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The Central Visual System

Now that we understand how photoreceptors and retinal circuits encode light, we can look at how the central visual system interprets these signals.
Receptive fields of ganglion cells overlap, meaning each point in the visual world is sampled by many cells. The specific dark–light arrangement falling onto these cells produces differential firing patterns.

Overlapping circular receptive fields tiled across a triangular region of visual space, illustrating how many ganglion cells sample the same area. Blue and pink circles represent different receptive fields, each containing a smaller central region. Their heavy overlap shows that any single point in the visual world is encoded by multiple cells, allowing patterns of light and dark to be represented through distributed neural activity.

Ganglion cells
signal the differences in brightness. By responding strongly to contrasts between light and dark, they highlight the edges, contours, and transitions in our visual field.

This contrast-based coding is what allows the brain to detect shapes, boundaries, and fine details in the world around us.

Colour-Opponent Processing

Some ganglion cells don't simply care about light vs. dark - they also respond to colour in an antagonistic (opponent) way.

These are largely P-type cells, which are small, wavelength-sensitive, and function as a subtype of on-center cells. They compare activity from different cones to encode colour contrast.

Let’s take redgreen opponent cells as an example (see top left & right). These cells compare inputs from red- and green-sensitive cones and respond in opposite ways depending on where the light lands:

1. Green light in the center of the receptive field (-M) decreases firing, while red light in the surround increases it (+L). Net effect depends on which region is stimulated, but the opponency is clear.

    Four circular colour-opponent receptive fields arranged in a grid. The top left shows a red surround (+L) with a green center (-M). The top right shows a green surround (+M) with a red center (-L). The bottom left shows a yellow surround +(L+M) with a blue center (-S). The bottom right shows a blue surround (+S) with a yellow center -(L+M). Together they illustrate the red–green and blue–yellow opponent colour channels used by the visual system.
    2. The complementary cell shows the reverse pattern: Green light in the surround of the receptive field (+M) increases firing, while red light in the center (-L) suppresses it.
    This behaviour reflects the fact that red and green are an opponent pair — activating one pathway suppresses the other. Because of this opponent relationship:

    You can perceive blue + red together. You can perceive blue + green together. But you cannot perceive red + green in the exact same place at the same time — your visual system resolves this combination as yellow instead.

    The same occurs for the blueyellow opponent pair: you cannot perceive blue + yellow simultaneously in the same spot. When both pathways are activated together, the brain cancels them out, and the result is a perception closer to white or grey, depending on intensity.

    Why this matters...
    When light strikes the surround, it typically produces inhibition. When that inhibition stops (for example, when you look away), the system briefly rebounds in the opposite direction.

    This rebound is what creates the American flag afterimage illusion (that you learnt in Part I!). Staring at yellow stimulates one pathway strongly, and when that stimulation ends, the opposing pathway briefly fires more — making you perceive blue!

    The Retinofugal Projection

    Where does visual information go after leaving the retina?

    Once signals exit the eye, they follow a specific pathway called the retinofugal projection — “retino” (retina) + “fugal” (to flee). In other words, it’s the route that visual information takes as it leaves the retina and travels deeper into the brain.

    There are three major structures in this pathway.
    • Optic Nerve: The axons of the ganglion cells bundle together to form the optic nerve, carrying information out of each eye.
    • Optic Chiasm: This is where some of those axons cross (decussation) to the opposite side of the brain.
    • Optic Tract: After the chiasm, the reorganised bundle of axons continues deeper into the brain toward targets like the LGN and superior colliculus.
    Decussation means a bundle of axons crosses from one side of the brain to the other. In the visual system, we have partial decussation at the optic chiasm.
    Diagram of the retinofugal projection (pathway from eyes to brain). The two retinas feed into the optic nerves, which meet and partially cross at the optic chiasm. Fibres from the left and right eyes are shown in pink and blue, with nasal retinal fibres crossing to the opposite side and temporal fibres staying on the same side. After the chiasm, signals travel through the left and right optic tracts to the optic radiations and then to the visual cortex at the back of the brain. The figure illustrates how visual information from both eyes is reorganised and sent to the appropriate hemisphere of the brain.
    • Information from the left visual field goes to the right hemisphere.
    • Information from the right visual field goes to the left hemisphere.
    Zoomed-in illustration of the optic chiasm, shown as an X-shaped yellow structure where nerve fibres from the two optic nerves meet and partially cross. Bundles of fibres enter from the top left and top right, cross through the center, and exit toward opposite sides, representing how visual signals from each eye are redistributed to both sides of the brain.


    But the crossing is not complete — only the axons from the nasal half of each retina cross. The temporal half stays on the same side (ipsilateral).

    This is why each hemisphere receives information from both eyes, but only from one visual field.

    This arrangement tells us how the eyes capture visual information AND how the brain organises it so both hemispheres get a complete map of the opposite side of the world.

    Top-down view of the brain showing the visual pathway. Two eyes at the top connect by yellow optic nerves that meet at the optic chiasm, where some fibres cross, then continue as optic tracts into the brain. The stalk of the pituitary gland and a cut surface of the brainstem are labeled beneath the chiasm, illustrating how the visual pathways pass near these structures on their way into the brain.

    Note: We use
    nasal to describe when something is closer to your nose, and temporal when something is closer to the sides of your head (behind your ears).

    Visual Field

    Your visual field is everything you can see at any given moment.

    Each eye captures both sides of the visual field, but different halves of the retina handle different parts.
    • The nasal retina of each eye captures the outer part of the visual field (and its axons cross at the optic chiasm).
    • The temporal retina captures the inner part (and its axons stay ipsilateral).
    Only after this partial decussation do the pathways fully separate so that each hemisphere receives information exclusively from the opposite visual field.

    Binocular Visual Field
    The binocular visual field is the region of the visual world that both eyes can see at the same time. This overlap exists because of our inverse topographic arrangement — the left half of each retina sees the right half of the world and vice versa.
    Diagram of the binocular visual field showing how the left and right visual hemifields are projected onto both eyes and routed through the optic nerves. Pink outlines represent the left visual hemifield and blue outlines the right visual hemifield, overlapping in the central yellow-bracketed region labeled ‘binocular visual field’ around the fixation point. Rays from each hemifield pass into the left and right eyes, then travel along the optic nerves to the optic chiasm, where nasal fibres cross so that all information from the left visual field goes to the right optic tract and all information from the right visual field goes to the left optic tract.
    This binocular zone is crucial for depth perception and stereopsis, since the brain compares slightly different images from each eye to calculate distance.
    What happens when different parts of the retinofugal projection are lesioned?
    Lesions along the retinofugal pathway produce very predictable visual deficits because each structure carries specific parts of the visual field. Let’s walk through the major ones.
    • Transection of left optic nerve
      All input coming from the left eye is lost.
    Diagram of the visual fields and optic pathways showing a transection of the left optic nerve. The left and right visual hemifields are shown in pink and blue, with their rays projecting into both eyes. A green bar marks the cut in the left optic nerve before the optic chiasm. Because of this transection, all visual information from the left eye is lost, leaving only input from the right eye to reach the brain, while the visual field from the right eye remains intact (including binocular field).
    • The right eye still captures both its peripheral field and the central (binocular) region, so visual information is still reaching the brain from those areas.

      This means vision from the right visual field and the shared central field is preserved, even though the left eye is completely nonfunctional.

      Vice versa occurs with the transection of the right optic nerve.

    • Transection of left optic tract
      All information from the right visual field is lost.
    Diagram of the visual fields and optic pathways showing a transection of the left optic tract. The left and right visual hemifields are shown in pink and blue, with their projections crossing at the optic chiasm and traveling into the optic tracts. A green bar marks the cut in the left optic tract after the chiasm. As a result, visual information from the right visual field of both eyes is lost, producing blindness in the right half of the visual world (right homonymous hemianopia), while the left visual field remains intact.
    1. The left optic tract ONLY carries signals representing the right side of the visual world — from BOTH eyes.

      Once that tract is cut, nothing from the right visual field can reach the left hemisphere. But, vision from the left visual field is preserved because the right optic tract is still intact.

    2. Transection of the optic chiasm
      All peripheral vision is lost, but the binocular visual field is preserved.
    Diagram of the visual fields and optic pathways showing a transection at the optic chiasm. The left and right visual hemifields are shown in pink and blue, with nasal retinal fibres crossing at the chiasm and temporal fibres remaining on the same side. A green bar marks a cut through the optic chiasm. This interrupts the crossing nasal fibres from both eyes, causing loss of the temporal (outer) halves of the visual fields in both eyes, producing bitemporal hemianopia (loss of periphery), while central and nasal visual fields are preserved.
    1. Information from the peripheral visual field lands on the nasal retina of each eye. The nasal retinal axons are the only ones that cross at the optic chiasm. If the chiasm is cut, these crossing fibres can’t reach the opposite hemisphere anymore thus, peripheral vision is lost on both sides.

    • Meanwhile, the binocular visual field lands on the temporal retina, and temporal fibres do NOT cross. Because they stay on the SAME side, they are unaffected by the lesion thus, the brain still receives central visual information.

    Thalamic and Non-Thalamic Targets of the Optic Tract

    After visual information leaves the optic chiasm, it continues through the optic tracts to several brain targets. These targets can be grouped into thalamic and non-thalamic structures.
    Diagram of the visual pathways in the brain, showing the optic nerves from both eyes converging at the optic chiasm and continuing as the optic tracts. Fibres project to multiple targets: the lateral geniculate nucleus for visual processing, the optic radiations leading to the striate (primary visual) cortex, the superior colliculus for orienting movements of the eyes and head, the pretectum for pupil and lens reflexes, and the hypothalamus for regulation of circadian rhythms. The figure highlights how visual information is distributed to both thalamic and non-thalamic targets.
    Thalamic Structures
    Lateral geniculate nucleus (LGN): The LGN sits on the dorsal part of the thalamus. When we stain the LGN, we see a layered organisation.

    This layered structure reflects a segregation of visual input by eye:
    • Layers 2, 3, and 5 receive information from the ipsilateral (same) eye.
    • Layers 1, 4, and 6 receive information from the contralateral (opposite) eye.
    Diagram showing how visual information from the left and right eyes is routed to the left and right lateral geniculate nuclei (LGN). The right eye (blue) and left eye (pink) are divided into nasal and temporal retinae, with nasal fibres crossing at the optic chiasm and temporal fibres remaining on the same side. These pathways converge on the LGN, which is illustrated as six layered arcs (numbered 1–6) in each hemisphere, with alternating input from the two eyes, showing how binocular information is kept separate but aligned across LGN layers.


    So, different pieces of information about where light is coming from are routed to different layers of the LGN.

    We don’t fully know why the LGN is structured this way but there’s a leading hypothesis: this organisation preserves the origin of visual information (which eye it came from, and which part of the retina), while still allowing that information to be compared and integrated later on.

    Thus, the LGN both separates input by eye and preserves information about which retinal ganglion cells are sending the signal as it travels through the optic nerve, optic chiasm, and optic tract.


    LGN Layer Organisation
    • M-Type (Magnocellular) cells: These mainly respond to light-dark contrast (ON/OFF center organisation). They are big cells and have large receptive fields - good for detecting movement, broad shapes, and fast changes in luminance.
    • P-Type (Parvocellular) cells: These often show colour-opponent responses. They are small cells, have small receptive fields, and are sensitive to different wavelengths - important for colour and fine detail.
    Diagram showing the organisation of the lateral geniculate nucleus (LGN) within the thalamus. On the left, a brain outline highlights the thalamus and the slice level used. The center panel shows a cross-section of the LGN with six curved layers labeled 1–6, where the lower two layers (1–2) are marked as magnocellular (M-type) and the upper four layers (3–6) as parvocellular (P-type). On the right, a detailed map labeled K1–K6 illustrates how inputs are arranged across these layers, with different colours indicating distinct functional channels distributed in layered, curved bands.

    Layers 1-2
    receive input from M-type ganglion cells. These are the magnocellular layers (magno = big).

    Layers 3–6 receive input from P-type ganglion cells. These are the parvocellular layers (parvo = small).

    K1–K6 koniocellular layers tucked between them.

    By keeping these streams separate, the LGN sends an incredibly detailed, structured report forward into the visual cortex. This organisation lets the brain analyse motion, colour, and form in parallel without losing any information from either eye or either cell type.

    Non-Thalamic Targets of Retinal Ganglion Cells

    All of the following structures receive direct input from the
    retina.
    • Hypothalamus (Suprachiasmatic Nucleus – SCN): Regulates our circadian rhythms - using light-dark information to coordinate daily cycles.
      e.g., sleep, metabolism, hormone release, and body temperature.

    • Pretectum: Controls pupillary light reflex and lens accommodation. When light increases, the pretectum activates parasympathetic (rest and digest) pathways, which constricts our pupils. This helps maintain appropiate focus and retinal illumination.
    • Superior Colliculus: Coordinates orienting movements of the eyes, head, and neck - integrating visual input with other sensory modalities to guide attention toward stimuli.
    Diagram of the visual pathways in the brain, showing the optic nerves from both eyes converging at the optic chiasm and continuing as the optic tracts. Fibres project to multiple targets: the lateral geniculate nucleus for visual processing, the optic radiations leading to the striate (primary visual) cortex, the superior colliculus for orienting movements of the eyes and head, the pretectum for pupil and lens reflexes, and the hypothalamus for regulation of circadian rhythms. The figure highlights how visual information is distributed to both thalamic and non-thalamic targets.

    Note: Saccades are rapid, ballistic eye movements that shift the focus of gaze from one point to another.

    This is essential for
    scanning scenes and tracking fast-moving objects. Even when reading or looking at a still scene, your eyes make small involuntary saccades to build a complete image.

    The Primary Visual Cortex

    The primary visual cortex - also known as the striate cortex, or simply V1 - is the first cortical region to receive and process visual information from the LGN.
    Diagram tracing visual information from the two visual hemifields to the brain. On the left, the left (pink) and right (blue) visual hemifields project through both eyes, cross at the optic chiasm, and travel along the right optic tract to the right lateral geniculate nucleus (LGN) and optic radiation. These pathways terminate in the right primary visual cortex (V1). On the right, two views of the brain highlight Area 17 in the occipital lobe along the calcarine fissure, showing where this visual input is mapped in the cortex.
    Visual pathway: Retina optic nerve optic chiasm optic tract LGN V1

    V1 sits along the calcarine fissure in the occipital lobe and begins transforming basic retinal input into more complex representations such as edges, orientations, and motion direction.

    Key Features of V1

    1. Retinotopy: Neighbouring areas of the retina feed neighbouring areas in the LGN and V1 — the visual system preserves spatial organisation of the image.
    • Ganglion cells carry information about colour (from P-type cells) and light/dark contrast
      (from M-type cells).

      This information is relayed into V1, where neurons are also organised in layers that process different aspects of the visual signal.

      Foveal (central) vision is overrepresented in V1. Many more retinal ganglion cells represent the center of the visual field compared to the periphery. As a result, a large part of V1 is devoted to high-acuity central vision and only a small portion to coarse peripheral vision.
    Three stacked rectangular layers represent the retina, the lateral geniculate nucleus (LGN), and the striate cortex (layer IVC). Vertical dashed lines connect corresponding points across the three layers, illustrating how the same locations in the retina project to aligned positions in the LGN and then to matching columns in primary visual cortex, preserving the spatial layout of the visual image.
    1. Lamination: The LGN is organised into layers — and V1 is layered too!
    2. When we look at V1, we see that different layers are specialised for different stages of input and output processing. This layered structure helps preserve and organise visual information as it moves through the cortex.

      Information coming from the LGN
      Input from LGN layers 1–2 projects mainly to layer IV-Cα in V1.

      Input from LGN layers 3, 4, and 6 projects mainly to layer IV-Cβ.

      Layer IV-C is the primary input layer of V1 — this is where neurons first receive axons coming directly from the LGN.
    Side-by-side diagrams of primary visual cortex (V1) showing its layered organization. The left panel is a dense field of blue dots representing neurons distributed across cortical layers. The center labels layers I through VI, highlighting subdivisions of layer IV (IVA, IVB, IVC-α and IVC-β). The right panel shows pink neurons extending vertically across these blue-outlined layers, illustrating how LGN inputs terminate mainly in layer IVC and how cortical neurons send branching connections up and down through the six layers toward the surface and white matter.
    • Ocular Dominance: Ocular dominance refers to the fact that we often rely more on one eye than the other — for example, having better acuity in one eye or finding it easier to fixate on objects with a particular eye.
    • In V1, information from each eye initially arrives segregated. That is, signals from the left and right eyes are kept separate when they first enter the cortex.

      As this information moves into more superficial layers of V1, the signals from both eyes begin to mix.
    This tells us two important things...
    1. V1 initially preserves information about which eye a signal came from.
    2. But at higher levels of processing, that information is integrated — which is exactly what we want for unified visual perception.

    3. As a result, some neurons respond more strongly to input from the left eye, some to the right eye, and others to a combination of both.
    Three-part diagram explaining ocular dominance columns in primary visual cortex (V1). On the left, a layered block of cortex is shown in perspective with horizontal layers I–VI and vertical bands running through them. In the center, alternating blue and pink columns labeled ‘left eye’ and ‘right eye’ illustrate how input from each eye is segregated in layer IVC, then projects upward to layer III and downward to layer VI, where signals begin to mix. On the right, a schematic of the lateral geniculate nucleus (LGN) shows separate left- and right-eye layers sending alternating blue and pink projections into V1, demonstrating how eye-specific information remains separated in layer IVC before being integrated in cortical layers above and below.

    New Types of Receptive Fields

    Remember, a receptive field is a specific region of the visual field in which a stimulus will influence the firing of a neuron.

    Because P-type cells project mainly to layers 3, 4, 5, and 6, and M-type cells project mainly to layers 1 and 2, this layered organisation in V1 preserves many of the same receptive field properties we see earlier in the LGN.
    Multi-panel diagram comparing P-type and M-type visual receptive fields from retina to LGN. The top row shows a P-type ganglion cell with a small circular center–surround receptive field (green surround with red center) and a sparse spike train, while the bottom row shows an M-type ganglion cell with a larger, elongated receptive field that responds strongly to light and dark contrast, producing a denser spike train. To the right, a dotted map of LGN layers (K1–K6) highlights where P-type (parvocellular) and M-type (magnocellular) inputs terminate. Arrows indicate that these receptive-field properties are preserved from retinal ganglion cells into corresponding LGN neurons.
    At this stage, many neurons still respond best to antagonistic centersurround receptive fields, similar to ON- and OFF- center organisation.

    Orientation & Direction Selectivity

    As we move further into V1, receptive fields become more complex.

    Orientation Selectivity
    Neurons are still often dominated by input from one eye, but they now respond to information from both eyes, reflecting the beginning of binocular integration.

    Some neurons no longer respond best to circular spots of light. Instead, they fire most strongly when a stimulus with a specific orientation (for example, a vertical or horizontal bar of light) appears in their receptive field. These neurons are therefore orientation-selective.
    Diagram of a visual experiment measuring orientation selectivity in the primary visual cortex. On the left, a tilted yellow light bar is shown on a screen and projected through the eyes into the brain, where a microelectrode in the striate cortex records action potentials. The border of the neuron’s receptive field is outlined. On the right, a series of small receptive-field diagrams show the same bar presented at different orientations, alongside pink spike trains representing the neuron’s firing rate. The cell responds most strongly when the bar is at a particular orientation, illustrating how cortical neurons are tuned to the orientation of visual stimuli.
    Series of receptive-field diagrams showing orientation tuning of a visual cortical neuron. At the top, an empty circular receptive field produces a baseline firing pattern. Below, a yellow light bar is presented at different angles within the receptive field. When the bar is oriented at about 45° (in two mirrored directions), the neuron shows a strong burst of spikes. When the bar is rotated to about 60°, the firing rate is weaker, and when it is rotated to about 15°, there is little or no response. Pink spike trains to the right of each diagram illustrate how the neuron’s activity depends on stimulus orientation.
    Direction Selectivity
    Other neurons go a step further and are also sensitive to motion direction.

    They fire more when a light stimulus moves through their receptive field in a particular direction, but respond weakly or not at all if the same stimulus moves in the opposite direction.

    Theoretical Cortical Modules

    Neurons in V1 are organised into columns.

    Neurons within the same column tend to respond best to the same orientation of a stimulus (for example, vertical vs. horizontal edges).

    These column-based groupings are often referred to as theoretical cortical modules — functional units that process specific visual features like orientation, eye of origin, and spatial location.
    Three-dimensional illustration of primary visual cortex (V1) showing its columnar organization. On the right, a layered block labeled I–VI contains vertical stacks of cells. Alternating coloured stripes mark left-eye and right-eye ocular dominance columns, while a second set of vertical bands indicates orientation columns running through the layers. Small orange ‘blobs’ on the surface represent cytochrome oxidase blobs involved in colour processing. On the left, a smaller cutaway view shows how these blobs and columns sit within the layered cortex. Together, the figure shows how V1 is organised into layers, eye-specific columns, and orientation columns that process different aspects of visual input.
    What happens when parts of V1 are lesioned?
    Damage to different regions of V1 leads to characteristic visual deficits, depending on the size and location of the lesion.

    • Hemianopia: The complete loss of vision in one half of the visual field.

      For example, a lesion in the left visual cortex results in loss of vision in the right visual field (the contralateral visual field).

      This affects the
      right half of the visual field from both eyes, not just one eye.
    • Scotoma: A scotoma results from a small, localised lesion affecting a group of neurons in V1.

      This produces a blind spot in a specific region of the visual field rather than loss of an entire half. The size and location of the scotoma directly map onto the damaged cortical region due to V1’s retinotopic organisation.
    Diagram of the left visual cortex highlighting the calcarine fissure and how different lesion locations produce visual field defects. At the top, a side view of the brain shows the left visual cortex, with a long red region marked along the calcarine fissure. Below, two panels compare injury patterns: on the left, a long lesion along the calcarine fissure is labeled ‘hemianopia,’ indicating loss of half of the visual field; on the right, a small, localised lesion is labeled ‘scotoma,’ indicating a small blind spot. The figure illustrates how the size and position of damage in visual cortex determine whether vision loss is widespread or confined.
    Where does visual information go after leaving V1?
    What happens next is less understood, but we have a strong working model.

    Once visual information reaches V1, processing is far from over. Beyond V1 lies the extrastriate cortex, a collection of 20+ specialised visual areas, including: V2, V3, V3A, V4, V5 (also called MT), and higher-level object and face recognition regions.
    Two views of the brain highlighting visual processing areas. On the left, a side view shows the occipital and temporal lobes with colour-coded regions labeled V1 (yellow), V2 (lime green), V3 (blue), V3A (orange), and V4 (purple), arranged from early to higher-level visual cortex, with adjacent areas marked as involved in face and object recognition (cyan). On the right, a lateral view of the brain highlights area V5 (also called MT) in magenta, indicating a specialised region for processing visual motion. Together the panels illustrate how different parts of the visual cortex are organised for form, colour, object, face and motion processing.
    Most visual information follows this general pathway...
    Retina LGN V1 Extrastriate cortex

    Processing Streams

    When information leaves V1, it primarily diverges into two parallel processing streams.

    • Dorsal Stream (“Where / How” Pathway): Specialises in motion, spatial location, and visually guided action.
      i.e., Where is it? How is it moving? How do I interact with it?

    • Area MT / V5: Dedicated to motion perception. Neurons here respond strongly to direction and speed of movement.
    • Akinetopsia: Results from damage to V5. Vision is otherwise intact, but motion perception is lost. The world appears as a series of static snapshots rather than smooth movement.

      e.g., A moving car is perceived as suddenly appearing closer, without visible motion between positions.
    A side view of the brain showing two major visual processing pathways leaving the occipital lobe. A pink arrow labeled the dorsal stream curves upward toward the parietal lobe (area PG), illustrating the ‘where/how’ pathway for spatial location and action. A blue arrow labeled the ventral stream runs forward into the temporal lobe (area TE), illustrating the ‘what’ pathway for object and form recognition. The arrows highlight how visual information splits into parallel dorsal and ventral streams as it moves through the cortex.
    1. Ventral Stream ("What" Pathway): Specialises in object identity, shape, and colour. i.e., What is it?

    2. Area V4: Processes colour and object form.
    3. Achromatopsia: Damage to V4. Loss of colour perception (world appears in shades of grey)
    4. Object Agnosia: Patients can see, reach, and copy objects. But they cannot recognise or identify what the objects are.
    5. Face-Specific Processing: A specialised extension of the ventral stream dedicated to facial recognition.
    6. Fusiform Face Area (FFA): Contains neurons that respond more strongly to faces than to other objects (e.g., houses).

    7. Prosopagnosia (face blindness): Can be acquired due to brain damage or developmental. Individuals with prosopagnosia cannot recognise faces, even though vision is intact and object recognition may still be normal. They often rely on alternative cues (voice, posture, hairstyle) to identify people.
    Are there visual perception disorders derived from lesions to non-visual areas?
    Short answer: yes.
    • Prosopometamorphopsia (PMO): This is an extremely rare disorder involving distorted perception of faces. Distortions are often face-specific, while other objects appear normal.

      This is usually caused by right-hemisphere lesions in the ventral occipito-temporal cortex, near face-selective regions like the fusiform gyrus, disrupting how facial features are integrated rather than how they are seen.
    • PMO Case Example: A patient reported seeing demon-like facial distortions in everyone he encountered. The distortions appeared regardless of where the face was in the visual field. Strikingly, the distortions occurred in real life but not when viewing faces on screens.
    These findings illustrate that vision is not a passive recording of the world, but an active, hierarchical process distributed across many specialised brain regions.

    From the retina and LGN, where information is filtered and organised, through V1’s feature extraction and into the extrastriate cortex, visual perception emerges through progressively abstract representations.

    Damage at different stages does not simply reduce vision, but alters what is perceived — motion, colour, objects, and faces.

    Disorders such as prosopometamorphopsia highlight this principle especially clearly: when non-primary visual regions are disrupted, basic sight may remain intact while the brain’s interpretation of visual information becomes distorted.

    This shows us that what we “see” is the brain’s best reconstruction of reality, shaped by neural specialisation, integration, and prior organisation.

    Summary

    Whew, that was a lot of information. Let's recap!
    1. Ganglion cells emphasise contrast, not just absolute brightness.
      They fire differently depending on light in the center vs. surround, helping the brain detect edges, contours, and boundaries.
    2. Colour-opponent processing organises colour perception.
      Some ganglion cells compare wavelengths (e.g., red vs. green, blue vs. yellow).

      Activating one suppresses the other — which explains colour after-images and why red-green isn’t perceived simultaneously in one spot (resolves to yellow).
    3. Retinofugal projection carries signals from eye brain.
      Visual information leaves via the optic nerve, partially crosses at the optic chiasm, and continues through the optic tract.
    4. Partial decussation (“crossing”) organises visual fields.
      Left visual field right hemisphere.
      Right visual field left hemisphere.
      The overlapping binocular field is seen by both eyes.
    5. Lesions along the pathway predict specific vision loss.
      Optic nerve cut vision lost in that eye.
      Optic tract cut vision lost in the opposite visual field.
      Optic chiasm cut vision lost in the peripheral (“tunnel vision”) but central vision preserved.
    6. The LGN (a thalamic target) organises visual information into layers.
      Each layer receives input from a specific eye and a specific type of retinal ganglion cell, keeping signals neatly separated before they reach the cortex.
      M-type (magnocellular) cells: Specialise in motion and contrast.
      P-type (parvocellular) cells: Specialise in colour and fine detail.

    7. Non-thalamic targets support reflexive and biological functions.
      Hypothalamus (circadian timing), pretectum (pupil reflex), and superior colliculus (eye-movement orienting).
    8. The primary visual cortex (V1) maps the world precisely.
      Neighbouring retinal areas map to neighbouring cortex (retinotopy), with extra representation for the fovea.
    9. V1 is layered and mixes inputs gradually. Early layers keep left/right eye separate; higher layers combine them, forming ocular dominance columns.
    10. New receptive fields emerge in V1. Neurons become selective for orientation (edges at angles) and direction of motion, laying groundwork for shape and movement perception.
    11. Damage to V1 causes predictable deficits.
      Large lesions hemianopia (half-field blindness).
      Small lesions scotomas (blind patches).
    12. Beyond V1, vision splits into two major streams.
      Dorsal stream (“where/how”): Motion, movement, spatial mapping.
      Ventral stream (“what”): Object identity, colour, faces.
    13. Specialised cortical regions handle specific visual roles.
      V5/MT: Motion (damage akinetopsia, motion blindness).
      V4: Colour/form (damage achromatopsia).
      Fusiform Face Area: Faces (damage prosopagnosia, face blindness).
    14. Some disorders come from lesions outside primary vision areas.
      Prosopometamorphopsia (PMO) causes distorted faces, likely from ventral visual stream damage, even though basic sight remains intact.

    Key Terms

    Not a neuroscientist? Don’t worry!
    Below are definitions of common terms used throughout the volume.

    Neurons

    Neurons are the basic cells of the nervous system.
    They send and receive information through electrical and chemical signals.

    • Cell body (soma): The “hub” of the neuron. It contains the nucleus and all the usual cell machinery needed to stay alive.
    • Neurite: A collective term to denote both axons and dendrites.

    • Axons allow a neuron to pass information to other neurons.

      Dendrites
      allow a neuron to receive information from other neurons.
    This is all you need to know for now!
    Anatomical diagram of a neuron showing its main components. The cell body (soma, shown in yellow with a pink nucleus) branches into multiple dendrites extending outward like tree branches. A single axon extends from the cell body and is wrapped in a segmented myelin sheath (shown in cyan). The myelin sheath has gaps called Nodes of Ranvier between segments. The axon is supported by oligodendrocytes. At the end, the axon branches into multiple terminals forming synapses. Labels identify: cell body (soma), cell membrane, nucleus, dendrites, axon, axon hillock, Node of Ranvier, myelin sheath, oligodendrocyte, and synapse.
    Graph showing the phases of an action potential. The yellow curve starts at resting potential (baseline), rises steeply during the depolarisation phase (rising phase), peaks at overshoot (above 0), then falls during the repolarisation phase (falling phase). The curve briefly dips below resting potential during hyperpolarisation (undershoot) before returning to baseline. Two horizontal dashed orange lines mark 'above 0' and 'below resting potential' reference points.

    Action Potential
    A rapid electrical “spike” that neurons use to send information. It’s an all-or-nothing event: once the signal starts, it travels down the axon until it reaches the end of the cell, where it triggers the release of neurotransmitters.



    An all or nothing approach is like flushing a toilet! You can either flush (have an action potential), or not flush (not have an action potential).

    It doesn’t matter how hard/long you push the handle, same functionality applies.


    Action potentials are the basic “language” of the nervous system, allowing neurons to communicate quickly and reliably.
    Neurotransmitters
    These are the brain’s chemical messengers. They carry signals between neurons across the synapse (the tiny gap between cells).

    When an action potential reaches the end of an axon, it triggers the release of neurotransmitters. These molecules cross the synapse and bind to receptors on the next neuron, influencing whether that cell will fire its own signal.

    Different neurotransmitters have different effects: some excite (make a neuron more likely to fire), others inhibit (make it less likely).
    Glutamate is the brain's primary excitatory neurotransmitter. It increases neural activity and is essential for learning, memory, and sensory processing.

    GABA (gamma-aminobutyric acid) is the main inhibitory neurotransmitter. It calms neural activity and prevents circuits from becoming over-excited (too much unchecked exicatory activity can actually damage our neurons).

    Together, glutamate and GABA create a precise push-and-pull balance that allows the visual system, and the entire brain, to remain stable, responsive, and incredibly efficient.
    Electrical & Chemical Gradients
    Neurons rely on gradients to generate signals. A gradient simply means there is more of something on one side of the cell membrane than the other.

    Chemical gradient: There are different concentrations of ions (like sodium and potassium) inside vs. outside the neuron. Ions naturally want to move from areas of high concentration to low concentration due to entropy. This is called diffusion.
    Diagram illustrating the diffusion of non-charged molecules across a cell membrane. The extracellular space is shown at the top and the cytosol at the bottom, separated by a lipid bilayer. Pink squares represent non-charged molecules, which are more concentrated outside the cell than inside. An orange arrow points downward through the membrane, showing molecules moving from the extracellular space into the cytosol. Green plus signs indicate membrane voltage, but a note states that voltage plays no role in this process. The figure emphasises that non-charged particles move across the membrane purely according to their concentration gradient.
    Electrical gradient: Because ions carry charge, their movement also creates differences in voltage across the membrane.

    The neuron's interior is typically negatively charged relative to the outside. Positively charged ions are attracted to negative areas and repelled by positive ones, creating an electrical force that can either reinforce or oppose the chemical gradient.
    Diagram illustrating the movement of charged particles across a cell membrane under two conditions. The extracellular space is shown at the top and the cytosol at the bottom, separated by a lipid bilayer. Green circles with plus signs represent positively charged ions.  On the left, charged particles move from the extracellular space into the cytosol. A large orange arrow points downward, indicating ion flow driven by both the concentration gradient and the electrical gradient acting in the same direction. A note confirms that concentration and voltage reinforce each other.  On the right, charged particles move against the concentration gradient. A small orange arrow points upward, showing ion movement driven by the electrical gradient while opposing the concentration gradient. A note explains that in this case, concentration gradient and voltage oppose one another.
    Together, these two forces create an electrochemical gradient — the combined push-and-pull that determines which way an ion will move.

    When the chemical and electrical gradients work in the same direction, ions flow easily through open channels.

    When they oppose each other, the ion may reach equilibrium (where the two forces balance out) or require energy to move against the combined gradient. This stored electrochemical energy is what neurons use to generate and propagate signals.

    In photoreceptors, these gradients determine whether ion channels open or close, which controls whether the cell is depolarised or hyperpolarised when light hits the retina.
    Depolarisation / Hyperpolarisation
    Remember, neurons maintain a difference in charge between the inside and outside of the cell. The inside is usually more negative than the outside (this is called the resting membrane potential).

    • Depolarisation: The inside becomes less negative (more positive) moving closer to the threshold needed to fire an action potential. This increases the likelihood that an action potential will occur.

    • Hyperpolarisation: The inside becomes even more negative, moving further from the threshold. This reduces the chance that an action  potential will occur.
    Metabotropic vs. Ionotropic Receptors
    Neurons respond to neurotransmitters using different kinds of receptors.

    Ionotropic receptors: These are fast, direct receptors. When a neurotransmitter binds, the receptor opens an ion channel immediately, allowing ions to flow across the membrane and quickly change the cell’s electrical state. Think of ionotropic receptors as light switches — almost instant on/off.

    Metabotropic receptors: These are slower, indirect receptors. Instead of opening a channel right away, they trigger a biochemical cascade inside the cell that eventually alters ion channels or cell behaviour. Think of metabotropic receptors as dimmer switches — slower, but capable of fine control.

    Thus, different neurons can respond very differently to the same neurotransmitter.

    Together, these two systems let the visual system be both fast and highly adaptable.

    Directional Terms
    When describing the brain, we use special anatomical directions to keep things consistent.

    Anterior: Toward the front.

    e.g., the frontal lobe is anterior to the visual cortex.


    Posterior: Toward the back.

    e.g., the cerebellum is posterior to the visual cortex.


    Dorsal: Toward the top.

    e.g., In the brain, toward the top of the head.


    Ventral: Toward the bottom.

    e.g., In the brain, toward the base of the skull.
    Diagram illustrating anatomical directional terms for the brain. Top right: sagittal (side) view of the brain showing anterior (front), posterior (back), dorsal (top), ventral (bottom), and caudal (tail/back) directions, with the longitudinal axis of the brainstem equaling the dorsal-ventral axis marked.
    Diagram illustrating anatomical directional terms for the brain. Three-dimensional reference diagram showing how different anatomical planes intersect, with views from coronal (front), sagittal (side), horizontal (top), and lateral (side) perspectives. Surrounding small diagrams show: coronal section, sagittal section, horizontal section, and lateral view. All brain structures are shown in pink with green and yellow directional labels.

    Medial: Toward the midline.

    e.g., middle of the body/brain.



    Lateral: Toward the sides.

    e.g., your ears are lateral to your eyes.

    Rostral: Toward the nose
    (or front of the brain).

    Caudal: Toward the tail
    (or back of the brain).

    Ipsilateral: Same side.

    Contralateral: Opposite side.

    Superior: Above.

    e.g., The visual cortex is superior to the brainstem.


    Inferior: Below.

    e.g., the brainstem is inferior to the visual cortex.

    Closing Remarks

    The eye may seem like a simple camera — light comes in, an image goes out — but as we’ve seen, vision is anything but simple.

    Light must be captured, refracted, inverted, filtered, encoded, and constantly corrected by networks of cells that evolved to extract just the information we need to survive.

    Vision is less a mirror of reality and more a sophisticated model of it — assembled in real time from limited data. And yet, this imperfect system lets us read, recognise faces, navigate the world, appreciate art, and experience sunsets!

    Vision is powerful not because it is complete, but because the brain turns the messy, chaotic input of reality into something we can understand - providing yet another example of how spectacular the brain truly is.

    Stay tuned! The next neuroSense volume will turn from the eye to the nose and mouth, exploring how we perceive the world through our chemical senses.

    thanks for reading!

    amethyst