Residual vision in the blind field of hemidecorticated humans predicted by a diffusion scatter model and selective spectral absorption of the human eye

The notion of blindsight was recently challenged by evidence that patients with occipital damage and contralateral field defects show residual islands of vision which may be associated with spared neural tissue. However, this possibility could not explain why patients who underwent the resection or disconnection of an entire cerebral hemisphere exhibit some forms of blindsight. We present here a model for the detection of intraocular scatter, which can account for human sensitivity values obtained in the blind field of hemidecorticated patients. The model demonstrates that, under controlled experimental conditions i.e. where the extraocular scatter is eliminated, Lambertian intraocular scatter alone can account for the visual sensitivities reported in these patients. The model also shows that it is possible to obtain a sensitivity in the blind field almost equivalent to that in the good field using the appropriate parameters. Finally, we show with in-vivo spectroreflectometry measurements made in the eyes of our hemidecorticated patients, that the relative drop in middle wavelength sensitivity generally obtained in the blind field of these patients can be explained by selective intraocular spectral absorption. (C) 1998 Elsevier Science Ltd. All rights reserved.