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Visual Evoked Potentials in Infant Vision Assessment

Visual Evoked Potentials (VEPs) assess infant vision using EEG electrodes on the scalp to measure brain activity in response to visual stimuli. Two types of VEPs, Steady-State and Sweep, provide precise measurements of visual acuity by analyzing amplitude and spatial frequencies. VEPs offer objective vision assessment without needing a behavioral response, making the process quick and efficient. However, VEP testing requires costly equipment and expertise for electrode placement, which may be challenging for parents. Comparing VEP results to behavioral methods shows that VEPs often yield higher scores in infants, suggesting different underlying mechanisms in response evaluation.

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Visual Evoked Potentials in Infant Vision Assessment

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  1. Psychology 4051 Assessing Vision in Infants and Toddlers

  2. Visual Evoked Potentials • VEP: EEG electrodes are attached to the scalp over the visual cortex to measure electrical activity.

  3. Visual Evoked Potentials • Electrical activity is measured while the child is presented with some form of visual pattern.

  4. Visual Evoked Potentials • If the stimulus produces an electrical response, it is assumed that the stimulus can be detected. • If there is no electrical response, it is assumed that the stimulus can not be detected.

  5. Types of VEPs • There are two types of VEPs. • Steady State VEPs • VEP response is measured as the subject is presented patterns that vary in spatial frequency. • Many different spatial frequencies are used. • The relationship between the strength of the response (amplitude) and the spatial frequency of the stimulus is examined closely.

  6. Types of VEPs • Very precise. • This technique is rarely possible with infants. • Sweep VEPs • 10 to 20 spatial frequencies are presented in rapid succession during a 10 second sweep • The slope of the amplitude of the VEP response is determined. • The intercept to background noise is taken as an estimate of visual acuity.

  7. Sweep VEP • Spatial Frequency • Background Noise

  8. Sweep VEP • VEP

  9. Sweep VEP • Amplitude: Strength of the response

  10. Sweep VEPs • Slope

  11. Sweep VEPs • Intercept: slope of the VEP response is equal to background noise level. • Provides the measure of visual acuity.

  12. Advantages • Provides an objective measure of vision • Requires no behavioral response (minimal attention) • Procedure is very quick

  13. Disadvantages • Equipment is expensive • Expertise is required. • E.g., electrode placement • Attachment of electrodes is difficult and be disturbing to parents. • Testing can be time-consuming.

  14. VEPs vs. Behavioral Methods • There is generally good agreement between VEPs and behavioral methods in adults. • In infants, VEPs usually provide higher scores. • In behavioral methods, infants need to provide a clear behavioral response. • Responses probably reflect different underlying mechanisms.

  15. VEPs vs. Behavioral Methods • Behavioral tests reflect what the infant chooses to look at.

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