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.
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
- 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.
- Lamination: The LGN is organised into layers — and V1 is layered too!
- 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.

- 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...
- V1 initially preserves information about which eye a signal came from.
- But at higher levels of processing, that information is integrated — which is exactly what we want for unified visual perception.
-
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.
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.
At this stage, many neurons still respond best to antagonistic center–surround 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.
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.
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.
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.
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.

- Ventral Stream ("What" Pathway): Specialises in object identity, shape, and colour. i.e., What is it?
- Area V4: Processes colour and object form.
- Achromatopsia: Damage to V4. Loss of colour perception (world appears in shades of grey)
- Object Agnosia: Patients can see, reach, and copy objects. But they cannot recognise or identify what the objects are.
- Face-Specific Processing: A specialised extension of the ventral stream dedicated to facial recognition.
- Fusiform Face Area (FFA): Contains neurons that respond more strongly to faces than to other objects (e.g., houses).
- 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.