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The authors investigated the influence of spatial frequencies in foveal vision in glaucomatous patients in a recognition task of facial expressions. Nineteen patients, 16 age-matched and 14 young controls saw centrally presented photographs of faces. Participants categorized the facial expressions as happy, angry or neutral. Two versions were tested: filtered faces of either low (LSF) or high (HSF) spatial frequency content and hybrid faces constructed from a face with LSF content superimposed on a face with HSF content with differing facial expressions. Compared to age-matched controls a significant deficit was observed both on HSF and on LSF filtered faces for patients. Controls, but not patients, were biased towards the HSF component of the hybrid faces. Different spatial frequencies are normally used to recognize different facial expressions. Impaired processing of a spatial frequency bandwidth due to an ocular pathology can therefore lead to misinterpretation of emotions, and impact on social interactions.

Spatial frequency bands used by patients with glaucoma to recognize facial expressions