Ocular Motility Testing in Children

2022 ◽  
pp. 97-125
Author(s):  
M. H. Esther Han
Keyword(s):  
Eye Movements ◽  
Eye Movement ◽  
Management Plan ◽  
Ocular Motility ◽  
Developmental Approach ◽  
The Central Nervous System ◽  
Movement Function ◽  
Reading To Learn ◽  
Objective Tests ◽  
Vision Therapy

The purpose of this chapter is to provide the main indications, background, and procedures when assessing eye movement function in the pediatric patient. The assessment of extraocular motility function includes version and ductions using the H pattern test in order to determine the presence of underaction or overactions of the extraocular muscles (EOM). EOM testing detects abnormalities in the structural and neurological integrity caused by an acquired or congenital disease of the central nervous system. Deficits in eye movement function can also contribute to poor academic performance which requires a developmental approach to the assessment of saccadic and pursuit eye movements to determine if a referral for optometric vision therapy is indicated. For the older child who is reading to learn, an assessment of reading eye movements using objective tests, such as the Visagraph and/or the ReadAlyzer, will guide the direction of the management plan.

scholarly journals The Role of Eye Movement Driven Attention in Functional Strabismic Amblyopia

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Hao Wang ◽  
Sheila Gillard Crewther ◽  
Zheng Qin Yin
Keyword(s):  
Visual Acuity ◽  
Eye Movements ◽  
Visual Perception ◽  
Visual Attention ◽  
Eye Movement ◽  
Depth Perception ◽  
Strabismic Amblyopia ◽  
Impaired Ability ◽  
Movement Function

Strabismic amblyopia “blunt vision” is a developmental anomaly that affects binocular vision and results in lowered visual acuity. Strabismus is a term for a misalignment of the visual axes and is usually characterized by impaired ability of the strabismic eye to take up fixation. Such impaired fixation is usually a function of the temporally and spatially impaired binocular eye movements that normally underlie binocular shifts in visual attention. In this review, we discuss how abnormal eye movement function in children with misaligned eyes influences the development of normal binocular visual attention and results in deficits in visual function such as depth perception. We also discuss how eye movement function deficits in adult amblyopia patients can also lead to other abnormalities in visual perception. Finally, we examine how the nonamblyopic eye of an amblyope is also affected in strabismic amblyopia.

Age Differences in Eye Movements During Reading: Degenerative Problems or Compensatory Strategy?

2019 ◽  
Vol 24 (4) ◽  
pp. 297-311
Author(s):  
José David Moreno ◽  
José A. León ◽  
Lorena A. M. Arnal ◽  
Juan Botella
Keyword(s):  
Eye Movements ◽  
Eye Movement ◽  
Meta Analysis ◽  
Age Groups ◽  
Behavioral Changes ◽  
Aging Effects ◽  
Movement Data ◽  
Sentence Reading ◽  
The Difference ◽  
Eye Movements During Reading

Abstract. We report the results of a meta-analysis of 22 experiments comparing the eye movement data obtained from young ( Mage = 21 years) and old ( Mage = 73 years) readers. The data included six eye movement measures (mean gaze duration, mean fixation duration, total sentence reading time, mean number of fixations, mean number of regressions, and mean length of progressive saccade eye movements). Estimates were obtained of the typified mean difference, d, between the age groups in all six measures. The results showed positive combined effect size estimates in favor of the young adult group (between 0.54 and 3.66 in all measures), although the difference for the mean number of fixations was not significant. Young adults make in a systematic way, shorter gazes, fewer regressions, and shorter saccadic movements during reading than older adults, and they also read faster. The meta-analysis results confirm statistically the most common patterns observed in previous research; therefore, eye movements seem to be a useful tool to measure behavioral changes due to the aging process. Moreover, these results do not allow us to discard either of the two main hypotheses assessed for explaining the observed aging effects, namely neural degenerative problems and the adoption of compensatory strategies.

Modified Y Splitting of Lateral Rectus in Treatment of Abnormal Vertical Eye Movements Combined with Globe Retraction in Duane Retraction Syndrome

2020 ◽  
pp. 1-3
Author(s):  
Ayse Gul Kocak Altintas ◽  
Ayse Gul Kocak Altintas
Keyword(s):  
Case Report ◽  
Eye Movements ◽  
Palpebral Fissure ◽  
Ocular Motility ◽  
Severe Restriction ◽  
Horizontal Movement ◽  
Retraction Syndrome ◽  
Duane Retraction Syndrome ◽  
Ocular Motility Disorders

Duane retraction syndrome is the most frequently seen restrictive ocular motility disorders. It is clinically presented with limitation of horizontal movement, variable amounts of upshoots or downshoots and globe retraction combined with narrowing of the palpebral aperture on attempted adduction. An 8-year-old patient presented with severe restriction of abduction, reciprocal upshots or downshoots, and globe retraction combined with the palpebral fissure narrowing of on adduction. After the modified Y splitting of LR and recession of both horizontal rectus operation, all cosmetically disfiguring clinical features disappeared. In this case report modified Y splitting procedure and its long-term efficacy is presented.

scholarly journals Eye Movements in Response to Pain-Related Feelings in the Presence of Low and High Cognitive Loads

2020 ◽  
Vol 10 (5) ◽  
pp. 92
Author(s):  
Ramtin Zargari Marandi ◽  
Camilla Ann Fjelsted ◽  
Iris Hrustanovic ◽  
Rikke Dan Olesen ◽  
Parisa Gazerani
Keyword(s):  
Eye Movements ◽  
Cognitive Load ◽  
Eye Movement ◽  
Cognitive Processing ◽  
Pain Perception ◽  
Cognitive Task ◽  
Load Level ◽  
Task Load ◽  
Pupillary Responses ◽  
Movement Characteristics

The affective dimension of pain contributes to pain perception. Cognitive load may influence pain-related feelings. Eye tracking has proven useful for detecting cognitive load effects objectively by using relevant eye movement characteristics. In this study, we investigated whether eye movement characteristics differ in response to pain-related feelings in the presence of low and high cognitive loads. A set of validated, control, and pain-related sounds were applied to provoke pain-related feelings. Twelve healthy young participants (six females) performed a cognitive task at two load levels, once with the control and once with pain-related sounds in a randomized order. During the tasks, eye movements and task performance were recorded. Afterwards, the participants were asked to fill out questionnaires on their pain perception in response to the applied cognitive loads. Our findings indicate that an increased cognitive load was associated with a decreased saccade peak velocity, saccade frequency, and fixation frequency, as well as an increased fixation duration and pupil dilation range. Among the oculometrics, pain-related feelings were reflected only in the pupillary responses to a low cognitive load. The performance and perceived cognitive load decreased and increased, respectively, with the task load level and were not influenced by the pain-related sounds. Pain-related feelings were lower when performing the task compared with when no task was being performed in an independent group of participants. This might be due to the cognitive engagement during the task. This study demonstrated that cognitive processing could moderate the feelings associated with pain perception.

scholarly journals Role of Primate Cerebellar Hemisphere in Voluntary Eye Movement Control Revealed by Lesion Effects

2009 ◽  
Vol 101 (2) ◽  
pp. 934-947 ◽  
Author(s):  
Masafumi Ohki ◽  
Hiromasa Kitazawa ◽  
Takahito Hiramatsu ◽  
Kimitake Kaga ◽  
Taiko Kitamura ◽  
...  
Keyword(s):  
Eye Movements ◽  
Eye Movement ◽  
Smooth Pursuit ◽  
Movement Control ◽  
Cerebellar Hemisphere ◽  
Target Velocity ◽  
Eye Movement Control ◽  
Pursuit Eye Movements ◽  
Catch Up

The anatomical connection between the frontal eye field and the cerebellar hemispheric lobule VII (H-VII) suggests a potential role of the hemisphere in voluntary eye movement control. To reveal the involvement of the hemisphere in smooth pursuit and saccade control, we made a unilateral lesion around H-VII and examined its effects in three Macaca fuscata that were trained to pursue visually a small target. To the step (3°)-ramp (5–20°/s) target motion, the monkeys usually showed an initial pursuit eye movement at a latency of 80–140 ms and a small catch-up saccade at 140–220 ms that was followed by a postsaccadic pursuit eye movement that roughly matched the ramp target velocity. After unilateral cerebellar hemispheric lesioning, the initial pursuit eye movements were impaired, and the velocities of the postsaccadic pursuit eye movements decreased. The onsets of 5° visually guided saccades to the stationary target were delayed, and their amplitudes showed a tendency of increased trial-to-trial variability but never became hypo- or hypermetric. Similar tendencies were observed in the onsets and amplitudes of catch-up saccades. The adaptation of open-loop smooth pursuit velocity, tested by a step increase in target velocity for a brief period, was impaired. These lesion effects were recognized in all directions, particularly in the ipsiversive direction. A recovery was observed at 4 wk postlesion for some of these lesion effects. These results suggest that the cerebellar hemispheric region around lobule VII is involved in the control of smooth pursuit and saccadic eye movements.

scholarly journals Fixation eye movement abnormalities and stereopsis recovery following strabismus repair

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Talora L. Martin ◽  
Jordan Murray ◽  
Kiran Garg ◽  
Charles Gallagher ◽  
Aasef G. Shaikh ◽  
...  
Keyword(s):  
Eye Movements ◽  
Eye Movement ◽  
Functional Improvement ◽  
Slow Phase ◽  
Fixational Eye Movements ◽  
Movement Characteristics ◽  
Adaptive Mechanisms ◽  
Before And After ◽  
Gaze Holding ◽  
Fixational Saccades

AbstractWe evaluated the effects of strabismus repair on fixational eye movements (FEMs) and stereopsis recovery in patients with fusion maldevelopment nystagmus (FMN) and patients without nystagmus. Twenty-one patients with strabismus, twelve with FMN and nine without nystagmus, were tested before and after strabismus repair. Eye-movements were recorded during a gaze-holding task under monocular viewing conditions. Fast (fixational saccades and quick phases of nystagmus) and slow (inter-saccadic drifts and slow phases of nystagmus) FEMs and bivariate contour ellipse area (BCEA) were analyzed in the viewing and non-viewing eye. Strabismus repair improved the angle of strabismus in subjects with and without FMN, however patients without nystagmus were more likely to have improvement in stereoacuity. The fixational saccade amplitudes and intersaccadic drift velocities in both eyes decreased after strabismus repair in subjects without nystagmus. The slow phase velocities were higher in patients with FMN compared to inter-saccadic drifts in patients without nystagmus. There was no change in the BCEA after surgery in either group. In patients without nystagmus, the improvement of the binocular function (stereopsis), as well as decreased fixational saccade amplitude and intersaccadic drift velocity, could be due, at least partially, to central adaptive mechanisms rendered possible by surgical realignment of the eyes. The absence of improvement in patients with FMN post strabismus repair likely suggests the lack of such adaptive mechanisms in patients with early onset infantile strabismus. Assessment of fixation eye movement characteristics can be a useful tool to predict functional improvement post strabismus repair.

Visual Field Accuracy and Eye Movement Direction: A Child's Eye View

1980 ◽  
Vol 50 (2) ◽  
pp. 631-636
Author(s):  
Evans Mandes
Keyword(s):  
Eye Movements ◽  
Visual Field ◽  
Eye Movement ◽  
Visual Fields ◽  
Movement Direction

Post-exposural eye movements were studied in 32 adults and 24 7-yr.-old children. Stimuli were binary figures exposed tachistoscopically in both visual fields simultaneously. The data showed significant correlations between direction of eye movement and locus of recognition for both children and adults. No significant differences were found in frequencies of eye movements of children and adults. The data are interpreted in terms of the facilitative effects of post-exposural eye movements upon perception for both groups.

scholarly journals A Fast and Effective System for Analysis of Optokinetic Waveforms with a Low-Cost Eye Tracking Device

Healthcare ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 10
Author(s):  
Chong-Bin Tsai ◽  
Wei-Yu Hung ◽  
Wei-Yen Hsu
Keyword(s):  
Eye Movements ◽  
Eye Tracking ◽  
Eye Movement ◽  
Low Cost ◽  
Saccadic Eye Movements ◽  
Slow Phase ◽  
Eye Tracker ◽  
Effective System ◽  
Tracking Device ◽  
Traditional Approaches

Optokinetic nystagmus (OKN) is an involuntary eye movement induced by motion of a large proportion of the visual field. It consists of a “slow phase (SP)” with eye movements in the same direction as the movement of the pattern and a “fast phase (FP)” with saccadic eye movements in the opposite direction. Study of OKN can reveal valuable information in ophthalmology, neurology and psychology. However, the current commercially available high-resolution and research-grade eye tracker is usually expensive. Methods & Results: We developed a novel fast and effective system combined with a low-cost eye tracking device to accurately quantitatively measure OKN eye movement. Conclusions: The experimental results indicate that the proposed method achieves fast and promising results in comparisons with several traditional approaches.

scholarly journals Saliency-Based Gaze Visualization for Eye Movement Analysis

Sensors ◽  
2021 ◽  
Vol 21 (15) ◽  
pp. 5178
Author(s):  
Sangbong Yoo ◽  
Seongmin Jeong ◽  
Seokyeon Kim ◽  
Yun Jang
Keyword(s):  
Eye Movements ◽  
Visual Attention ◽  
Eye Movement ◽  
Visual Stimuli ◽  
Saliency Map ◽  
Gaze Behavior ◽  
The Gaze ◽  
Movement Data ◽  
Visual Clues ◽  
Human Visual Attention

Gaze movement and visual stimuli have been utilized to analyze human visual attention intuitively. Gaze behavior studies mainly show statistical analyses of eye movements and human visual attention. During these analyses, eye movement data and the saliency map are presented to the analysts as separate views or merged views. However, the analysts become frustrated when they need to memorize all of the separate views or when the eye movements obscure the saliency map in the merged views. Therefore, it is not easy to analyze how visual stimuli affect gaze movements since existing techniques focus excessively on the eye movement data. In this paper, we propose a novel visualization technique for analyzing gaze behavior using saliency features as visual clues to express the visual attention of an observer. The visual clues that represent visual attention are analyzed to reveal which saliency features are prominent for the visual stimulus analysis. We visualize the gaze data with the saliency features to interpret the visual attention. We analyze the gaze behavior with the proposed visualization to evaluate that our approach to embedding saliency features within the visualization supports us to understand the visual attention of an observer.

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