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While perimetric visual field improvements can occur spontaneously in the first few months post-stroke, by 6 months post-stroke, the deficit is considered chronic and permanent. Despite evidence from sensorimotor stroke showing that early injury responses heighten neuroplastic potential, to date, visual rehabilitation research has focused on patients with chronic cortically-induced blindness. Consequently, little is known about the functional properties of the post-stroke visual system in the subacute period, nor do we know if these properties can be harnessed to enhance visual recovery. Here, for the first time, we show that \u2018conscious\u2019 visual discrimination abilities are often preserved inside subacute, perimetrically-defined blind fields, but they disappear by \u223c6 months post-stroke. Complementing this discovery, we now show that training initiated subacutely can recover global motion discrimination and integration, as well as luminance detection perimetry, just as it does in chronic cortically-induced blindness. However, subacute recovery was attained six times faster; it also generalized to deeper, untrained regions of the blind field, and to other (untrained) aspects of motion perception, preventing their degradation upon reaching the chronic period. In contrast, untrained subacutes exhibited spontaneous improvements in luminance detection perimetry, but spontaneous recovery of motion discriminations was never observed. Thus, in cortically-induced blindness, the early post-stroke period appears characterized by gradual\u2014rather than sudden\u2014loss of visual processing. Subacute training stops this degradation, and is far more efficient at eliciting recovery than identical training in the chronic period. Finally, spontaneous visual improvements in subacutes were restricted to luminance detection; discrimination abilities only recovered following deliberate training. Our findings suggest that after V1 damage, rather than waiting for vision to stabilize, early training interventions may be key to maximize the system\u2019s potential for recovery.<\/jats:p>","DOI":"10.1093\/brain\/awaa128","type":"journal-article","created":{"date-parts":[[2020,4,10]],"date-time":"2020-04-10T19:13:48Z","timestamp":1586546028000},"page":"1857-1872","source":"Crossref","is-referenced-by-count":67,"title":["Functional preservation and enhanced capacity for visual restoration in subacute occipital stroke"],"prefix":"10.1093","volume":"143","author":[{"given":"Elizabeth L","family":"Saionz","sequence":"first","affiliation":[{"name":"Flaum Eye Institute, University of Rochester, Rochester, NY, USA"},{"name":"Medical Scientist Training Program, University of Rochester, Rochester, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duje","family":"Tadin","sequence":"first","affiliation":[{"name":"Flaum Eye Institute, University of Rochester, Rochester, NY, USA"},{"name":"Department of Brain and Cognitive Sciences, University of Rochester, Rochester, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D","family":"Melnick","sequence":"first","affiliation":[{"name":"Flaum Eye Institute, University of Rochester, Rochester, NY, USA"},{"name":"Department of Brain and Cognitive Sciences, University of Rochester, Rochester, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7138-6156","authenticated-orcid":false,"given":"Krystel R","family":"Huxlin","sequence":"first","affiliation":[{"name":"Flaum Eye Institute, University of Rochester, Rochester, NY, USA"},{"name":"Department of Brain and Cognitive Sciences, University of Rochester, Rochester, NY, 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