The upper limit of human smooth pursuit velocity

Automating the analysis of eye movement for different neurodegenerative disorders

The clinical observation and assessment of extra-ocular movements is common practice in assessing neurodegenerative disorders but remains observer-dependent. In the present study, we propose an algorithm that can automatically identify saccades, fixation, smooth pursuit, and blinks using a non-invasive eye tracker. Subsequently, response-to-stimuli-derived interpretable features were elicited that objectively and quantitatively assess patient behaviors. The cohort analysis encompasses persons with mild cognitive impairment (MCI), Alzheimer's disease (AD), Parkinson's disease (PD), Parkinson's disease mimics (PDM), and controls (CTRL). Overall, results suggested that the AD/MCI and PD groups had significantly different saccade and pursuit characteristics compared to CTRL when the target moved faster or covered a larger visual angle during smooth pursuit. These two groups also displayed more omitted antisaccades and longer average antisaccade latency than CTRL. When reading a text passage silently, people with AD/MCI had more fixations. During visual exploration, people with PD demonstrated a more variable saccade duration than other groups. In the prosaccade task, the PD group showed a significantly smaller average hypometria gain and accuracy, with the most statistical significance and highest AUC scores of features studied. The minimum saccade gain was a PD-specific feature different from CTRL and PDM. These features, as oculographic biomarkers, can be potentially leveraged in distinguishing different types of NDs, yielding more objective and precise protocols to diagnose and monitor disease progression.

Quantifying the Impact of Motions on Human Aiming Performance: Evidence from Eye Tracking and Bio-Signals

Working on a moving platform can significantly impede human performance. Previous studies on moving vehicles have often focused on the overall impact on general task performance, whereas our study's emphasis is on precise hand movements, exploring the interaction between body motion and the escalation of task difficulty. We recruited 28 participants to engage in reciprocal aiming tasks, following Paul Fitts's setting, under both in-motion and stationary conditions. The task index of difficulty (ID) was manipulated by varying the width of the targets and the distance between the targets. We measured participants' movement time (MT), performance errors, and monitored their eye movements using an eye-tracking device, heart rate (HR), and respiration rate (RR) during the tasks. The measured parameters were compared across two experimental conditions and three ID levels. Compared to the stationary conditions, the in-motion conditions degraded human aiming performance, resulting in significantly prolonged MT, increased errors, and longer durations of eye fixations and saccades. Furthermore, HR and RR increased under the in-motion conditions. Linear relationships between MT and ID exhibited steeper slopes under the in-motion conditions compared to the stationary conditions. This study builds a foundation for us to explore the control mechanisms of individuals working in dynamic and demanding environments, such as pilots in airplanes and paramedics in ambulances.

Long-term dance training modifies eye-head coordination in response to passive head impulse

Long-term dance training is known to improve postural control, especially in challenging postural tasks. However, the effect of dance training on the vestibulo-ocular reflex (VOR) has yet to be properly assessed. This study directly investigated whether VOR parameters are influenced by long-term dance training by testing dancers and controls using the video head impulse test. VOR gains using two of the most common methods (area ratio and instantaneous gains), latency and amplitude of the first saccade, if applicable, were computed. Results revealed a larger VOR gain as measured by area gain and instantaneous gain at 40 ms specifically for left-head impulses, but not right-head impulses. No significant differences in saccade frequency, amplitude, or latency were observed between groups. These differences appear to stem from a modified eye-to-head relationship during high-velocity head impulses in dancers. More specifically, the dancers' eyes lead head movement during passively applied head impulses, which result in higher VOR gain.NEW & NOTEWORTHY This study demonstrates, for the first time, that long-term dance training results in a nonlinear relationship between eye and head velocity within the first milliseconds following passive head impulse. The data also suggest a larger VOR gain in dancers. This finding suggests that dance training may modify eye-head relationship in passive high-frequency head movements. This is of particular interest for vestibular rehabilitation.

Deep learning-based real-time driving for 3-field sequential color displays with low color breakup and high fidelity

Field sequential color liquid crystal displays (FSC-LCDs) are promising for applications needing high brightness and high resolution because removing color filters brings three times the light efficiency and spatial resolution. In particular, the emerging mini-LED backlight introduces compact volume and high contrast. However, the color breakup severely deteriorates FSC-LCDs. Concerning color breakup, various 4-field driving algorithms have been proposed at the cost of an additional field. In contrast, although 3-field driving is more desired due to fewer fields used, few 3-field methods that can balance image fidelity and color breakup for diverse image content have been proposed. To develop the desired 3-field algorithm, we first derive the backlight signal of one multi-color field using multi-objective optimization (MOO), which achieves a Pareto optimality between color breakup and distortion. Next, considering the slow MOO, the MOO-generated backlight data forms a training set to train a lightweight backlight generation neural network (LBGNN), which can produce a Pareto optimal backlight in real-time (2.3 ms on GeForce RTX 3060). As a result, objective evaluation demonstrates a reduction of 21% in color breakup compared with currently the best algorithm in color breakup suppression. Meantime, the proposed algorithm controls the distortion within the just noticeable difference (JND), successfully addressing the conventional dilemma between color breakup and distortion for 3-field driving. Finally, experiments with subjective evaluation further validate the proposed method by matching the objective evaluation.

Real-Time Monitoring Platform for Ocular Drug Delivery

Real-time measurement is important in modern dissolution testing to aid in parallel drug characterisation and quality control (QC). The development of a real-time monitoring platform (microfluidic system, a novel eye movement platform with temperature sensors and accelerometers and a concentration probe setup) in conjunction with an in vitro model of the human eye (PK-Eye™) is reported. The importance of surface membrane permeability when modelling the PK-Eye™ was determined with a "pursing model" (a simplified setup of the hyaloid membrane). Parallel microfluidic control of PK-Eye™ models from a single source of pressure was performed with a ratio of 1:6 (pressure source:models) demonstrating scalability and reproducibility of pressure-flow data. Pore size and exposed surface area helped obtain a physiological range of intraocular pressure (IOP) within the models, demonstrating the need to reproduce in vitro dimensions as closely as possible to the real eye. Variation of aqueous humour flow rate throughout the day was demonstrated with a developed circadian rhythm program. Capabilities of different eye movements were programmed and achieved with an in-house eye movement platform. A concentration probe recorded the real-time concentration monitoring of injected albumin-conjugated Alexa Fluor 488 (Alexa albumin), which displayed constant release profiles. These results demonstrate the possibility of real-time monitoring of a pharmaceutical model for preclinical testing of ocular formulations.

Factors affecting variability in vestibulo-ocular reflex gain in the Video Head Impulse Test in individuals without vestibulopathy: A systematic review of literature

Introduction

The purpose of this systematic review was to summarize and synthesize published evidence examining variations in vestibulo-ocular reflex (VOR) gain outcomes for the Video Head Impulse Test (vHIT) in healthy individuals without vestibulopathy in order to describe factors that may influence test outcomes.

Methods

Computerized literature searches were performed from four search engines. The studies were selected based on relevant inclusion and exclusion criteria, and were required to examine VOR gain in healthy adults without vestibulopathy. The studies were screened using Covidence (Cochrane tool) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement standards (PRISMA-2020).

Results

A total of 404 studies were initially retrieved, of which a total of 32 studies met inclusion criteria. Four major categories were identified which lead to significant variation in VOR gain outcomes: participant-based factors, tester/examiner-based factors, protocol-based factors, and equipment-based factors.

Discussion

Various subcategories are identified within each of these classifications and are discussed, including recommendations for decreasing VOR gain variability in clinical practice.

Vestibular Physical Therapy Treatment of Individuals Exposed to Directed Energy

INTRODUCTION

Following suspected sonic attacks on U.S. Embassies, a subset of individuals presented with a unique cluster of symptoms believed to have resulted from exposure to directed energy. Directed energy has been described as exposure to a unique sound/pressure phenomenon such as infrasonic or ultrasonic acoustic or electromagnetic energy. The Joint Force does not have an established protocol to guide vestibular physical therapy for individuals exposed to directed energy. Therefore, we have provided evidence-based guidance for the treatment of oculomotor- and vestibular-related impairments from similar populations.

MATERIALS AND METHODS

Published evidence was used to inform suggestions for clinical best practice. We offer resources for the management of non-oculomotor- and non-vestibular-related impairments, before discussing physical therapy interventions for dizziness and imbalance.

RESULTS

The physical therapist should design a treatment program that addresses the individual's health condition(s), body structure and function impairments, activity limitations, and participation restrictions after suspected directed energy exposure. This treatment program may include static standing, compliant surface standing, weight shifting, modified center of gravity, gait, and gaze stabilization or vestibular-ocular reflex training. Habituation may also be prescribed. Interventions were selected that require little to no specialized equipment, as such equipment may not be available in all settings (i.e., operational environments).

CONCLUSIONS

Evidence-based guidance for prescribing a comprehensive vestibular physical therapy regimen for individuals exposed to directed energy may aid in their rehabilitation and return to duty. This standardized approach can help physical therapists to treat complaints that do not match any previously known medical conditions but resemble brain injury or vestibular pathology.

Unidirectional Vertical Vestibuloocular Reflex Adaptation in Humans Using 1D and 2D Scenes

HYPOTHESIS

The vertical vestibuloocular reflex (VOR) in response to pitch head impulses can be optimally trained to increase in one direction using a two-dimensional (2D) visual training target with minimal effect on the horizontal VOR.

BACKGROUND

We modified the incremental VOR adaptation (IVA) technique, shown to increase the horizontal VOR in patients with vestibular hypofunction, to drive vertical VOR adaptation in healthy control subjects.

METHODS

We measured the horizontal and vertical active (self-generated) and passive (imposed) head impulse VOR gains (eye velocity/head velocity) before and after 15 minutes of unidirectional downward IVA training. IVA training consisted of two sessions, one using a single-dot one-dimensional (1D) target, the other a grid-of-dots 2D target.

RESULTS

The downward head impulse VOR gain significantly increased because of training by 13.3%, whereas the upward VOR gain did not change. The addition of extraretinal (2D) feedback did not result in greater adaptation, i.e., 1D and 2D gain increases were 15.5% and 10.6%, respectively. The vertical VOR gain increase resulted in a 3.2% decrease in horizontal VOR gain.

CONCLUSION

This preliminary study is the first to show that physiologically relevant (high frequency) unidirectional increases in vertical VOR gain are possible with just 15 minutes of training. This study sets the basis for future clinical trials examining vertical IVA training in patients, which may provide the first practical rehabilitation treatment to functionally improve the vertical VOR.

Evaluating Eye Movement Event Detection: A Review of the State of the Art

Detecting eye movements in raw eye tracking data is a well-established research area by itself, as well as a common pre-processing step before any subsequent analysis. As in any field, however, progress and successful collaboration can only be achieved provided a shared understanding of the pursued goal. This is often formalised via defining metrics that express the quality of an approach to solving the posed problem. Both the big-picture intuition behind the evaluation strategies and seemingly small implementation details influence the resulting measures, making even studies with outwardly similar procedures essentially incomparable, impeding a common understanding. In this review, we systematically describe and analyse evaluation methods and measures employed in the eye movement event detection field to date. While recently developed evaluation strategies tend to quantify the detector's mistakes at the level of whole eye movement events rather than individual gaze samples, they typically do not separate establishing correspondences between true and predicted events from the quantification of the discovered errors. In our analysis we separate these two steps where possible, enabling their almost arbitrary combinations in an evaluation pipeline. We also present the first large-scale empirical analysis of event matching strategies in the literature, examining these various combinations both in practice and theoretically. We examine the particular benefits and downsides of the evaluation methods, providing recommendations towards more intuitive and informative assessment. We implemented the evaluation strategies on which this work focuses in a single publicly available library: https://github.com/r-zemblys/EM-event-detection-evaluation .

Effects of Flow Hydrodynamics and Eye Movements on Intraocular Drug Clearance

New in vitro prototypes (PK-Eye™) were tested with and without eye movement to understand diffusion and convection effects on intraocular clearance. Port placement in front ((i) ciliary inflow model) and behind the model lens ((ii) posterior inflow model) was used to study bevacizumab (1.25 mg/50 µL) and dexamethasone (0.1 mg/100 µL) in phosphate-buffered saline (PBS, pH 7.4) and simulated vitreal fluid (SVF). Dexamethasone was studied in a (iii) retinal-choroid-sclera (RCS) outflow model (with ciliary inflow and two outflow pathways). Ciliary vs. posterior inflow placement did not affect the half-life for dexamethasone at 2.0 µL/min using PBS (4.7 days vs. 4.8 days) and SVF (4.9 days with ciliary inflow), but it did decrease the half-life for bevacizumab in PBS (20.4 days vs. 2.4 days) and SVF (19.2 days vs. 10.8 days). Eye movement only affected the half-life of dexamethasone in both media. Dexamethasone in the RCS model showed approximately 20% and 75% clearance from the RCS and anterior outflows, respectively. The half-life of the protein was comparable to human data in the posterior inflow model. Shorter half-life values for a protein in a ciliary inflow model can be achieved with other eye movements. The RCS flow model with eye movement was comparable to human half-life data for dexamethasone.

Properties of pursuit movements

This chapter describes dynamic properties of smooth pursuit, visual and non-visual stimuli for pursuit, smooth eye-head tracking movements, and plastic-adaptive properties of pursuit. Step-ramp visual stimulus motion has revealed important properties of pursuit, including the latency to onset, initial acceleration, accuracy, and transient oscillations-all features that have been used to develop models of the pursuit system, discussed in the chapter "Models of pursuit" by Robinson. The role of predictive neural mechanisms in generating pursuit movements that anticipate target motion, and that enable near-perfect tracking of sinusoidal target motion, are examined. Smooth pursuit can be generated in response to targets that do not move, such as stroboscopic lights and images stabilized in the periphery of vision. The view that, during combined eye-head pursuit, the pursuit signal is used to cancel the vestibulo-ocular reflex is an incomplete hypothesis, contradicted by behavioral and electrophysiological findings. Smooth pursuit shows adaptive capabilities, evident in individuals who develop extraocular muscle palsies.

Eye Movement and Pupil Measures: A Review

Our subjective visual experiences involve complex interaction between our eyes, our brain, and the surrounding world. It gives us the sense of sight, color, stereopsis, distance, pattern recognition, motor coordination, and more. The increasing ubiquity of gaze-aware technology brings with it the ability to track gaze and pupil measures with varying degrees of fidelity. With this in mind, a review that considers the various gaze measures becomes increasingly relevant, especially considering our ability to make sense of these signals given different spatio-temporal sampling capacities. In this paper, we selectively review prior work on eye movements and pupil measures. We first describe the main oculomotor events studied in the literature, and their characteristics exploited by different measures. Next, we review various eye movement and pupil measures from prior literature. Finally, we discuss our observations based on applications of these measures, the benefits and practical challenges involving these measures, and our recommendations on future eye-tracking research directions.

Ocular Asymmetry in Electrooculographic Responses

Between the cornea and the posterior pole of the eye, there is a transepithelial potential capable of being registered through an electrooculogram (EOG). It is questionable whether electrooculographic responses are similar in both eyes despite ocular dominance in human beings. We studied the effect of different electrooculographic stimulation parameters, in terms of directionality, linear and angular velocity, contrast, and state of adaptation to light/dark, that may induce possible interocular differences in visual function. The study was carried out with electroencephalography-type surface electrodes placed in the medial, lateral, superior, and inferior positions of both human eyes to record the eye movements. We found a greater amplitude of the EOG response in the left eye than to the right eye for light bars moving from right to left (p < 0.01; t-test). The EOG response amplitude was similar in both eyes for light bars moving in vertical directions, but greater than horizontal or rotational stimuli. We conclude that vertical stimuli should be used for EOG functional evaluation of eye movements, since horizontal stimuli generate significant interocular differences.

A change in perspective: The interaction of saccadic and pursuit eye movements in oculomotor control and perception

Due to the close relationship between oculomotor behavior and visual processing, eye movements have been studied in many different areas of research over the last few decades. While these studies have brought interesting insights, specialization within each research area comes at the potential cost of a narrow and isolated view of the oculomotor system. In this review, we want to expand this perspective by looking at the interactions between the two most important types of voluntary eye movements: saccades and pursuit. Recent evidence indicates multiple interactions and shared signals at the behavioral and neurophysiological level for oculomotor control and for visual perception during pursuit and saccades. Oculomotor control seems to be based on shared position- and velocity-related information, which leads to multiple behavioral interactions and synergies. The distinction between position- and velocity-related information seems to be also present at the neurophysiological level. In addition, visual perception seems to be based on shared efferent signals about upcoming eye positions and velocities, which are to some degree independent of the actual oculomotor response. This review suggests an interactive perspective on the oculomotor system, based mainly on different types of sensory input, and less so on separate subsystems for saccadic or pursuit eye movements.

Review: Head and Eye Movements and Gaze Tracking in Baseball Batting

SIGNIFICANCE

After a 30-year gap, several studies on head and eye movements and gaze tracking in baseball batting have been performed in the last decade. These baseball studies may lead to training protocols for batting. Here we review these studies and compare the tracking behaviors with those in other sports.Baseball batters are often instructed to "keep your eye on the ball." Until recently, the evidence regarding whether batters follow this instruction and if there are benefits to following this instruction was limited. Baseball batting studies demonstrate that batters tend to move the head more than the eyes in the direction of the ball at least until a saccade occurs. Foveal gaze tracking is often maintained on the ball through the early portion of the pitch, so it can be said that baseball batters do keep the eyes on the ball. While batters place gaze at or near the point of bat-ball contact, the way this is accomplished varies. In some studies, foveal gaze tracking continues late in the pitch trajectory, whereas in other studies, anticipatory saccades occur. The relative advantages of these discrepant gaze strategies on perceptual processing and motor planning speed and accuracy are discussed, and other variables that may influence anticipatory saccades including the predictability of the pitch and the level of batter expertise are described. Further studies involving larger groups with different levels of expertise under game conditions are required to determine which gaze tracking strategies are most beneficial for baseball batting.

Retinal error signals and fluctuations in eye velocity influence oculomotor behavior in subsequent trials

The oculomotor system makes use of an integration of previous stimulus velocities (the prior) and current sensory inputs to adjust initial eye speeds. The present study extended this research by investigating the roles of different retinal or extra-retinal signals for this process. To test for this, participants viewed movement sequences that all ended with the same test trial. Earlier in the sequence, the prior was manipulated by presenting targets that either had different velocities, different starting positions, or target movements designed to elicit differential oculomotor behavior (tracked with or without additional corrective saccades). Additionally, these prior targets could vary in terms of contrast to manipulate reliability. When the velocity of prior trials differed from test trials, the reliability-weighted integration of prior information was replicated. When the prior trials differed in starting position, significant effects on subsequent oculomotor behavior were only observed for the reliable target. Although there were also differences in eye velocity across the different manipulations, they could not explain the observed reliability-weighted integration. When comparing the same physical prior trials but tracked with additional corrective saccades, the eye velocity in the test trial also differed systematically (slower for forward saccades, and faster for backward saccades). The direction of the observed effect contradicts the expectations based on perceived speed and eye velocity, but can be predicted by a combination of retinal velocity and position error signals. Together, these results suggest that general fluctuations in eye velocity as well as retinal error signals are related to oculomotor behavior in subsequent trials.

A Geometric Theory Integrating Human Binocular Vision With Eye Movement

A theory of the binocular system with asymmetric eyes (AEs) is developed in the framework of bicentric perspective projections. The AE accounts for the eyeball's global asymmetry produced by the foveal displacement from the posterior pole, the main source of the eye's optical aberrations, and the crystalline lens' tilt countering some of these aberrations. In this theory, the horopter curves, which specify retinal correspondence of binocular single vision, are conic sections resembling empirical horopters. This advances the classic model of empirical horopters as conic sections introduced in an ad hoc way by Ogle in 1932. In contrast to Ogle's theory, here, anatomically supported horopteric conics vary with the AEs' position in the visual plane of bifoveal fixations and their transformations are visualized in a computer simulation. Integrating horopteric conics with eye movements can help design algorithms for maintaining a stable perceptual world from visual information captured by a mobile robot's camera head. Further, this paper proposes a neurophysiologically meaningful definition for the eyes' primary position, a concept which has remained elusive despite its theoretical importance to oculomotor research. Finally, because the horopteric conic's shape is dependent on the AE's parameters, this theory allows for changes in retinal correspondence, which is usually considered preformed and stable.

Importance of High-Frequency Vestibular Function in the Prognosis of Bilateral Vestibulopathy

Objectives

The aim of this study was to investigate whether preserved vestibular function in the high-frequency range influences the prognosis of patients with bilateral vestibulopathy (BVP) after vestibular rehabilitation.

Methods

Twenty-four patients followed up with vestibular rehabilitation were recruited. The enrolled patients were divided into two groups according to the preservation of the high-frequency vestibulo-ocular reflex (VOR) based on the video head impulse test (vHIT). The results of computerized dynamic posturography and the Dizziness Handicap Inventory (DHI) survey collected at baseline and at the 6-month follow-up after vestibular rehabilitation therapy were analyzed.

Results

Both groups showed significantly increased composite and DHI scores after follow-up with vestibular rehabilitation. The group with preserved high-frequency VOR showed a better composite score (P=0.064) and vestibular score (P= 0.008) than the group with lost high-frequency VOR at the 6-month follow up. The DHI score significantly decreased only in the group with lost high-frequency VOR (P=0.047). Among the three vestibular function tests (caloric test, rotary chair test, and vHIT) used to diagnose BVP, only vHIT showed a significant correlation (P=0.015) with a favorable prognosis (composite score ≥70).

Conclusion

Better treatment outcomes are likely in patients with BVP with preserved vestibular function in response to high-frequency stimulation, as measured by the vHIT.

Human Vestibulo-Ocular Reflex Adaptation Reduces when Training Demand Variability Increases

One component of vestibular rehabilitation in patients with vestibulo-ocular reflex (VOR) hypofunction is gaze-stabilizing exercises that seek to increase (adapt) the VOR response. These prescribed home-based exercises are performed by the patient and thus their use/training is inherently variable. We sought to determine whether this variability affected VOR adaptation in ten healthy controls (× 2 training only) and ten patients with unilateral vestibular hypofunction (× 1 and × 2 training). During × 1 training, patients actively (self-generated, predictable) move their head sinusoidally while viewing a stationary fixation target; for × 2 training, they moved their outstretched hand anti-phase with their head rotation while attempting to view a handheld target. We defined the latter as manual × 2 training because the subject manually controls the target. In this study, head rotation frequency during training incrementally increased 0.5-2 Hz over 20 min. Active and passive (imposed, unpredictable) sinusoidal (1.3-Hz rotations) and head impulse VOR gains were measured before and after training. We show that for controls, manual × 2 training resulted in significant sinusoidal and impulse VOR adaptation of ~ 6 % and ~ 3 %, respectively, though this was ~two-thirds lower than increases after computer-controlled × 2 training (non-variable) reported in a prior study. In contrast, for patients, there was an increase in impulse but not sinusoidal VOR response after a single session of manual × 2 training. Patients had more than double the variability in VOR demand during manual × 2 training compared to controls, which could explain why adaptation was not significant in patients. Our data suggest that the clinical × 1 gaze-stabilizing exercise is a weak stimulus for VOR adaptation.

The instantaneous training demand drives vestibulo-ocular reflex adaptation

The vestibulo-ocular reflex (VOR) maintains stable vision during rapid head rotations by rotating the eyes in the opposite direction to the head. The latency between onset of the head rotation and onset of the eye rotation is 5-8 ms in healthy humans. However, VOR latency can be 3-4 times larger in patients treated with intra-tympanic gentamicin. A prior study showed that latency can be trained with head rotations at 0.2 Hz. We sought to determine how the VOR is affected when a delay between vestibular and visual stimuli is added during adaptation training with high-frequency head rotations (impulses), where the VOR is the main vision-stabilizing system. Using a variant of the incremental VOR adaptation technique, the delay between head rotation onset and movement onset of a visual target was gradually increased. With this training, the instantaneous VOR gain demand (= target/head velocity) varied from less than unity to greater than unity during each head impulse, albeit in a consistent and repeatable way. We measured the active and passive VOR gain and latency before and after VOR adaptation training in healthy normal subjects. There was no significant change in VOR latency across subjects; however, there was a significant decrease in VOR gain of - 6.0 ± 4.5%. These data suggest that during high-frequency head rotations delay/latency is interpreted as a changing instantaneous VOR gain demand. Although the gain demand in this study had a complex trajectory, adaptation was evident with the VOR seeming to use an average of the instantaneous gain demand.

Two hours in Hollywood: A manually annotated ground truth data set of eye movements during movie clip watching

In this short article we present our manual annotation of the eye movement events in a subset of the large-scale eye tracking data set Hollywood2. Our labels include fixations, saccades, and smooth pursuits, as well as a noise event type (the latter representing either blinks, loss of tracking, or physically implausible signals). In order to achieve more consistent annotations, the gaze samples were labelled by a novice rater based on rudimentary algorithmic suggestions, and subsequently corrected by an expert rater. Overall, we annotated eye movement events in the recordings corresponding to 50 randomly selected test set clips and 6 training set clips from Hollywood2, which were viewed by 16 observers and amount to a total of approximately 130 minutes of gaze data. In these labels, 62.4% of the samples were attributed to fixations, 9.1% – to saccades, and, notably, 24.2% – to pursuit (the remainder marked as noise). After evaluation of 15 published eye movement classification algorithms on our newly collected annotated data set, we found that the most recent algorithms perform very well on average, and even reach human-level labelling quality for fixations and saccades, but all have a much larger room for improvement when it comes to smooth pursuit classification. The data set is made available at https://gin.g-node.org/ioannis.agtzidis/hollywood2_em.

Effects of parameters of video head impulse testing on visually enhanced vestibulo-ocular reflex and vestibulo-ocular reflex suppression

OBJECTIVE

To investigate the main effects of some testing and analysis variables on clinically quantified visually enhanced vestibulo-ocular reflex (VVOR) and vestibulo-ocular reflex suppression (VORS) results using video head impulse test.

METHODS

This prospective observational clinical study included 19 healthy participants who underwent the VVOR and VORS tests. The effect of demographic variables, head oscillation frequency, rotation direction, visual acuity and analysis time window width and location of the recorded tests on the quantified results of both VVOR and VORS were evaluated. And specifically, for the VORS test the effect of cognitive reinforcement of the participant during testing was evaluated.

RESULTS

A statistically significant difference was observed among the VVOR, non-reinforced VORS, and reinforced VORS tests for mean gain values of 0.91 ± 0.09, 0.6 ± 0.15, and 0.57 ± 0.16, respectively (p < 0.001). The optimized linear mixed-effect model showed a significant influence of frequency on the gain values for the reinforced and non-reinforced VORS tests (p = 0.01 and p = 0.004, respectively). Regarding the gain analysis method, statistically significant differences were found according to the short time interval sample location of the records for the initial location of the VVOR test (p < 0.006) and final location of the reinforced VORS test (p < 0.023).

CONCLUSION

Significant differences were observed in the gain values according to VVOR and VORS testing. Head oscillation frequency is a significant factor that affects the gain values, especially in VORS testing. Moreover, in VORS testing, participant concentration has a significant effect on the test for obtaining suppression gain values. When a short time interval sample is considered for VVOR and VORS testing, intermediate time samples appear the most adequate for both tests.

SIGNIFICANCE

The quantified visually enhanced vestibulo-ocular reflex (VVOR) and vestibulo-ocular reflex suppression (VORS) tests have recently been added to the assortment of available clinical vestibular tests. However, despite the clinical validity of these quantified tests that appear to be of increasing clinical interest, the effects of most of the clinical testing methods and mathematical variables are not well defined. In this research we describe what are the main collecting and analysis variables that could influence to the VVOR and VORS tests. Specially for VORS test, participant concentration on test tasks will have positive effect on the measured vestibulo-ocular reflex (VOR) suppression.

Perceptual decisions about object shape bias visuomotor coordination during rapid interception movements

Visual processing for perception and for action is thought to be mediated by two specialized neural pathways. Using a visuomotor decision-making task, we show that participants differentially utilized online perceptual decision-making in reaching and interception and that eye movements necessary for perception influenced motor decision strategies. These results provide evidence that task complexity modulates how pathways processing perception versus action information interact during the visual control of movement.

The speed of perception: the effects of over-speed video training on pitch recognition in collegiate softball players

During interceptive motor tasks, experts demonstrate distinct visual search behavior (from novices) that is reflective of information extraction from optimal environmental cues, which subsequently aids anticipatory movements. While some forms of visual training have been employed in sport, over-speed video training is rarely applied to perceptual-cognitive sport contexts. The purpose of the present study was to determine whether over-speed video training can enhance visual information processing and augment visual behavior for a pitch-recognition task. Twelve collegiate softball players were recruited for the study. A between-subjects, repeated measures design was implemented to assess changes in participants' pitch recognition on a video-based occlusion task after one of two training interventions: (A) over-speed video training (n = 6) or (B) regular video training (n = 6). Both training interventions required individuals to view 400 videos of different pitches over the span of 10 days. The over-speed group viewed the videos at gradually increasing video speeds (+ 0.05 × each day). Performance (i.e., identifying pitch type and location), quiet-eye duration (i.e., total QE, QE-early and QE-late) and cortical activation (i.e., alpha wave activity/asymmetry; F3/F4 and P7/P8) were measured during the pitch-recognition tasks. Results showed significant performance improvements across groups, but no differences between groups. Both interventions were associated with a reduction in alpha wave activity for P8, an increase in alpha activity for F3, and a significant increase in QE-late. An increase in QE-late was associated with a decrease in P7/P8 alpha asymmetry and improvements in pitch-type recognition. Consistent with the extant literature, our results support the importance of a later QE offset for successful performance on perceptual tasks, potentially extending to perceputal-motor tasks. Although participants in the over-speed condition did not experience significantly larger improvements in performance than controls, this study highlights the association between QE and brain activity reflective of expertise.

Human vestibulo-ocular reflex adaptation is frequency selective

The vestibulo-ocular reflex (VOR) is the only system that maintains stable vision during rapid head rotations. The VOR gain (eye/head velocity) can be trained to increase using a vestibular-visual mismatch stimulus. We sought to determine whether low-frequency (sinusoidal) head rotation during training leads to changes in the VOR during high-frequency head rotation testing, where the VOR is more physiologically relevant. We tested eight normal subjects over three sessions. For training protocol 1, subjects performed active sinusoidal head rotations at 1.3 Hz while tracking a laser target, whose velocity incrementally increased relative to head velocity so that the VOR gain required to stabilize the target went from 1.1 to 2 over 15 min. Protocol 2 was the same as protocol 1, except that head rotations were at 0.5 Hz. For protocol 3, head rotation frequency incrementally increased from 0.5 to 2 Hz over 15 min, while the VOR gain required to stabilize the target was kept at 2. We measured the active and passive, sinusoidal (1.3Hz) and head impulse VOR gains before and after each protocol. Sinusoidal and head impulse VOR gains increased in protocols 1 and 3; however, although the sinusoidal VOR gain increase was ~20%, the related head impulse gain increase was only ~10%. Protocol 2 resulted in no-gain adaptation. These data show human VOR adaptation is frequency selective, suggesting that if one seeks to increase the higher-frequency VOR response, i.e., where it is physiologically most relevant, then higher-frequency head movements are required during training, e.g., head impulses.NEW & NOTEWORTHY This study shows that human vestibulo-ocular reflex adaptation is frequency selective at frequencies >0.3 Hz. The VOR in response to mid- (1.3 Hz) and high-frequency (impulse) head rotations were measured before and after mid-frequency sinusoidal VOR adaptation training, revealing that the mid-frequency gain change was higher than high-frequency gain change. Thus, if one seeks to increase the higher-frequency VOR response, where it is physiologically most relevant, then higher-frequency head movements are required during training.

New advances regarding adaptation of the vestibulo-ocular reflex

This is a review summarizing the development of vestibulo-ocular reflex (VOR) adaptation behavior with relevance to rehabilitation over the last 10 years and examines VOR adaptation using head-on-body rotations, specifically the influence of training target contrast, position and velocity error signal, active vs. passive head rotations, and sinusoidal vs. head impulse rotations. This review discusses optimization of the single VOR adaptation training session, consolidation between repeated training sessions, and dynamic incremental VOR adaptation. Also considered are the effects of aging and the roles of the efferent vestibular system, cerebellum, and otoliths on angular VOR adaptation. Finally, this review examines VOR adaptation findings in studies using whole body rotations.

Cervical Rotator Muscle Activity With Eye Movement at Different Speeds is Distorted in Whiplash

BACKGROUND

People with whiplash-associated disorders (WADs) report difficulty with quick head movements and cervicoocular dysfunction. Changes in coordination between eye movement and neck muscle activity may be involved.

OBJECTIVE

To examine whether activity of superficial and deep neck muscles increases with eye movement when the head is held in a fixed position, whether this differs between directions and speed of eye movement, and whether this is modified in WAD.

DESIGN

Convenience case series with unmatched controls.

SETTING

Research laboratory.

PARTICIPANTS

Nine individuals with chronic WAD grade II and 11 pain-free controls.

METHODS

Electromyography (EMG) was recorded from muscles that could act to rotate the neck to the right (right obliquus capitis inferior [OI], multifidus [MF], splenius capitis [SC], and left sternocleidomastoid [SCM]) with intramuscular or surface electrodes in 9 WAD participants and 11 pain-free controls. Eyes were rotated without head movement to track slow and medium-speed targets to the right or left, and as fast as possible (FP).

MAIN OUTCOME MEASUREMENTS

Amplitude of EMG.

RESULTS

In controls, SCM and SC EMG increased with right gaze (all P's < .03). EMG of the deep OI muscle increased in both directions (P < .001). WAD involved counterintuitive greater activity of SCM with left rotation across speeds of eye movement (SC with slow movement, P < .036), decreased OI EMG with gaze left (P < .019), and no change in MF EMG (P < .6) in either gaze direction. For FP tasks, EMG of all muscles was greater than slower speeds in controls (all P's < .0001), but not WAD (all P's > .33).

CONCLUSIONS

Coordination between neck muscle activity and eye movements with increasing speed is modified in WAD. Contrasting changes are present in deep and superficial neck muscles with implications for neck function that may explain some common WAD symptoms.

LEVEL OF EVIDENCE

IV.

Visuomotor Behaviour in Amblyopia: Deficits and Compensatory Adaptations

Amblyopia is a neurodevelopmental visual disorder arising from decorrelated binocular experience during the critical periods of development. The hallmark of amblyopia is reduced visual acuity and impairment in binocular vision. The consequences of amblyopia on various sensory and perceptual functions have been studied extensively over the past 50 years. Historically, relatively fewer studies examined the impact of amblyopia on visuomotor behaviours; however, research in this area has flourished over the past 10 years. Therefore, the aim of this review paper is to provide a comprehensive review of current knowledge about the effects of amblyopia on eye movements, upper limb reaching and grasping movements, as well as balance and gait. Accumulating evidence indicates that amblyopia is associated with considerable deficits in visuomotor behaviour during amblyopic eye viewing, as well as adaptations in behaviour during binocular and fellow eye viewing in adults and children. Importantly, due to amblyopia heterogeneity, visuomotor development in children and motor skill performance in adults may be significantly influenced by the etiology and clinical features, such as visual acuity and stereoacuity. Studies with larger cohorts of children and adults are needed to disentangle the unique contribution of these clinical characteristics to the development and performance of visuomotor behaviours.

Visualization and quantification of eye tracking data for the evaluation of oculomotor function

Oculomotor dysfunction may originate from physical, physiological or psychological causes and may be a marker for schizophrenia or other disorders. Observational tests for oculomotor dysfunction are easy to administer, but are subjective and transient, and it is difficult to quantify deviations. To date, video-based eye tracking systems have not provided a contextual overview of gaze data that integrates the eye video recording with the stimulus and gaze data together with quantitative feedback of metrics in relation to typical values. A system was developed with an interactive timeline to allow the analyst to scroll through a recording frame-by-frame while comparing data from three different sources. The visual and integrated nature of the analysis allows localisation and quantification of saccadic under- and overshoots as well as determination of the frequency and amplitude of catch-up and anticipatory saccades. Clinicians will be able to apply their expertise to diagnose disorders based on abnormal patterns in the gaze plots. They can use the line charts to quantify deviations from benchmark values for reaction time, saccadic accuracy and smooth pursuit gain. A clinician can refer to the eye video at any time to confirm that observed deviations originated from gaze behaviour and not from systemic errors.

Eye movement desensitization and reprocessing as a treatment for PTSD: current neurobiological theories and a new hypothesis

Eye movement desensitization and reprocessing (EMDR), a form of psychotherapy for individuals with post-traumatic stress disorder (PTSD), has long been a controversial topic, hampered in part by a lack of understanding of the neural mechanisms that contribute to its remedial effect. Here, we review current theories describing EMDR's potential neurobiological mechanisms of action involving working memory, interhemispheric communication, de-arousal, and memory reconsolidation. We then discuss recent studies describing the temporal and spatial aspects of smooth pursuit and predictive saccades, which resemble those made during EMDR, and their neural correlates within the default mode network (DMN) and cerebellum. We hypothesize that if the production of bilateral predictive eye movements is supportive of DMN and cerebellum activation, then therapies that shift the brain towards this state correspondingly would benefit the processes regulated by these structures (i.e., memory retrieval, relaxation, and associative learning), all of which are essential components for PTSD recovery. We propose that the timing of sensory stimulation may be relevant to treatment effect and could be adapted across different patients depending on their baseline saccade metrics. Empirical data in support of this model are reviewed and experimental predictions are discussed.

Optimal Human Passive Vestibulo-Ocular Reflex Adaptation Does Not Rely on Passive Training

The vestibulo-ocular reflex (VOR) is the main vision-stabilising system during rapid head movements in humans. A visual-vestibular mismatch stimulus can be used to train or adapt the VOR response because it induces a retinal image slip error signal that drives VOR motor learning. The training context has been shown to affect VOR adaptation. We sought to determine whether active (self-generated) versus passive (externally imposed) head rotation vestibular training would differentially affect adaptation and short-term retention of the active and passive VOR responses. Ten subjects were tested, each over six separate 1.5-h sessions. We compared active versus passive head impulse (transient, rapid head rotations with peak velocity ~ 150 °/s) VOR adaptation training lasting 15 min with the VOR gain challenged to increment, starting at unity, by 0.1 every 90 s towards one side only (this adapting side was randomised to be either left or right). The VOR response was tested/measured in darkness at 10-min intervals, 20-min intervals, and two single 60-min interval sessions for 1 h post-training. The training was active or passive for the 10- and 20-min interval sessions, but only active for the two single 60-min interval sessions. The mean VOR response increase due to training was ~ 10 % towards the adapting side versus ~2 % towards the non-adapting side. There was no difference in VOR adaptation and retention between active and passive VOR training. The only factor to affect retention was exposure to a de-adaptation stimulus. These data suggest that active VOR adaptation training can be used to optimally adapt the passive VOR and that adaptation is completely retained over 1 h as long as there is no visual feedback signal driving de-adaptation.

Mathematical Methods for Measuring the Visually Enhanced Vestibulo-Ocular Reflex and Preliminary Results from Healthy Subjects and Patient Groups

Background

Visually enhanced vestibulo–ocular reflex (VVOR) is a well-known bedside clinical test to evaluate visuo–vestibular interaction, with clinical applications in patients with neurological and vestibular dysfunctions. Owing to recently developed diagnostic technologies, the possibility to perform an easy and objective measurement of the VVOR has increased, but there is a lack of computational methods designed to obtain an objective VVOR measurement.

Objectives

To develop a method for the assessment of the VVOR to obtain a gain value that compares head and eye velocities and to test this method in patients and healthy subjects.

Methods

Two computational methods were developed to measure the VVOR test responses: the first method was based on the area under curve of head and eye velocity plots and the second method was based on the slope of the linear regression obtained for head and eye velocity data. VVOR gain and vestibulo–ocular reflex (VOR) gain were analyzed with the data obtained from 35 subjects divided into four groups: healthy (N = 10), unilateral vestibular with vestibular neurectomy (N = 8), bilateral vestibulopathy (N = 12), and cerebellar ataxia, neuropathy, and vestibular areflexia syndrome (CANVAS) (N = 5).

Results

Intra-class correlation index for the two developed VVOR analysis methods was 0.99. Statistical differences were obtained by analysis of variance statistical method, comparing the healthy group (VVOR mean gain of 1 ± 0) with all other groups. The CANVAS group exhibited (VVOR mean gain of 0.4 ± 0.1) differences when compared to all other groups. VVOR mean gain for the vestibular bilateral group was 0.8 ± 0.1. VVOR mean gain in the unilateral group was 0.6 ± 0.1, with a Pearson’s correlation of 0.52 obtained when VVOR gain was compared to the VOR gain of the operated side.

Conclusion

Two computational methods to measure the gain of VVOR were successfully developed. The VVOR gain values appear to objectively characterize the VVOR alteration observed in CANVAS patients, and also distinguish between healthy subjects and patients with some vestibular disorders.

Using Smooth Pursuit Calibration for Difficult-to-Calibrate Participants

Although the 45-dots calibration routine of a previous study ( 2) provided very good accuracy, it requires intense mental effort and the routine proved to be unsuccessful for young children who struggle to maintain concentration. The calibration procedures that are normally used for difficult-to-calibrate participants, such as autistic children and infants, do not suffice since they are not accurate enough and the reliability of research results might be jeopardised. Smooth pursuit has been used before for calibration and is applied in this paper as an alternative routine for participants who are difficult to calibrate with conventional routines. Gaze data is captured at regular intervals and many calibration targets are generated while the eyes are following a moving target. The procedure could take anything between 30 s and 60 s to complete, but since an interesting target and/or a conscious task may be used, participants are assisted to maintain concentration. It was proven that the accuracy that can be attained through calibration with a moving target along an even horizontal path is not significantly worse than the accura-cy that can be attained with a standard method of watching dots appearing in random order. The routine was applied successfully for a group of children with ADD, ADHD and learning abilities. This result is important as it provides for easier calibration - especially in the case of participants who struggle to keep their gaze focused and stable on a stationary target for long enough.

Reliability and Normative Data for the Dynamic Visual Acuity Test for Vestibular Screening

HYPOTHESIS

The purpose of this study was to determine reliability of computerized dynamic visual acuity (DVA) testing and to determine reference values for younger and older adults.

BACKGROUND

A primary function of the vestibular system is to maintain gaze stability during head motion. The DVA test quantifies gaze stabilization with the head moving versus stationary. Commercially available computerized systems allow clinicians to incorporate DVA into their assessment; however, information regarding reliability and normative values of these systems is sparse.

METHODS

Forty-six healthy adults, grouped by age, with normal vestibular function were recruited. Each participant completed computerized DVA testing including static visual acuity, minimum perception time, and DVA using the NeuroCom inVision System. Testing was performed by two examiners in the same session and then repeated at a follow-up session 3 to 14 days later. Intraclass correlation coefficients (ICCs) were used to determine inter-rater and test-retest reliability.

RESULTS

ICCs for inter-rater reliability ranged from 0.323 to 0.937 and from 0.434 to 0.909 for horizontal and vertical head movements, respectively. ICCs for test-retest reliability ranged from 0.154 to 0.856 and from 0.377 to 0.9062 for horizontal and vertical head movements, respectively. Overall, raw scores (left/right DVA and up/down DVA) were more reliable than DVA loss scores.

CONCLUSION

Reliability of a commercially available DVA system has poor-to-fair reliability for DVA loss scores. The use of a convergence paradigm and not incorporating the forced choice paradigm may contribute to poor reliability.

Validity and Repeatability of a Novel Dynamic Visual Acuity System

PURPOSE

In many sports, athletes rely on visual information from the environment to perform. Some literature suggests athletes have superior visual abilities to non-athletes, particularly on tasks representative of the visual demands of their sport, such as dynamic acuity, eye movement accuracy and speed, and peripheral vision. Other literature suggests there is no difference between athletes and non-athletes, at least when standard clinical assessments are employed. A limitation of the literature is that almost none of the research has been conducted with standardized, validated tools. This is partly caused by a lack of readily available tools to measure tasks representative of the visual demands of sport, and available tests have typically not been validated against current clinical standards. The purpose of this study is to examine the validity and repeatability of a novel visual acuity system (moV&; V&MP Vision Suite) recently developed in the Vision & Motor Performance Lab (V&MP). moV& permits the measurement of many visual function parameters including dynamic visual acuity with predictable, random, and jittering target motion.

METHODS

Twenty-five participants attended two study visits, separated by a minimum of 2 weeks. At each visit, static and dynamic visual acuity was measured using Snellen, ETDRS, and moV& charts. Static visual acuities were compared to determine the validity of moV&, and both static and dynamic visual acuities were compared between visits to determine the test-retest repeatability.

RESULTS

moV& static visual acuities are clinically similar to visual acuities measured with the ETDRS chart (moV&, -0.09 ± 0.13; ETDRS, -0.03 ± 0.11, concordance correlation coefficient 0.726). Additionally, all static, dynamic, and jitter visual acuities demonstrate good test-retest repeatability (Lin's concordance correlation coefficient range 0.451-0.953).

CONCLUSIONS

moV& provides good clinical measures of static visual acuity that are comparable to both Snellen and ETDRS measures. Dynamic visual acuity measures demonstrate good test-retest repeatability.

Continuous Auditory Feedback of Eye Movements: An Exploratory Study toward Improving Oculomotor Control

As eye movements are mostly automatic and overtly generated to attain visual goals, individuals have a poor metacognitive knowledge of their own eye movements. We present an exploratory study on the effects of real-time continuous auditory feedback generated by eye movements. We considered both a tracking task and a production task where smooth pursuit eye movements (SPEM) can be endogenously generated. In particular, we used a visual paradigm which enables to generate and control SPEM in the absence of a moving visual target. We investigated whether real-time auditory feedback of eye movement dynamics might improve learning in both tasks, through a training protocol over 8 days. The results indicate that real-time sonification of eye movements can actually modify the oculomotor behavior, and reinforce intrinsic oculomotor perception. Nevertheless, large inter-individual differences were observed preventing us from reaching a strong conclusion on sensorimotor learning improvements.

Effects of visual motion consistent or inconsistent with gravity on postural sway

Vision plays an important role in postural control, and visual perception of the gravity-defined vertical helps maintaining upright stance. In addition, the influence of the gravity field on objects' motion is known to provide a reference for motor and non-motor behavior. However, the role of dynamic visual cues related to gravity in the control of postural balance has been little investigated. In order to understand whether visual cues about gravitational acceleration are relevant for postural control, we assessed the relation between postural sway and visual motion congruent or incongruent with gravity acceleration. Postural sway of 44 healthy volunteers was recorded by means of force platforms while they watched virtual targets moving in different directions and with different accelerations. Small but significant differences emerged in sway parameters with respect to the characteristics of target motion. Namely, for vertically accelerated targets, gravitational motion (GM) was associated with smaller oscillations of the center of pressure than anti-GM. The present findings support the hypothesis that not only static, but also dynamic visual cues about direction and magnitude of the gravitational field are relevant for balance control during upright stance.

Aperture extent and stimulus speed affect the perception of visual acceleration

Humans are generally poor at detecting the presence of visual acceleration, but it is unclear whether the extent of a field of moving objects through an aperture affects this ability. Hypothetically, the farther a stimulus can accelerate uninterrupted by an aperture's physical constraints, the easier it should be to discern its motion profile. We varied the horizontal extent of the aperture through which continuously accelerating or decelerating random dot arrays were presented at different average speeds, and measured acceleration and deceleration detection thresholds. We also hypothesized that manipulating aperture extent at different speeds would change how observers visually pursue acceleration, which we tested in a control experiment. Results showed that, while there was no difference between the acceleration and deceleration conditions, detection was better in the larger than small aperture conditions. Regardless of aperture size, smaller acceleration and deceleration rates (relative to average speed) were needed to detect changing speed in faster than slower speed ranges. Similarly, observers tracked the stimuli to a greater extent in the larger than small apertures, and smooth pursuit was overall poorer at faster than slower speeds. Notably, the effect of speed on pursuit was greater for the larger than small aperture conditions, suggesting that the small aperture restricted pursuit. Furthermore, there was little difference in psychophysical and eye movement data between the medium and large aperture conditions within each speed range, indicating that it is easier to detect an accelerating profile when the aperture is large enough to encourage a minimum level of pursuit.

Switching between two targets with non-constant velocity profiles reveals shared internal model of target motion

Several experiments have shown that smooth pursuit and saccades interact while tracking an object moving across the visual scene. It was proposed two decades ago that the amplitude of saccades triggered during smooth pursuit ('catch-up saccades') were corrected by a delayed sensory signal to account for the ongoing target displacement during catch-up saccades. However, recent studies used targets with non-constant velocity profiles and suggested that the correction of catch-up saccade amplitude must be done through an internal model of target motion. It is widely accepted that an internal model of target motion is also used by the central nervous system (CNS) to cancel inherent delays between visual input and smooth pursuit motor output, ensuring accurate tracking of moving targets. Our study proposes a new paradigm in which the target switches unexpectedly from one target with a non-constant periodic velocity profile to another with a non-constant aperiodic velocity profile. Our results confirm the hypothesis that the CNS uses an internal model of target motion to correct catch-up saccade amplitude. In addition, we reconcile the sensory delayed and the internal model of target motion hypotheses and show that a common internal model of target motion is shared within the CNS to control smooth pursuit and to correct catch-up saccade amplitude.

The Initiation of Smooth Pursuit is Delayed in Anisometropic Amblyopia

Purpose

Several behavioral studies have shown that the reaction times of visually guided movements are slower in people with amblyopia, particularly during amblyopic eye viewing. Here, we tested the hypothesis that the initiation of smooth pursuit eye movements, which are responsible for accurately keeping moving objects on the fovea, is delayed in people with anisometropic amblyopia.

Methods

Eleven participants with anisometropic amblyopia and 14 visually normal observers were asked to track a step-ramp target moving at ±15°/s horizontally as quickly and as accurately as possible. The experiment was conducted under three viewing conditions: amblyopic/nondominant eye, binocular, and fellow/dominant eye viewing. Outcome measures were smooth pursuit latency, open-loop gain, steady state gain, and catch-up saccade frequency.

Results

Participants with anisometropic amblyopia initiated smooth pursuit significantly slower during amblyopic eye viewing (206 ± 20 ms) than visually normal observers viewing with their nondominant eye (183 ± 17 ms, P = 0.002). However, mean pursuit latency in the anisometropic amblyopia group during binocular and monocular fellow eye viewing was comparable to the visually normal group. Mean open-loop gain, steady state gain, and catch-up saccade frequency were similar between the two groups, but participants with anisometropic amblyopia exhibited more variable steady state gain (P = 0.045).

Conclusions

This study provides evidence of temporally delayed smooth pursuit initiation in anisometropic amblyopia. After initiation, the smooth pursuit velocity profile in anisometropic amblyopia participants is similar to visually normal controls. This finding differs from what has been observed previously in participants with strabismic amblyopia who exhibit reduced smooth pursuit velocity gains with more catch-up saccades.

Eye movements in the wild: Oculomotor control, gaze behavior & frames of reference

Understanding the brain's capacity to encode complex visual information from a scene and to transform it into a coherent perception of 3D space and into well-coordinated motor commands are among the outstanding questions in the study of integrative brain function. Eye movement methodologies have allowed us to begin addressing these questions in increasingly naturalistic tasks, where eye and body movements are ubiquitous and, therefore, the applicability of most traditional neuroscience methods restricted. This review explores foundational issues in (1) how oculomotor and motor control in lab experiments extrapolates into more complex settings and (2) how real-world gaze behavior in turn decomposes into more elementary eye movement patterns. We review the received typology of oculomotor patterns in laboratory tasks, and how they map onto naturalistic gaze behavior (or not). We discuss the multiple coordinate systems needed to represent visual gaze strategies, how the choice of reference frame affects the description of eye movements, and the related but conceptually distinct issue of coordinate transformations between internal representations within the brain.

Comparison of the gaze stabilization test and the dynamic visual acuity test in unilateral vestibular loss patients and controls

OBJECTIVE

Compare the dynamic visual acuity test (DVAT) and gaze stabilization test (GST) in patients with unilateral vestibular loss (UVL) and healthy control subjects using a novel computerized testing system prototype.

STUDY DESIGN

Cross-sectional study.

SETTING

Tertiary academic referral laboratory.

PATIENTS

Seventeen UVL patients (median age 62 yr) with bithermal caloric asymmetry (≥49%) or ablative surgery and 17 control subjects (median age 57 yr).

INTERVENTION(S)

Diagnostic.

MAIN OUTCOME MEASURE(S)

Comparison of DVAT and GST results during self-generated sinusoidal head movements using transient unpredictable target presentations less than 95 milliseconds in duration.

RESULTS

UVL patients had significantly higher DVAT scores toward the lesioned side compared with controls (p = 0.001) and the non-lesioned side (p = 0.003), but the non-lesioned side was not significantly different from controls (p = 0.157). When comparing GST scores, UVL patients required a slower head velocity to maintain visual acuity with movement toward the lesioned side compared with controls (p < 0.001) and the non-lesioned side (p = 0.004). In addition, UVL patients had significantly lower scores toward the non-lesioned side (p = 0.002) compared to controls. ROC curve analysis identified optimal thresholds for abnormal test results to discriminate the lesioned side from controls. A DVAT score greater than or equal to 0.3 ΔlogMAR provided 65% sensitivity and 88% specificity while a GST score less than or equal to 95 degrees/s provided 71% sensitivity and 100% specificity. When GST results were normal, adding DVAT increased overall sensitivity to 88% with 88% specificity.

CONCLUSIONS

Both GST and DVAT demonstrated reduced gaze stabilization toward the lesioned side in the patient group compared with normal controls. Performing GST first and utilizing DVAT when GST was normal provides optimal identification of patients with vestibular dysfunction.

Pursuit tracks chase: exploring the role of eye movements in the detection of chasing

We explore the role of eye movements in a chase detection task. Unlike the previous studies, which focused on overall performance as indicated by response speed and chase detection accuracy, we decompose the search process into gaze events such as smooth eye movements and use a data-driven approach to separately describe these gaze events. We measured eye movements of four human subjects engaged in a chase detection task displayed on a computer screen. The subjects were asked to detect two chasing rings among twelve other randomly moving rings. Using principal component analysis and support vector machines, we looked at the template and classification images that describe various stages of the detection process. We showed that the subjects mostly search for pairs of rings that move one after another in the same direction with a distance of 3.5-3.8 degrees. To find such pairs, the subjects first looked for regions with a high ring density and then pursued the rings in this region. Most of these groups consisted of two rings. Three subjects preferred to pursue the pair as a single object, while the remaining subject pursued the group by alternating the gaze between the two individual rings. In the discussion, we argue that subjects do not compare the movement of the pursued pair to a singular preformed template that describes a chasing motion. Rather, subjects bring certain hypotheses about what motion may qualify as chase and then, through feedback, they learn to look for a motion pattern that maximizes their performance.

Discrimination of fixations and smooth pursuit movements in high-speed eye-tracking data

A novel three-stage algorithm for detection of fixations and smooth pursuit movements in high-speed eye-tracking data is proposed. In the first stage, a segmentation based on the directionality of the data is performed. In the second stage, four spatial features are computed from the data in each segment. Finally, data are classified into fixations and smooth pursuit movements based on a combination of the spatial features and the properties of neighboring segments. The algorithm is evaluated under the assumption that the intersaccadic intervals represent fixations in data recorded when viewing images, and mainly smooth pursuit movements in data recorded when viewing moving dots. The results show that the algorithm is able to detect 94.3% of the fixations for image stimuli, compared to a previous algorithm with 80.4% detected fixations. For moving dot stimuli the proposed algorithm detects 86.7% smooth pursuit movements compared to 68.0% for the previous algorithm.

Stochastic anomaly detection in eye-tracking data for quantification of motor symptoms in Parkinson's disease

Two methods for distinguishing between healthy controls and patients diagnosed with Parkinson's disease by means of recorded smooth pursuit eye movements are presented and evaluated. Both methods are based on the principles of stochastic anomaly detection and make use of orthogonal series approximation for probability distribution estimation. The first method relies on the identification of a Wiener model of the smooth pursuit system and attempts to find statistically significant differences between the estimated parameters in healthy controls and patients with Parkinson's disease. The second method applies the same statistical method to distinguish between the gaze trajectories of healthy and Parkinson subjects tracking visual stimuli. Both methods show promising results, where healthy controls and patients with Parkinson's disease are effectively separated in terms of the considered metric. The results are preliminary because of the small number of participating test subjects, but they are indicative of the potential of the presented methods as diagnosing or staging tools for Parkinson's disease.

Saccade detection using a particle filter

BACKGROUND

When healthy subjects track a moving target, "catch-up" saccades are triggered to compensate for the non-perfect tracking gain. The evaluation of the pursuit and/or saccade kinematics requires that saccade and pursuit components be separated from the eye movement trace. A similar situation occurs when analyzes eye movements of patients that could contain eye drifts between saccades. This task is especially difficult, because the range of saccadic amplitudes goes from microsaccades (less than 1°) to large exploratory saccades (40°).

NEW METHOD

In this paper we proposed a new algorithm to detect saccades based on a particle filter. The new method suppresses the baseline velocity component linked to smooth pursuit (or to eye drifts) and thus permits a constant threshold during a trial despite the smooth pursuit behavior. It also accounts for a wide range of saccade amplitudes.

RESULTS

The new method is validated with five different paradigms, microsaccades, microsaccades plus saccades with drift, linear target motion, non-linear target motion and free viewing. The sensitivity of the method to signal noise is analyzed.

COMPARISON WITH EXISTING METHODS

Traditional saccade detection algorithms using a velocity (or acceleration or jerk) threshold can be inadequate because of the baseline velocity component linked to the smooth pursuit (especially if the target motion is non-linear, i.e. not constant velocity) or to eye drifts between saccades.

CONCLUSIONS

The new method detects saccades in challenging situations involving eye movements between saccades (smooth pursuit and/or eye drifts) and unfiltered recordings.

Manual coordination with intermittent targets: velocity information for prospective control

Tracking a moving target requires that information concerning the current and future state of a target is available, allowing prospective control of the tracking effector. Eye movement research has shown that prospective visual tracking is achievable during conditions of both visible and occluded targets. The ability to track visually occluded targets has been interpreted as individuals integrating target velocity into eye movement motor plans. It has not been fully established that velocity plays a similar role in other types of tracking behavior. To examine whether target velocity is also used in manual tracking, numerical predictions and a validation experiment were conducted. Predictions indicated that, if individuals utilize target velocity during coordination, increases in visual occlusion periods should yield increased phase lag between target and hand, proportional to the occlusion period. Predictions also suggest that increased occlusion yields increased coordination variability. An experiment having participants coordinate with the same stimuli and occlusion conditions was conducted to verify the predictions. Comparison of prediction and experimental results provides strong agreement that individuals use target velocity to prospectively control coordinated movements.