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V. S. Ramachandran & R. L Gregory*
Reprinted from Nature. Vol. 350, No. 6320.
pp. 699- 702, 25th April. 1991 with the kind
permission of the Editor
Psychology Department 0109, University of
California, San Diego, La Jolla. California 92092-0109, USA
* Department of Psychology, University of Bristol, Bristol, UK
Patients with scotomas or blind-spots in their visual field [REF
1-5] resulting from damage to the visual pathways often report
that the pattern from the rest of the visual field ‘fills in’
to occupy the scotoma. Here we describe a novel technique for
generating an artificial perceptual scotoma which enabled us to
study the spatial and temporal characteristics of this filling-in
process. A homogeneous grey square subtending 1.5° was displayed
against a background of twinkling two-dimensional noise of equal
mean luminance (Fig. 1). On steady eccentric fixation for 10s
the square vanished and was filled in by the twinkling noise from
the surround. Using this display we found that ‘filling in’ is
an active visual process that probably involves creating an actual
neural representation of the surround rather than merely ignoring
the absence of information from the scotoma; filling in can occur
separately for colour and texture, suggesting separate mechanisms;
the filling-in process does not completely suppress information
from the scotoma, even after an image has faded completely from
consciousness - it can nevertheless contribute to motion perception;
and the process can be strongly influenced by illusory contours.

FIG. 1 Stimulus used to produce an artificial
perceptual scotoma. The background consisted of twinkling spots
of eight different grey levels. The square subtended 1.5° x 1.5°
and it had the same mean luminance (50 cd-m-2) as the twinkling
texture. The fixation spot was about 6° away from the border of
the square. On steady fixation the square vanished in about 5s
and was filled in by the twinkling noise in the surround. A similar
fading and filling in of texture was originally described by Ramachandran
and Anstis [REF 7] and Ramachandran [REF
8] but in their stimulus the square was a ‘window' filled
with horizontally moving dots rather than a homogeneous grey.
Also, we found that if the square was very small (<0.2°) it
could be seen to vanish even if it was very bright or dark, that
is non-equiluminous with the surround. (The effect could then
be seen even if the fixation spot was only 2° from the square.)
The fading occurred even more quickly (< 2 s) if the square
was in a different stereoscopic plane (nearer or further) than
the twinkling texture. This was confirmed by all four subjects.
Patients with discrete lesions in their retinas or in primary
visual cortex usually have a ‘blind spot’ or scotoma in their
visual field as measured by conventional perimetry [REF
1-5]. Oddly enough, if the patient gazes at a companion seen
against a background of wallpaper, the companion’s head may disappear
but the gap gets ‘filled in’ by the surrounding wallpaper. It
is said that King Charles II used to decapitate his courtiers
using this benign procedure, although he used his natural blind
spot rather than a scotoma.
Of the natural blind spot (corresponding to the optic nerve head),
Sir David Brewster [6] has written: "We should expect, whether
we use one or both eyes, to see a black or dark spot upon every
landscape within 15° of the point which most particularly attracts
our notice. The Divine Artificer, however, has not left his work
thus imperfect ... the spot, in place of being black, has always
the same colour as the ground."
We know surprisingly little about the nature of the neural representation
that corresponds to the filling in of scotomas and blind spots.
To study the spatial and temporal characteristics of this process
we created a novel stimulus that results in a temporary reversible
scotoma in normal individuals [REF 7,8]. A
homogeneous grey square subtending 1.5°x 1.5° was displayed against
a background of dynamic twinkling noise and the subjects were
asked to fixate steadily on a spot 6° to the right (or left) of
the square (Fig. 1). The twinkle had the same mean luminance (25
cd m2) as the square. Four naive subjects were used in all the
experiments described here. After a brief period of steady fixation
they reported that the square vanished completely and was filled
in by the surrounding twinkle. The average time for fading and
filling in was 5.04s (n = 40; four subjects, 10 trials each.)
Does this filling-in process involve creating an actual neural
representation of the ‘twinkle’ in the brain areas to which the
grey square projects, or does it merely involve ignoring the absence
of information? (After all, one is unaware of the huge gaping
hole behind one’s head, but one would not want to conclude, for
example, that the wallpaper had been filled in behind the head.)
One hint comes from the fact that the filling-in process often
appeared gradual; after the square’s borders faded, the twinkle
filled in from outside to inside slowly, taking 2 or 3 s. This
suggests an active process.

FIG. 2 Schematic illustration of stimulus
used to demonstrate independent filling-in mechanisms for colour
and twinkling texture. The homogeneous grey square subtended 2.6°
x 2.8°. The black spots in the square subtended 5 minutes of arc
and moved horizontally as in a ‘conveyor belt’. The surround consisted
of randomly flickering (‘twinkling’) black spots on a homogeneous
pink background (depicted dark grey) whose mean luminance was
the same (80 cd m2) as the grey square. The background subtended
19° x 15°. Four subjects were asked to view this display and asked
whether the twinkle and colour both filled in at the same time,
the twinkle filled in first, or the colour filled in first. On
most trials the subjects reported that the colour filled in first
(mean = 2.83 s; n = 40) followed a few seconds later by the twinkling
noise (mean = 4.05 s).
Is filling-in a unitary process or can it occur separately for
colour and texture? To find out, we modified Fig. 1 so that the
surround consisted of sparse black dots twinkling on a homogeneous
pink background, and the square consisted of black spots moving
horizontally against a grey background (Fig. 2) that was equiluminous
with the pink. This square, defined by a difference in motion
as well as colour, also faded completely in a few seconds, but
we found that the filling-in occurred in two distinct stages.
First, the homogeneous grey region in the square vanished and
was filled in by the pink from the surround, so that one now had
the experience of seeing the black dots moving against the filled-in
pink that did not actually exist on the retina. Once this had
occurred, the moving spots also faded and were replaced a few
seconds later by the twinkling spots in the surround. Thus, there
may be separate fill mechanisms for colour and texture corresponding,
perhaps, to the different extrastriate visual areas [REF
9-12] that are thought to be specialized for colour or motion
(twinkle). Perhaps the colour border fades first and the surround
colour is then assigned to this region (in the ‘colour areas’
such as V4). Because the moving spots have not yet faded, the
visual system ‘assumes’ that the spots must be moving against
the filled-in pink.
Does the fading of the square (and subsequent filling in) depend
mainly on the adaptation of neural detectors that extract borders
of the square or of the homogeneous region inside it? To answer
this question we allowed the filling in to occur and then suddenly
switched off and replaced the square with a slightly smaller concentric
square (1.3°x 1.3°). Because the region corresponding to this
small square has already been filled in with twinkle, does one
have to start the filling in again? The answer is yes. The small
square did become clearly visible and took several seconds to
fade and become ‘filled in’ again (mean = 2.29 s). Thus the fading
of contours is critical to the whole process.
How deep is the suppression of information within the scotoma?
To investigate this we waited until the square had faded completely,
then switched off the square and replaced it with an identical
square that was shifted by about 0.4°. To our surprise, we found
that the second square seems to ‘move’ or ‘arrive’ at its location,
instead of just appearing out of nowhere. Even though the first
square was not consciously visible it could nevertheless provide
an input to apparent motion perception. A more formal experiment
was conducted on the four subjects using a smaller square (1°x
1°).
On each trial we waited until the subject reported complete fading,
then we switched off the square and replaced it with a new square
that was either to the left or to the right of the original. Left-right
trials were presented in random order and the subject’s task was
to simply report the direction. Performance on this task was well
above chance (75 out of 80 trials; four subjects, 20 trials each).
Furthermore, it was clear from the subjects’ phenomenological
reports that they were actually experiencing a sensation of motion
and not simply reporting a change of location. We postulate, therefore,
that the fading of the square from consciousness occurs from area
V4, the dorsolateral area (DL) and other ‘form’ areas, but that
information about its motion is processed separately in the middle
temporal area (MT).
Our next experiment also explored the depth of suppression within
the scotoma. We waited until the square was replaced with twinkle,
then we suddenly introduced a small (0.2°) red test-probe in the
centre of the grey square. All four subjects reported that the
spot instantly ‘overcame’ the filling in, but only in the small
region corresponding to the spot, so that they saw a red spot
surrounded by the filled-in twinkle that did not actually exist
around it on the retina. That the red spot is seen to be actually
surrounded by the filled-in twinkle is additional evidence for
an active filling-in process. If no such process exists, one might
have simply experienced a vague inability to decide what was immediately
around the red spot.
| FIG. 3a, In this display the surround
consisted of a counterphase flickering grating instead of
twinkling noise. Fading and filling in took longer but could
still be seen. |
 |
| 3b, In this display we have stationary
continuously visible horizontal lines instead of a counterphase
flickering grating. Fading and filling in can be seen after
15-20 s of steady eccentric fixation. We find that one out
of every five or six subjects cannot achieve the steady fixation
required for this effect. Also, on some trials the entire
pattern fades (as in ‘Troxler fading’ [REF
30]) instead of the square, an effect that is rarely seen
in Fig. 1. |
 |
| 3c, The square Is displayed against
a ‘nonsense’ matrix of English letters. Again, the square
fades and gets filled in by the alphabets, but subjects could
not actually read the letters in the filled-in region. |
 |
Next, we explored the temporal characteristics of the filling-in
process using Fig. 1. After filling in had occurred, we switched
off the entire display and replaced it with a homogeneous grey
field of equal luminance to the square (the square subtended 1.3°x
1.3°). We now found that there was a square patch of twinkly noise
in the area that was originally occupied by the square, and this
patch persisted for as long as 2-3 s (mean for four subjects =
2.44 s; n = 40). We conclude that a time-varyingneural representation
of the surrounding twinkle is created within the scotoma and perhaps
this representation persists for 2-3 s after the display is switched
off. An alternative possibility is that the twinkle creates some
peculiar state of adaptation in the surround, and this adaptation
subsequently ‘induces’ a spatially heterogeneous twinkle in the
region corresponding to the square. Even so, whatever mechanism
is responsible for this induction of twinkle in the region originally
occupied by the square is unlikely to be very different from the
process causing the filling in of the scotoma in the first place.
What is truly remarkable about the percept is its dynamic nature,
that it is actually seen to twinkle within the scotoma. When we
changed the temporal frequency of the surrounding twinkle to about
10 Hz, from 30 Hz, we found that the perceived temporal frequency
of the persistent twinkling patch was also reduced correspondingly.
Is the filling-in process specific to the pattern in the surround?
We tried to answer this by using displays such as Fig. 3a, in
which the surround was a diagonal twinkling (‘counterphase flickering’)
square wave grating. We waited for fill to occur, then replaced
the background lines with twinkling two-dimensional noise. Subjects
typically reported that this procedure restored the grey square
momentarily (1 s) and that it had to be filled in again by the
new twinkling texture in the surround. Scotomas can also be produced,
although less vividly, using stationary patterns such as Fig.
3b and c. In Fig. 3b the surround consists of a stationary horizontal
square wave grating, and in Fig. 3c it was composed of ordinary
type-written English, Latin, or ‘nonsense’ text. The filling in
of text was especially striking and was reported by all four subjects,
although, needless to say, none of them could actually read the
text within the filled-in region.
Equiluminous chromatic borders [REF 13,14]
and luminance edges [REF15] also tend to fade
during optical image stabilization or steady fixation [REF
12]. We found that this was true even if an achromatic (grey)
square was displayed on an equiluminous yellow background. The
square (subtending 2°) faded in about 3-4 s and was replaced by
the yellow from the background. The presence of the yellow within
the filled-in region cannot be explained in terms of conventional
colour contrast or adaptation effects. Again, if a black spot
(0.3° diameter) was introduced in the centre of the square, the
filling-in of yellow was observed right up to, but not beyond,
the edges of the black spot. Yet, if we had a thin black ring
(0.3° outer diameter) instead of a spot, the yellow filled the
interior of the ring as well, its spread was not 'blocked' by
the ring. So the word 'paint' might be a more appropriate metaphor
than 'filling in'.
Our next experiment demonstrates an intriguing interaction between
illusory contours [REF 16-22] and the filling-in
mechanism. The display consisted of a circular grey disk that
straddled the vertical border between two equiluminous regions
of different colour (pink and yellow). A vertical illusory contour
was then introduced that coincided with the chromatic border and
also continued across the centre of the grey disk (Fig. 4a). On
steady eccentric fixation, subjects now reported that the colours
filled n the disks from the two sides to form an illusory colour
border corresponding to the illusory contour. If the illusory
contour was not present the colour border within the scotoma usually
appeared ‘washed out’, indistinct and unstable. (If the illusory
contours coincided with the borders of the disk itself (Fig. 4b)
the fading or filling-in processes were delayed.) We may conclude
from this that the filling-in process is strongly influenced by
early image segmentation, produced by illusory contours.
 |
 |
FIG. 4 Stimulus configuration used to demonstrate
the effect of illusory contours on the filling-in process. a,
the background was pink on the left (depicted light grey here)
and green (depicted dark grey here) on the right and the circular
disk was an equiluminous grey. Filling-in occurred from both sides
and formed a 'border' between the two filled-in colours that coincided
with the illusory contour. In the absence of the central vertical
illusory contour (b) the border appeared indistinct and unstable.
The filling-in of the disk also took longer in b, perhaps because
of the illusory contours associated with the chromatic borders.
Eleven naive subjects reported this effect; filling in took place
earlier in a than b in 195 out of 220 trials.
Finally, we wondered whether the filling in of the natural blind
spot is also an active process that involves spatial integration.
To explore this we used a 10°-wide red annulus (ring) whose inner
margins just overlapped the outer margins of the blind spot, viewed
monocularly. The red colour filled in the blind spot so that the
stimulus looked like a homogeneous red disk rather than a ring.
Yet when we introduced several concentric thin red rings around
the annulus the blind spot appeared filled with rings instead
of a homogeneous red, an effect that was confirmed by four naive
subjects. Thus what fills in the blind spot is not merely what
is immediately around it but also he pattern from the remote surround.
Considerable progress has recently been made in understanding
the nature of neural representation underlying perception [REF
23-29]. Our results suggest that the rules used by the visual
system to fill in perceptual scotomas may help to elucidate further
some of these processes. One intriguing possibility is that filling
in simply reflects the activity of higher extrastriate neurons
whose large receptive fields may straddle the boundaries of the
grey square. Once the neurons that signal the square’s border
become fatigued, the signals from the surround may get misattributed
to the region corresponding to the scotoma. A second possibility
is that feedback pathways [REF 11,24] from
extrastriate areas are used to create a representation of the
surround in the portion of area 17 that corresponds to the scotoma.
This theory complements, rather than negates, Sir David Brewster’s
hypothesis [REF 6] that the filling in is achieved
by ‘the Divine Artificer’, and it has the additional merit of
being more easily testable.
Note added in proof. In patients with small (1°) retinal scotomas
we find that filling in occurs for homogeneous colours and fine-grained
static noise but not for dynamic twinkling noise (Fig. 1).
Received 27 December 1990; accepted 27 February 1991.
Acknowledgements
We thank W. Aiken, A. Saluda, D. Rogers-Ramachandran, F. Crick,
T. Sejnowsky, P. Churchland and C. Ramachandran for stimulating
discussions, and the Airforce Office of Scientific Research for
support. R.L.G. was a McDonnel-Pew visiting scholar at UCSD.
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