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PubMed1984

Eye-movements in a two-dimensional plane: a method for calibration and analysis using the vertical and horizontal EOG.

A method for calibration, orthogonalization and standardization of eye movements is described. The method is based on linear transformation of the horizontal and vertical EOG. With this method it is possible to measure the locus of eye fixation on a TV screen and its associated fixation time. Because of the used time constant (TC) of 36 sec, subjects must look at the centre of the TV screen or at random places on the screen during the interstimulus intervals (ISIs). For the EOG registration pre-amplifiers with a long TC were used to cut off slow changes in polarization caused by the electrode-electrolyte combination. In the calibration procedure only four orthogonal stimulus points were used. In an experiment to evaluate this method, subjects had to fixate letters on a TV screen in 12 different pre-determined positions. The distance between the measured locus of fixation and the coordinates of the stimulus was measured. The mean horizontal errors ranged from 1.4-2.2 degrees of arc and the mean vertical errors from 2.4-3.8 degrees of arc across subjects. It was concluded that accuracy was within acceptable limits, despite the fact that eye movement behaviour during the ISI was free. It was shown that the method is insensitive to non-orthogonality of the vertical and horizontal EOG. Calibration and transformation can be done by any real time computer system. The method is suitable for measuring, e.g. the visual orienting reaction (VOR), and it can also be applied in event related potential (ERP) studies where ocular fixation is used.

Adult↗
PubMed1980

The variable angle-mirror, a new tool for the study of ocular dominance and eye fixation.

A simple tool for studying optical dominance consisting of two plane mirrors moveably fixed to one another was developed. The patient looks straight ahead at the reflection of his own face and observes which eye is covered by the joint between the two mirror halves. By changing the angle a further checkup on eye dominance can be obtained. The method is simple and gives us a quick idea of the eye dominance.

Dominance, Cerebral↗
PubMedDate not supplied

Voluntary modification of the rotatory induced vestibulo-ocular reflex by fixating imaginary targets.

Voluntary enhancement and suppression of the vestibulo-ocular reflex (VOR) was investigated in 12 normal subjects aged 23-74. Eye movements were recorded using DC electrooculography in response to two patterns of horizontal rotation: single-frequency sinusoids in the 0.05-0.8 Hz frequency range; and pseudorandom waveforms consisting of a sum of sinusoids in the 0.05-0.35 Hz range. Subjects were able to significantly alter the gain and phase of their VOR responses by fixating imaginary targets in both patterns of stimulation. The amount of VOR modification decreased as the frequency of stimulation increased but was not correlated with age. In the clinical setting, potential voluntary alteration of the VOR must be considered in judging the normality of a subject's responses.

Adult↗
PubMed1997

Neuronal activity in monkey superior colliculus related to the initiation of saccadic eye movements.

The introduction of a temporal gap between the disappearance of an initially fixated target and the appearance of an eccentric saccadic target results in a general reduction of saccadic reaction times (SRTs)-the gap effect-and often in the production of express saccades, the latencies of which approach the conduction time of the shortest neural pathways from the retina to the eye muscles. We investigated saccade initiation by recording neuronal activity in the superior colliculus in monkeys performing the gap paradigm. Fixation-related neurons reduced their discharge rate during the gap period, regardless of the SRT. This reduction in activity is consistent with the hypothesized release of ocular fixation that facilitates premotor processes and may contribute to the gap effect. In addition to saccade-related discharges, many saccade-related neurons displayed phasic target-related responses and/or low-frequency preparatory activity during the gap period. The level of this preparatory activity correlated with both SRT and express saccade occurrence when the saccade was made into the response field of the neuron. Evidence indicates that advanced motor preparation is required for express saccade generation, which may be subserved by specific increases in the preparatory activity of saccade-related neurons. Increased preparatory activity may allow the target-related responses to trigger short-latency express saccades directly. This study provides insights into the functional mechanism of saccade initiation and may be relevant to the generation of all voluntary motor responses.

Animals↗
PubMed1991

Eye movement responses to linear head motion in the squirrel monkey. II. Visual-vestibular interactions and kinematic considerations.

1. Horizontal, vertical, and torsional eye movements were recorded (search coil technique) from five squirrel monkeys during horizontal linear oscillations at 0.5, 1.5, and 5.0 Hz, 0.36 g peak acceleration. Monkeys were positioned to produce linear motion in their nasooccipital (NO), interaural (IA), and dorsoventral (DV) axes. Responses of the linear vestibuloocular reflex (LVOR) were recorded in darkness and in the light with the subjects viewing a head-fixed field 22 or 9.2 cm from the eye. The latter condition provided a measure of "visual suppression" of the LVOR (VSLVOR). Responses were also recorded while monkeys viewed earth-fixed targets, which allowed visual enhancement of the LVOR (VLVOR). Vergence angle was recorded in two monkeys to assess directly the point of binocular fixation in space during linear motion. 2. Two LVOR response types, vertical responses during 0.5-Hz NO-axis translation (NO-vertical) and torsional responses at all frequencies during IA-axis oscillation (IA-torsional) could not be compensatory reflexes for head translation because they either move the eye off target (NO-vertical) or tort the eye relative to the visual world (IA-torsional), thereby degrading visual image stability. 3. Other response types are considered compensatory because they help maintain ocular fixation in space during linear head translation. These include horizontal responses to IA-axis motion (IA-horizontal), vertical responses to DV-axis translation (DV-vertical), and both horizontal and vertical responses to NO-axis oscillation (1.5 and 5 Hz). Observations focus on responses to 5-Hz oscillations, in which visual inputs are essentially ineffective in modifying the LVOR. 4. The kinematics of perfect ocular compensation during head translation indicate that the ideal ocular response is governed by the motion of the eye relative to target position. Relevant variables include target distance, which is crucial for all axes of motion, and target eccentricity, which is important only for head motion roughly parallel to the target (NO-axis translation). Findings are compatible with predictions based on ideal kinematics. However, it is the point of binocular fixation in space, not actual target position, that governs LVOR behavior. 5. The IA-horizontal and DV-vertical LVOR is in response to head motion roughly orthogonal to the line of sight. Responses under all stimulus conditions (LVOR, VSLVOR, and VLVOR) behaved similarly at 5 Hz, and were modulated linearly with vergence [in meter angles (MA), the reciprocal of binocular fixation distance].(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1995

Functional neuroanatomy of the human visual fixation system.

The regional cerebral blood flow correlates of the active fixation of an imagined target were studied in five healthy humans using the positron emission tomography activation paradigm. The fixation task was contrasted to a passive control condition, both tasks being performed in total darkness. Blood flow increases were observed in the frontal eye fields and supplementary eye fields and in the median cingulate gyrus. We suggest that the network of these activated regions mediates the interactions between ocular fixation, eye movements and directed visual attention.

Adult↗
PubMed1997

Habituation of ocular following reflex requires corpus callosum for interhemispheric transfer.

In cats, unanesthetized following transection of the brainstem at a level precluding painful sensation, and limiting ocular motility to a vertically oriented course (the pretrigeminal preparation), habituation of the orienting reflex, consisting of ocular fixation and smooth pursuit, readily transferred between moving visual stimuli directed first at one and then the other cerebral hemisphere. Under the same conditions, when the corpus callosum had been transected 2 weeks prior to the habituation, interhemispheric transfer was absent. Thus, despite substantial brainstem involvement and bilateral coordination of ocular motility the neocortex plays an essential role in this habituation, just as it does in the interhemispheric transfer of visual discrimination learning. This suggests that habituation is a fundamental form of learning in the mammalian forebrain.

Animals↗
PubMed2006

Intraocular pressure measurement-comparison of dynamic contour tonometry and goldmann applanation tonometry.

PURPOSE: The dynamic contour tonometer (DCT, Pascal tonometer, Swiss Microtechnology AG, Port, Switzerland) was recently introduced as a new method of intraocular pressure measurement, supposedly independent of corneal properties. In this study we analyzed the agreement and correlation of dynamic contour tonometry and Goldmann applanation tonometry (GAT) and investigated the influence of central corneal thickness (CCT) and corneal curvature. We also considered preferential patient groups for both methods. METHODS: In a prospective study of 100 eyes without glaucoma, intraocular pressure was measured using dynamic contour tonometry and Goldmann applanation tonometry, followed by measurements of central corneal thickness and corneal curvature. RESULTS: A clear correlation between dynamic contour tonometry and Goldmann applanation tonometry was found (r = 0.693; P < 0.001). Dynamic contour tonometry generally resulted in higher intraocular pressure measurements (median difference + 1.8 mm Hg, mean difference + 2.34 mm Hg). Unlike dynamic contour tonometry, Goldmann applanation tonometry was remarkably affected by central corneal thickness, but neither method was significantly influenced by corneal curvature. Bland-Altman graphs showed remarkable disagreement between dynamic contour tonometry and Goldmann applanation tonometry, which could be partially explained by the influence of central corneal thickness on Goldmann applanation tonometry. To obtain valid readings, dynamic contour tonometry required a more extensive selection of patients than Goldmann applanation tonometry. CONCLUSIONS: Dynamic contour tonometry seems to be a reliable method for intraocular pressure measurement, which unlike Goldmann applanation tonometry is not influenced by central corneal thickness. In clinical practice, advantages from dynamic contour tonometry can be expected for cooperative patients, outpatients, and patients with sufficient bilateral ocular fixation, whereas Goldmann applanation tonometry measurements are more reliable in case of patients with inadequate cooperation, poor vision, or nystagmus.

Body Weights and Measures↗
PubMed1992

Linear vestibuloocular reflex during motion along axes between nasooccipital and interaural.

Linear vestibuloocular reflexes (LVORs) stabilize retinal images by producing eye movements to compensate for linear head motion. LVOR response characteristics depend upon gaze relative to the motion axis and binocular fixation distance. LVOR sensitivity during NO-axis motion increases as gaze eccentricity relative to the motion axis increases and as binocular fixation distance decreases. To fixate targets during forward head motion and rightward gaze, eyes must move to the right, but when looking left, the eyes must move to the left. In this study, LVORs were measured (binocular search coils) during 5.0 Hz horizontal motion along axes between and including NO and IA. This reorients head and otolith inputs relative to linear motion. We found that LVORs follow the same kinematics regardless of eye position in the head or head orientation relative to motion. Eye position information must be quickly and accurately integrated with otolith inputs to determine eye position (gaze) relative to linear head motion in space. The LVOR provides a behaviorally useful reflex for maintaining ocular fixation on visual targets during translation along any axis.

Animals↗
PubMed2005

Multiple sclerosis and neuro-ophthalmologic manifestations.

The authors report clinical features of ocular manifestations in patients with multiple sclerosis (MS), those that affect the visual sensory system and those that affect the ocular motor system. Disturbances of visual sensory function may precede, manifest coincidentally or follow the neurologic manifestations. Visual disturbances are common in MS and often a result of acute demyelinating optic neuropathy. Careful examination of MS patients, who have never suffered optic neuritis, may also reveal asymptomatic visual loss. Asymptomatic visual loss seems to be a universal feature of MS. Patients with multiple sclerosis may develop disorders of fixation, ocular motility and ocular alignment. Disorders of ocular motor system are frequently the initial sign of multiple sclerosis and occur as its presenting sign weeks, month, or years before other neurologic symptoms and signs develop.

Eye Diseases↗
PubMed1995

Refractive variation during autorefraction: multivariate distribution of refractive status.

The refractive variation of a sample of 106 university students (63 females and 43 males) studying optometry was examined by means of autorefraction. Stereo-pair scatter plots in Euclidean three-dimensional h-space are used to illustrate the nature of the spread or distribution of data measurements found in particular subjects. A wide variety of different distributions were observed ranging from tightly to loosely clustered arrangements of measurements. Some aspects of departure from multivariate normality, including outliers (atypical measurements in a sample) and polymodal or multimodal distributions, are demonstrated. Outliers appear to be possible anywhere in the space of the scatter plots, although outliers may be more common in the region of h-space corresponding to transitory increases in accommodation. Multimodal distributions may be indicative of changes in ocular fixation during autorefraction or may reflect accommodative or other anomalies. Other departures from multivariate normality such as kurtosis and skewness are also of importance when attempting to form an understanding of variation of refractive state. Measurements made on an artificial or test eye showed very tight clusters in h-space. This suggests that the autorefractor itself contributes little to the variation observed during autorefraction of an eye.

Accommodation, Ocular↗
PubMedDate not supplied

Vestibular dysfunction causing instability in aged patients.

Unilateral vestibular hypofunction (UVH) is a common vestibular dysfunction. Its influence upon the vestibulospinal reflex (VSR) is studied by posturography. The postural sway is disturbed when the VSR is disregulated because of the UVH. The degree of disturbance depends on the effectivity of the central compensation. Our results indicate that these adaptive mechanisms become less effective with advancing age. The importance of ocular fixation as a compensatory mechanism is also obvious. The comparison between posturographic recordings made with eyes open and those made with eyes closed, shows that, in elderly people, more abnormal posturographic recordings are found with eyes closed. Accordingly, with regard to the problem of falling in the elderly, the function of the vestibular system must be assessed and especially its influence upon the standing posture. The combination of classical vestibular and posturographic results affords this indispensable information.

Adult↗
PubMed1994

Instability of ocular torsion during fixation: cyclovergence is more stable than cycloversion.

We investigated spontaneous variation of binocular torsion. Variation was expressed as SD of torsional eye positions measured over periods up to 32 sec. Subjects viewed a single dot target for periods of 32 sec. In half of the trials a large random-dot background pattern was superimposed on the dot. The movements of both eyes were measured with scleral induction coils. Spontaneous torsional movements were largely conjugate: cyclovergence was much more stable than cycloversion. This difference was not due to roll head movements. Stability of cyclovergence was improved by the background pattern. Although overall stability (SD of position) of cycloversion was unaffected by a background, the background induced or enhanced a small-amplitude torsional nystagmus in 3 out of 4 subjects. We hypothesize that the difference in stability of cycloversion vs cyclovergence reflects the greater importance of torsional retinal correspondence, compared to absolute torsional position. In two subjects we found evidence for the existence of cyclophoria, manifested by systematic shifts in cyclovergence caused by the appearance and disappearance of the background.

Adult↗
PubMedDate not supplied

Effect of nitrogen flow on recovery of vision after excimer laser photorefractive keratectomy without nitrogen flow.

BACKGROUND: Excimer laser (VISX) photorefractive keratectomy was performed using nitrogen flowing through the ocular fixation ring. It was felt that eliminating nitrogen flow may provide faster early visual rehabilitation. METHODS: Two groups of 50 consecutive eyes underwent photorefractive keratectomy with (N2 flow) and without (no N2 flow) nitrogen flow, and were evaluated at 1 month postoperatively. RESULTS: There were more under- or overcorrections exceeding 1.00 diopter (D) in the N2 flow than in the no N2 flow groups. Eighteen eyes in the N2 flow and 11 in no N2 flow groups saw 20/50 or less, without correction. Fourteen eyes in the N2 flow and nine eyes in the no N2 flow groups lost two or more lines of best spectacle-corrected visual acuity. Four eyes in the N2 flow and none in the no N2 flow groups increased more than 1.00 D of astigmatism. CONCLUSION: The elimination of nitrogen flow in photorefractive keratectomy performed with the VISX laser appears to improve visual results in the early postoperative period.

Adult↗
PubMed2000

OFD II, OFD VI, and Joubert syndrome manifestations in 2 sibs.

We present 2 sibs with manifestations of oral-facial-digital syndromes (OFD) and Joubert syndrome. The index patient was the 5th child of healthy nonconsanguineous Turkish parents. At birth this female patient had large hydrocephalus, hypertelorism, deep-set eyes, nystagmus, broad mouth, thick oral frenula, cleft palate, hamartomas of the tongue, postaxial polydactyly of fingers, normal toes, and hypotonia. Cranial MRI showed hydrocephalus and Dandy-Walker malformation. The child had no psychomotor development, was unable to swallow and had severe seizures. She died at 2 months of recurrent apneic episodes. At birth the brother of the index patient showed prominent forehead, broad, deep nasal bridge, cleft palate, multiple hamartomas of the tongue, irregular alveolar ridges, retrognathia, bilateral postaxial polydactyly of the hands and feet, and broad halluces. He had an abnormal breathing pattern with phases of tachypnea and apnea. Cranial MRI showed hydrocephalus, hypoplasia of the cerebellar vermis, Dandy-Walker malformation, and hypomyelination of the corpus callosum. Renal ultrasonography demonstrated multiple small cysts. Ocular fixation was absent and he had a mild nystagmus.

Abnormalities, Multiple↗
PubMed2003

Novel CACNA1A mutation causes febrile episodic ataxia with interictal cerebellar deficits.

Episodic ataxia type 2 (EA2) is a dominantly inherited disorder, characterized by spells of ataxia, dysarthria, vertigo, and migraines, associated with mutations in the neuronal calcium-channel gene CACNA1A. Ataxic spells lasting minutes to hours are provoked by stress, exercise, or alcohol. Some patients exhibit nystagmus between spells and some develop progressive ataxia later in life. At least 21 distinct CACNA1A mutations have been identified in EA2. The clinical and genetic complexities of EA2 have offered few insights into the underlying pathogenic mechanisms for this disorder. We identified a novel EA2 kindred in which members had ataxic spells induced by fevers or high environmental temperature. We identified a novel CACNA1A mutation (nucleotides 1253+1 G-->A) that was present in all subjects with febrile spells or ataxia. Moreover, we found that, regardless of age or interictal clinical status, all affected subjects had objective evidence of abnormal saccades, ocular fixation, and postural stability. These findings suggest that early cerebellar dysfunction in EA2 results from the intrinsically abnormal properties of the CACNA1A channel rather than a degenerative process.

Adolescent↗
PubMed1984

The Bagolini striated lens test for cyclotropia.

Measurements of cyclotropia obtained by two different techniques were compared in ten patients with superior oblique palsies. These techniques were the Maddox double rod test and a new test for cyclotropia using the Bagolini striated lenses. In contrast to the Maddox rods, the Bagolini lenses permit a nearly normal view of the visual environment; in addition with the Bagolini striated lens test, the patient's eyes were not prismatically dissociated as in the Maddox double rod test, but instead prisms were used when necessary to eliminate horizontal and vertical image disparities prior to measuring cyclotropia. The Bagolini striated lens test thereby permitted cyclotropia adaptive mechanisms to function under nearly normal viewing conditions. The two tests yielded similar measurements of cyclotropia under dissociated binocular conditions, but in several patients different results were found with the Bagolini striated lenses when associated vertical and horizontal heterotropias were eliminated spontaneously or prismatically. Three cases are reported in whom the Bagolini striated lens test provided important clinical information not revealed by the Maddox double rod test.

Adult↗