Crowding between first- and second-order letters in amblyopia.

To test whether first- and second-order stimuli are processed independently in amblyopic vision, we measured thresholds for identifying a target letter flanked by two letters for all combinations of first- and second-order targets and flankers. We found that (1) the magnitude of crowding is greater for second- than for first-order letters for target and flankers of the same order type; (2) substantial but asymmetric cross-over crowding occurs such that stronger crowding is found for a second-order letter flanked by first-order letters than for the converse; (3) the spatial extent of crowding is independent of the order type of the letters. Our findings are consistent with the hypothesis that crowding results from an abnormal integration of target and flankers beyond the stage of feature detection, which takes place over a large distance in amblyopic vision.