Torsional eye movements during psychophysical testing with rotating patterns

Torsional eye movements were measured while subjects viewed a large, high contrast windmill pattern rotating at 53 degrees /s or a small (5 degrees diameter) dot pattern rotating at 115 degrees /s. Both stimuli generated rotational eye movements consisting of torsional optokinetic nystagmus (tOKN) superimposed on a slow torsional drift in the direction of pattern rotation. With the wide-field windmill stimulus, torsional drifts of up to 7 degrees over 20 s were found. The dot pattern produced drifts of up to 2 degrees over 5-20 s. In both cases, the slow-phase speeds during tOKN were low (0.5-1 degrees /s). We conclude that reductions in slip speed are minimal with rotating stimuli, so torsional eye speeds will have a minimal effect on investigations of rotational motion aftereffect strength and perceived speed. While the slow-phase tOKN gain is low, the slow drift in torsional eye position will have significant effects on psychophysical results when the tests rely on keeping selected regions of the stimulus confined to specific areas of the retina, as is the case for phantom or remote motion aftereffects.

Information processing by parafoveal cells in the primate nucleus of the optic tract

We recorded from single units in the pretectal nucleus of the optic tract (NOT) of the nonhuman primate. Specifically, we examined units that are modulated during smooth tracking of a small laser spot against a dark background. We used a nonlinear optimization procedure to determine whether the unit responses of these parafoveal cells are better described by a model that incorporates retinal error motion parameters or by a model that incorporates eye motion parameters. Our main finding was that all the cells in our sample group were better fit with a three-component model that incorporated retinal error motion parameters of position, velocity and acceleration (average coefficient of determination = 0.84) than a model that used position, velocity and acceleration components of eye motion (average coefficient of determination = 0.68). Other analyses involved comparison of goodness of fit between the three-component retinal error model and two-component retinal error models that excluded position or acceleration related terms. We found that there was a statistically significant degradation in the fit when position and acceleration related terms were dropped from the retinal error based model (P<0.05). Unit data from experiments in which the laser spot was extinguished for a brief period of time during tracking showed that the unit response was decreased following the target blink. We conclude on the basis of this and previous experimental data and our dynamic modeling approach that the parafoveal cells in the NOT primarily encode retinal error motion. Further they encode position, velocity and acceleration components of retinal error that could be used by other downstream structures for synthesis of a smooth-pursuit eye movement.

Visual-vestibular interaction in progressive supranuclear palsy

We measured the stability of gaze during horizontal head rotations at 1-3 Hz in four patients with progressive supranuclear palsy (PSP), while they viewed a stationary target. Median gain of compensatory eye movements was 0.94, similar to control subjects. During rotation in darkness, median gain of vestibulo-ocular reflex (VOR) was 0.88, similar to controls. Conversely, the median gain of smooth-pursuit eye movements at 1.0 Hz was 0.23, lower than controls. A simple superposition model of smooth pursuit and the VOR could not account for the observed gaze stability during fixation. Our results are further evidence that a visually mediated mechanism, independent of smooth pursuit, optimizes eye movements to compensate for head rotations.

Saccades to sounds: effects of tracking illusory visual stimuli

In 10 normal human subjects, we studied the accuracy of memory-guided saccades made to the remembered locations of visual targets and sounds. During the time of stimulus presentation, subjects were smoothly tracking a projected laser spot that was moving horizontally across a tangent screen, sinusoidally +/-15 degrees at 0.25 Hz. In one set of experiments, the laser spot moved across a 40 degrees x 28 degrees random dot display that moved synchronously in the vertical plane; this induced a strong illusion that the trajectory of the laser spot was diagonal (variant of Duncker illusion). In control experiments, the laser spot moved across the same display, which was stationary. The visual targets and speakers were at six locations (range +/-15 degrees ) in the horizontal plane. Saccades made to the remembered locations of targets presented during background motion (illusion) were significantly (P < 0.05) more inaccurate than with the background stationary (control) in 9 of 10 subjects for lights and in 6 of 10 subjects for sounds. As a group, the median change in errors due to the Duncker illusion was approximately 2.5 times greater for visual compared with acoustic targets (P < 0.001). These findings are consistent with electrophysiological studies which have shown that neurons in the primate lateral intraparietal area (LIP) may respond to both visual and auditory targets and these neurons are also influenced by the Duncker illusion during programming of memory-guided saccades.

Experimental tests of a neural-network model for ocular oscillations caused by disease of central myelin

Spontaneous sinusoidal oscillations of the eyes are a feature of disorders affecting central myelin, including multiple sclerosis. The mechanism responsible for these oscillations (pendular nystagmus) is unknown. We tested the hypothesis that pendular nystagmus is due to instability of the neural integrator, a network of neurons that normally guarantees steady gaze by mathematically integrating premotor signals. It was possible to make a model of the neural integrator unstable, and abnormal feedback then produced sustained oscillations so that it simulated pendular nystagmus. One prediction of the model is that a large premotor signal, such as is required to generate a rapid (saccadic) eye movement, will transiently suppress the activity of some neurons in the network, and that this will "reset" the oscillations, i.e., produce a phase shift; larger saccades will produce greater phase shifts. Alternatively, if the source of pendular nystagmus is outside the neural integrator (i.e., is present on velocity inputs to the stable integrator), then it may not be possible to reset the oscillations with a saccadic eye movement. We compared the phase relationships of pendular nystagmus prior to and following saccades in six patients with multiple sclerosis (MS). All patients showed phase shifts (median 64 degrees) of their ocular oscillations following large (more than 10 degrees) saccades; smaller saccades (less than 5 degrees) caused smaller phase shifts (median 17 degrees). Our findings suggest that, in MS, pendular nystagmus arises from an instability in the feedback control of the neural integrator for eye movements, which depends on a distributed network of neurons in the brainstem and cerebellum.

The influence of light on modulation of the human vestibulo-ocular reflex

The goal of this study was to investigate the influence of light, without retinal slip information, on the ability to generate eye movements to compensate for head rotations. Subjects were rotated sinusoidally at 1.0, 2.0 or 3.0 Hz at a peak velocity of 30 deg/sec while they: 1) performed mental arithmetic in darkness; 2) attempted to view the remembered location of a stationary target in darkness; 3) attempted to view the remembered location of the stationary target through translucent contact lenses that allowed the passage of light but did not provide any target information (ganzfeld stimulus); 4) directly viewed the illuminated stationary target. The gain of compensatory eye movements was least while subjects viewed through the translucent contact lenses (median = 0.76), intermediate while subjects either performed mental arithmetic in darkness (median = 0.84) or attempted to view the remembered location of the target in darkness (median = 0.84), and greatest if they actually viewed the target (median = 0.95). Our findings suggest that factors other than light alone account for the increased gain of compensatory eye movements that occurs when subjects view rather than imagine a stationary target.

Tests of two hypotheses to account for different-sized saccades during disjunctive gaze shifts

Rapid shifts of the point of visual fixation between objects that lie in different directions and at different depths require disjunctive eye movements. We tested whether the saccadic component of such movements is equal for both eyes (Hering's law) or is unequal. We compared the saccadic pulses of abducting and adducting movements when horizontal gaze was shifted from a distant to a near target aligned on the visual axis of one eye (Müller paradigm) in ten normal subjects. We similarly compared horizontal saccades made between two distant targets lying in the same field of movement as during the Müller paradigm tests, and between targets lying symmetrically on either side of the midline, at near side of the midline, at near or far. We measured the ratio of the amplitude of the movements of each eye in corresponding directions due to the saccadic component, as well as corresponding ratios of peak velocity and peak acceleration. In response to a Müller test paradigm requiring about 17 degrees of vergence, the change in position of the unaligned eye was typically twice the size of the corresponding movement of the aligned eye. The ratio of peak velocities for the unaligned/aligned eyes was about 1.5, which was greater than for saccades made between distant targets. The ratio of peak acceleration for unaligned/aligned eyes was about 1.0 during shifts from near to far and about 1.3 for shifts from far to near, these values being similar to corresponding ratios for saccades between distant targets. These measurements of peak acceleration indicate that the saccadic pulses sent to each eye during the Müller paradigm are more equal than would be deduced by comparing the changes in eye position. We retested five subjects to compare directly the peak acceleration of saccades made during the Müller paradigm with similar-sized "conjugate" saccades made between targets at optical infinity. Saccades made during the Müller paradigm were significant slower (P < 0.005) than similar-sized conjugate saccades; this indicated that the different-sized movements during Müller paradigm are not simply due differences in saccadic pulse size but are also influenced by the concurrent vergence movement. A model for saccade-vergence interactions, which incorporates equal saccadic pulses for each eye, and differing contributions from convergence and divergence, accounts for many of these findings.

Conjugate ocular oscillations during shifts of the direction and depth of visual fixation

PURPOSE

To characterize dynamic properties of combined saccade-vergence eye movements that occur as the point of visual fixation is shifted between objects lying in different directions and at different depths.

METHODS

Using the scleral search-coil technique, eye movements were measured in 10 normal subjects as they made voluntary, disjunctive gaze shifts comprising a range of saccades and vergence movements.

RESULTS

By analyzing eye acceleration records, the authors identified small-amplitude (0.2-0.7 degrees), high-frequency (23-33 Hz), conjugate horizontal oscillations of the eyes during the vergence movement that followed the initial saccade. When the shift of the fixation point required a large vergence component (17 degrees , every subject showed these oscillations; they were present in approximately a third of responses. Approximately 5% of responses showed oscillations that had horizontal and vertical components. Oscillations were less prominent with shifts that had smaller vergence components and were absent after saccades made between targets located at optical infinity.

CONCLUSIONS

These findings suggest that a common mechanism gates both the saccadic and vergence components of disjunctive gaze shifts, a likely candidate being the pontine omnipause neurons. When a saccade is immediately followed by a prolonged vergence movement, the omnipause neurons remain silent, leading to small-amplitude saccadic oscillations. Shifts in the point of visual fixation that require a large vergence movement may be a useful experimental strategy to induce saccadic oscillations.

Enhancement of the vestibulo-ocular reflex by prior eye movements

We investigated the effect of visually mediated eye movements made before velocity-step horizontal head rotations in eleven normal human subjects. When subjects viewed a stationary target before and during head rotation, gaze velocity was initially perturbed by approximately 20% of head velocity; gaze velocity subsequently declined to zero within approximately 300 ms of the stimulus onset. We used a curve-fitting procedure to estimate the dynamic course of the gain throughout the compensatory response to head rotation. This analysis indicated that the median initial gain of compensatory eye movements (mainly because of the vestibulo-ocular reflex, VOR) was 0. 8 and subsequently increased to 1.0 after a median interval of 320 ms. When subjects attempted to fixate the remembered location of the target in darkness, the initial perturbation of gaze was similar to during fixation of a visible target (median initial VOR gain 0.8); however, the period during which the gain increased toward 1.0 was >10 times longer than that during visual fixation. When subjects performed horizontal smooth-pursuit eye movements that ended (i.e., 0 gaze velocity) just before the head rotation, the gaze velocity perturbation at the onset of head rotation was absent or small. The initial gain of the VOR had been significantly increased by the prior pursuit movements for all subjects (P < 0.05; mean increase of 11%). In four subjects, we determined that horizontal saccades and smooth tracking of a head-fixed target (VOR cancellation with eye stationary in the orbit) also increased the initial VOR gain (by a mean of 13%) during subsequent head rotations. However, after vertical saccades or smooth pursuit, the initial gaze perturbation caused by a horizontal head rotation was similar to that which occurred after fixation of a stationary target. We conclude that the initial gain of the VOR during a sudden horizontal head rotation is increased by prior horizontal, but not vertical, visually mediated gaze shifts. We postulate that this "priming" effect of a prior gaze shift on the gain of the VOR occurs at the level of the velocity inputs to the neural integrator subserving horizontal eye movements, where gaze-shifting commands and vestibular signals converge.

Memory-guided saccadic eye movements: effects of cerebellar disease

We compared the accuracy of oblique, memory-guided saccades if the eye is stationary or moves horizontally during the memory period. We studied 11 patients with cerebellar disease and 11 age-matched control subjects. Normal subjects showed similar accuracy of saccades for both conditions. In contrast, all patients showed greater errors if the eye moved horizontally during the memory period; however, errors of both vertical and horizontal components of memory-guided saccades were similar. Thus, inaccuracy of memory-guided saccades could not be simply attributed to failure to internally monitor change in horizontal gaze during the memory period. Instead, we propose that the greater saccadic errors which occurred when gaze changed during the memory period reflected a disruption of predictive mechanisms governing eye movements.

Properties of horizontal saccades accompanied by blinks

Using the magnetic search coil technique to record eye and lid movements, we investigated the effect of voluntary blinks on horizontal saccades in five normal human subjects. The main goal of the study was to determine whether changes in the dynamics of saccades with blinks could be accounted for by a superposition of the eye movements induced by blinks as subjects fixated a stationary target and saccadic movements made without a blink. First, subjects made voluntary blinks as they fixed on stationary targets located straight ahead or 20 degrees to the right or left. They then made saccades between two continuously visible targets 20 or 40 degrees apart, while either attempting not to blink, or voluntarily blinking, with each saccade. During fixation of a target located straight ahead, blinks induced brief downward and nasalward deflections of eye position. When subjects looked at targets located at right or left 20 degrees, similar initial movements were made by four of the subjects, but the amplitude of the adducted eye was reduced by 65% and was followed by a larger temporalward movement. Blinks caused substantial changes in the dynamic properties of saccades. For 20 degrees saccades made with blinks, peak velocity and peak acceleration were decreased by approximately 20% in all subjects compared with saccades made without blinks. Blinks caused the duration of 20 degrees saccades to increase, on average, by 36%. On the other hand, blinks had only small effects on the gain of saccades. Blinks had little influence on the relative velocities of centrifugal versus centripetal saccades, and abducting versus adducting saccades. Three of five subjects showed a significantly increased incidence of dynamic overshoot in saccades accompanied by blinks, especially for 20 degrees movements. Taken with other evidence, this finding suggests that saccadic omnipause neurons are inhibited by blinks, which have longer duration than the saccades that company them. In conclusion, the changes in dynamic properties of saccades brought about by blinks cannot be accounted for simply by a summation of gaze perturbations produced by blinks during fixation and saccadic eye movements made without blinks. Our findings, especially the appearance of dynamic overshoots, suggest that blinks affect the central programming of saccades. These effects of blinks need to be taken into account during studies of the dynamic properties of saccades.

Saccades to remembered targets: the effects of saccades and illusory stimulus motion

In 10 human subjects, we measured the accuracy of saccades to remembered locations of targets that were flashed on a 20 x 30 deg random dot display, while they tracked a spot of light that stepped between three vertical locations. The background was either stationary or stepping horizontally in synchrony with vertical motion of the spot of light, a condition that induced a strong illusion of diagonal target motion. Memory-guided saccades were less accurate horizontally, but not vertically, when the background moved compared with when it was stationary. The horizontal component of memory-guided saccades correlated better with the position of the background when the target was flashed than with the position of the background at the end of the memory period. We conclude that the visual illusion corrupted the working memory of target-location, but had a lesser effect on the estimate of gaze at the end of the memory period, which seemed to depend more on extraretinal signals.

Tests of a linear model of visual-vestibular interaction using the technique of parameter estimation

The goal of this study was to test whether a superposition model of smooth-pursuit and vestibuloocular reflex (VOR) eye movements could account for the stability of gaze that subjects show as they view a stationary target, during head rotations at frequencies that correspond to natural movements. Horizontal smooth-pursuit and the VOR were tested using sinusoidal stimuli with frequencies in the range 1.0-3.5 Hz. During head rotation, subjects viewed a stationary target either directly or through an optical device that required eye movements to be approximately twice the amplitude of head movements in order to maintain foveal vision of the target. The gain of compensatory eye movements during viewing through the optical device was generally greater than during direct viewing or during attempted fixation of the remembered target location in darkness. This suggests that visual factors influence the response, even at high frequencies of head rotation. During viewing through the optical device, the gain of compensatory eye movements declined as a function of the frequency of head rotation (P < 0.001) but, at any particular frequency, there was no correlation with peak head velocity 9P > 0.23), peak head acceleration (P > 0.22) or retinal slip speed (P > 0.22). The optimal values of parameters of smooth-pursuit and VOR components of a simple superposition model were estimated in the frequency domain, using the measured responses during head rotation, as each subject viewed the stationary target through the optical device. We then compared the model's prediction of smooth-pursuit gain and phase, at each frequency, with values obtained experimentally. Each subject's pursuit showed lower gain and greater phase lag than the model predicted. Smooth-pursuit performance did not improve significantly if the moving target was a 10 deg x 10 deg Amsler grid, or if sinusoidal oscillation of the target was superimposed on ramp motion. Further, subjects were still able to modulate the gain of compensatory eye movements during pseudo-random head perturbations, making improved predictor performance during visual-vestibular interactions unlikely. We conclude that the increase in gain of eye movements that compensate for head rotations when subjects view, rather than imagine, a stationary target cannot be adequately explained by superposition of VOR and smooth-pursuit signals. Instead, vision may affect VOR performance by determining the context of the behavior.

Transforming sensory perceptions into motor commands: evidence from programming of eye movements

The visual stimulus for a saccadic eye movement is encoded in place-coded maps in cerebral cortex and the dorsal superior colliculus. In contrast, the motor command for the saccade is encoded by the temporal discharge properties of ocular motoneurons and premotor burst neurons in the brain-stem reticular formation. Thus, there is need for a spatial-temporal transformation of neural signals, and recent findings suggest that the superior colliculus might contribute to this process. The ventral, output layers of the superior colliculus encode the metric of the desired saccade in polar coordinates. However, premotor neurons in the pontine and mesencephalic reticular formation are organized to generate horizontal and vertical saccades, respectively. Studies of oblique saccades in patients with slow vertical components--due to Niemann-Pick type C disease--support the interpretation that the saccadic command from the reticular formation is encoded in Cartesian coordinates. Currently, saccades are thought to be generated under local, brain-stem feedback control in which current eye displacement is continuously subtracted from desired eye displacement to compute motor error--the remaining movement required for the eye to acquire the target. If the superior colliculus is positioned in the feedback loop, then there is a need for transformation of premotor signals back into a place-coded version of motor error. Recent studies suggest that, during the saccade, this might be achieved by a wave of activity spreading rostrally, which traverses the collicular map in a direction corresponding to progressively smaller movements and finally activates a group of neurons concerned with fixation. These new hypotheses are ripe for testing by basic and clinical studies. By confronting the issue of what signal transformations are required to program visually guided saccades, new experimental approaches have emerged. Such computational approaches offer insights into how the brain controls behavior not just by measuring stimulus and response, but by asking what "currency" is being used by interacting populations of neurons at any stage in the process.

Evidence for independent feedback control of horizontal and vertical saccades from Niemann-Pick type C disease

We measured the eye movements of three sisters with Niemann-Pick type C disease who had a selective defect of vertical saccades, which were slow and hypometric. Horizontal saccades, and horizontal and vertical pursuit and vestibular eye movements were similar to control subjects. The initial movement of oblique saccades was mainly horizontal and most of the vertical component occurred after the horizontal component ended; this resulted in strongly curved trajectories. After completion of the horizontal component of an oblique saccade, the eyes oscillated horizontally at 10-20 Hz until the vertical component ended. These findings are best explained by models that incorporate separate feedback loops for horizontal and vertical burst neurons, and in which the disease selectively affects vertical burst neurons.

Measuring eye movements during locomotion: filtering techniques for obtaining velocity signals from a video-based eye monitor

Video-based eye-tracking systems are especially suited to studying eye movements during naturally occurring activities such as locomotion, but eye velocity records suffer from broad band noise that is not amenable to conventional filtering methods. We evaluated the effectiveness of combined median and moving-average filters by comparing prefiltered and postfiltered records made synchronously with a video eye-tracker and the magnetic search coil technique, which is relatively noise free. Root-mean-square noise was reduced by half, without distorting the eye velocity signal. To illustrate the practical use of this technique, we studied normal subjects and patients with deficient labyrinthine function and compared their ability to hold gaze on a visual target that moved with their heads (cancellation of the vestibulo-ocular reflex). Patients and normal subjects performed similarly during active head rotation but, during locomotion, patients held their eyes more steadily on the visual target than did subjects.

Comparison of horizontal, vertical and diagonal smooth pursuit eye movements in normal human subjects

We compared horizontal and vertical smooth pursuit eye movements in five healthy human subjects. When maintenance of pursuit was tested using predictable waveforms (sinusoidal or triangular target motion), the gain of horizontal pursuit was greater, in all subjects, than that of vertical pursuit; this was also the case for the horizontal and vertical components of diagonal and circular tracking. When initiation of pursuit was tested, four subjects tended to show larger eye accelerations for vertical as opposed to horizontal pursuit; this trend became a consistent finding during diagonal tracking. These findings support the view that different mechanisms govern the onset of smooth pursuit, and its subsequent maintenance when the target moves in a predictable waveform. Since the properties of these two aspects of pursuit differ for horizontal and vertical movements, our findings also point to separate control of horizontal and vertical pursuit.

Tracking of illusory target motion: differences between gaze and head responses

We compared ocular and eye-head tracking responses to an illusion of diagonal motion produced when vertical movement of a small visual target was synchronized to horizontal movement of a background display. In response to sinusoidal movement, smooth ocular pursuit followed vertical target motion, with only a small horizontal component. In response to regular stepping movement, all anticipatory saccades were in the direction of the illusion; these erroneous oblique movements were followed by corrective horizontal saccades. When the head was free to move, it usually showed a diagonal trajectory that, for both sinusoidal and stepping target motion, was always in the direction of the illusion; no corrective movements were present. Thus, for our illusory stimuli, eye and head tracking showed qualitative differences that imply that ocular tracking was ultimately controlled by actual target motion but head tracking was controlled by illusory target motion.

Head perturbations during walking while viewing a head-fixed target

BACKGROUND

Inexpensive, head-fixed computer displays are now available that subjects can wear during locomotion.

HYPOTHESIS

Viewing a head-fixed visual display will change the characteristics of rotational head perturbations during natural walking.

METHODS

Using a 3-axis angular rate sensor, we measured head rotations during natural or treadmill walking, in 10 normal subjects and 2 patients with deficient vestibular function, as they attempted to view (A) a stationary target at optical infinity; and (B) a target at a distance of 20 cm rigidly attached to the head.

RESULTS

Normal subjects and patients showed no significant change in the predominant frequency of head rotations in any plane (ranging 0.7-5.7 Hz) during the two different viewing tasks (p > 0.1). Mean peak head velocities (ranging 6-36 degrees.s-1) also showed no difference during the two viewing conditions except in the yaw plane, in which values were greater while viewing the near target (p < 0.005). Predominant frequencies of head rotations were similar in the pitch plane during natural or treadmill walking; however, peak velocities of pitch head rotations were substantially greater during natural walking (p < 0.05). One vestibular patient showed modest increases of head velocity during natural walking compared with normal subjects.

CONCLUSIONS

Rotational head perturbations that occur during natural walking are largely unaffected when subjects view a head-fixed target. There is need to study how such perturbations, which induce vestibular eye movements, affect vision of head-fixed displays.

Modulation of high-frequency vestibuloocular reflex during visual tracking in humans

1. Humans may visually track a moving object either when they are stationary or in motion. To investigate visual-vestibular interaction during both conditions, we compared horizontal smooth pursuit (SP) and active combined eye-head tracking (CEHT) of a target moving sinusoidally at 0.4 Hz in four normal subjects while the subjects were either stationary or vibrated in yaw at 2.8 Hz. We also measured the visually enhanced vestibuloocular reflex (VVOR) during vibration in yaw at 2.8 Hz over a peak head velocity range of 5-40 degrees/s. 2. We found that the gain of the VVOR at 2.8 Hz increased in all four subjects as peak head velocity increased (P < 0.001), with minimal phase changes, such that mean retinal image slip was held below 5 degrees/s. However, no corresponding modulation in vestibuloocular reflex gain occurred with increasing peak head velocity during a control condition when subjects were rotated in darkness. 3. During both horizontal SP and CEHT, tracking gains were similar, and the mean slip speed of the target's image on the retina was held below 5.5 degrees/s whether subjects were stationary or being vibrated at 2.8 Hz. During both horizontal SP and CEHT of target motion at 0.4 Hz, while subjects were vibrated in yaw, VVOR gain for the 2.8-Hz head rotations was similar to or higher than that achieved during fixation of a stationary target. This is in contrast to the decrease of VVOR gain that is reported while stationary subjects perform CEHT.(ABSTRACT TRUNCATED AT 250 WORDS)

Investigations of the pathogenesis of acquired pendular nystagmus

We investigated the pathogenesis of acquired pendular nystagmus (APN) in six patients, three of whom had multiple sclerosis. First, we tested the hypothesis that the oscillations of APN are due to a delay in visual feedback secondary, for example, to demyelination of the optic nerves. We manipulated the latency to onset of visually guided eye movements using an electronic technique that induces sinusoidal oscillations in normal subjects. This manipulation did not change the characteristics of the APN, but did superimpose lower-frequency oscillations similar to those induced in normal subjects. These results are consistent with current models for smooth (non-saccadic) eye movements, which predict that prolongation of visual feedback could not account for the high-frequency oscillations that often characterize APN. Secondly, we attempted to determine whether an increase in the gain of the visually-enhanced vestibulo-ocular reflex (VOR), produced by viewing a near target, was accompanied by a commensurate increase in the amplitude of APN. Increases in horizontal or vertical VOR gain during near viewing occurred in four patients, but only two of them showed a parallel increase in APN amplitude. On the other hand, APN amplitude decreased during viewing of the near target in the two patients who showed no change in VOR gain. Taken together, these data suggest that neither delayed visual feedback nor a disorder of central vestibular mechanisms is primarily responsible for APN. More likely, these ocular oscillations are produced by abnormalities of internal feedback circuits, such as the reciprocal connections between brainstem nuclei and cerebellum.

Convergent-divergent pendular nystagmus: possible role of the vergence system

We used the magnetic search coil technique to measure horizontal, vertical, and torsional components of convergent-divergent pendular nystagmus in three patients. All showed phase shifts of approximately 180 degrees between the two eyes in the horizontal and torsional planes, but the vertical components were conjugate. Viewing a near target increased the oscillations threefold in one patient and by 60% in a second patient. The waveform was sinusoidal in one patient, but in the other two it was complex, resembling either a sum of several sine waves or a cycloid. When the predominant frequency of the nystagmus was low (1.8 Hz), oscillation of visually mediated vergence might have been responsible; when the frequency was high (6 Hz), the nystagmus might have arisen from an internal instability in connections between nucleus reticularis tegmenti pontis and cerebellar nucleus interpositus, which are important for vergence control.