One possible approach to unraveling deficits that may be pathway specific is to design test conditions and stimuli that selectively target CS within the MC and PC pathways. A common technique has been to use the
steady-pedestal and
pulsed-pedestal paradigms introduced by Pokorny and Smith (
1997) that were later modified by Leonova, Pokorny and Smith (
2003). The steady-pedestal paradigm, which involves the brief presentation of a test target (typically 50 ms or less) against a steady luminance pedestal, is thought to favor the MC pathway, at least for low spatial frequency stimuli. In contrast, the pulsed-pedestal paradigm, which involves the brief presentation of a test target and luminance pedestal together, is thought to favor the PC pathway. The logic underlying the use of these paradigms to assess MC and PC pathway function is reviewed in detail elsewhere (Pokorny,
2011). In brief, the pedestal paradigms were designed to differentiate MC and PC pathway function based on their differences in contrast responsivity. Psychophysical contrast discrimination thresholds were compared with typical values from primate physiology to determine the extent to which they match the contrast gain signatures of the MC and PC pathways (Pokorny,
2011). The steady-pedestal paradigm is thought to favor the MC pathway because an achromatic test target is presented only briefly, whereas the pulsed-pedestal paradigm is thought to favor the PC pathway because the abrupt onset of the luminance pedestal saturates the MC pathway. Previous work using these paradigms has shown spatial CS losses under both the steady- and pulsed-pedestal paradigms in patients who have retinitis pigmentosa (Alexander, Barnes, Fishman, Pokorny, & Smith,
2004a), melanoma-associated retinopathy (Alexander, Barnes, Fishman, Pokorny, & Smith,
2004b), X-linked retinoschisis (Alexander, Barnes, & Fishman,
2005), glaucoma (McKendrick, Sampson, Walland, & Badcock,
2007), amblyopia (Zele, Pokorny, Lee, & Ireland,
2007), and diabetes (Gualtieri et al.,
2011). Previous work has also shown selective deficits in CS discrimination only under the steady-pedestal paradigm in patients who have retinitis pigmentosa (Alexander, Pokorny, Smith, Fishman, & Barnes,
2001) and optic neuritis (Cao et al.,
2011).