Dot Motion Perception in Young Adult Emmetropes and Myopes

SIGNIFICANCE Central motion perception, as assessed by minimum displacement detection, was reduced in highly myopic eyes. Peripheral motion detection may be influenced by myopia, particularly in the inferior-nasal retina. PURPOSE Motion discrimination is a complex visual task processed mainly via the magnocellular pathway. We investigated whether it is affected in myopia. METHODS Ninety young adults aged 18 to 28 years participated: 30 emmetropes (spherical equivalent refractions +1.00 to -0.50 diopters [D]), 30 low myopes -1.00 to -4.75 D) and 30 higher myopes (<-5 D). Random dot patterns were used to measure motion perception thresholds for minimum displacement (Dmin), maximum displacement (Dmax), and motion coherence tasks. Each task was performed centrally and at four oblique peripheral visual field locations (at 3.65 and 12 degrees for Dmin and Dmax tasks, respectively). Macular retinal thickness was measured with optical coherence tomography. RESULTS The central Dmin task was correlated significantly with refraction (r = -0.303, P =.004) and axial length (r = +0.224, P =.04), and the superior-temporal field Dmin task was correlated significantly with axial length (r = 0.230, P =.04). Higher myopes had poorer performance than emmetropes by 25% (higher values). For the Dmin peripheral task and for Dmax and coherence tasks at both central and peripheral locations, there were no significant correlations with refraction or axial length. At three of four positions, the peripheral Dmin task was correlated significantly with thickness in the corresponding retinal region: superior-temporal Dmin (Pearson r = -0.357, P <.001), inferior-nasal Dmin (r = -0.237, P =.03) and inferior-temporal Dmin (r = -0.233, P =.03). CONCLUSIONS Central motion perception, as assessed by minimum displacement detection, was reduced by 25% in highly myopic eyes. Peripheral motion detection may be influenced by myopia, particularly in the inferior-nasal retina. Retinal stretching due to axial elongation may be linked to reduced performance in higher myopes.