Begin by instructing the participant to fixate on the central cross during the imaging scans. Briefly demonstrate the visual stimulation to familiarize the participant with the procedure. Position the participant comfortably on the scanner table and immobilize the participant's head in the posterior half of the head coil array with foam padding to reduce motion artifacts.
Provide ear plugs to protect their hearing. Use the scanner's positioning system to move the table into the scanner bore. Place the wide-view mirror 10 centimeters from the participant's eyes.
Adjust the mirror to maintain a consistent viewing angle. Begin fMRI scanning with a localizer scan, incorporating three orthogonal planes and adjusting the scanner for frequency and shimming calibration. Proceed with an MP-RAGE anatomical scan for enhanced EPI slice positioning.
At the start of the fMRI protocol, instruct the participant to fixate on the white cross atop a gray background at the stimuli's center for 10 seconds. Create visual stimuli using a compatible program by displaying a series of rotating wedges for 30 seconds. The wedges should extend to the edge of the screen or mirror with an eight-hertz contrast-reversing black and white checkerboard pattern.
Present the white cross for an additional 10 seconds. Repeat cross fixation and stimulation display with the second 30-second visual stimulation paradigm, consisting of expanding and contracting rings. Maintain an eight-hertz contrast-reversing black and white checkerboard pattern at 100%contrast during the experiment.
Upon completion of imaging, slide the table out of the scanner bore, ensuring the participant remains still. Next, remove the screen and then remove the mirror before placing the anterior portion of the head coil. Position the table back into the center of the scanner.
Acquire a quick localizer scan to account for any movement, followed by an MP-RAGE scan using the full head coil. The polar maps revealed no obvious differences between the primary open-angle glaucoma participants and healthy participants. The eccentricity maps showed that the central region of the parafovea that was activated by the smaller ring stimuli appeared larger in the primary open-angle Glaucoma patient.
BOLD percent changes at different eccentricities were reduced in primary open-angle glaucoma patients, especially at more peripheral eccentricities. The BOLD changes were significantly reduced between the two groups, more so at larger eccentricities. The BOLD percent changes averaged for central vision were only slightly and not significantly reduced in primary open-angle glaucoma patients, while the changes were significantly reduced for peripheral vision.
