Foveal vision loss has been shown to reduce efficient visual search guidance due to contextual cueing by incidentally learned contexts. However, previous studies used artificial (T among L-shape) search paradigms that prevent the memorization of a target in a semantically meaningful scene. Here, we investigated contextual cueing in real-life scenes that allow explicit memory of target locations in semantically rich scenes. In contrast to the contextual cueing deficits in artificial scenes, contextual cueing in patients with age-related macular degeneration (AMD) did not differ from age-matched normal-sighted controls. We discuss this in the context of visuospatial working memory demands for which both eye-movement control in the presence of central vision loss and for memory-guided search may compete. Memory-guided search in semantically rich scenes may depend less on visuospatial working memory than search in abstract displays, potentially explaining intact contextual cueing in the former but not the latter. In a practical sense, our findings may indicate that Patients with AMD are less deficient than expected after previous lab experiments. This shows the usefulness of realistic stimuli in experimental clinical research.

Accurate localization of the fovea in fundus images is essential for diagnosing retinal diseases. Existing methods often require extensive data and complex processes to achieve high accuracy, posing challenges for practical implementation. In this paper, we propose an effective and efficient approach for fovea detection using simple image processing operations and a geometric approach based on the optical disc's position. A key contribution of this study is the successful determination of the temporal direction by leveraging readable asymmetries related to the optical disc and its surroundings. We discuss three methods based on asymmetry conditions, including blood vessel distribution, cup disc inclination, and optic disc location ratio, for detecting the temporal direction. This enables precise determination of the optimal foveal region of interest (ROI). Through this optimized fovea region, fovea detection is achieved using straightforward morphological and image processing operations. Extensive testing on popular datasets (DRIVE, DiaretDB1, and Messidor) demonstrates outstanding accuracy of 99.04% and a rapid execution time of 0.251 seconds per image. The utilization of asymmetrical conditions for temporal direction detection provides a significant advantage, offering high accuracy and efficiency while competing with existing methods.

Macula fovea detection is a crucial prerequisite towards screening and diagnosing macular diseases. Without early detection and proper treatment, any abnormality involving the macula may lead to blindness. However, with the ophthalmologist shortage and time-consuming artificial evaluation, neither accuracy nor effectiveness of the diagnose process could be guaranteed. In this project, we proposed a deep learning approach on ultra-widefield fundus (UWF) images for macula fovea detection. This study collected 2300 ultra-widefield fundus images from Shenzhen Aier Eye Hospital in China. Methods based on U-shape network (Unet) and Fully Convolutional Networks (FCN) are implemented on 1800 (before amplifying process) training fundus images, 400 (before amplifying process) validation images and 100 test images. Three professional ophthalmologists were invited to mark the fovea. A method from the anatomy perspective is investigated. This approach is derived from the spatial relationship between macula fovea and optic disc center in UWF. A set of parameters of this method is set based on the experience of ophthalmologists and verified to be effective. Results are measured by calculating the Euclidean distance between proposed approaches and the accurate grounded standard, which is detected by Ultra-widefield swept-source optical coherence tomograph (UWF-OCT) approach. Through a comparation of proposed methods, we conclude that, deep learning approach of Unet outperformed other methods on macula fovea detection tasks, by which outcomes obtained are comparable to grounded standard method.