.  What is this crap?'.  I was confused.  In my mind I thought it could be ARC because a false fusion point could explain the blurriness as a result of feeding low-resolution non-foveal input to the brain.  I thought she might be able to explain it.  Nope!  She just said 'I don't know.'.  Great, thanks.  But that's another discussion.  #vision_therapists_who_don't_understand_binocular_vision_but_who_are_still_happy_to_take_your_money
#not_bitter_okay_maybe_a_little_bitter

Fixing this accommodation issue does seem to be key for me.  I'm hoping that it's going to be the last major hoop for me to jump through in order to achieve my goal of stereopsis. Since I've been focusing on squashing this accommodation issue I do seem to have made very significant progress.  It's been noticeable particularly in my ability to get past a lot of suppression and improve motor control.

In the past week I've noticed that I can consciously perceive two input streams simultaneously--an indication of decreased suppression.  For example, when I look at a plug in the wall outlet, it sticks out a little.  I can notice and be aware of the fact that I have two different views--each being a little different.  In the past, I vaguely knew that I could see both, but one of the double images was too suppressed for me to really see any kind of detail.  It's kind of interesting to be able to see objects from two different angles simultaneously in the mind.

Yesterday I had a particularly good eye day.  I was playing Spec Ops: The Line.  There was a glitch in the game and there was a bunch of fire that was just sticking out from nowhere--just hovering in the air.  When I moved the camera over it, I was able to get a really nice stereo effect.  It was more powerful than anything I'd yet experienced.

Stereopsis recovery does seem to be a slow and steady process for me.  No matter how great I feel about a particular workout, it doesn't change the fact that this takes time.  But I am marching forward.  My left double foot is looking better than ever (the diplopia is diminishing).  My eye control and mobility is better than ever, especially as I reach the extremes.

There is also another technique that I do that I haven't mentioned yet in this blog that I use to gauge progress.  When I am laying in bed, I'll just relax and notice an object in the distance--in this case, a vent at the top of my room--and I'll completely relax my eyes and don't try to make it single.  When I do this, it becomes double.  As my vision improves, the perceived distance between the double images decreases.  That is, they get closer together.

Today I did that, and I noticed a very significant improvement in the double image distance over previous times.  The double images do seem to steadily, over time, move together. It does seem to be a good gauge of progress, right up there with looking at my left double foot and taking pictures of my eyes.  After all, when a person with stereopsis is at his laziest, he doesn't suddenly get double vision.  Having a singular view of everything is his laziest and most comfortable way to look at the world.

Saturday, February 15, 2014

#245 session: increased lazy eye mobility

I'm probably going to increase the frequency of my posts since I feel like things are starting to move quickly, and I'm going to have stereopsis relatively soon.  It's just that there's more to report, and I'm noticing new changes on a daily basis.

One of the things that I'm noticing is improved mobility.  As suppression decreases, smaller issues with the lazy eye become more apparent.  In order to have binocular vision, both of the eyes have to be working in perfect synchrony.  Having imperfect input (conflicting input) is somewhat tolerable because of my suppression.  Usually the conflicting input isn't a big deal because I can superimpose most of the time.  I lose superimposition when I change focus to something at a different area of my field of vision, or if I'm tracking something.

But now this de-fusion is becoming less tolerable with the decreased suppression and that's driving increased mobility and motor control.  Again, this is another example of sensory fusion driving motor fusion.

When you shift your gaze from one side of your visual field to another (either saccadic or pursuit movements), ideally, there should be something close to a 1:1 correspondence in the movements of your eyes.  That's not the case for me.  The fixing eye moves right to the target, but for the lazy eye to get to the target, it sort of takes two steps.  It'll get there, but not in a single instant.  If it's a pursuit movement, it'll get close to the target, and then I have to sort of 'un-stick' it and tell it 'go' in order for it to get there.  The good thing about this perceived 'stickiness' is that my mind is no longer tolerating laziness on the part of my left eye. Although the correction is done consciously, I imagine that it will eventually become an unconscious maneuver in not much time.

Another thing that I've been noticing is that the light tube looks god damned good.  That glowing circle is beginning to look great--fused.  And also, I'm noticing something about it that I have experienced before, but haven't noticed in a long time.  I'd mentioned it in previous blog entries (somewhere around #session 40 or so), but what would happen is that I would consistently oscillate between sessions where I had to actively correct my hypertropia.  Some sessions I would have to push the eye down (and thus the lazy-eye image up) in order to superimpose; other sessions, I would not.  I had hypothesized that this was because as the lazy eye loses suppression, minor problems with it become noticeable and become intolerable to the brain.  So they have to be fixed with conscious correction.  I haven't experienced this in a while, but it's been happening in the past couple of sessions.

Also, the subjective experience has seen a very big improvement--even just today, and it's only 3:44pm.  I asked a lady at the grocery store where the ethnic food isle was, and when she explained to me that our HEB is not well stocked, she gesticulated with her hands, which gave me a pretty solid stereo effect.  Awesome.  Things are going great.  I'm stoked, and quite happy at the moment.

Thursday, February 13, 2014

#243 session: fastening the system into place

I sort of predicted that this was going to happen.  As I get closer to stereopsis, my daily subjective experience of improvement is becoming more pronounced.  As my eyes align themselves, and as the diplopia becomes less and less, the experience is becoming more vivid and I'm now experiencing more... and the visual experience is becoming more powerful.  I'm noticing the changes daily.  It's particularly noticeable when I'm looking down, say, a lit hallway or something where there's distance and where I can trace vanishing points.  It's becoming more obvious to me why people in general are such visual animals.  It's because properly functioning eyes provide a visual experience that is intensely stimulating--far beyond what a stereoblind individual can understand.

As for exercises... lately I've made some small changes.  I'm now doing five minutes of Columns, five minutes of tracking with my finger monster, five minutes of clown saccades, and then about 40 minutes of circular movement light tube exercises, all while providing anodal stimulation to my occipital poles.  And I'm going to swap out Alpha Delta filters on Saturday for Mu Upsilon.  I've done two weeks with Alpha Delta.  It's time to give those cone cells a break.

The last few nights I've also been getting back into playing SpecOps: The Line, in stereo 3d.  My stereo power is definitely increasing, and it's particularly noticeable with these stereo 3d games.  I'm going to keep stereo 3d gaming in the regimen.  I think it's probably a good addition to the current regimen.

As I get closer to fusion, I become more clued-in as to what it's going to be like--this idea of both of my eyes being locked on target to the same spot in space; this idea of not having diplopia; this idea that when I'm fusing I'm not going to be looking at something with a particular eye, but both simultaneously with there being no preference between the two.  When this happens, there will likely be a very rapid diminishing of suppression since all of a sudden visual conflict has been reduced to zero.  Suppression can be completely shut off.  The complete loss of suppression, I imagine, will be an intense experience.

Right now it's as if I've got the bolt twisted down to the end of the threading.  All I have to do is now torque it into place.

Monday, February 3, 2014

#233 session: new control, new information, and more detail

I was inspired to make an entry today because I am noticing a particular lot of improvement in my vision today.  It is very overt.

It's the feeling of taking control of the lazy eye and having simultaneous control of it, and my normal fixing eye.  It's a foreign feeling, but it feels really good and I'm noticing quite a bit more information, which is nice.

I'm not sure why--is it because I changed light tube filters to Alpha Delta on Saturday?  Incidentally, I figured out why they call it Alpha Delta, Mu Upsilon, and so on.  Each filter is actually two filters.  So each Greek letter represents a different color filter (Alpha is red, and Delta is yellow). Together they make a orange-ish red.  Mu Delta is green-yellow.  Mu Upsilon is green-blue.

Anyway, I'm enjoying my daily new vision.  Now I'm starting to relax, and enjoy the process of gaining stereopsis.  I'm no longer in a panicked rush because I know it's coming, and I get to relax (except when doing eye exercises) and watch new information coming in every day.

When I do light tube exercises, it just feels right, like I know what I'm doing now and I know what kinds of sensations I should follow.  I've developed a binocular instinct if you will.

I have a weird theory.  I think it's, in principle, possible to go from stereoblind to having stereoscopic vision without doing any vision therapy exercises.  It's a certain way that you look through your eyes.  It's tricky to know how to do it because it doesn't cause you to see any differently and there's no feedback, but by doing it, you're flexing the binocular muscle.  If you keep doing it, you'll eventually have stereopsis.

The purpose of vision therapy exercises is to guide you toward the proper way of seeing.  If you're sensitive and receptive to the guidance that VT is providing you, you should in theory, not need to do vision therapy very much and you'll gain stereopsis much more quickly than someone who unthinkingly does the workout and then forgets about it and goes on with his day.

Just a random thought.

Sunday, February 2, 2014