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The effects of ocular fixation on per-rotatory nystagmus were studied during the course of the pendular vestibular stimulation test. If the subject is normal, or the disorder is peripheral, the nystagmus is abolished. Examples of these different results are presented.
Caloric tests were performed on 20 normal volunteers under the following six conditions of ocular fixation: (1) eyes open with lighted +20-diopter lenses; (2) eyes open with lighted +20-diopter lenses plus strobe lighting; (3) eyes open in darkness; (4) eyes closed in darkness; (5) eyes closed in a dimly lighted room; and (6) eyes open with unlighted +20-diopter lenses plus strobe lighting. Latency, amplitude, frequency, duration, and speed of the slow component were measured from a permanent recording. Significant differences were found between the lighted +20-diopter lens conditions and all others for all variables except latency. Tests performed with lighted +20-diopter lenses should be cautiously interpreted due to the noticeable response suppression noted in these conditions. The present procedure of performing caloric tests with the eyes closed in a dimly lighted room was found to be unqeustionably preferable.
PURPOSE: This experiment had two purposes. The first purpose was to compare ocular fixation during eye tracking, head tracking, and head tracking with a visual cue to head position. The second purpose was to compare head tracking with and without a visual cue to head position. METHODS: Eleven subjects tracked a pseudo-random laser target in three conditions. In one condition (Condition 1), subjects tracked the target primarily with the eyes. In a second condition (Condition HT), subjects tracked the target with the head but no visual cue to head position was provided. In the final condition, subjects tracked the target with the head and were given a visual cue to head position (Condition HR). RESULTS: On average, ocular fixation was worst in Condition HR and similar in Condition 1 and Condition HT. Mismatches in target and head velocity greater than 60 degrees x sec(-1) occurred more frequently in Condition HR than in Condition HT. CONCLUSIONS: Ocular tracking of a pseudo-random target is adversely affected in a minor way by head movement, but tracking declines significantly when head tracking is performed with a visual cue to head position. In terms of velocity matching, head tracking is also adversely affected by a head position cue.
OBJECTIVE: To investigate the role of the posterior thalamus in controlling voluntary and visually triggered eye movements and ocular fixation. METHODS: The latency to initiate saccades to peripheral targets (visually triggered) and in response to verbal commands (voluntary) was measured in three patients with unilateral lesions of the posterior thalamus, in normal controls, and in neurological controls with Parkinson's disease. On half the trials a fixation point offset simultaneously with target onset, and on half it remained visible. RESULTS: Offset of the fixation point simultaneous with target onset decreased saccade latency for both voluntary and visually triggered eye movements in controls, but only for voluntary saccades in patients with thalamic lesions. CONCLUSIONS: These findings suggest that separate neural systems control fixation when making voluntary and visually triggered eye movements, and that the thalamus is involved in the control of fixation for visually triggered but not for voluntary saccades.
The behavior of abducens nucleus motoneurons and internuclear neurons was recorded during eye fixation in the alert cat. The interspike interval (ISI) values during a given fixation followed a normal distribution, with coefficients of variation for motoneurons and interneurons ranging from 4.6 to 16% and 5.7 to 21.7%, respectively. The ISI mean was linearly related to its standard deviation and to the coefficient of variation. The power spectral density of ISI fluctuations did not reveal any relevant peak. The autocorrelation function of ISI fluctuations was flat except at the origin. Results suggest the presence of a gaussian white noise superimposed on the clock-like firing of the activity of abducens neurons during ocular fixation. Some physiological implications of the results are discussed.
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We conducted three experiments in order to examine the influence of gaze behavior and fixation on audiovisual speech perception in a task that required subjects to report the speech sound they perceived during the presentation of congruent and incongruent (McGurk) audiovisual stimuli. Experiment 1 showed that the subjects' natural gaze behavior rarely involved gaze fixations beyond the oral and ocular regions of the talker's face and that these gaze fixations did not predict the likelihood of perceiving the McGurk effect. Experiments 2 and 3 showed that manipulation of the subjects' gaze fixations within the talker's face did not influence audiovisual speech perception substantially and that it was not until the gaze was displaced beyond 10 degrees - 20 degrees from the talker's mouth that the McGurk effect was significantly lessened. Nevertheless, the effect persisted under such eccentric viewing conditions and became negligible only when the subject's gaze was directed 60 degrees eccentrically. These findings demonstrate that the analysis of high spatial frequency information afforded by direct oral foveation is not necessary for the successful processing of visual speech information.
We measured the joint contributions of different sized saccades and ocular drift to overall performance in an alternating fixation task. Subjects repeatedly shifted fixation between the centres of a pair of bars of width 2 degrees -2 arc min, either mentally selected or electronically cut from a stationary sine grating display. Eye movement patterns exhibited consistent features across all displays, and pairs of widely separated bars were studied most. Variability (S.D.) and relative accuracy (under/overshooting bias) were estimated from the concentration of eye positions over the two target bars. Overall variability, i.e. for eye movements as a whole, reached a minimum of 5 min for bar widths less than 20 min across subjects, displays and tasks. This was consistent, as were several other aspects of the study, with a constant 20-min diameter goal zone hypothesis. For wide bars, overall variability increased nearly as the square root of bar width, and for narrow bars, was independent of bar separation. A typical between-bar crossing saccade was tightly constrained in departure point but widely scattered in landing position, the associated variability increasing with bar separation. The final high overall precision was achieved largely by within-bar saccades of greater than 7.5 min effective amplitude that were present at a rate of 1 (range 0.3-3) per crossing saccade. This is consistent with views that very small saccades (the smaller microsaccades) make little obvious contribution to oculomotor performance.
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Management of difficult strabismus, such as strabismus fixus and paralytic strabismus, in order to maintain the alignment is complicated. There are many surgical approaches described in the current literature, together with notes on the materials used to stabilize these deformities. We present a new surgical approach using quadriceps tendon allograft for the correction of difficult strabismus such as strabismus fixus and paralytic strabismus. Our idea for using deep frozen quadriceps tendons developed from the fact that this is the most stable and strongest tendon in the whole body. Six patients with strabismus fixus (n = 1), paralytic strabismus secondary to extraocular muscle damage (n = 1) and combined cranial nerve palsy (n = 4) were operated on using a strip of deep frozen quadriceps tendon allograft sutured onto both the globe and the periosteum. The mean age of the patients was 44.33 years. (range 17-71 years) All the patients were followed up for six months. The mean preoperative deviation in the six cases was 60 prism diopters (PD) (range 30-123 PD) The mean change in horizontal alignment at 1 month, 3 months and 6 months postoperatively was 54 PD, 53 PD and 49.16 PD respectively. We had only one case of undercorrection. This may possible be due to the remaining function of the antagonist and/or the fact that we had used the distal end of the quadriceps tendon. When the patient (patient No. 5) who had 2 operations was excluded, the mean change in horizontal alignment was 48.6 PD, 47.4 PD and 43.6 PD. Post-operatively there was no infection or any other complications. According to our study of existing literature, these cases of deep frozen quadriceps tendon allograft application for the indications mentioned above are the first reported cases of its type. We conclude that ocular fixation with quadriceps tendon to the periosteum is a safe and effective option for the management of difficult strabismus. Further research on a larger cohort of patients and longer follow-up time are needed.
A-scan readings must be taken along the visual axis for accurate axial length measurement. Various fixation targets, which ideally should not induce accommodation, are used to limit eye movements. In this study results using the Humphrey biometer under different fixation conditions were compared to establish the most suitable target. We also investigated corneal applanation effects by comparing optical and ultrasonic measurements of anterior chamber depth. We examined 12 randomly selected normal eyes of 12 young subjects. Three A-scans were recorded for each of five fixation conditions: spotlight at 6 m; Snellen letter at 6 m; solid probe's built-in green fixation target; Snellen letter at 6 m viewed through a -4.00 DS lens; spotlight at 6 m under cycloplegia (the comparison condition). Variability 'within' each fixation condition, estimated by the standard deviation for each subject, was equal throughout the 12 subjects for each fixation condition. Also variation was independent of size of the ocular dimension. The good agreement between the comparison condition and optical anterior chamber depth measurements indicated that the solid probe produced little applanation. Differences 'between' fixation conditions were investigated. It was concluded that a spotlight or letter at 6 m provides a suitable fixation target for biometry. Built-in fixation targets can produce significant errors.
1. The optimal ocular position after vitreoretinal surgery with intravitreous gas tamponade is with the axis of the eye pointed downward. 2. Careless prone fixation may cause accidents of eyeball depression. 3. To help patients keep the proper prone facial and ocular positions, a modified catcher's mask was developed for use as a facial support.
Twelve normal subjects received standard caloric testing under the following conditions: 1) fixation, 2) Frenzel glasses in a dimly lit room, 3) eyes open in total darkness, and 4) eyes closed. Multiple nystagmus response parameters were evaluated and statistically compared for each condition. Fixation markedly diminished induced nystagmus and produced the largest coefficient of variation for each response parameter. Caloric testing with eyes closed resulted in periodic nystagmus suppression and a less distinct saw-toothed pattern. As with fixation, the coefficient of variation was consistently higher with eyes closed compared to eyes open in darkness or Frenzel glasses. It is concluded that caloric testing of the vestibulo-ocular reflex arc should be performed with eyes open in darkness or with Frenzel glasses.
The aim of this study was to assess the plasticity of human voluntary fixational eye movement control in relation to visual experience/chronic visual deprivation. Twelve blind adults participated (self-reported vision < or = light perception in each eye; age range = 23-56 years; visual experience range = 0-28 years; blindness duration range = 6-55 years). Infrared-based recordings of horizontal eye movements were made before, during, and immediately after three 30-s periods of auditory ocular motor feedback, while participants were instructed to look straight ahead and keep their eyes as steady as possible. Percent change in horizontal displacement of the eye during and after feedback was compared with the no-feedback baseline. Eleven of the 12 individuals demonstrated feedback-mediated increase in eye stability, which improved as a function of visual experience. Improved eye stability was inversely related to duration of blindness. Clearly, blind adults can use nonvisual external feedback to stabilize gaze. Thus, the fixational subsystem can exhibit improved voluntary control despite chronic visual deprivation. Possible cortical and subcortical mechanisms are discussed.
The influence of pursuit eye movements on the visibility of sine wave gratings was investigated by the simultaneous measurement of eye movements and contrast thresholds under different viewing conditions. It was concluded that: 1. with moving gratings contrast sensitivity during ocular pursuit was equal to contrast sensitivity during maintained fixation on a stationary target, provided that the magnitude of retinal image motion (0-20 deg/sec) was equal in both cases; 2. accurate pursuit eye movements led to a paradoxical suppression of the visibility of low spatial frequency gratings; 3. the visibility of high spatial frequency gratings remained unchanged during accurate pursuit eye movements; 4. iso-contrast-sensitivity resulting from both pursuit and non-pursuit conditions could be used to quantify the ocular pursuit performance.
Accuracy of response and pattern of ocular fixations in three split-brain macaques were used to evaluate performance of each hemisphere in a continuous visual recognition task. The animal indicated by ocular fixation upon response points whether a displayed image or face was 'NEW' or 'OLD'. An inadvertent lesion of cingulate gyrus severely reduced contralateral fixations and impaired performance of the affected hemisphere in one animal, confirming the inferred relation between hemisphere and laterality of fixations. The hemispheres in the other two animals were initially remarkably similar in accuracy with human faces and with images; but the right hemisphere was significantly superior to the left for macaque faces. Parallel to this, in the one animal tested while simultaneously using both eyes/hemispheres, fixations were made primarily on the left half of human and macaque faces (right hemispheric control), whereas for images the ocular fixations were predominantly focused on the right half. However, after further, extensive training the left hemisphere performed with significantly greater accuracy than the right on all material and this shift was accompanied and further corroborated by a reversal of the fixational pattern to favor the right half of faces, as continued to be the case with images. Thus, over the long term both the pattern of ocular fixations and the accuracy of performance demonstrate a migration from right to left hemispheric dominance as familiarity with the task increased. Performance of the initially superior hemisphere actually diminished with this shift, presenting a uniquely puzzling question of hemispheric balance in the absence of the forebrain commissures.
The frequency of square wave jerks (SWJ) was compared in eight patients with progressive supranuclear palsy (PSP), 25 patients with multiple system atrophy or Parkinson's disease plus (MSA/PP), 85 patients with idiopathic Parkinson's disease (PD) and 20 age-matched normal volunteers. In the control group, the mean (SD) SWJ frequency (SWJ larger than 1 degree amplitude) was 2.3 (2.4)/min. Abnormal ocular fixation (SWJ frequency greater than 10/min) was observed in a large proportion of PSP patients (7/8) and of MSA/PP patients (16/25) but in few PD patients (13/85). In the group of PD patients with abnormal ocular fixation, freezing of gait, falls and instability were more severe than in the group of PD patients with normal fixation. The study of ocular fixation may help to differentiate PD clinically from other Parkinsonian syndromes. SWJ are probably not related to the central degeneration of the dopaminergic nigrostriatal pathway observed in PD.
The results of quantitative infrared horizontal eye movement recordings in 8 patients with progressive supranuclear palsy are presented. Some of the patients had total paralysis of vertical movements, but none had completely lost the ability to perform horizontal eye movements. All patients had a defect in ocular fixation previously undescribed in this condition: the universal presence of square-wave jerks. Analysis of refixation saccades demonstrated hypometria, slow velocity/amplitude relationships, and profound prolongation of duration. The pursuit abnormality, characterized clinically by "cogwheel" eye movements, represented the inability to match eye velocity to target velocity. The ratio of peak eye velocity to peak target velocity (pursuit gain) was 0.2 to 0.5. Defects in the vestibuloocular reflex included inability to increase the gain of the reflex (ratio of peak eye velocity to head velocity) during viewing of a visible, stationary target and failure to suppress the reflex when viewing a target rotating with the head.