Recent research has demonstrated some beneficial effects in patients
with neglect using rightward shifting prismatic lenses. Despite a great
deal of research exploring this effect, we know very little about the
cognitive mechanisms underlying prism adaptation in neglect. We examined
the possibility that prism adaptation influences visual attention by
having healthy participants complete either a reflexive or a voluntary
covert visual attention cuing paradigm before and after adaptation to
leftward, rightward, or sham (no shift) prisms. The results for reflexive
orienting demonstrated that a subset of participants with large cuing
effects before prism adaptation were faster to reorient attention away
from an invalid cue on the side of space opposite the prismatic shift post
adaptation. For voluntary orienting, left prisms increased the efficiency
of voluntary attention in both left and right visual space in participants
with a small cuing effect before prism adaptation. In contrast, right
prisms decreased the efficiency of voluntary attention in both left and
right space for participants with a large cuing effect before prism
adaptation. No significant effects were observed in the sham prism groups.
These results suggest that prism adaptation may exert a variety of
influences on attentional orienting mechanisms. (JINS, 2006,
12, 337–349.)