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Scientists map brains of the blind to solve mysteries of human brain specialization

Ophthalmology_Neurology

New research suggests unexpected brain connectivity can lead to fast brain specialization, allowing humans to adapt to the rapid technological and cultural innovation of our generation

Studying the brain activity of blind people, scientists at the Hebrew University of Jerusalem are challenging the standard view of how the human brain specializes to perform different kinds of tasks, and shedding new light on how our brains can adapt to the rapid cultural and technological changes of the 21st Century.

Research Highlights:

  • Understanding the brain activity of the blind can help solve one of the oddest phenomena in the human brain: how can tasks such as reading and recognizing numerical symbols have their own brain regions if these concepts were only developed several thousand years ago (which is negligible on an evolutionary timescale)? What was the job of these regions before their invention?
  • New research published in Nature Communicationsdemonstrates that vision is not a prerequisite for “visual” cortical regions to develop these preferences.
  • This stands in contrast to the current main theory explaining this specialization, which suggests these regions were adapted from other visual tasks such as the angles of lines and their intersections.
  • These results show that the required condition is not sensory-based (vision) but rather connectivity- and processing-based. For example, blind people reading Braille using their fingers will still use the “visual” areas.
  • This research uses shows unique connectivity patterns between the visual-number-form-area (VNFA) to quantity-processing areas in the right hemisphere, and between the visual-word-form-area (VWFA) to language-processing areas in the left hemisphere.
  • This type of mechanism can help explain how our brain adapts quickly to the changes of our era of constant cultural and technological innovations.

The accepted view in previous decades was that the brain is divided into distinct regions mainly by the sensory input that activates them, such as the visual cortex for sight and the auditory cortex for sound. Within these large regions, sub-regions have been defined which are specialized for specific tasks such as the “visual word form area,” a functional brain region believed to identify words and letters from shape images even before they are associated with sounds or meanings. Similarly there is another area that specializes in number symbols.

Now, a series of studies at the Hebrew University’s Amedi Lab for Brain and Multisensory Research challenges this view using unique tools known as Sensory Substitution Devices (SSDs). Sensory Substitution Devices take information from one sense and present it in another, for example enabling blind people to “see” by using other senses such as touching or hearing. By using a smartphone or webcam to translate a visual image into a distinct soundscape, SSDs enable blind users to create a mental image of objects, such as their physical dimensions and color. With intense training, blind users can even “read” letters by identifying their distinct soundscape.

“These devices can help the blind in their everyday life,” explains Prof. Amir Amedi, “but they also open unique research opportunities by letting us see what happens in brain regions normally associated with one sense, when the relevant information comes from another.”

Amedi’s team was interested in whether blind subjects using sensory substitution would, like sighted people, use the visual-word-form-area sub-region of the brain to identify shape images, or whether this area is specialized exclusively to visual reading with the eyes.

In a new paper published in Nature Communications as “A number-form area in the blind,” Sami Abboud and colleagues in the Amedi Lab show that these same “visual” brain regions are used by blind subjects who are actually “seeing” through sound. According to lead researcher Sami Abboud, “These regions are preserved and functional even among the congenitally blind who have never experienced vision.”

The researchers used functional MRI imaging (fMRI) to study the brains of blind subjects in real-time while they used an SSD to identify objects by their sound. They found that when it comes to recognizing letters, body postures and more, specialized brain areas are activated by the task at hand, rather than by the sense (vision or hearing) being used.

The Amedi team examined a recently-identified area in the brain’s right hemisphere known as the ‘Visual Number Form Area.’ The very existence of such an area, as distinct from the visual-word-form-area, is surprising since symbols such as ‘O’ can be used either as the letter O or as the number Zero, despite being visually identical.

Previous attempts to explain why both the word and number areas exist, such as the ‘Neural recycling theory’ by Dehaene and Cohen (2007), suggest that in the far distant past these areas were specialized for other visual tasks such as recognizing small lines, their angles and intersections, and thus were best suited for them. However, this new work shows that congenitally blind users using the sensory substitution devices still have these exact same areas, suggesting that vision is not the key to their development.

“Beyond the implications for neuroscience theory, these results also offer us hope for visual rehabilitation,” says Amedi. “They suggest that by using the right technology, even non-invasively, we can re-awaken the visually deprived brain to process tasks considered visual, even after many years of blindness.”

But if the specific sensory input channel is not the key to developing these brain regions, why do these functions develop in their specific anatomical locations? The new research points to unique connectivity patterns between the visual-word-form-area and language-processing areas, and between the visual-number-form-area and quantity-processing areas.

Amedi suggests, “This means that the main criteria for a reading area to develop is not the letters’ visual symbols, but rather the area’s connectivity to the brain’s language-processing centers. Similarly a number area will develop in a region which already has connections to quantity-processing regions.”

“If we take this one step further,” adds Amedi, “this connectivity-based mechanism might explain how brain areas could have developed so quickly on an evolutionary timescale. We’ve only been reading and writing for several thousand years, but the connectivity between relevant areas allowed us to create unique new centers for these specialized tasks. This same ‘cultural recycling’ of brain circuits could also be true for how we will adapt to new technological and cultural innovations in the current era of rapid innovation, even approaching the potential of the Singularity.”

Adapted by MNT from original media release

http://www.medicalnewstoday.com/releases/288490.php

 

Corneal Abrasions

ImageWhat is a corneal abrasion?

A corneal abrasion is a cut or scratch on your cornea. The cornea is a clear layer of protective tissue at the front of your eye that lies over the iris (which is the colored part of your eye). The cornea helps focus light.

What can cause a corneal abrasion?

A corneal abrasion can occur when something gets into your eye, such as sand, dust, dirt, and wood or metal shavings. The cornea can also be scratched by a fingernail, a tree branch or a contact lens that is dry or dirty. Rubbing your eyes very hard is another way that an abrasion can occur.

In some people, the outer layers of the cornea are weak. These people may get a corneal abrasion for no apparent reason.

How do I know if I have a corneal abrasion?

The cornea is very sensitive, and a corneal abrasion is usually quite painful. You may feel like you have sand or grit in your eye. You may notice tears or blurred vision, or your eye may look red. You may also notice that light hurts your eye. Some people get a headache when they have a corneal abrasion.

What do I do if I get something in my eye?

If you think something has gotten into your eye, first try to wash out the eye by flushing it with clean water or saline solution. Your workplace may have an eye rinse station for this purpose. Sometimes, blinking or pulling the upper eyelid over the lower eyelid may remove a particle from under the eyelid. Avoid rubbing your eye. If you or someone else notices something on the white part of your eye, use a soft tissue or cotton swab to gently lift it out of the eye. Don’t try to remove something that is directly over the cornea — this might cause more serious damage. Call your doctor if you can’t remove the particle or if there doesn’t seem to be anything in your eye.

What will my doctor do for a corneal abrasion?

Your doctor will examine your eye for any damage or particles that may be trapped under your eyelid. A yellow-orange dye may be placed on your eye to help your doctor see the abrasion. Your doctor will probably treat the abrasion with eye drops or ointment. Most small abrasions heal within one to three days. You may need to return to your doctor for another exam the next day.

What if I wear contact lenses?

If you wear contact lenses, you need to be especially careful with a corneal abrasion because you have a higher risk of infection. Your doctor may tell you not to wear your contact lenses for a few days after a corneal abrasion, especially if you’re treating your eye with medicated drops.

How can I prevent corneal abrasion?

Take the following steps to help prevent corneal abrasions:

  • Wear protective eye goggles when you’re around machinery that causes particles of wood, metal or other materials to fly into the air (such as a chainsaw or a sandblaster).
  • Keep your fingernails trimmed short. Cut infants’ and young children’s fingernails short, also.
  • Trim low-hanging tree branches.
  • Use care when putting in contact lenses, and make sure you clean them properly each day.
  • Don’t sleep in your contact lenses.

http://familydoctor.org/familydoctor/en/prevention-wellness/staying-healthy/first-aid/corneal-abrasions.html

What is an Ophthalmologist?

 

When you go to “get your eyes checked,” there are a variety of eye care providers you might see. Ophthalmologists, optometrists and opticians all play an important role in providing eye care services to consumers. However, each group has different levels of training and expertise; you should be sure you are seeing the right provider for your condition or treatment.

What is an ophthalmologist?

An ophthalmologist – Eye M.D. – is a medical or osteopathic doctor who specializes in eye and vision care. Ophthalmologists are specially trained to provide the full spectrum of eye care, from prescribing glasses and contact lenses to complex and delicate eye surgery. Many ophthalmologists are also involved in scientific research into the causes and cures for eye diseases and vision problems.

How is an ophthalmologist different from an optometrist and an optician?

Ophthalmologists are different from optometrists and opticians in their training and in what they can diagnose and treat. As a medical doctor, an ophthalmologist is licensed to practice medicine and surgery. An ophthalmologist diagnoses and treats all eye diseases, performs eye surgery and prescribes and fits eyeglasses and contact lenses. Ophthalmologists complete:

•  four years of college;

•  four years of medical school;

•  one year of internship;

•  three years, at least, of residency (hospital-based training) in the diagnosis and medical and surgical treatment of eye disorders.

An optometrist receives a Doctor of Optometry (OD) degree and is licensed to practice optometry, not medicine. The practice of optometry traditionally involves examining the eye for the purpose of prescribing and dispensing corrective lenses, screening vision to detect certain eye abnormalities, and prescribing medications for certain eye diseases.

An optician is trained to design, verify and fit eyeglass lenses and frames, contact lenses, and other devices to correct eyesight. They use prescriptions supplied by ophthalmologists or optometrists, but do not test vision or write prescriptions for visual corrections. Opticians are not permitted to diagnose or treat eye diseases.

How does an ophthalmologist become certified?

After four years of college and eight additional years of medical education and training, a certified ophthalmologist must pass a rigorous two-part examination given by the American Board of Ophthalmology.

http://www.eyecareamerica.org/eyecare/tmp/what-is-an-ophthalmologist.cfm

Scientist Working To Break Vicious Cycle Causing Vision Loss In Diabetes

 
 
It’s a vicious cycle that robs people with diabetes of their vision.

The hallmark high glucose of the disease causes inflammation that produces free radicals that cause inflammation that produces more free radicals, explains Dr. Manuela Bartoli, vision scientist at the Medical College of Georgia at Georgia Regents University.

If that’s not bad enough, the body’s endogenous system for dealing with free radicals also is dramatically impacted by diabetes, said Bartoli, who recently received a $1.8 million grant from the National Eye Institute to try to bolster that system and interrupt the destructive cycle.

Nearly 10 percent of the U.S. population has diabetes, according to the National Diabetes Foundation, and nearly half those individuals will develop diabetic retinopathy, according to the National Eye Institute.

Culprit free radicals are actually normal byproducts of the body’s constant use of oxygen and, despite their derivative status, also are important signaling molecules in the body. Problems result when there are too many, like in diabetes, and their natural tendency to bond starts wreaking havoc on cells and DNA. In fact, excessive levels are thought to be a major contributor to a wide variety of diseases as well as aging.

The thioredoxin system typically works to maintain a healthy level of free radicals by neutralizing excess but, like many body systems, the thioredoxin system slows with age and diabetes hastens the process.

“This increase in free radicals results in an inability to put them to good use,” Bartoli said. “Instead, we accumulate the damage they induce.” In the case of the eyes and diabetes, over time the overwhelmed system destroys blood vessels that deliver blood and nutrition. In another biological irony, the starving eyes grow new blood vessels but they are fragile, leaky and often misplaced so ultimately they destroy vision.

Bartoli believes a selenium supplement could give the thioredoxin system the shot in the arm needed to stay efficient and effective. Selenium is a byproduct itself, resulting from copper-refining and used to make glass, alloys and more. It is also found in fish, nuts and grains.

Thioredoxin reductase, a protein essential to the recycling of the system, is dependent on selenium and Bartoli has found that protein’s activity is reduced in an animal model of diabetic retinopathy and in retinas of human diabetic donors. Bartoli believes the cascade of cellular change resulting from high glucose levels impairs thioredoxin reductase. So she wants to better understand how the system works, exactly what happens to thioredoxin reductase and whether supplements of selenium can help the natural antioxidant system work better in diabetes.

In a related study, funded by the International Retinal Research Foundation, she is looking for an early sign of eye damage and possibly another window of intervention.

Currently, swelling of the macula – the central part of the retina responsible for central vision – is the first sign of treatable trouble. Anti-inflammatories injected into the eyes can help.

However increased blood levels of uric acid, a part of the inflammatory process that leads to swelling, may be an earlier indicator, Bartoli said. Uric acid is a byproduct of purine metabolism and is typically eliminated in the urine. High uric acid levels are associated with cardiovascular disease and gout as well as diabetes but it hasn’t been well studied in the eye.

“We want to validate hyperuricemia as a risk factor for progression of diabetic retinopathy,” she said. So she and her colleagues are measuring levels in the blood and eye fluid to see if they correlate with each other and with progressive eye damage. They also are reducing uric acid levels by giving two drugs already on the market, one that blocks formation and another that enhances excretion. Thinking that uric acid levels also may be a biomarker, she eventually wants to see how uric acid levels correlate with disease progression in humans.

“As the ancients said: ‘The eyes are the mirror of the soul.’ We also know that whatever happens in the eye is an expression of what is happening in the rest of the body,” Bartoli said. “We want to better understand the causes of inflammation in the eye in diabetes and find better ways to manage it as well as byproducts such as uric acid. Ultimately, of course, we hope to protect sight.”

 
http://www.medicalnewstoday.com/releases/262731.php

New Layer In Human Eye Discovered

A new layer in the front layer of the human eye has been discovered by researchers at The University of Nottingham.

The findings, published in the journal Ophthalmology, could significantly help doctors carry out corneal grafts or transplants.

The layer has been called the “Dua’s Layer”, named after the researcher who led the study, Professor Harminder Dua.

Harminder Dua, Professor of Ophthalmology and Visual Sciences, said that the discovery means that ophthalmology textbooks will literally have to be re-written.

He added:

“Having identified this new and distinct layer deep in the tissue of the cornea, we can now exploit its presence to make operations much safer and simpler for patients.”

Clinicians across the world are starting to relate the tear or absence in this layer to diseases at the back of the cornea.

The cornea is located on the front of the eye and allows light to enter. Previously believed for made up of five different layers:

  • Bowman’s layer
  • The corneal epithelium
  • The corneal stroma
  • Descemet’s membrane
  • The cornel endothelium

The Dua’s layer is located in the back of the cornea between the corneal stroma and Descemet’s membrane. It is extremely tough and strong despite being only 15 microns thick, it also impervious to air.

Iris - left eye of a girl
The newly discovered layer of the cornea is a significant advancement in our understanding of the human eye.

The new layer was discovered by simulating human corneal transplants on eyes collected from donors across the UK – given recent success in cultivated stem cells on human corneas, there might not be a need for donors in the future.

Small air bubbles were injected into the cornea of the eye to separate it into different layers. The researchers were able to study the layers a thousand times their actual size with electron microscopy.

Surgeons will benefit considerably by understanding more about the new Dua’s layer, which will improve outcomes for patients undergoing corneal grafts and transplants. There are over 65,000 penetrating corneal graft procedures being carried out worldwide each year, according to Eye Journal.

During corneal surgery, a method called the “big bubble technique” is used, whih involves injecting tiny air bubbles into the corneal stroma. Sometimes these bubbles burst, leaving the patient’s eye severely damaged.

However, now that doctors know they can inject the bubbles under the Dua’s layer instead of above it, the chances of tearing during surgery are significantly reduced.

The researchers say that corneal hydrops, a condition that occurs when water from inside the eye rushes in and leads to a fluid buildup in the cornea, is likely caused by a tear in the Dua layer.

Dua concluded:

“From a clinical perspective, there are many diseases that affect the back of the cornea, which clinicians across the world are already beginning to relate to the presence, absence, or tear in this layer.”

http://www.medicalnewstoday.com/articles/262013.php

Ophthalmologists warn that overexposure to sun’s UV rays can cause temporary blindness

With the arrival of summer, when the sun’s ultraviolet (UV) rays are strongest, ophthalmologists − medical doctors who specialize in the diagnosis, medical and surgical treatment of eye diseases and conditions − are warning the public that overexposure to these rays can burn the eyes’ corneas and cause painful, temporary blindness. The American Academy of Ophthalmology urges the public to wear sunglasses and hats when enjoying the outdoors this summer and all year long.

A number of scientific studies indicate that continuous years of unprotected exposure to the sun without eye protection can damage your eyes by contributing to cataracts and macular degeneration and even lead to tumors that may require surgical removal. A lesser known danger of sun exposure, however, is the more immediate risk of sunburnt eyes or photokeratitis, also termed ultraviolet keratitis or snow blindness. Light-colored eyes are at increased risk for this condition because they have less pigmentation in multiple layers of the eye than those with darker eyes.

Mild photokeratitis can feel as if there is grit stuck in the eyes, which is caused by layers of the cornea peeling following the sunburn. Those with extreme cases describe the condition as feeling as if their eyeballs are on fire. If people experience these symptoms, they should immediately see an ophthalmologist.

The typical treatment for photokeratitis is cool, wet compresses and artificial tears for local pain. Nonsteroidal anti-inflammatory drug (NSAID) eyedrops are used to reduce inflammation and eye pain, and oral pain medication is prescribed for severe discomfort. Affected patients should also seek isolation in a dark room, remove contact lenses, avoid rubbing the eyes and wear sunglasses until the symptoms improve. Recovery usually takes one to three days.

“It’s important for people to remember their protective gear on sunny days,” said Philip R. Rizzuto , M.D., secretary for communications for the American Academy of Ophthalmology. “In far too many cases, people think that a little redness on the skin is not a big deal; but, consider what that burn could feel like on your extremely thin and delicate corneas. Don’t leave home without sunglasses and hats if you are heading outdoors.”

The Academy offers these tips to protect your eyes from both short-term and long-term damage from the sun:

  • Go 100%! Regardless of the cost or color of your shades, wear sunglasses that offer 100% UV protection, make sure they block both UV-A and UV-B rays and wear them anytime you are outside or driving during the day.
  • Choose wrap-around styles. Ideally, your sunglasses should wrap all the way around to your temples, so the sun’s rays can’t enter from the side.
  • Top it off. Wear a hat with a three inch brim to supplement your sunglass protection.
  • Beware of reflective surfaces. When at the beach or in the water; remember that UV light reflected off sand, water or pavement can also damage the eyes.
  • Certain medications may increase your sun risk.  Be aware that certain medications you are taking may cause increased sensitivity to sunlight (photosensitivity).  Be sure to ask your Doctor.
  • Don’t rely on contact lenses. Even if you wear contact lenses with UV protection, remember your sunglasses.
  • Don’t be fooled by clouds. The sun’s rays can pass through haze and clouds.
  • Indoor tanning is worse than outdoor. Tanning beds can produce UV levels up to 100 times stronger than the sun’s rays. The Academy and other medical organizations recommend against use of these beds.

http://www.news-medical.net/news/20130604/Ophthalmologists-warn-that-overexposure-to-suns-UV-rays-can-cause-temporary-blindness.aspx?page=2