Second-order spatial summation in amblyopia

Amblyopes show bilateral loss of sensitivity for second-order (contrast defined) stimuli that can be further suppressed by flanking second-order stimuli (whereas flanks facilitate sensitivity in normal observers). The suppressive flank effect in amblyopes might be explained by abnormal pooling of second-order contrast across visual space. In this study, we investigate whether amblyopes show abnormal second-order spatial summation by measuring contrast detection thresholds for 1 c/deg modulations of random noise (stimuli 1–12 cycles) in amblyopic observers, strabismic observers with no visual acuity loss, and normal (control) observers. Non-control observers showed substantial bilateral loss of sensitivity relative to the control observers, as expected. However, all observers showed essentially equal second-order spatial summation: contrast detection threshold decreased with approximately the square root of the number of cycles, and then became independent of size at 6–8 cycles (similar asymptotes). We conclude that the pooling of second-order contrast across visual space is unaffected by amblyopia.