Temporal modulation visual fields, normal aging, Parkinson's disease and methyl-mercury in the James Bay Cree: A feasibility study

Abstract

We assessed temporal modulation visual fields (TMFs) for 91 observers including controls, Parkinson patients and members of the James Bay Cree community of Northern Québec suspected of being chronically exposed to relatively low levels of methyl-mercury. The main goal was to establish the feasibility of using such procedures to rapidly evaluate visual function in a large field study with the James Bay Cree community. The results show clear normal aging effects on TMFs and the pattern of loss differed depending on the flicker rates used. Group data comparisons between the controls and the experimental groups showed significant effects only between the Cree and normal controls in the 40 to 49 year-old age category for the low temporal frequency condition (2 Hz). Examples of individual analysis shows a Cree observer with severe visual field constriction at the 2 Hz condition with a normal visual field at the 16 Hz condition and a reverse pattern was demonstrated for a Parkinson's patient where a visual field constriction was evident only for the 16 Hz condition. The general conclusions are: Such a technique can be used to evaluate the visual consequences of neuropathological disorders and it may lead to dissociation between certain neurotoxic and neurodegenerative effects depending on the parameters used; this technique can be used for a large field study because it is rapid and easily understood and performed by the subjects; the TMF procedure used showed good test-retest correlations; normal aging causes changes in TMF profiles but the changes will show different patterns throughout the visual field depending on the parameters used.