OKN asymmetries and binocular function in amblyopia

Asymmetrical optokinetic nystagmus (OKN) means that OKN has a lower gain (slow-phase eye velocity/stimulus velocity) for monocular temporalward than nasalward visual field motion. OKN tends to be asymmetric in amblyopia, leading to suggestions of a link between OKN asymmetry and binocularity in the literature. The present study measured OKN in 13 amblyopes and five normal subjects. In an attempt to identify those binocular cells used in the OKN response, the degree of OKN asymmetry was compared with binocularity assessed by two different techniques: (1) stereopsis and (2) interocular transfer of threshold elevation (IOT). Horizontal monocular OKN was recorded for three different stimulus velocities in each subject. All the amblyopes were found to be stereoblind, although three amblyopes showed OKN asymmetries close to those found for the normal group. More association was seen between interocular transfer of the threshold elevation and OKN asymmetry; not all amblyopes demonstrated reduced IOT, but those amblyopes with no IOT all had OKN asymmetries more than 125% of the mean of the normal group. However, no association was seen between the amount of OKN asymmetry and the degree of IOT. The results are discussed in terms of the role of different groups of binocular neurones for OKN and the effect of the sensitive periods of development on these binocular neurones.     

The relationship of luminous intensity and velocity for motion perception and maximum OKN elicitation

The psychophysiological aspects of the luminous intensity stimulus velocity relationship for perceiving a grating pattern and eliciting optokinetic nystagmus (OKN) with maximum slow-phase velocity were studied in two normal human eyes. The results show that (1) both the luminous intensity and target velocity (within the region from 16-56 deg/sec) have a linear relation to the perception of a grating pattern and eliciting of the maximum OKN. (2) The trends of the relation between perception and elicitation are similar, but the slopes of the regression lines are different. (3) No statistically valid directional effect is found on either visual perception or maximum OKN elicitation in humans who have normal binocular vision. (4) For a given stimulus velocity, OKN gain (slow-phase velocity/stimulus velocity) increases to a saturation point as the stimulus intensity increases. The maximum OKN gain decreases as the stimulus velocity increases.     

Development of the optokinetic system in macaque monkeys

Optokinetic nystagmus in response to horizontal movement of a whole field random dot pattern was measured in infant macaque monkeys from the first week to about 5 months after birth using electrooculography. During monocular and binocular viewing conditions stimulus velocities were varied between 10 and 120 degrees/s. Monocular stimulation in the temporonasal direction yielded slow phase gain of the optokinetic system which was relatively constant for a given stimulus velocity over the whole period of observation. Gain during nasotemporal stimulation was also clearly present but significantly lower at early stages and increased during further development. This asymmetry of monocular horizontal optokinetic nystagmus (OKN) clearly depended on the stimulus velocity. At lower stimulus velocities (10-20 degrees/s) OKN was largely symmetrical at 2-5 weeks of age. At higher stimulus velocities (40 degrees/s) symmetry was reached at about 12 weeks of age or even much later (80-120 degrees/s).     

Version and vergence eye movements in humans: open-loop dynamics determined by monocular rather than binocular image speed

We examined the velocity dependence of the vergence and version eye movements elicited by motion stimuli that were symmetric or asymmetric at the two eyes. Movements of both eyes were recorded with the scleral search coil technique. Vergence was computed as the difference in the positions of the two eyes (left-right) and version was computed as the average position of the two eyes ((left+right)/2). Subjects faced a large tangent screen onto which two identical random-dot patterns were back-projected. Each pattern was viewed by one eye only using crossed-polarizers and its position was controlled by X/Y mirror galvanometers. Viewing was always binocular and horizontal velocity steps (range, 5-240 deg/s) were applied to one (asymmetric stimulus) or both (symmetric stimulus) patterns approximately 50 ms after a centering saccade. With the symmetric stimulus, the motion at the two eyes could be either in the opposite direction (eliciting vergence responses) or in the same direction (eliciting version responses). The asymmetric stimuli elicited both vergence and version. In all cases, minimum response latencies were very short (<90 ms). Velocity tuning curves (based on the changes in vergence and version over the time period, 90-140 ms) were all sigmoidal and peaked when the monocular (i.e., retinal) image velocities were 30-60 deg/s. The vergence (version) responses to symmetric stimuli were linearly related to the vergence (version) responses to asymmetric stimuli when expressed in terms of the monocular rather than the binocular image velocities. We conclude that the dynamical limits for both vergence and version are imposed in the monocular visual pathways, before the inputs from the two eyes are combined.     

Non-conjugate monocular optokinetic nystagmus in cats

Binocular eye movement during horizontal monocular optokinetic nystagmus was studied in cats. When the stimulus pattern was moved slowly (at 1-10 deg/sec in temporonasal direction and 1 deg/sec in nasotemporal, averages of four cats), the gain (slow phase velocity/stimulus velocity) of the covered eye was significantly lower than that of the seeing eye. At the faster stimulus velocities, these differences of gain decreased.     

Monocular and binocular optokinetic nystagmus in humans with defective stereopsis

In order to investigate the previously suggested relation between cortical binocular function and deficits in monocular optokinetic nystagmus (OKN), monocular and binocular OKN was examined in normal, stereodeficient, and stereoblind observers, using a variety of stimulation velocities and stimulus field sizes. Most stereodeficient and stereoblind observers showed monocular OKN deficits in one or both eyes, which took the form of either a directional asymmetry or a reduction of the response in both directions. The deficits were often more pronounced at higher stimulation velocities and with smaller stimulus field sizes. The severity of the OKN deficit was related to the degree of residual foveal stereopsis, while the type of the deficit seemed to be influenced by the presence and depth of amblyopia. Binocular OKN resembled the best monocular response in subjects with a directional or ocular asymmetry. The results fit well with current animal models of the neural control of OKN.     

Optokinetic nystagmus in strabismus: are asymmetries related to binocularity?

PURPOSE: Strabismus may be associated with an asymmetry of monocular horizontal optokinetic nystagmus (OKN). It is unclear whether OKN asymmetries are associated with deficiency in binocular and/or stereovision. In the current study, patients with different degrees of binocularity were investigated. METHODS: OKN was examined in the dominant and nondominant eyes of four groups of patients: (1) no measurable binocularity (NB), (2) poor binocularity (PB)-that is, showing binocularity on the Bagolini Test and/or rudimentary stereovision, (3) good binocularity (GB) with good stereoacuity after squint surgery, and (4) a control group. Monocular OKN was elicited with black-and-white stripes moving temporally to nasally (TN) or nasally to temporally (NT) at velocities of 15, 30, 45, and 60 deg/s. Eye movements were recorded with infrared oculography. RESULTS: Only subjects in the NB group showed a significant OKN asymmetry, with preference for TN stimulation in dominant and nondominant eyes. Subjects with PB did not have significant OKN asymmetries but reduced OKN gains in both stimulus directions. Subjects with GB had normal mean OKN gains without asymmetry. Larger OKN asymmetries were correlated with younger age at detection of strabismus if NB and GB were grouped together, but not if each group was analyzed separately. CONCLUSIONS: For the first time, a large groups of patients classified by level of binocular vision has been investigated. The results show that OKN gain and asymmetry are associated with the development of binocular vision. OKN investigation may be helpful to identify patients with binocularity or binocular potential in strabismus.     

Effects of a fixation target on torsional optokinetic nystagmus

PURPOSE: To investigate the effects of an imaginary and a visual target on torsional optokinetic nystagmus (tOKN) and directional symmetry of tOKN. METHODS: Torsional OKN was induced by a rotating random dot pattern (52 degrees in diameter, constant angular velocity: +/-30 deg/sec to +/-52 deg/sec) with an imaginary or a visual target in 11 eyes of 10 healthy humans by dual-search coil methods. RESULTS: Intorsional OKN and extorsional OKN were symmetrical in their slow-phase gain. The mean slow-phase gain (0. 037/0.041, intorsion/extorsion) of tOKN during fixation on a visual target at the center of the rotating random dot pattern was significantly (P: < 0.002) smaller than that (0.051/0.052, intorsion/extorsion) during fixation on an imaginary target at the center of the rotating random dot pattern. The mean tOKN slow-phase beat duration (840 msec/724 msec, intorsion/extorsion) during fixation on the visual target was significantly (P: < 0.002) longer than that (585 msec/543 msec, intorsion/extorsion) during fixation on the imaginary target. In seven eyes of six subjects, the mean slow-phase gain and beat duration (0.034 and 812 msec) of tOKN during fixation on a visual target 6.5 degrees left or right from the center of the rotating random dot pattern were not significantly different from those (0.037 and 825 msec) with a visual target at the center of the rotating random dot pattern (P: > 0.3). CONCLUSIONS: A visual target spot suppresses tOKN by a nonpursuit visual system. Intorsional and extorsional OKNs were symmetrical.     

Asymmetries of optokinetic nystagmus in amblyopia: the effect of selected retinal stimulation

Open loop optokinetic eye movements were measured in response to monocular nasalward and temporalward visual field movement presented at four selected retinal sites in 6 strabismic amblyopes and 4 normal observers. Stimulus sites included the central retina (10 X 10 deg), a large field (40 X 32 deg), a large peripheral field with the center (10 X 10 deg) blocked out and a hemiretinal field (15 X 32 deg) excluding the fovea. We found directional preferences of OKN in amblyopia to nasalward stimulus movement for the foveal and concentric peripheral stimuli. The results of peripheral hemiretinal optokinetic stimulation of amblyopic subjects revealed a deficient OKN slow phase response from the temporal hemiretina, particularly for temporalward stimulus movement. There was no marked asymmetry of OKN in the normal group for the concentric stimuli. A normal preference was found for nasalward and temporalward stimulus field movement imaged on the nasal and temporal hemiretinae respectively. These results are interpreted in terms of a model of cortical and subcortical pathways for OKN derived from comparative studies of cat and monkey.     

Involvement of ON and OFF retinal channels in the eye and head horizontal optokinetic nystagmus of the frog

The specific role of ON and OFF retinal information channels in the generation of the horizontal optokinetic nystagmus (OKN) of the frog was studied. Coil recordings of monocular eye and head OKN were obtained before and after intravitreal injection of two drugs that block either ON or OFF channels. The intravitreal injection of 2-amino-4-phosphonobutyrate (APB), a glutamate analog that selectively blocks the ON retinal channel, strongly reduced or even cancelled the monocular OKN of the head and of the eye. The intravitreal injection of another glutamate analog, the cis-2,3-piperidine dicarboxylic acid (PDA) that especially blocks the OFF retinal channel, did not affect the gain velocity of the slow phase of both the horizontal monocular head and eye OKN, for low stimulus velocities. Our results suggest that the retinal ON information channel, but not the OFF channel, is involved in the generation of the slow phase of the OKN of the frog, at least at low drum velocities.     

Disjunctive optokinetic nystagmus in a naturally esotropic macaque monkey: interaction between nasotemporal asymmetries of versional eye movement and convergence

OBJECTIVE: To assess the interaction between versional and vergence eye movements in normal and strabismic monkeys. METHODS: Horizontal optokinetic nystagmus (OKN) and vergence were measured using the magnetic scleral search coil technique in a normal adult monkey and a strabismic monkey who had naturally occurring early-onset esotropia. Mean eye velocity and vergence angles were calculated during the slow phases of OKN. RESULTS: The strabismic monkey had a nasotemporal asymmetry of OKN favoring nasally directed motion in each eye. During monocular optokinetic stimulation, mean eye velocities were substantially greater for the adducting as compared to the abducting eye. The velocity of the abducting eye was between 55 and 80% of the velocity of the adducting eye (p < 0.01). As a consequence of the disjunctive movements, the eyes converged an average of 4 +/- 2.8 degrees during OKN. Saccadic analysis documented normal lateral rectus function in each eye. Neither an OKN asymmetry nor disjunctive OKN was observed in the normal monkey. CONCLUSION: Disjunctive OKN in the esotropic monkey suggests that the cerebral maldevelopment responsible for nasally biased OKN also contributes to nasal biases in vergence pathways.     

Vertical optokinetic nystagmus and saccades in normal human subjects

PURPOSE: Optokinetic stimulation induces nystagmus that can be used to test the saccadic and visual-tracking systems in some patients with voluntary gaze palsies. The purpose of this study was to characterize vertical optokinetic nystagmus (OKN) in normal human subjects, comparing the dynamic properties of the quick phases with voluntary saccades of similar size and measuring the slow-phase responses to visual stimuli with a range of spatial and temporal frequencies. METHODS: Vertical OKN and saccades were recorded in 10 healthy adult subjects (age range, 24-54 years) using the magnetic search coil technique. The optokinetic (OK) stimulus subtended 72 degrees horizontally and 60 degrees vertically, consisted of black-and-white stripes with a spatial frequency of 0.04, 0.08, or 0.16 cyc/deg, and moved vertically at 10 to 50 deg/s. Vertical and horizontal saccades to visual targets separated by 1 degrees to 10 degrees were also elicited. RESULTS: Over 95% of quick phases were less than 10 degrees in amplitude; voluntary saccades of this amplitude range were slightly faster than quick phases of similar size. The amplitude-peak velocity relationships and amplitude-duration relationships of upward and downward fast movements (saccades or quick phases) were similar. Most vertical slow-phase OK responses showed greater gain for upward stimulus motion. OK gain decreased with increasing stimulus speed and increased spatial frequency, so that there was a general decrease in slow-phase velocity gain with increasing temporal frequency. CONCLUSIONS: In this study, the best OK responses were obtained using stripes with lower spatial frequencies and lower stripe speeds (0.4 cyc/deg at 10 deg/s). The dynamic properties of vertical quick phases of nystagmus are similar enough to those of voluntary saccades for OK stimulation to be used as a clinical test of the vertical saccadic system in individuals with voluntary gaze palsy.     

Role of the stimulus size in the generation of optokinetic nystagmus in normals and in patients with retinitis pigmentosa

BACKGROUND: To find out the smallest stimulus size still able to elicit optokinetic nystagmus (OKN). To discuss the differences in the generation of OKN between normals and patients with tunnel vision. METHODS AND PATIENTS: OKN was elicited monocularly with black and white stripes of 2 degrees moving on a screen temporally-to-nasally or nasally-to-temporally at velocities of 15, 30, 45, and 60 degrees /s. In healthy subjects (n = 10) the size of the stimulus was gradually increased from minimal 8 degrees x 0.5 degrees to maximal 48 degrees x 10 degrees. OKN was elicited in retinitis pigmentosa (RP) patients (n = 2) with visual field reduced to the central 10 degrees. OKN gain was measured using infrared oculography. OKN response was considered as normal if it was within 2 standard deviations of the mean OKN of age-matched control groups (n = 29). RESULTS: In healthy subjects the size of the stimulus necessary to elicit normal OKN gain was smaller at low velocity of 15 degrees /s (16 degrees x 1 degrees ) than at higher velocities of 30, 45, and 60 degrees /s (16 degrees - 24 degrees x 3 degrees ). Normal OKN gain was measured in the RP patients only at the low velocity of 15 degrees /s. CONCLUSIONS: Small stimuli are sufficient in normals to elicit good OKN answers. Therefore, poor OKN gain in RP patients may not be explained by their tunnel vision only. We postulate that in these patients the reduction of gain is due to a multifactorial decrease of their visual perception related to disorders of the visual field, the visual acuity, and the contrast sensitivity.     

Directional motion asymmetry in infant VEPs--which direction?

Monocular viewing during early infancy reveals asymmetries in optokinetic nystagmus (OKN) and visual evoked potentials (VEPs). This study investigates the VEP asymmetry to see if it is consistent in direction with the OKN asymmetry. Steady-state VEPs were recorded from infants (5-21 weeks) viewing gratings that underwent successive displacements in the same direction, leftward or rightward. In addition, transient VEPs were recorded to the two directions of an oscillating stimulus. Both tests produced larger VEP amplitudes for nasal-to-temporal compared to temporal-to-nasal movement. Horizontal eye movements were monitored by EOG while viewing these stimuli to test whether the asymmetry was a consequence of eye movements. No difference in eye movements as a function of the stimulus was found, excluding differences in retinal slip as an explanation of the asymmetry. The stronger neural response for nasal-to-temporal displacements is opposite to the asymmetry of OKN. Oculomotor and VEP asymmetries may be related; however this relationship is not simply that the stronger neural response, indicated by the VEP, leads to a stronger optokinetic response.     

Look and stare optokinetic nystagmus in healthy subjects and in patients with no measurable binocularity. A prospective study

BACKGROUND: The aim of our study was to assess the difference between look and stare optokinetic nystagmus (OKN) in healthy subjects and in patients with early onset strabismus and no measurable binocularity. METHODS AND PATIENTS: OKN was elicited monocularly with black and white stripes moving horizontally or vertically at 15, 30, 45 and 60 degrees /s. Subjects were instructed either to follow individual stripes across the screen (look OKN) or to fixate stripes in the centre of the screen (stare OKN). We examined 20 healthy subjects (mean age 29 years; range 21 - 39), and 10 patients with no measurable binocularity (mean age 12.7 years; range 5 - 37). OKN gain was measured with photo-oculography. RESULTS: In both groups and at stimulation with the higher velocities gains for look OKN were significantly better than for stare OKN, and gains with horizontal stimuli were significantly better than with vertical stimuli (p < 0.05). In the group with no measurable binocularity horizontal look and stare OKN answers were significantly better for temporal-to-nasal stimulation than for nasal-to-temporal stimulation (p < 0.05). CONCLUSIONS: The performance of look or stare OKN influences the gain in healthy subjects and in patients with no measurable binocularity. Data about both modes of OKN stimulation are helpful to better interpret OKN responses especially in subjects with poor cooperation.     

Optokinetic torsion: dynamics and relation to circularvection

Continuous records of optokinetic torsion to sinusoidal inputs were obtained using the electromagnetic scleral search-coil technique. We measured the gain and phase lag of optokinetic torsion in response to a spherical visual display rotating steadily at various angular velocities and sinusoidally at frequencies from 0.2 to 2.0 Hz and at amplitudes from 10 to 80 deg. Gain (peak slow-phase eye velocity over stimulus angular velocity) of up to 0.12 were obtained with stimulus frequencies of 0.2 Hz and declined to an average value of about 0.02 at a frequency of 2.0 Hz. Phase lag was virtually zero at a frequency of 0.2 Hz and increased to over 80 deg at 2.0 Hz. The records from the sinusoidal stimuli show very few quick phases. With increasing stimulus amplitudes, the amplitude of the response increased but its gain declined. We found no evidence of torsional after-nystagmus nor any relation between the torsional response and reports of vection or sensation of body tilt induced by the rotating display. Torsional optokinetic nystagmus is most suited to compensate for low-amplitude, low-frequency stimulus rotation and normally supplements torsion induced by head tilt.     

Independent binocular integration for form and colour

Although different features of an object are processed in anatomically distinct regions of the cerebral cortex, they often appear bound together in perception. Here, using binocular rivalry, we reveal that the awareness of form can occur independently from the awareness of colour. First, we report that, if both eyes briefly view a grating stimulus prior to the presentation of the same grating in one eye and an orthogonal grating in the other, subjects tend to report perceptual dominance of the non-primed grating. The primer was most effective when it was similar in orientation, spatial frequency and spatial phase to one of the rival images. Next, we showed that the process underlying the binocular integration of chromatic information was selectively influenced by the colour of a previously presented stimulus. We then combined these paradigms by using a primer that had the same colour as one rival stimulus, but the same form as the other stimulus. In this situation, we found that rival stimuli differing in form and colour can sometimes achieve states of dominance in which the chromatic information from one eye's image combines with the form of the other eye's image temporarily creating a binocular impression that corresponds with neither monocular component. Finally, we demonstrated that during continuous viewing of rival stimuli differing in form and colour, chromatic integration could occur independently of form rivalry. Paradoxically, however, we found that changes to the form of the stimulus had more of an influence on chromatic integration than on form rivalry. Together these phenomena show that the neural processes involved in integrating information from the two eyes can operate selectively on different stimulus features.     

The visual-vestibular interaction in normal subjects

Full-field optokinetic nystagmus (OKN) at constant speed of 40 0/s and 60 0/s, vestibular ocular reflex (VOR) (sinusoidal 0.2 Hz, 60 0/s peak velocity) with different background (light and dark) and VOR-fix were observed in 72 normal subjects (144 normal eyes). The gain, FCV and DP of OKN, VVOR, VOR were also analysed. The gain of OKN is reduced accompanied with stimulation increasing, while the FCV is increased. The gain of VVOR is 1.08 +/- 0.09 (X +/- SD), while the gain of VOR is 0.64 +/- 0.09. The FCV of VOR is much reduced than that of VVOR. The FCV in the groups under 30 years of age are much faster than the groups above 30 years of age. The VOR--fix gain is 0.05 +/- 0.04. The DP of OKN, VVOR, and VOR are 0.05 +/- 0.04. The results showed an co-operation between visual and vestibular systems and the results also suggested that the series methods of visual-vestibular interaction (OKN, VVOR, VOR, VOR-fix) might be useful in eye movement examination.     

Comparison of Naso-temporal Asymmetry During Monocular Smooth Pursuit,Optokinetic Nystagmus,and Ocular Following Response in Strabismic Monkeys

Purpose: Under monocular viewing conditions, humans and monkeys with infantile strabismus exhibit asymmetric naso-temporal (N-T) responses to motion stimuli. The goal of this study was to compare and contrast these N-T asymmetries during 3 visually mediated eye tracking tasks—optokinetic nystagmus (OKN), smooth pursuit (SP) response, and ocular following responses (OFR). Methods: Two adult strabismic monkeys were tested under monocular viewing conditions during OKN, SP, or OFR stimulation. OKN stimulus was unidirectional motion of a 30°x30° random dot pattern at 20°, 40°, or 80°/s for 1 minute. OFR stimulus was brief (200 ms) unidirectional motion of a 38°x28°whitenoise at 20°, 40°, or 80°/s. SP stimulus consisted of foveal step-ramp target motion at 10°, 20°, or 40°/s. Results: Mean nasalward steady state gain (0.87±0.16) was larger than temporalward gain (0.67±0.19) during monocular OKN (P<0.001). In monocular OFR, the asymmetry is manifested as a difference in OFR velocity gain (nasalward: 0.33±0.19, temporalward: 0.22±0.12; P=0.007). During monocular SP, mean nasal gain (0.97±0.2) was larger than temporal gain (0.66±0.14; P<0.001) and the mean nasalward acceleration during pursuit initiation (156±61°/s²) was larger than temporalward acceleration (118±77°/s²; P=0.04). Comparison of N-T asymmetry ratio across the 3 conditions using ANOVA showed no significant difference. Conclusions: N-T asymmetries are identified in all 3 visual tracking paradigms in both monkeys with either eye viewing. Our data are consistent with the current hypothesis for the mechanism for N-T asymmetry that invokes an imbalance in cortical drive to brainstem circuits.     

Reading with central scotomas: is there a binocular gain?

PURPOSE: The purpose of this study was to compare reading performance under binocular versus monocular viewing conditions in patients with bilateral age-related macular degeneration (AMD). METHODS: Twenty-two patients with AMD participated. Distance acuity, reading acuity, and contrast sensitivity were recorded binocularly and monocularly with the better eye. An infrared eye tracker recorded eye movements during reading. Reading speed and reading eye movement parameters, including number of fixations and regressions, fixation duration, and number of saccades to find the next line, were calculated for both viewing conditions. The difference between binocular and monocular performance (binocular gain) was computed. Regression analysis was used to determine whether intraocular differences in distance and reading acuity and contrast sensitivity were predictive of binocular gain. RESULTS: Reading speed when using both eyes was highly correlated with the reading speed for the better eye. There was a small, but not significant, advantage of binocular viewing (6.9 words/minute, p = 0.33). No significant difference was detected in any eye movement parameters when comparing both eyes with the better eye. Although some patients showed either positive or negative binocular gain, the amount of gain was not predicted by intraocular differences in acuity or contrast sensitivity. CONCLUSIONS: Overall, there was no significant difference between binocular and monocular reading performance in patients with AMD.