Selective nonconjugate binocular adaptation of vertical saccades and pursuits

Neuromuscular plasticity and rehabilitation of the ocular near response

The near response is composed of cross-coupled interactions between convergence and other distance-related oculomotor responses including accommodation, vertical vergence, and cyclovergence. The cross-coupling interactions are analogous to the body postural reflexes that maintain balance. Near-response couplings guide involuntary motor responses during voluntary shifts of distance and direction of gaze without feedback from defocus or retinal-image disparity. They optimize the disparity stimulus for stereoscopic depth perception and can be modified by optically induced sensory demands placed on binocular vision. In natural viewing conditions, the near response is determined by passive orbital mechanics and active-adaptable tonic components. For example, the normal coupling of vertical vergence with convergence in tertiary gaze is partly a byproduct of passive orbital mechanics. Both, adapted changes of vertical vergence in response to anisophoria, produced by unequal ocular magnification (aniseikonia), and adapted changes in the orientation of Listing's plane in response to torsional disparities can be achieved by a combination of passive orbital mechanics and neural adjustments for the control of the vertical vergence and cyclovergence. Adaptive adjustments are coupled with gaze direction, convergence angle, and head tilt. Several adaptation studies suggest that it is possible to achieve non-linear changes in the coupling of both vertical vergence and cyclovergence with gaze direction. This coupling can be achieved with changes in neural control signals of ocular elevator muscles that are cross-coupled with both convergence and direction of tertiary gaze. These linear and non-linear coupling interactions can be adapted to compensate for (1) anisophoria induced by spectacle corrections for anisometropia, (2) accommodative esotropia, (3) convergence excess and insufficiency, and (4) non-concomitant deviations with ocular torticollis associated with trochlear palsy. The adaptable near-response couplings form the basis of an area of orthoptics that optimizes visual performance by facilitating our natural ability to calibrate neural pathways underlying binocular postural reflexes.

The coordination of binocular eye movements: vertical and torsional alignment

Precise binocular alignment of the visual axes is of utmost importance for good vision. The fact that so few of us ever experience diplopia is evidence of how well the oculomotor system performs this function in the face of changes due to development, disease and injury. The capacity of the oculomotor system to adapt to visual stimuli that mimic alignment deficits has been extensively explored in laboratory experiments. While the present paper reviews many of those studies, the primary focus is on issues involved in maintaining good vertical and torsional alignment in everyday viewing situations where the parsing of muscle forces may vary for the same horizontal and vertical eye positions due to changes in horizontal vergence and head posture.

The vestibulo-ocular reflex in fourth nerve palsy: deficits and adaptation

The effects of fourth nerve palsy on the vestibulo-ocular reflex (VOR) had not been systematically investigated. We used the magnetic scleral search coil technique to study the VOR in patients with unilateral fourth nerve palsy during sinusoidal head rotations in yaw, pitch and roll at different frequencies. In darkness, VOR gains are reduced during incyclotorsion, depression and abduction of the paretic eye, as anticipated from paresis of the superior oblique muscle. VOR gains during excyclotorsion, elevation and adduction of the paretic eye are also reduced, whereas gains in the non-paretic eye remain normal, indicating a selective adjustment of innervation to the paretic eye. In light, torsional visually enhanced VOR (VVOR) gains in the paretic eye remain reduced; however, visual input increases vertical and horizontal VVOR gains to normal in the paretic eye, without a conjugate increase in VVOR gains in the non-paretic eye, providing further evidence of selective adaptation in the paretic eye. Motions of the eyes after fourth nerve palsy exemplify monocular adaptation of the VOR, in response to peripheral neuromuscular deficits.

The effect of saccades and brief fusional stimuli on phoria adaptation

PURPOSE

The purpose of this experiment was to determine whether brief fusional stimuli and saccades similar to those seen in the alternate cover test affect phoria disadaptation.

METHODS

Three cover test conditions were performed randomly. Before each test condition, subjects fused for 2 min at an angle convergent to the subjective phoria. In one test condition, subjects viewed monocularly. In another condition, subjects alternately fixated with each eye (no binocular time). In a third condition, subjects alternately fixated with each eye, and there was a 100-ms period of binocular viewing between alternations. The ocular vergence angle was monitored using scleral search coils.

RESULTS

Vergence angle was plotted against time for each condition. The area under this plot was determined using a computer program. The area reflected the rate at which ocular vergence returned to the original phoria position. The mean area for the monocular condition was 300.9, the mean area for alternate fixation with no binocular time was 300.3, and the mean area for alternate fixation with binocular time was 205.2.

CONCLUSIONS

Saccadic alternations do not affect phoria adaptation. However, short periods in which binocular disparate images are viewed significantly increase the rate at which phoria adaptation declines for some subjects.

Depth selectivity of vertical fusional mechanisms

We measured the ability to fuse dichoptic images of a horizontal line alone or in the presence of a textured background with different vertical disparity. Nonius-line measurements of vertical vergence were also obtained. Diplopia thresholds and vertical vergence gains were much higher in response to an isolated vertically disparate line than to one with a zero vertical-disparity background. The effect of the background was maximum when it was coplanar with the target and decreased with increasing relative horizontal disparity. We conclude that vertical disparities are integrated over a restricted range of horizontal disparities to drive vertical vergence.

Disconjugate adaptation of saccades: contribution of binocular and monocular mechanisms

We studied the effects of prism-induced disparity on static and intrasaccadic alignment in six normal human subjects. A ten diopter base-out prism, calling for convergence, was placed in front of the central field of the right eye, so that at the center the eye viewed through the prism; at left and right, outside the prism. During 15 min of training, subjects made repetitive saccades solely in the right field of vision (C-R-C sequence). This paradigm required relative divergence for centrifugal (C-R) saccades and relative convergence for centripetal (R-C) saccades, as well as increase of the amplitude for all saccades made by the right eye. We found that during training, all subjects incorporated the necessary change in alignment into the saccades. After training the resultant intrasaccadic disconjugacy persisted when tested during monocular viewing, indicating that motor learning had occurred. Subjects demonstrated increased divergence for C-R and increased convergence for R-C saccades, in accordance with the change acquired during adaptation to the prism. In addition, five subjects developed increased divergence for C-L saccades, for which they did not train. Smaller and less consistent divergence was also observed for L-C saccades. Changes in intrasaccadic alignment were accompanied by changes in the relative velocities of the two eyes' saccades and slowing of the peak velocities in both eyes during training. Static alignment showed a general tendency toward convergence that did not parallel the changes in the intrasaccadic alignment, suggesting that saccade adaptation is system-specific. The pattern of transfer of the intrasaccadic disconjugacy to saccades in the untrained field and the changes in the relative speeds of the two eyes cannot be explained by monocular adjustment of the saccades. Our results indicate that both a binocular mechanism--saccade-vergence interaction--and monocular adaptation contribute to disconjugate adaptation of saccades.

Impairment of the binocular coordination of saccades in strabismus

To examine the link between binocular vision and binocular coordination of saccades we studied subjects with convergent strabismus since childhood with mild or no amblyopia: three subjects had small squint (< 10 prism D) and preserved peripheral binocular visual function with gross stereopsis; four subjects had larger squint (18-35 prism D) and no detectable stereopsis. A standard paradigm was used to elicit horizontal saccades; binocular recordings were made with the IRIS device. For subjects with small strabismus, saccades were disconjugate (unequal between the two eyes) typically by 1 deg. Subjects with larger strabismus exhibited even larger and more variable disconjugacy (typically 1.8 deg). Post-saccadic eye drift was consistently divergent in subjects with small strabismus and tended to reduce the convergent squint angle. In contrast, in subjects with large strabismus drift was convergent. The impairment of the binocular control of saccades is attributed to the deficiency of disconjugate oculomotor adaptive capabilities necessary to compensate for the natural asymmetries or changes in the two oculomotor plants; such deficiency would be more severe in subjects with large strabismus who have neither central nor peripheral binocular vision.

Deficiency of adaptive control of the binocular coordination of saccades in strabismus

Disconjugate (different in the two eyes) oculomotor adaptation is driven by the need to maintain binocular vision. Since binocular vision is deficient in strabismus, we wondered whether oculomotor disconjugate adaptive capabilities are deficient in such subjects. We studied eight adult subjects with constant, long-standing convergent strabismus of variable angles (4-30 prism D). No subject had severe amblyopia. Binocular vision was evaluated with stereoacuity tests. Two subjects had peripheral binocular vision and gross stereopsis; two other subjects had abnormal retinal correspondence and abnormal or pseudo gross stereopsis. In the other subjects binocular vision and stereopsis were absent. To stimulate disconjugate changes of saccades, subjects viewed for 20 min an image that was magnified in one eye (aniseikonia). Subjects with residual peripheral binocular vision and even subjects with pseudo or abnormal binocular vision showed disconjugate changes of the binocular coordination of their saccades; these changes reduced the disparity resulting from the aniseikonia. In contrast, for subjects without binocular vision the changes were not correlated with the disparity induced by the aniseikonia. Rather, these changes served to improve fixation of one or the other eye individually.

Disconjugate adaptation of the vertical oculomotor system

Conjugate post-saccadic eye drift can be induced in normal humans if a visual pattern is made to drift after every saccade. This study examines the ability of normal humans to create disconjugate vertical post-saccadic drift. Identical fuseable patterns were presented dichoptically, one to each eye. At the end of each vertical saccade one pattern drifted up and the other down, by 5% of the saccade amplitude. Five subjects were trained for 2-3 hr. Eye movements were recorded with eye coils. Normal vertical saccades along the midline were remarkably conjugate and post-saccadic drift was minimal. Training produced only small disconjugate post-saccadic drift (0.14 deg) but substantial saccade amplitude disconjugacy (0.70 deg). For several subjects, the induced disconjugacies persisted even for saccades in the dark indicating that adaptive changes occurred in the binocular coordination of vertical saccades. Apparently vertical disparate post-saccadic retinal slip is not sufficient to stimulate significantly the saccade pulse-step matching mechanism which is believed to control post-saccadic eye drift. The changes we observed aimed to reduce position disparity and not retinal slip in each eye.

Adaptive changes in saccade amplitude: oculocentric or orbitocentric mapping?

The saccadic system rapidly adjusts the amplitude of refixation movements to visual targets when abnormal postsaccadic errors occur. This is called rapid saccadic adaptation. It is not yet clear whether this form of adaptation produces changes related to oculocentric mechanisms, such as retinal error or motor error, or orbitocentric mechanisms, such as eye or gaze position. These experiments were designed to test whether rapid saccadic adaptation was orbitocentric, oculocentric, or both by creating a precise sensory motor mismatch between the visual target and the required saccade. Measurements were made to determine adaptive changes as function of (1) saccade direction; (2) eye position; and (3) saccade amplitude. Changes were found to be amplitude- and direction-specific but changes were generalized across a broad range of orbital positions. Two conditions of adaptation: increasing and decreasing amplitude, produced quantitatively similar results, indicating that similar mechanisms underlie both processes. Thus, these data support the view that changes during rapid saccadic adaptation are organized principally in a retina-referenced (oculocentric) map, but only broadly, if at all, in a head-referenced (orbitocentric) map. The changes are consistent with a mechanism represented in a spatial mapping of either retinal or motor error.

Adaptation of vertical eye alignment in relation to head tilt

Binocular visual feedback is used to continually calibrate binocular eye alignment so that the retinal images of the two eyes remain in correspondence. Past experiments have shown that vertical eye alignment (measured as vertical phoria) can be altered by training to disparities that vary as a function of orbital eye position. The present experiments demonstrate that vertical eye alignment can also be trained to differ with head position when eye position (with respect to the orbit) is held constant. Changes in head position were about either an earth-vertical or earth-horizontal axis to distinguish otolith-ocular related adaptation from cervical-ocular related adaptation. Changes in head position were implemented by either by rotating the whole body (WB) or by rotating the head with the body stationary (HO). Following training, adaptation of eye alignment was observed in all cases of rotation about an earth-horizontal axis and for HO pitch rotations about an earth-vertical axis. The results illustrate the ability of the oculomotor system to compensate for imbalances in otolith-ocular pathways.

Unequal amplitude saccades produced by aniseikonic patterns: effects of viewing distance

This study describes differences in horizontal and vertical disconjugate saccades under far and close viewing conditions of two dichoptically presented aniseikonic random checkerboard patterns. At far viewing, disconjugacy of horizontal saccades requiring divergence was accomplished intrasaccadically after several minutes; for convergence the intrasaccadic disconjugacy was limited. Size differences partially persisted in open-loop trials. At close viewing intrasaccadic divergent changes in conjugacy were instantaneous, but motor storage during open-loop was absent. It is concluded that disconjugate saccades to targets at far distance lead to an adaptation process, whereas at close viewing distance horizontal disparity is a visual compensation process used directly to scale the relative amplitudes of both eyes, not leading to adaptation. The time-course of disconjugate vertical saccades was much slower, with mostly postsaccadic vergence. Nearby viewing enhanced the disconjugacy of vertical saccades.

Position dependency of rapidly induced saccade disconjugacy

We tested the ability of normal subjects to alter the conjugacy of their saccades in a position-specific manner. Five subjects dichoptically viewed a stereogram produced by two random-dot patterns. They immediately perceived a three-dimensional wedge with its apex closer to them. They were asked to saccade for 15 min back and forth between the apex and two lateral dots of the wedge. For fixation sequences between centre-right-centre, saccades immediately became larger in the right eye. For sequences between centre-left-centre, saccades immediately became larger in the left eye. For two subjects this non-monotonic position-specific disconjugacy compensated for the disparity of the stereogram almost perfectly. The disconjugacy persisted even under monocular viewing of one of the random-dot patterns. It diminished or disappeared immediately, however, when the random-dot pattern was shifted on the screen. We suggest the existence of a fast learning mechanism capable of producing position-specific disconjugacy by associating saccades with disparity. Such a mechanism would use a visual reference rather than the position of the eyes in the orbit.

Immediate saccade amplitude disconjugacy induced by unequal images

We tested the ability of normal subjects to make changes in the conjugacy of their saccades. Subjects dichoptically viewed a grid the size of which was 10% larger in one eye. The grids were centred onto a flat screen at 57 cm or 1 m from the subject. Horizontal saccades immediately became larger in the eye viewing the larger grid. For some subjects this disconjugacy persisted even under subsequent monocular viewing. Such persistent changes occurred mainly in the field where the required disconjugacy was divergent for centrifugal saccades, convergent for centripetal saccades. Vertical saccades also developed compensatory disconjugacy; its amplitude was smaller but less variable. To explain these results we propose a fast associative learning mechanism that pairs peripheral disparity with saccades and is capable of producing saccade disconjugacy even in the absence of disparity. For horizontal saccades a secondary conditioning of monocular depth cues by the disparity would also be involved.

Regulation of static and dynamic ocular alignment in patients with trochlear nerve pareses

Ocular alignment and saccades were studied in seven patients with trochlear nerve pareses, before and after strabismus surgery. Prior to surgery, a position-dependent vertical ocular misalignment was present, and downward saccades were hypometric in the paretic eye. Strabismus surgery reduced the magnitude and position-dependence of the static misalignment. Saccade conjugacy improved in the patients with congenital pareses, and in the patient with a gradual-onset acquired paresis, but less improvement occurred in subjects with traumatic pareses. The post-operative change in saccade conjugacy relative to the change in static alignment correlated with pre-operative vertical vergence, suggesting that changes in saccade yoking depend on an interaction between saccades and vertical vergence.

Binocular interactions in rapid saccadic adaptation

An adaptive mechanism controls the strength of innervation to the two eyes independently. However, under some circumstances an adjustment in strength of innervation to one eye is generalized to the other. The coupling and uncoupling of the two eyes during saccadic motor learning was studied using the technique of intrasaccadic target displacements to provide a precise visual-motor error proportional to the commanded movement. Early adaptive changes (saccade plus fast vergence) were measured within the saccadic interval and late adaptive changes (vergence error) were measured after the saccadic interval. When one viewing eye was retrained using intrasaccadic displacements, saccadic amplitude changes generalized to the other nonviewing eye. Thus, rapid adaptive changes trained monocularly were transferred to the nonviewing eye. But when two eyes were viewing and an adaptive stimulus was provided to only one eye (binocular viewing-monocular training), adaptive changes also occurred in both eyes. Experiments described here suggest that the recalibration of the saccade occurs quickly as a conjugate adjustment of gain which is used to balance innervation to the two eyes. Thereafter, disconjugate mechanisms provide a further recalibration to each eye independently.

Control of vertical eye alignment in three-dimensional space

A target that is nearer to one eye than the other subtends a larger visual angle in the closer eye. Consequently, when making saccades between vertically separated targets that are closer to one eye, there is a vertical retinal disparity that must be overcome by a change in the relative alignment of the eyes. We recorded eye movements in three normal subjects and showed that in such viewing circumstances subjects made unequal vertical saccades that led to a rapid change (peak velocity up to 30 deg/sec) in vertical eye alignment. On average, 81% of the required change in alignment occurred within the saccade for downward movements and 47% for upward movements. Such unequal vertical saccades occurred independently of immediate disparity cues; saccades remained unequal when refixing to the remembered locations of the vertically-oriented targets, or even when the natural vertical disparity was nullified by a prism. On the other hand, when subjects wore the nullifying prism in front of the inferior visual field of the left eye for 8-20 hr, they showed a decrease in saccade disconjugacy (to 12-35% of the preadaptation value) to targets closer to the left eye in the inferior but not in the superior visual field. We suggest that the brain develops a three-dimensional map (horizontal, vertical, depth) for vertical saccade yoking, which is under adaptive control, and which is used to preprogram automatically the relative excursions of the eyes during vertical saccades as a function of the current and the desired point of regard.

Natural problems for stereoscopic depth perception in virtual environments

The use of virtual reality (VR) display systems has escalated over the last 5 yr and may have consequences for those working within vision research. This paper provides a brief review of the literature pertaining to the representation of depth in stereoscopic VR displays. Specific attention is paid to the response of the accommodation system with its cross-links to vergence eye movements, and to the spatial errors that arise when portraying three-dimensional space on a two-dimensional window. It is suggested that these factors prevent large depth intervals of three-dimensional visual space being rendered with integrity through dual two-dimensional arrays.

Isovergence surfaces: the conjugacy of vertical eye movements in tertiary positions of gaze

Conjugate gaze is often defined as the equal angle rotation of the two eyes. For fixation at far distances, the optical axes are parallel and conjugacy is defined irrespective of the coordinate system. For nearby or finite fixation distances, the evaluation of conjugacy for many gaze postures depends on the coordinate system used to measure it. For example, if the eye is elevated or depressed and the eye is rotated about a vertical axis, the intersections of lines of sight with a tangent screen will describe either straight lines or arcs depending on whether the vertical axis is fixed with respect to the head or to the eye. Because of the horizontal separation of the two eyes, the binocular fixation of near targets at tertiary positions of gaze will require a vertical vergence component for head-referenced but not eye-referenced measurements. The vertical gaze alignment of three human subjects was measured as they viewed targets placed at secondary and tertiary eye positions at two different distances. Vertical vergence was either held open or closed-loop. The lines of sight were found to intersect (i.e. vertical gaze was aligned) regardless of target position or viewing condition.

Mechanisms of vertical phoria adaptation revealed by time-course and two-dimensional spatiotopic maps

The spatial spread of short term phoria adaptation was measured in response to either a single vertical disparity presented at a single eye position, or, vertical disparities of opposite sign presented at two different locations along either the primary vertical or horizontal meridians or along an oblique axis. The spread of adaptation to eye positions not specifically adapted was assessed by measuring phoria across a two-dimensional surface. The change in phoria was uniform across the field in response to a single disparity. With two disparities, adaptation conformed to the stimulus demand in the direction in which the disparity varied but was uniform in the orthogonal direction. The time-course of the adaptation indicated the presence of two mechanisms, a global one which shifted the phoria uniformly across the field and a local one which selectively adjusted the phoria to the position dependent demands of the disparity stimulus.

Directionally selective short-term nonconjugate adaptation of vertical pursuits

We investigated the contribution of fixation phoria and dynamic processes to short term (1 hr) nonconjugate adaptation of vertical pursuits. Unequal aftereffects were observed in vertical phoria measured during stationary gaze and during pursuits (static fixation and pursuit phorias) demonstrating direction-specific aftereffects of pursuit phoria that were not evident in measures of fixation phoria. A linear model describes the combination of fixation phoria and three dynamic direction-specific components which include a gain component that determines nonconjugate velocity, a phase component that determines the relative position of binocular pursuits, and a small position specific pursuit phoria adjustment process. Larger position-specific variations of fixation phoria appear to compensate for inappropriate or incomplete adaptive changes produced by two of the dynamic mechanisms which are not position specific.

Spatial aspects of vertical phoria adaptation

Vergence adaptation to vertical disparity spreads to unadapted directions of gaze. The spatial spread function for prism adaptation was estimated from aftereffects of a vertical disparity presented at a single position. Constraints limiting the spatial spread of adaptation were investigated with two stimuli of opposite disparity (hyper and hypo), presented at two different eye positions with a separation that varied from 6 to 18 deg in either the horizontal or vertical meridian. On average, phoria adaptation to the single point paradigm spread uniformly across the entire 18 deg test field. A resolution limit for adaptation to the two point paradigm was demonstrated by a reduction of phoria aftereffects with decreasing target separation (crowding). Vertical phoria aftereffects were reduced more by horizontal than by vertical crowding. A disparity gradient limit was demonstrated for a fixed target separation by a reduction of gain (phoria change/stimulus disparity) with increasing stimulus disparity.

Interactions between short-term vertical phoria adaptation and nonconjugate adaptation of vertical pursuits

We have demonstrated that short-term vertical position-specific phoria adaptation contributes to nonconjugate adaptation of vertical pursuits, but not to nonconjugate adaptation of vertical saccades. Binocular adaptation to multiple stationary vertical disparities resulted in both nonconjugate pursuits and phoria aftereffects but had little effect on the early step component of vertical saccades. Similarly, binocular nonconjugate adaptation of vertical pursuits produced both nonconjugate pursuits and fixation phoria aftereffects. Position-specific adaptation of nonconjugate pursuit was demonstrated by adapting to disparate motion in the upper field which resulted in nonconjugate pursuit aftereffects that were greater in the upper than the lower hemifield. These nonconjugate pursuits were accompanied by position-specific phoria aftereffects, indicating that common mechanisms underlie adaptation of vertical phoria and nonconjugate pursuits.

Nonconjugate adaptation of human saccades to anisometropic spectacles: meridian-specificity

Recently it has been demonstrated that saccades become different in size in the two eyes if a subject is adapted to anisometropic spectacles, which provide visual images of different magnitude to the two eyes. These nonconjugate adaptations adequately meet the requirements of those spectacles and, once acquired, they persist (with some reduction) even during monocular viewing. We now demonstrate that such nonconjugate adaptations of saccades can be meridian-specific, if there is a pressure for such meridian-specificity. This pressure was provided by means of a cylindrical spectacle-lens. Adaptations along a vertical, horizontal or oblique meridian did not transfer to the orthogonal meridian. These results demonstrate a capability of saccadic adaptation to deal with calibration problems restricted not only to one eye, but even to one specific plane of muscular action. Our results also suggest that the meridian-specific adaptations of oblique saccades take place at a stage before the decomposition of motor commands into separate horizontal and vertical components. The meridian-specific nonconjugacies were also expressed in smooth-pursuit eye movements. Post-saccadic drift adapted only along the horizontal meridian.

Disconjugate ocular motor adaptation in rhesus monkey

We report a model for inducing disconjugate, orbital-position dependent, ocular motor adaptation in the rhesus monkey. Animals wore a combination of laterally-displacing prisms placed in front of one eye calling for a discrete change in ocular alignment when the eyes reached particular orbital positions. After wearing the prism combination the animals developed adaptive changes both in static alignment during fixation and in dynamic alignment during eye movements. These changes persisted with only one eye viewing and so became independent of the immediate presence of disparity cues. There were, however, imperfections in the adaptive responses; the changes in the innervation were gradual across the prism edge, not abrupt as required. This finding may reflect inherent limitations in the capability for disconjugate adaptation.

Long-term nonconjugate adaptation of human saccades to anisometropic spectacles

It is generally believed that saccades follow Hering's law in the sense that they are equally large in the two eyes. We demonstrated that saccades are different in size in the two eyes in 8 habitual wearers of anisometropic spectacles, which have lenses of different refractive powers, and therefore supply each eye with a differently sized visual image. The eye provided with the larger visual image made larger saccades than its fellow eye. This nonconjugate adaptation was almost complete for both horizontal and vertical saccades. Post-saccadic drift was also asymmetrically adapted: it reduced any fixation-disparity present at saccadic offset. The nonconjugate adaptation was also expressed in smooth-pursuit eye movements. In addition, these nonconjugate adaptations were present during monocular viewing, which shows that they were hard-programmed.

Short-term nonconjugate adaptation of human saccades to anisometropic spectacles

It has been demonstrated before that the long-term wearing of anisometropic spectacles may induce nonconjugate adaptations of saccades. Saccades then become different in size in the two eyes. We examined the time-course and the limits of such adaptations of horizontal and vertical saccades during the short-term (1-6 hr) wearing of anisometropic spectacles. After only 1 hr of conditioning to 2 D of anisometropia, the nonconjugate size-adaptations were almost complete along the horizontal meridian. For progressively larger anisometropias (up to 8 D) the adaptative nonconjugacies after 1 hr became also systematically larger. An anisometropia larger than 6 D did not further increase the rate of adaptation during the first 6 hr of conditioning, which suggests that about 6 D of difference in spectacle correction, causing size differences of about 12%, may be the upper limit of the nonconjugate adaptive range of the saccadic subsystem. Post-saccadic drift of horizontal saccades was also adequately changed. In addition, nonconjugate adaptations had developed in smooth-pursuit eye movements. All of these plastic changes persisted during monocular viewing, indicating that the basic programming of these eye movements was changed.