X-linked incomplete achromatopsia (XIA), also called blue-cone monochromacy (BCM), is a rare cone disorder that most commonly results either from one of two conditions. The first condition is a deletion of the locus control region (LCR) which is a critical DNA element that lies upstream of the L and M photopigment gene array on the X-chromosome and is necessary for expression of the photopigment genes. The second condition is an inactivating point mutation within the coding sequence of the remaining photopigment gene in an array from which all but one gene has been deleted. Many previous studies have concluded that affected individuals either have only rods and S-cones (Blackwell & Blackwell, 1957, 1961; Daw & Enoch, 1973; Hess et al., 1989) or have rods, S-cones, and another cone type that contains the rod pigment (Pokorny et al., 1970; Alpern et al., 1971). However, Smith et al. (1983) described individuals with XIA who had residual L-cone function. Here we report results for a subject with XIA who appears to have residual M-cone function. Genetic analysis revealed that he had apparently normal genes for M-cone photopigment thus leaving open the possibility that he has a contribution to vision based on expression of these genes at a very low level.

Attention is important for sufficient performance on many visual tasks. This has been shown using achromatic steady-state and pattern-reversal VEPs. Waveform characteristics typically attenuate when attending to distractor stimuli and ignoring VEP stimuli. Chromatic pattern-onset responses have not been tested under conditions of selective attention: as they can be used in clinical settings to test color vision, it is important to know what effects attentional shifts would have on this response. In the present study chromatic pattern-onset VEPs were recorded using spatially divided and spatially contiguous VEP and distractor stimuli. VEP stimuli were 1 cycle.deg(-1) horizontal sine wave patterns (onset mode 100 ms on/400 ms off) used to selectively modulate the L-M and S-(L+M) visual pathways. Distracter stimuli were letters. Subjects attended to either the letters or the gratings and pressed a button when a predetermined stimulus appeared. In Experiment one, VEP and distractor stimuli were superimposed and spatially contiguous. In Experiment two, stimuli were presented to different hemifields. No significant changes in waveform amplitude and latency were found between VEP and distractor attention conditions for either visual pathway. For the chromatic pattern-onset response, modulation of attention does not change responses either with spatially contiguous or spatially separate selective attention manipulations. Consequently, it may not be necessary to monitor attention during recording of this response.

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These results demonstrate that changes in ocular and/or systemic physiology during full-body inversion can result in increased latencies of chromatic and achromatic pattern-onset VEPs.

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