phosphene

The most common phosphenes are pressure phosphenes, caused by rubbing or applying pressure on or near the closed eyes. They have been known since antiquity, and described by the Greeks.{{cite journal |first1=Otto-Joachim |last1=Grüsser |first2=Michael |last2=Hagner | title=On the history of deformation phosphenes and the idea of internal light generated in the eye for the purpose of vision |journal=Documenta Ophthalmologica |volume=74 |date=February 1990 |issue=1–2 |pages=57–85 |pmid=2209368 |doi=10.1007/bf00165665 |s2cid=30223977 }} The pressure mechanically stimulates the cells of the retina. Experiences include a darkening of the visual field that moves against the rubbing, a diffuse colored patch that also moves against the rubbing, well defined shapes such as bright circles that exist near or opposite to where pressure is being applied,{{Cite web|url=https://multiplesclerosis.net/living-with-ms/phosphenes-personal-aurora-borealis/|title=Phosphenes: Your Own Personal Aurora Borealis |first=TK |last=Sellman |date=2018-03-11|website=MultipleSclerosis.net|language=en|access-date=2020-02-02}} a scintillating and ever-changing and deforming light grid with occasional dark spots (like a crumpling fly-spotted flyscreen), and a sparse field of intense blue points of light. Pressure phosphenes can persist briefly after the rubbing stops and the eyes are opened, allowing the phosphenes to be seen on the visual scene. Hermann von Helmholtz and others have published drawings of their pressure phosphenes. One example of a pressure phosphene is demonstrated by gently pressing the side of one's eye and observing a colored ring of light on the opposite side, as detailed by Isaac Newton.{{cite web|last1=Newton|first1=Isaac|title=Laboratory Notebook|url=http://cudl.lib.cam.ac.uk/view/MS-ADD-03975/21|website=cudl.lib.cam.ac.uk|publisher=Cambridge Digital Library|access-date=9 October 2014}}{{cite book |last1=Newton |first1=Isaac |last2=McGuire |first2=J. E |last3=Tamny |first3=Martin |title=Certain philosophical questions: Newton's Trinity notebook |date=2002 |publisher=Cambridge University Press |isbn=978-0-521-53066-8 |page=386 |oclc=728748184 }}{{cite journal |title=From the library |journal=British Journal of Ophthalmology |date=1 October 2003 |volume=87 |issue=10 |pages=1308 |doi=10.1136/bjo.87.10.1308 |doi-access=free }}

Another common phosphene is "seeing stars" from a sneeze, laughter, a heavy and deep cough, blowing of the nose, a blow on the head or low blood pressure (such as on standing up too quickly or prior to fainting). It is possible these involve some mechanical stimulation of the retina, but they may also involve mechanical and metabolic (such as from low oxygenation or lack of glucose) stimulation of neurons of the visual cortex or of other parts of the visual system.{{citation needed|date=February 2021}}

Less commonly, phosphenes can also be caused by some diseases of the retina and nerves, such as multiple sclerosis. The British National Formulary lists phosphenes as an occasional side effect of at least one anti-anginal medication.

The name "phosphene" was coined by the French physician {{ill|Henri Savigny|fr}}, better known as the ship's surgeon of the wrecked French frigate Méduse.{{cite journal |last1=Savigny |first1=J. B. H. |title=Phosphenes ou sensations loumineuses |trans-title=Phosphenes or light-hearted sensations |language=fr |journal=Archives Générale de Médecine |volume=3 |issue=2 |year=1838 |pages=495–497 }} It was first employed by Serre d'Uzes to test retinal function prior to cataract surgery.{{cite book |last1=Serre |first1=H. Auguste |title=Essai sur les phosphenes: ou anneaux lumineux de la retine considérés dans leurs rapports avec la physiologie et la pathologie de la vision |trans-title=Test on phosphenes: or luminous rings of the retina considered in their relation to the physiology and pathology of vision |language=fr |date=1853 |publisher=Masson |oclc=1194111898 |url=https://books.google.com/books?id=bZcqAAAAYAAJ }}{{pn|date=August 2021}}

Phosphenes have been created by electrical stimulation of the brain, reported by neurologist Otfrid Foerster as early as 1929. Brindley and Lewin (1968) inserted a matrix of stimulating electrodes directly into the visual cortex of a 52-year-old blind female, using small pulses of electricity to create phosphenes. These phosphenes were points, spots, and bars of colorless or colored light.{{cite journal |last1=Brindley |first1=G. S. |last2=Lewin |first2=W. S. |title=The sensations produced by electrical stimulation of the visual cortex |journal=The Journal of Physiology |date=1 May 1968 |volume=196 |issue=2 |pages=479–493 |doi=10.1113/jphysiol.1968.sp008519 |pmid=4871047 |pmc=1351724 }} Brindley and Rushton (1974) used the phosphenes to create a visual prosthesis, in this case by using the phosphenes to depict Braille spots.

In recent years, researchers have successfully developed experimental brain–computer interfaces or neuroprostheses that stimulate phosphenes to restore vision to people blinded through accidents. Notable successes include the human experiments by William H. Dobelle{{cite journal |last1=Dobelle |first1=W. H. |last2=Mladejovsky |first2=M. G. |title=Phosphenes produced by electrical stimulation of human occipital cortex, and their application to the development of a prosthesis for the blind |journal=The Journal of Physiology |date=1 December 1974 |volume=243 |issue=2 |pages=553–576 |doi=10.1113/jphysiol.1974.sp010766 |pmid=4449074 |pmc=1330721 }} and Mark Humayun and animal research by Dick Normann.

A noninvasive technique that uses electrodes on the scalp, transcranial magnetic stimulation, has also been shown to produce phosphenes.{{cite book |last1=Cowey |first1=Alan |last2=Walsh|first2=Vincent|editor-first1=Christian |editor-last1=Casanova |editor-first2=Maurice|editor-last2=Ptito|title=Vision: From Neurons to Cognition, Volume 1 |publisher=Gulf Professional Publishing |year=2001 |pages=411–25 |chapter=Chapter 26: Tickling the brain: studying visual sensation, perception and cognition by transcranial magnetic stimulation|isbn=978-0-444-50586-6|chapter-url=https://books.google.com/books?id=W45xBjAEAlQC&q=phosphenes+scalp&pg=PA420}}

Experiments with humans have shown that when the visual cortex is stimulated above the calcarine fissure, phosphenes are produced in the lower part of the visual field, and vice versa.{{cite journal |last1=Tehovnik |first1=E. J. |last2=Slocum |first2=W. M. |last3=Carvey |first3=C. E. |last4=Schiller |first4=P. H. |title=Phosphene Induction and the Generation of Saccadic Eye Movements by Striate Cortex |journal=Journal of Neurophysiology |date=January 2005 |volume=93 |issue=1 |pages=1–19 |doi=10.1152/jn.00736.2004 |pmid=15371496 |citeseerx=10.1.1.326.9609 }}

Phosphenes have been produced by intense, changing magnetic fields, such as with transcranial magnetic stimulation (TMS). These fields can be positioned on different parts of the head to stimulate cells in different parts of the visual system. They also can be induced by alternating currents that entrain neural oscillation as with transcranial alternating current stimulation.{{cite journal |last1=Kanai |first1=Ryota |last2=Chaieb |first2=Leila |last3=Antal |first3=Andrea |last4=Walsh |first4=Vincent |last5=Paulus |first5=Walter |title=Frequency-Dependent Electrical Stimulation of the Visual Cortex |journal=Current Biology |date=December 2008 |volume=18 |issue=23 |pages=1839–1843 |doi=10.1016/j.cub.2008.10.027 |pmid=19026538 |s2cid=15466470 |doi-access=free }} In this case they appear in the peripheral visual field. This claim has been disputed. The alternative hypothesis is that current spread from the occipital electrode evokes phosphenes in the retina.{{cite journal |last1=Kar |first1=Kohitij |last2=Krekelberg |first2=Bart |title=Transcranial electrical stimulation over visual cortex evokes phosphenes with a retinal origin |journal=Journal of Neurophysiology |date=15 October 2012 |volume=108 |issue=8 |pages=2173–2178 |doi=10.1152/jn.00505.2012 |pmid=22855777 |pmc=3545027 }}{{cite journal |last1=Schwiedrzik |first1=Caspar |title=Retina or visual cortex? The site of phosphene induction by transcranial alternating current stimulation |journal=Frontiers in Integrative Neuroscience |date=2009 |volume=3 |page=6 |doi=10.3389/neuro.07.006.2009 |pmid=19506706 |pmc=2691656 |doi-access=free }}{{cite journal |last1=Schutter |first1=Dennis J.L.G. |last2=Hortensius |first2=Ruud |title=Retinal origin of phosphenes to transcranial alternating current stimulation |journal=Clinical Neurophysiology |date=July 2010 |volume=121 |issue=7 |pages=1080–1084 |doi=10.1016/j.clinph.2009.10.038 |pmid=20188625 |s2cid=11763513 }} Phosphenes created by magnetic fields are known as magnetophosphenes.

Astronauts exposed to radiation in space have reported seeing phosphenes.{{cite journal |last1=Fuglesang |first1=Christer |last2=Narici |first2=Livio |last3=Picozza |first3=Piergiorgio |last4=Sannita |first4=Walter G. |date=April 2006 |title=Phosphenes in Low Earth Orbit: Survey Responses from 59 Astronauts |journal=Aviation, Space, and Environmental Medicine |volume=77 |number=4 |pages=449–452 |pmid=16676658 |url=http://www.ingentaconnect.com/content/asma/asem/2006/00000077/00000004/art00012 }} Patients undergoing radiotherapy have reported seeing blue flashes of light during treatment; the underlying phenomenon has been shown to resemble Cherenkov radiation.{{cite journal |last1=Tendler |first1=Irwin I. |last2=Hartford |first2=Alan |last3=Jermyn |first3=Michael |last4=LaRochelle |first4=Ethan |last5=Cao |first5=Xu |last6=Borza |first6=Victor |last7=Alexander |first7=Daniel |last8=Bruza |first8=Petr |last9=Hoopes |first9=Jack |last10=Moodie |first10=Karen |last11=Marr |first11=Brian P. |last12=Williams |first12=Benjamin B. |last13=Pogue |first13=Brian W. |last14=Gladstone |first14=David J. |last15=Jarvis |first15=Lesley A. |title=Experimentally Observed Cherenkov Light Generation in the Eye During Radiation Therapy |journal=International Journal of Radiation Oncology, Biology, Physics |date=February 2020 |volume=106 |issue=2 |pages=422–429 |doi=10.1016/j.ijrobp.2019.10.031 |pmid=31669563 |pmc=7161418 }}

Phosphenes can be caused by some medications, such as Ivabradine.{{cite journal |last1=Tardif |first1=Jean-Claude |last2=Ford |first2=Ian |last3=Tendera |first3=Michal |last4=Bourassa |first4=Martial G. |last5=Fox |first5=Kim |title=Efficacy of ivabradine, a new selective If inhibitor, compared with atenolol in patients with chronic stable angina |journal=European Heart Journal |date=1 December 2005 |volume=26 |issue=23 |pages=2529–2536 |doi=10.1093/eurheartj/ehi586 |pmid=16214830 |doi-access=free }}

Most vision researchers believe that phosphenes result from the normal activity of the visual system after stimulation of one of its parts from some stimulus other than light. For example, Grüsser et al. showed that pressure on the eye results in activation of retinal ganglion cells in a similar way to activation by light.{{cite journal |last1=Grüsser |first1=OJ |last2=Grüsser-Cornehls |first2=U |last3=Hagner |first3=M |last4=Przybyszewski |first4=AW |title=Purkynĕ's description of pressure phosphenes and modern neurophysiological studies on the generation of phosphenes by eyeball deformation. |journal=Physiologia Bohemoslovaca |date=1989 |volume=38 |issue=4 |pages=289–309 |pmid=2531426 }} An ancient, discredited theory is that light is generated in the eye. A version of this theory has been revived, except, according to its author, that "phosphene lights are [supposed to be] due to the intrinsic perception of induced or spontaneous increased biophoton emission of cells in various parts of the visual system (from retina to cortex)"{{cite journal |last1=Bókkon |first1=István |title=Phosphene phenomenon: A new concept |journal=Biosystems |date=May 2008 |volume=92 |issue=2 |pages=168–174 |doi=10.1016/j.biosystems.2008.02.002 |pmid=18358594 |citeseerx=10.1.1.377.2281 }}

In 1988, David Lewis-Williams and T. A. Dowson published an article about phosphenes and other entoptic phenomena. They argued that non-figurative art of the Upper Paleolithic depicts visions of phosphenes and neurological "form constants", probably enhanced by hallucinogenic drugs.{{cite journal |last1=Lewis-Williams |first1=J. D. |last2=Dowson |first2=T. A. |last3=Bahn |first3=Paul G. |last4=Bednarik |first4=Robert G. |last5=Clegg |first5=John |last6=Consens |first6=Mario |last7=Davis |first7=Whitney |last8=Delluc |first8=Brigitte |last9=Delluc |first9=Gilles |last10=Faulstich |first10=Paul |last11=Halverson |first11=John |last12=Layton |first12=Robert |last13=Martindale |first13=Colin |last14=Mirimanov |first14=Vil |last15=Turner |first15=Christy G. |last16=Vastokas |first16=Joan M. |last17=Winkelman |first17=Michael |last18=Wylie |first18=Alison |title=The Signs of All Times: Entoptic Phenomena in Upper Palaeolithic Art [and Comments and Reply] |journal=Current Anthropology |date=April 1988 |volume=29 |issue=2 |pages=201–245 |jstor=2743395 |doi=10.1086/203629 |s2cid=147235550 }}

• Research has looked into visual prosthesis for the blind, which involves use of arrays of electrodes implanted in the skull over the occipital lobe to produce phosphenes. There have been long term implants of this type. Risks, such as infections and seizures, have been an impediment to their development.{{cite journal |last1=Lewis |first1=Philip M. |last2=Rosenfeld |first2=Jeffrey V. |author-link2=Jeffrey Rosenfeld |title=Electrical stimulation of the brain and the development of cortical visual prostheses: An historical perspective |journal=Brain Research |date=January 2016 |volume=1630 |pages=208–224 |doi=10.1016/j.brainres.2015.08.038 |pmid=26348986 |doi-access=free }}
• A possible use of phosphenes as part of a brain-to-brain communication system has been reported. The system called BrainNet, produces phosphenes using transcranial magnetic stimulation (TMS). The goal of the research is to connect thoughts brain to brain using a system where signals are detected using electroencephalography (EEG) and delivered using transcranial magnetic stimulation (TMS). An experiment was conducted with five different groups, each containing three people. The subjects were split into two groups. Two subjects functioned as the senders, and were connected to EEG electrodes, and a third person functioned as the receiver, who wore the TMS helmet. Each person was stationed in front of a television screen with a Tetris-style game. The senders had to determine if there was a need to rotate the falling blocks, but without the ability to rotate them – only the receiver was able to perform this operation. At the edges of each screen, were two icons with two flashing lights in two different frequencies, (one at 15 Hz and the other at 17 Hz). The sender focused on one icon, or the other to signal that the block should be rotated to the right or the left. The EEG produced a unique signal, which was transmitted to the TMS helmet of the receiver, who perceived phosphenes which differed for the 15 Hz and 17 Hz signal, and rotated the block in the relevant direction. The experiment achieved 81% success.{{cite journal |last1=Jiang |first1=Linxing |last2=Stocco |first2=Andrea |last3=Losey |first3=Darby M. |last4=Abernethy |first4=Justin A. |last5=Prat |first5=Chantel S. |last6=Rao |first6=Rajesh P. N. |title=BrainNet: A Multi-Person Brain-to-Brain Interface for Direct Collaboration Between Brains |date=26 September 2018 |doi=10.1101/425066 |arxiv=1809.08632 |s2cid=52815886 }}

{{div col}}

• {{annotated link|Closed-eye hallucination}}
• {{annotated link|Dark retreat}}
• {{annotated link|Isolation tank}}
• {{annotated link|Prisoner's cinema}}
• {{annotated link|Scintillating scotoma}}
• {{annotated link|Photopsia}}
• {{annotated link|Visual snow}}
• {{annotated link|Hallucinogen persisting perception disorder|HPPD}}

{{div col end}}

{{Reflist|30em}}

• https://www.oubliette.org.uk/ Entoptic Phenomena: Review of J. D. Lewis-Williams and T. A. Dowson's research
• https://www.wynja.com/arch/entoptic.com Altered States: Review of J. D. Lewis-Williams and T. A. Dowson's research
• [http://bokkon-brain-imagery.5mp.eu Biophysical pictures within the brain]

{{Visual phenomena}}

Category:Visual system

Category:Hallucinations