Neuroscientific literature has identified that the visual system has two visual pathways referred to as central and peripheral (also referred to as Focal/Parvocellular and Ambient/Magnocellular Pathway). The central vision is concerned with form and colour. The peripheral vision is concerned with movement and depth perception and is generally considered to be crucially involved in motion processing.

Central Vision

 
Peripheral Vision

A comparison between Central and Peripheral Vision

Central vision

Peripheral vision

"What is it" (object recognition) function "Where Am I / Where is it" function
Involves only central vision Involves entire visual field
Largely conscious Largely sub-conscious
Works in isolation Integrates with other sensory systems
Enables object identification and perception of shape and colour Enables visually guided movement such as pointing along with posture, balance and movement

 
Central and Peripheral Vision

Assessing the “whole” visual system

Normally, an optometrist measures eye aiming and focusing, which are controlled by the central and autonomic nervous systems respectively, while working in front of a Phoropter filled with lenses. Peripheral vision function is not taken into consideration.

The function of the peripheral is to establish “Where Am I/Where is it” and enables visually guided movement such as pointing, reaching and grasping along with posture, balance and movement. During a VSI assessment the function of the “whole” visual system is assessed by testing visually guided movement and auditory processing under more natural conditions

A comparison between testing under natural conditions and standard testing using a Phoropter

Trial Frame
Phoropter

Testing under natural conditions

Standard testing using a Phoropter

Allows open field of view Closed field of view
Normal head and neck posture Abnormal head and neck posture
Allows head and eye movement Fixed gaze position
Allows sitting, standing and movement Stationary and sitting only
Visual evaluation is natural or ergonomic Evaluation not natural or ergonomic
Well illuminated room conditions Dimly illuminated or dark room conditions
Allows movement for integration with the balance system No movement (eye or body)