Neuronal control of fixation and fixational eye movements

From eyes' microtremors to critical flicker fusion

The critical flicker fusion threshold (CFFT) is the frequency at which a flickering light source becomes indistinguishable from continuous light. The CFFT is an important biomarker of health conditions, such as Alzheimer's disease and epilepsy, and is affected by factors as diverse as fatigue, drug consumption, and oxygen pressure, which make CFFT individual- and context-specific. Other causal factors beyond such biophysical processes are still to be uncovered. We investigate the connection between CFFT and specific eye-movements, called microtremors, which are small oscillatory gaze movements during fixation periods. We present evidence that individual differences in CFFT can be accounted by microtremors, and design an experiment, using a high-frequency monitor and recording the participant's eye-movements with an eye-tracker device, which enables to measure the range of frequencies of a specific individual's CFFT. Additionally, we introduce a classifier that can predict if the CFFT of specific participant lies in the range of high or low frequencies, based on the corresponding range of frequencies of eyes' microtremors. Our results show an accuracy of [Formula: see text] for a frequency threshold of 60 Hz and [Formula: see text] for a threshold of 120 Hz.

Do snakes alter our visual attention to food?

The need to detect and avoid predators drives many aspects of foraging behavior. Snakes are historical predators of primates, but predator avoidance-foraging tradeoffs are rarely studied in humans. We examined whether humans have a detection bias for snake versus food images using eye-tracking technology in 76 undergraduate student participants (38 men, 38 women). We tested three questions: 1) Do humans exhibit a visual bias to snakes over food? 2) Does food palatability affect any visual bias to snakes? 3) Is the response to snakes specific for these predators or a generalized reaction to a visually evocative stimulus? We analyzed three metrics in balanced pairs of food and snake images and images normatively ranked for arousal (low, high) and emotional valence (negative and positive): saccade latency, gaze duration, and saccade bouts. There was a strong bias toward shorter saccade latency with the snake images relative to food images. Gaze duration and saccade bouts were significantly greater for snake images relative to food images. Food palatability had discrete effects on the visual bias to snake images. Finally, qualitatively similar effects on visual bias were observed in response to negative valence, high arousal non-snake images. While humans display a gaze bias to snakes over food, this bias may be related to the negative valence and high arousal linked to snake images rather than key visual features of snakes themselves.

Fixation Stability of the Right and Left Eyes Under Binocular and Monocular Viewing Conditions

Herein, we investigated changes in fixation stability between the right and left eyes during binocular and monocular viewing in young adults without strabismic binocular vision disorders. Fixation stability was assessed using the bivariate contour ellipse area (BCEA) in 34 healthy participants (15 males, 19 females) in their 20s. Eye-tracking was performed under three conditions: binocular viewing, monocular viewing, and monocular occlusion. Under these conditions, the median BCEA (deg2) values for the right and left eyes were 0.95 and 0.75, 1.07 and 0.86, and 1.62 and 1.32, respectively. Fixation stability did not differ significantly between the right and left eyes under the same viewing conditions. However, the left eye demonstrated greater fixation stability under binocular viewing (closed loop/both eyes open) than the right eye under monocular viewing (open loop/one eye closed). Participants with a dominant left eye in binocular viewing had higher fixation stability than those with a dominant right eye. During monocular occlusion, the nondominant eye showed better fixation stability than the dominant eye. A significant quantitative correlation was observed between phoria and fixation stability in the left eye during binocular viewing. These findings show that fixation stability changes with different viewing conditions and is affected by which eye is covered. Therefore, when conducting tests such as ocular alignment, which involve covering one eye, it may be helpful to assess both right and left eye occlusion for ensuring a more comprehensive analysis.

The Effect of Microsaccades in the Primary Visual Cortex: Increased Synchronization in the Fovea during a Two-Phase Response Modulation

Our eyes are never still. Even when we attempt to fixate, the visual gaze is never motionless, as we continuously perform miniature oculomotor movements termed as fixational eye movements. The fastest eye movements during the fixation epochs are termed microsaccades (MSs) that are leading to continual motion of the visual input, affecting mainly neurons in the fovea. Yet our vision appears to be stable. To explain this gap, previous studies suggested the existence of an extraretinal input (ERI) into the visual cortex that can account for the motion and produce visual stability. Here, we investigated the existence of an ERI to V1 fovea in macaque monkeys (male) while they performed spontaneous MSs, during fixation. We used voltage-sensitive dye imaging (VSDI) to measure and characterize at high spatiotemporal resolution the influence of MSs on neural population activity, in the foveal region of the primary visual cortex (V1). Microsaccades, performed over a blank screen, induced a two-phase response modulation: an early suppression followed by an enhancement. A correlation analysis revealed a widespread foveal increase in neural synchronization, peaking around ∼100 ms after MS onset. Next, we investigated the MS effects in the presence of a small visual stimulus and found that this modulation was different from the blank condition yet both modulations coexisted in the fovea. Finally, the VSD response to an external motion of the fixation point could not explain the MS modulation. These results support an ERI that may be involved in visual stabilization already at the level of V1.

Eye Tracking in Parkinson's Disease: A Review of Oculomotor Markers and Clinical Applications

(1) Background. Eye movement abnormalities are increasingly recognized as early biomarkers of Parkinson's disease (PD), reflecting both motor and cognitive dysfunction. Advances in eye-tracking technology provide objective, quantifiable measures of saccadic impairments, fixation instability, smooth pursuit deficits, and pupillary changes. These advances offer new opportunities for early diagnosis, disease monitoring, and neurorehabilitation. (2) Objective. This narrative review explores the relationship between oculomotor dysfunction and PD pathophysiology, highlighting the potential applications of eye tracking in clinical and research settings. (3) Methods. A comprehensive literature review was conducted, focusing on peer-reviewed studies examining eye movement dysfunction in PD. Relevant publications were identified through PubMed, Scopus, and Web of Science, using key terms, such as "eye movements in Parkinson's disease", "saccadic control and neurodegeneration", "fixation instability in PD", and "eye-tracking for cognitive assessment". Studies integrating machine learning (ML) models and VR-based interventions were also included. (4) Results. Patients with PD exhibit distinct saccadic abnormalities, including hypometric saccades, prolonged saccadic latency, and increased anti-saccade errors. These impairments correlate with executive dysfunction and disease progression. Fixation instability and altered pupillary responses further support the role of oculomotor metrics as non-invasive biomarkers. Emerging AI-driven eye-tracking models show promise for automated PD diagnosis and progression tracking. (5) Conclusions. Eye tracking provides a reliable, cost-effective tool for early PD detection, cognitive assessment, and rehabilitation. Future research should focus on standardizing clinical protocols, validating predictive AI models, and integrating eye tracking into multimodal treatment strategies.

Unstable foveation's impact on reading, object tracking, and its implications for diagnosing and intervening in reading difficulties

Foveation, the ability to focus on a point for clear vision, is crucial for reading smoothly and tracking moving objects. Research shows that unstable foveation disrupts reading by causing more frequent eye movements. However, it's unclear if this also affects smooth tracking of moving targets in slow readers. This study therefore investigates the link between foveation during reading and the tracking of moving targets, in a large group of participants displaying variable reading speeds in a virtual reality environment. Our analysis shows that slower readers have more intrusive fixational eye movements characterized by greater spatial and temporal variability during reading. Additionally, these readers display less efficient tracking of moving targets. Interestingly, the rate and spatial variability of catch-up saccades during object tracking correlates with fixational eye movement rates and spatial variability during reading. Our findings thus demonstrate that poor foveation stability in slow readers also affects other eye movement activities, such as during object tracking. We conclude with a discussion on the limitations of virtual reality-based reading assessment and the shared mechanisms of foveal stabilization, which might be altered under conditions of reading impairment.

Orienting Gaze Toward a Visual Target: Neurophysiological Synthesis with Epistemological Considerations

The appearance of an object triggers an orienting gaze movement toward its location. The movement consists of a rapid rotation of the eyes, the saccade, which is accompanied by a head rotation if the target eccentricity exceeds the oculomotor range and by a slow eye movement if the target moves. Completing a previous report, we explain the numerous points that lead to questioning the validity of a one-to-one correspondence relation between measured physical values of gaze or head orientation and neuronal activity. Comparing the sole kinematic (or dynamic) numerical values with neurophysiological recordings carries the risk of believing that the activity of central neurons directly encodes gaze or head physical orientation rather than mediating changes in extraocular and neck muscle contraction, not to mention possible changes happening elsewhere (in posture, in the autonomous nervous system and more centrally). Rather than reducing mismatches between extrinsic physical parameters (such as position or velocity errors), eye and head movements are behavioral expressions of intrinsic processes that restore a poly-equilibrium, i.e., balances of activities opposing antagonistic visuomotor channels. Past results obtained in cats and monkeys left a treasure of data allowing a synthesis, which illustrates the formidable complexity underlying the small changes in the orientations of the eyes and head. The aim of this synthesis is to serve as a new guide for further investigations or for comparison with other species.

Eye Movement and Recall of Visual Elements in Eco-friendly Product

This study aims to explore the distribution of visual attention on sustainability graphics when viewing an eco-friendly product and the recall of sustainability information afterward. Twenty-five students majoring in environmental studies and twenty-five students from non-environmental majors participated in the study. They were further divided into a higher group and a lower group based on their sustainability level. Participants viewed diagrams of an eco-trash boat design with sustainability graphics and a 15-page design description. Their eye-movement data and verbal reports on the recall of sustainability information were collected. Higher sustainability group had higher fixation count in sustainability graphics. Non-environmental majors had a shorter time to first fixation to sustainability graphics, and there was an interaction effect. Environmental students detected graphics faster in the lower group, but the opposite occurred in the higher group. Higher-sustainability non-environmental students were quicker, while the reverse was true for environmental students. In terms of recalling sustainability graphics, the higher group scored higher, while environmental majors scored higher in recalling sustainability features. In the recall coding, the most frequently mentioned terms were "green," "plant," "vivid," and "eco." The study offers new insights into sustainable development and provides design recommendations for eco-product designers.

Individual differences in baseline eye movement indices: Examining the relationships between baseline pupil size, inhibitory control, and fixation stability

The relationship among baseline pupil size, fixation stability, and inhibitory control were examined in this study. Participants performed a baseline eye measure in which they were instructed to stare at a fixation dot on screen for 2 min. Following the baseline eye measure, participants completed an antisaccade task to measure inhibitory control ability. We found a correlation between baseline pupil size variability and inhibitory control, as well as between fixation stability and inhibitory control. We showed that participants with better inhibitory control exhibited larger variability in pupil size, and those with better fixation stability showed superior inhibitory control ability. Overall, our results indicate that there are significant correlations between inhibitory control and baseline pupil size, as well as between inhibitory control and fixation stability.

Inability to pursue nonrigid motion produces instability of spatial perception

Vision generates a stable representation of space by combining retinal input with internal predictions about the visual consequences of eye movements. We report a type of nonrigid motion that disrupts the connection between eye movements and perception, causing visual instability. This motion is accurately perceived during fixation, but it cannot be pursued. Catch-up saccades are accurately directed to the moving target but the motion stimulus appears to jump in space with each saccade. Our results reveal four major findings about perception and the visuomotor system: (i) Pursuit fails for certain types of motion; (ii) pursuit and catch-up saccades are independently controlled; (iii) prediction of saccade consequences is independent from saccade control; and (iv) the visual stability of moving objects relies on similar motion mechanisms as pursuit.

A self-supervised deep Riemannian representation to classify parkinsonian fixational patterns

Parkinson's disease (PD) is the second most prevalent neurodegenerative disorder, and it remains incurable. Currently there is no definitive biomarker for detecting PD, measuring its severity, or monitoring of treatments. Recently, oculomotor fixation abnormalities have emerged as a sensitive biomarker to discriminate Parkinsonian patterns from a control population, even at early stages. For oculomotor analysis, current experimental setups use invasive and restrictive capture protocols that limit the transfer in clinical routine. Alternatively, computational approaches to support the PD diagnosis are strictly based on supervised strategies, depending of large labeled data, and introducing an inherent expert-bias. This work proposes a self-supervised architecture based on Riemannian deep representation to learn oculomotor fixation patterns from compact descriptors. Firstly, deep convolutional features are recovered from oculomotor fixation video slices, and then encoded in compact symmetric positive matrices (SPD) to summarize second-order relationships. Each SPD input matrix is projected onto a Riemannian encoder until obtain a SPD embedding. Then, a Riemannian decoder reconstructs SPD matrices while preserving the geometrical manifold structure. The proposed architecture successfully recovers geometric patterns in the embeddings without any label diagnosis supervision, and demonstrates the capability to be discriminative regarding PD patterns. In a retrospective study involving 13 healthy adults and 13 patients diagnosed with PD, the proposed Riemannian representation achieved an average accuracy of 95.6% and an AUC of 99% during a binary classification task using a Support Vector Machine.

Combined manifestation of two geometric visual illusions

The present study continued to investigate whether the effects of length misperception caused by cross-shaped (formed by two pairs of the oppositely oriented Müller-Lyer wings) contextual distractors can be explained by the combined manifestation of two different (i.e., the Müller-Lyer and filled-space) geometric illusions of extent. In psychophysical experiments, the luminance of one pair of wings was randomly changed, while the luminance of the other pair remained constant. Two different distractor orientations were used-when the wings with constant luminance formed the right side of the cross or the left side, otherwise. To separately evaluate the manifestation of the Müller-Lyer illusion under different luminance conditions, two distracting crosses of the same orientation were attached to the lateral stimulus terminators in the first series of experiments. In the following four series, a single distracting cross (with different orientation) was attached to one of the lateral stimulus terminators and various combinations of the constant and background luminance were used. To interpret the experimental data, we used the basic computational principles of previously developed quantitative models of hypothetical visual mechanisms underlying the emergence of the Müller-Lyer illusion and the filled-space illusion. It was shown that the results of theoretical calculations adequately approximate the experimental curves obtained for all modifications of stimuli, which strongly supports the suggestion that the joint manifestations of these two illusions can be considered among the main factors determining the features of the illusion investigated.

Saccadic "inhibition" unveils the late influence of image content on oculomotor programming

Image content is prioritized in the visual system. Faces are a paradigmatic example, receiving preferential processing along the visual pathway compared to other visual stimuli. Moreover, face prioritization manifests also in behavior. People tend to look at faces more frequently and for longer periods, and saccadic reaction times can be faster when targeting a face as opposed to a phase-scrambled control. However, it is currently not clear at which stage image content affects oculomotor planning and execution. It can be hypothesized that image content directly influences oculomotor signal generation. Alternatively, the image content could exert its influence on oculomotor planning and execution at a later stage, after the image has been processed. Here we aim to disentangle these two alternative hypotheses by measuring the frequency of saccades toward a visual target when the latter is followed by a visual transient in the central visual field. Behaviorally, this paradigm leads to a reduction in saccade frequency that happens about 90 ms after any visual transient event, also known as saccadic "inhibition". In two experiments, we measured occurrence of saccades in visually guided saccades as well as microsaccades during fixation, using face and noise-matched visual stimuli. We observed that while the reduction in saccade occurrence was similar for both stimulus types, face stimuli lead to a prolonged reduction in eye movements. Moreover, saccade kinematics were altered by both stimulus types, showing an amplitude reduction without change in peak velocity for the earliest saccades. Taken together, our experiments imply that face stimuli primarily affect the later stages of the behavioral phenomenon of saccadic "inhibition". We propose that while some stimulus features are processed at an early stage and can quickly influence eye movements, a delayed signal conveying image content information is necessary to further inhibit/delay activity in the oculomotor system to trigger eye movements.

Occlusal effects on text reading: an eye-tracker study

Introduction

Asymmetric electromyographic (EMG) activity during teeth clenching has been linked to cognitive impairment, as evaluated by the Spinnler-Tognoni matrices test, and to asymmetric pupil size (anisocoria). Anisocoria indicates an asymmetric Locus Coeruleus activity, leading to an asymmetric hemispheric excitability worsening cognitive performance. Bite splint wearing corrects EMG asymmetry, reduces anisocoria and improves cognitive performance. This study explores the possible effect of EMG asymmetry on oculomotor behavior during text reading.

Methods

In subjects showing different degrees of EMG asymmetry during clenching, the number and duration of fixation periods during a reading task, performed under two different occlusal conditions were analyzed. The first lecture was executed with a dental impression (imprint) interposed between the dental arches (corrected condition) and the second one with the arches in direct contact (habitual condition), without clenching effort. The imprint reduced the EMG asymmetries during clenching.

Results

In both occlusal conditions, total reading time correlated with duration of fixations, but not with their number. An inverse relation was observed between the number of fixations and their duration across individuals. Fixation frequency and duration were positively and negatively correlated with the amplitude of EMG asymmetry, respectively. Differently, total reading time was not related to the EMG asymmetry. When switching from the corrected to the habitual condition, an increase in the number of fixations and a reduction in their duration was observed, while total reading time could be either increased or decreased. An increased fixation frequency was observed in most of the subjects, while a reduced duration only among individuals with shorter reading times in habitual condition.

Discussion

In the habitual condition, EMG asymmetry influences reading patterns (more saccades/shorter fixations, less saccades/longer fixations) in our sample. The changes in text reading behavior elicited by occlusal correction can be explained by assuming that occlusal disharmony negatively interferes with the reading task by increasing the number of saccades necessary for text scanning. This finding may also indicate an increased difficulty in processing of visual information. The potential involvement of trigeminal pathways in the relation between occlusal factors and oculomotor control is discussed.

Investigating Eye Movement and Postural Stability Relationships Using Mobile Eye-Tracking and Posturography: A Cross-Sectional Study

Vision and eye movements play a crucial role in maintaining postural stability. This study investigated the relationship between eye movements and postural control in healthy adults using mobile eye-tracking technology and posturography. Forty healthy participants underwent assessments of eye movements using a mobile eye-tracking system and postural stability using Tetrax posturography under various sensory conditions. Pearson correlation coefficients were computed to examine associations between eye movement parameters and postural control indices. Significant correlations were found between eye movement parameters and postural stability indices. Faster and more consistent horizontal eye movements were associated with better postural stability (r = -0.63, p < 0.05). Eye movement speed variability positively correlated with weight distribution indices under normal eyes open (r = 0.65, p < 0.05) and closed (r = 0.59, p < 0.05) conditions. Coordination of horizontal and vertical eye movements positively correlated with postural control (r = 0.69, p < 0.01). Negative correlations were observed between eye movement coordination and Fourier indices in various frequency bands (p < 0.05) and the stability index under different head positions (p < 0.05). The findings provide insights into sensory integration mechanisms underlying balance maintenance and highlight the importance of integrated sensory processing in postural stability. Eye movement assessments have potential applications in balance evaluation and fall risk prediction.

Consequences of eye movements for spatial selectivity

What determines spatial tuning in the visual system? Standard views rely on the assumption that spatial information is directly inherited from the relative position of photoreceptors and shaped by neuronal connectivity.1,2 However, human eyes are always in motion during fixation,3,4,5,6 so retinal neurons receive temporal modulations that depend on the interaction of the spatial structure of the stimulus with eye movements. It has long been hypothesized that these modulations might contribute to spatial encoding,7,8,9,10,11,12 a proposal supported by several recent observations.13,14,15,16 A fundamental, yet untested, consequence of this encoding strategy is that spatial tuning is not hard-wired in the visual system but critically depends on how the fixational motion of the eye shapes the temporal structure of the signals impinging onto the retina. Here we used high-resolution techniques for eye-tracking17 and gaze-contingent display control18 to quantitatively test this distinctive prediction. We examined how contrast sensitivity, a hallmark of spatial vision, is influenced by fixational motion, both during normal active fixation and when the spatiotemporal stimulus on the retina is altered to mimic changes in fixational control. We showed that visual sensitivity closely follows the strength of the luminance modulations delivered within a narrow temporal bandwidth, so changes in fixational motion have opposite visual effects at low and high spatial frequencies. By identifying a key role for oculomotor activity in spatial selectivity, these findings have important implications for the perceptual consequences of abnormal eye movements, the sources of perceptual variability, and the function of oculomotor control.

Benefits of subthalamic nucleus deep brain stimulation on visually-guided saccades depend on stimulation side and classic paradigm in Parkinson's disease

OBJECTIVE

We aimed to gain further insight into previously reported beneficial effects of subthalamic nucleus deep brain stimulation (STN-DBS) on visually-guided saccades by examining the effects of unilateral compared to bilateral stimulation, paradigm, and target eccentricity on saccades in individuals with Parkinson's disease (PD).

METHODS

Eleven participants with PD and STN-DBS completed the visually-guided saccade paradigms with OFF, RIGHT, LEFT, and BOTH stimulation. Rightward saccade performance was evaluated for three paradigms and two target eccentricities.

RESULTS

First, we found that BOTH and LEFT increased gain, peak velocity, and duration compared to OFF stimulation. Second, we found that BOTH and LEFT stimulation decreased latency during the gap and step paradigms but had no effect on latency during the overlap paradigm. Third, we found that RIGHT was not different compared to OFF at benefiting rightward saccade performance.

CONCLUSIONS

Left unilateral and bilateral stimulation both improve the motor outcomes of rightward visually-guided saccades. Additionally, both improve latency, a cognitive-motor outcome, but only in paradigms when attention does not require disengagement from a present stimulus.

SIGNIFICANCE

STN-DBS primarily benefits motor and cognitive-motor aspects of visually-guided saccades related to reflexive attentional shifting, with the latter only evident when the fixation-related attentional system is not engaged.

Behind mouse eyes: The function and control of eye movements in mice

The mouse visual system has become the most popular model to study the cellular and circuit mechanisms of sensory processing. However, the importance of eye movements only started to be appreciated recently. Eye movements provide a basis for predictive sensing and deliver insights into various brain functions and dysfunctions. A plethora of knowledge on the central control of eye movements and their role in perception and behaviour arose from work on primates. However, an overview of various eye movements in mice and a comparison to primates is missing. Here, we review the eye movement types described to date in mice and compare them to those observed in primates. We discuss the central neuronal mechanisms for their generation and control. Furthermore, we review the mounting literature on eye movements in mice during head-fixed and freely moving behaviours. Finally, we highlight gaps in our understanding and suggest future directions for research.

The usefulness of the retina for identifying people with type 2 diabetes with prodromal stages of dementia

Type 2 diabetes (T2D) is associated with cognitive impairment and dementia. The detection of cognitive impairment is important because this population is at higher risk of experiencing difficulties in the self-management of diabetes. Mild cognitive impairment (MCI) often remains undiagnosed due to lack of simple tools for screening at large scale. This represents an important gap in the patients' management because subjects with diabetes and MCI are at high risk of progressing to dementia. Due to its developmental origin as a brain-derived tissue, the retina has been proposed as a potential means of non-invasive and readily accessible exploration of brain pathology. Recent evidence showed that retinal imaging and/or functional tests are correlated with the cognitive function and brain changes in T2D. Simple retinal functional tests (i.e. retinal microperimetry) have proven to be useful as reliable tool for the cognitive evaluation and monitoring in patients with T2D>65 years. This review gives an overall update on the usefulness of retinal imaging in identifying patients with T2D at risk of developing dementia.

Eye-hand coordination all the way: from discrete to continuous hand movements

The differentiation between continuous and discrete actions is key for behavioral neuroscience. Although many studies have characterized eye-hand coordination during discrete (e.g., reaching) and continuous (e.g., pursuit tracking) actions, all these studies were conducted separately, using different setups and participants. In addition, how eye-hand coordination might operate at the frontier between discrete and continuous movements remains unexplored. Here we filled these gaps by means of a task that could elicit different movement dynamics. Twenty-eight participants were asked to simultaneously track with their eyes and a joystick a visual target that followed an unpredictable trajectory and whose position was updated at different rates (from 1.5 to 240 Hz). This procedure allowed us to examine actions ranging from discrete point-to-point movements (low refresh rate) to continuous pursuit (high refresh rate). For comparison, we also tested a manual tracking condition with the eyes fixed and a pure eye tracking condition (hand fixed). The results showed an abrupt transition between discrete and continuous hand movements around 3 Hz contrasting with a smooth trade-off between fixations and smooth pursuit. Nevertheless, hand and eye tracking accuracy remained strongly correlated, with each of these depending on whether the other effector was recruited. Moreover, gaze-cursor distance and lag were smaller when eye and hand performed the task conjointly than separately. Altogether, despite some dissimilarities in eye and hand dynamics when transitioning between discrete and continuous movements, our results emphasize that eye-hand coordination continues to smoothly operate and support the notion of synergies across eye movement types.NEW & NOTEWORTHY The differentiation between continuous and discrete actions is key for behavioral neuroscience. By using a visuomotor task in which we manipulate the target refresh rate to trigger different movement dynamics, we explored eye-hand coordination all the way from discrete to continuous actions. Despite abrupt changes in hand dynamics, eye-hand coordination continues to operate via a gradual trade-off between fixations and smooth pursuit, an observation confirming the notion of synergies across eye movement types.

Objective Parameters in Attention Deficit Hyperactivity Disorder: Eye and Head Movements

OBJECTIVE

We aimed to evaluate eye and head movements, which are objective parameters in ADHD. Method: While the children were watching the course video task, which included the relevant (teacher and smart board) and irrelevant (any regions outside the relevant area) areas of interest, their eye movements were evaluated through eye tracking, and video recordings were made simultaneous. Head position estimation was made using through video recordings. The proportion of total fixation duration on areas of interest (PFDAOI) and saccade count, amplitude, velocity for eye movements, number of total head movements and angular change of head movement in x-y-z axes for head movements were compared.

RESULTS

Children with ADHD had lower PFDAOI on the relevant area, and had more saccade and head movements The angular change of head movement in the x-axis was higher in the ADHD group.

CONCLUSION

In the assessment of ADHD, the eye and head movements may be particulary useful.

Visual Feature Tuning Properties of Short-Latency Stimulus-Driven Ocular Position Drift Responses during Gaze Fixation

Ocular position drifts during gaze fixation are significantly less well understood than microsaccades. We recently identified a short-latency ocular position drift response, of ∼1 min arc amplitude, that is triggered within <100 ms by visual onsets. This systematic eye movement response is feature-tuned and seems to be coordinated with a simultaneous resetting of the saccadic system by visual stimuli. However, much remains to be learned about the drift response, especially for designing better-informed neurophysiological experiments unraveling its mechanistic substrates. Here we systematically tested multiple new feature tuning properties of drift responses. Using highly precise eye tracking in three male rhesus macaque monkeys, we found that drift responses still occur for tiny foveal visual stimuli. Moreover, the responses exhibit size tuning, scaling their amplitude (both up and down) as a function of stimulus size, and they also possess a monotonically increasing contrast sensitivity curve. Importantly, short-latency drift responses still occur for small peripheral visual targets, which additionally introduce spatially directed modulations in drift trajectories toward the appearing peripheral stimuli. Drift responses also remain predominantly upward even for stimuli exclusively located in the lower visual field and even when starting gaze position is upward. When we checked the timing of drift responses, we found it was better synchronized to stimulus-induced saccadic inhibition than to stimulus onset. These results, along with a suppression of drift response amplitudes by peristimulus saccades, suggest that drift responses reflect the rapid impacts of short-latency and feature-tuned visual neural activity on final oculomotor control circuitry in the brain.

Temporal and spectral electrooculographic features in a discrete precision task

This study aimed to evaluate the utility and applicability of electrooculography (EOG) when studying ocular activity during complex motor behavior. Due to its lower spatial resolution relative to eye tracking (ET), it is unclear whether EOG can provide valid and accurate temporal measurements such as the duration of the Quiet Eye (QE), that is the uninterrupted dwell time on the visual target prior to and during action. However, because of its greater temporal resolution, EOG is better suited for temporal-spectral decomposition, a technique that allows us to distinguish between lower and higher frequency activity as a function of time. Sixteen golfers of varying expertise (novices to experts) putted 60 balls to a 4-m distant target on a flat surface while we recorded EOG, ET, performance accuracy, and putter kinematics. Correlational and discrepancy analyses confirmed that EOG yielded valid and accurate QE measurements, but only when using certain processing parameters. Nested cross-validation indicated that, among a set of ET and EOG temporal and spectral oculomotor features, EOG power was the most useful when predicting performance accuracy through robust regression. Follow-up cross-validation and correlational analyses revealed that more accurate performance was preceded by diminished lower-frequency activity immediately before movement initiation and elevated higher-frequency activity during movement recorded from the horizontal channel. This higher-frequency activity was also found to accompany a smoother movement execution. This study validates EOG algorithms (code provided) for measuring temporal parameters and presents a novel approach to extracting temporal and spectral oculomotor features during complex motor behavior.

Microsaccades reflect attention shifts: a mini review of 20 years of microsaccade research

Microsaccades are small, involuntary eye movements that occur during fixation. Since the 1950s, researchers have conducted extensive research on the role of microsaccades in visual information processing, and found that they also play an important role in human advanced visual cognitive activities. Research over the past 20 years further suggested that there is a close relationship between microsaccades and visual attention, yet lacking a timely review. The current article aims to provide a state-of-the-art review and bring microsaccades studies into the sight of attention research. We firstly introduce basic characteristics about microsaccades, then summarized the empirical evidence supporting the view that microsaccades can reflect both external (perception) and internal (working memory) attention shifts. We finally conclude and highlight three promising avenues for future research.

Temporal Changes in Fixational Eye Movements After Concussion in Adolescents and Adults: Preliminary Findings

Concussions often involve ocular impairment and symptoms such as convergence insufficiency, accommodative insufficiency, blurred vision, diplopia, eye strain, and pain. Current clinical assessments of ocular function and symptoms rely on subjective symptom reporting and/or involve lengthy administration time. More objective, brief assessments of ocular function following concussion are warranted. The purpose of this study was to evaluate changes in fixational eye movements (FEMs) and their association with clinical outcomes including recovery time, symptoms, cognitive and vestibular/ocular motor impairment. Thirty-three athletes (13-27 years of age; 54.5% female) within 21 days of a diagnosed concussion participated in the study. A tracking scanning laser ophthalmoscope (TSLO) evaluated FEMs metrics during fixation on a center and corner target. Participants completed symptom (Post-Concussion Symptom Scale [PCSS]), cognitive (Immediate Post-concussion Assessment and Cognitive Testing [ImPACT], and Vestibular/Ocular Motor Screening (VOMS) evaluations. All measures were administered at the initial visit and following medical clearance, which was defined as clinical recovery. Changes in FEMs were calculated using paired-samples t tests. Linear regression (LR) models were used to evaluate the association of FEMs with clinical recovery. Pearson product-moment correlations were used to evaluate the associations among FEMs and clinical outcomes. On the center task, changes across time were supported for average microsaccade amplitude (p = 0.005; Cohen's d = 0.53), peak velocity of microsaccades (p = 0.01; d = 0.48), peak acceleration of microsaccades (p = 0.02; d = 0.48), duration of microsaccade (p < 0.001; d = 0.72), and drift vertical (p = 0.017; d = -0.154). The LR model for clinical recovery was significant (R2 = 0.37; p = 0.023) and retained average instantaneous drift amplitude (β = 0.547) and peak acceleration of microsaccade (β = 0.414). On the corner task, changes across time were supported for drift proportion (p = 0.03; d = 0.43). The LR model to predict clinical recovery was significant (R2 = 0.85; p = 0.004) and retained average amplitude of microsaccades (β = 2.66), peak velocity of microsaccades (β = -15.11), peak acceleration of microsaccades (β = 12.56), drift horizontal (β = 7.95), drift vertical (β = 1.29), drift amplitude (β = -8.34), drift proportion (β = 0.584), instantaneous drift direction (β = -0.26), and instantaneous drift amplitude (β = 0.819). FEMs metrics were also associated with reports of nausea and performance within the domain of visual memory. The FEMs metric were also associated with PCSS, ImPACT, and VOMS clinical concussion outcomes, with the highest magnitude correlations between average saccade amplitude and VOMS symptoms of nausea and average instantaneous drift speed and ImPACT visual memory, respectively. FEMs metrics changed across time following concussion, were useful in predicting clinical recovery, and were correlated with clinical outcomes. FEMs measurements may provide objective data to augment clinical assessments and inform prognosis following this injury.

Visual Neurophysiological Biomarkers for Patient Stratification and Treatment Development Across Neuropsychiatric Disorders

The human visual system begins in the retina and projects to cortex through both the thalamocortical and retinotectal visual pathways. The thalamocortical system is divided into separate magnocellular and parvocellular divisions, which engage separate layers of the lateral geniculate nucleus (LGN) and project preferentially to the dorsal and ventral visual streams, respectively. The retinotectal system, in contrast, projects to the superior colliculus, pulvinar nucleus of the thalamus and amygdala. The pulvinar nucleus also plays a critical role in the integration of information processing across early visual regions.The functions of the visual system can be assessed using convergent EEG- and functional brain imaging approaches, increasingly supplemented by simultaneously collected eye-tracking information. These approaches may be used for tracing the flow of information from retina through early visual regions, as well as the contribution of these regions to higher-order cognitive processing. A pathway of increasing interest in relationship to neuropsychiatric disorders is the primate-specific "third visual pathway" that relies extensively on motion-related input and contributes preferentially to social information processing. Thus, disturbances in the brain's responsiveness to motion stimuli may be especially useful as biomarkers for early visual dysfunction related to impaired social cognition.Visual event-related potentials (ERPs) can be collected with high-fidelity and have proven effective for the study of neuropsychiatric disorders such as schizophrenia and Alzheimer's disease, in which alterations in visual processing may occur early in the disorder, andautism-spectrum disorder (ASD), in which abnormal persistence of early childhood patterns may persist into adulthood, leading to impaired functioning of visual social pathways. The utility of visual ERPs as biomarkers for larger clinical studies is limited at present by the need for standardization of visual stimuli across laboratories, which requires specialized protocols and equipment. The development of optimized stimulation protocols as well as newer headset-based systems may increase the clinical utility of present stimulation approaches.

Eye movements in Parkinson's disease: from neurophysiological mechanisms to diagnostic tools

Movement disorders such as Parkinson's disease (PD) impact oculomotor function - the ability to move the eyes accurately and purposefully to serve a multitude of sensory, cognitive, and secondary motor tasks. Decades of neurophysiological research in monkeys and behavioral studies in humans have characterized the neural basis of healthy oculomotor control. This review links eye movement abnormalities in persons living with PD to the underlying neurophysiological mechanisms and pathways. Building on this foundation, we highlight recent progress in using eye movements to gauge symptom severity, assess treatment effects, and serve as potential precision biomarkers. We conclude that whereas eye movements provide insights into PD mechanisms, based on current evidence they appear to lack sufficient sensitivity and specificity to serve as a standalone diagnostic tool. Their full potential may be realized when combined with other disease indicators in big datasets.

Altered brain network centrality in patients with orbital fracture: A resting‑state functional MRI study

The present study aimed to investigate potential functional network brain-activity abnormalities in individuals with orbital fracture (OF) using the voxel-wise degree centrality (DC) technique. The present study included 20 patients with OF (12 males and 8 females) and 20 healthy controls (HC; 12 males and 8 females), who were matched for gender, age and educational attainment. Functional magnetic resonance imaging (fMRI) in the resting state has been widely applied in several fields. Receiver operating characteristic (ROC) curves were calculated to distinguish between patients with OF and HCs. In addition, correlation analyses were performed between behavioral performance and average DC values in various locations. The DC technique was used to assess unprompted brain activity. Right cerebellum 9 region (Cerebelum_9_R) and left cerebellar peduncle 2 area (Cerebelum_Crus2_L) DC values of patients with OF were increased compared with those in HCs. Cerebelum_9_R and Cerebelum_Crus2_L had area under the ROC curve values of 0.983 and 1.000, respectively. Patients with OF appear to have several brain regions that exhibited aberrant brain network characteristics, which raises the possibility of neuropathic causes and offers novel therapeutic options.

Sensorimotor and inhibitory control in aging FMR1 premutation carriers

Aging FMR1 premutation carriers are at risk of developing neurodegenerative disorders, including fragile X-associated tremor/ataxia syndrome (FXTAS), and there is a need to identify biomarkers that can aid in identification and treatment of these disorders. While FXTAS is more common in males than females, females can develop the disease, and some evidence suggests that patterns of impairment may differ across sexes. Few studies include females with symptoms of FXTAS, and as a result, little information is available on key phenotypes for tracking disease risk and progression in female premutation carriers. Our aim was to examine quantitative motor and cognitive traits in aging premutation carriers. We administered oculomotor tests of visually guided/reactive saccades (motor) and antisaccades (cognitive control) in 22 premutation carriers (73% female) and 32 age- and sex-matched healthy controls. Neither reactive saccade latency nor accuracy differed between groups. FMR1 premutation carriers showed increased antisaccade latencies relative to controls, both when considering males and females together and when analyzing females separately. Reduced saccade accuracy and increased antisaccade latency each were associated with more severe clinically rated neuromotor impairments. Findings indicate that together male and female premutation carriers show a reduced ability to rapidly exert volitional control over prepotent responses and that quantitative differences in oculomotor behavior, including control of visually guided and antisaccades, may track with FXTAS - related degeneration in male and female premutation carriers.

Activity in the human superior colliculus associated with reaching for tactile targets

The superior colliculus (SC) plays a major role in orienting movements of eyes and the head and in the allocation of attention. Functions of the SC have been mostly investigated in animal models, including non-human primates. Differences in the SC's anatomy and function between different species question extrapolations of these studies to humans without further validation. Few electrophysiological and neuroimaging studies in animal models and humans have reported a role of the SC in visually guided reaching movements. Using BOLD fMRI imaging, we sought to decipher if the SC is also active during reaching movements guided by tactile stimulation. Participants executed reaching movements to visual and tactile target positions. When contrasted against visual and tactile stimulation without reaching, we found increased SC activity with reaching not only for visual but also for tactile targets. We conclude that the SC's involvement in reaching does not rely on visual inputs. It is also independent from a specific sensory modality. Our results indicate a general involvement of the human SC in upper limb reaching movements.

Development of a Magnetoresistive-Based Wearable Eye-Tracking System for Oculomotor Assessment in Neurological and Otoneurological Research-Preliminary In Vivo Tests

Over the past 20 years, several eye-tracking technologies have been developed. This article aims to present a new type of eye tracker capable of producing detailed information on eye and head movements using an array of magnetoresistive detectors fixed on the patient's head and a small magnet inserted into a contact lens, adapted to the curvature of the cornea of the subject. The software used for data analysis can combine or compare eye and head movements and can represent them as 2D or 3D images. Preliminary data involve an initial patient who was asked to perform several tasks to establish the accuracy, reliability, and tolerance of the magnetic eye tracker and software. The tasks included assessment of saccadic eye movements and pursuit, "drawing" alphabetic shapes or letters, and reading. Finally, a Head Impulse Test (HIT) was performed to estimate the VOR gain, comparing the standard deviation established via vHIT with that established via this magnetic eye tracker (mHIT). This prototypical device is minimally invasive, lightweight, relatively cheap, and tolerable, with a high degree of reliability and precision. All these characteristics could lead to the future use of the magnetic eye tracker in neurological and otoneurological fields.

Microsaccade rate activity during the preparation of pro- and antisaccades

Microsaccades belong to the category of fixational micromovements and may be crucial for image stability on the retina. Eye movement paradigms typically require fixational control, but this does not eliminate all oculomotor activity. The antisaccade task requires a planned eye movement in the direction opposite of an onset, allowing separation of planning and execution. We build on previous studies of microsaccades in the antisaccade task using a combination of fixed and mixed pro- and antisaccade blocks. We hypothesized that microsaccade rates may be reduced prior to the execution of antisaccades as compared with regular saccades (prosaccades). In two experiments, we measured microsaccades in four conditions across three trial blocks: one block each of fixed prosaccade and antisaccade trials, and a mixed block where both saccade types were randomized. We anticipated that microsaccade rates would be higher prior to antisaccades than prosaccades due to the need to preemptively suppress reflexive saccades during antisaccade generation. In Experiment 1, with monocular eye tracking, there was an interaction between the effects of saccade and block type on microsaccade rates, suggesting lower rates on antisaccade trials, but only within mixed blocks. In Experiment 2, eye tracking was binocular, revealing suppressed microsaccade rates on antisaccade trials. A cluster permutation analysis of the microsaccade rate over the course of a trial did not reveal any particular critical time for this difference in microsaccade rates. Our findings suggest that microsaccade rates reflect the degree of suppression of the oculomotor system during the antisaccade task.

An eye for detail: Eye movements and attention at the foveal scale

Human vision relies on a tiny region of the retina, the 1-deg foveola, to achieve high spatial resolution. Foveal vision is of paramount importance in daily activities, yet its study is challenging, as eye movements incessantly displace stimuli across this region. Here I will review work that, building on recent advances in eye-tracking and gaze-contingent display, examines how attention and eye movements operate at the foveal level. This research highlights how exploration of fine spatial detail unfolds following visuomotor strategies reminiscent of those occurring at larger scales. It shows that, together with highly precise control of attention, this motor activity is linked to non-homogenous processing within the foveola and selectively modulates sensitivity both in space and time. Overall, the picture emerges of a highly dynamic foveal perception in which fine spatial vision, rather than simply being the result of placing a stimulus at the center of gaze, is the result of a finely tuned and orchestrated synergy of motor, cognitive, and attentional processes.

Effects of normalized summation in the visual illusion of extent

In the present study, the features of summation of effects caused by contextual distracting dots in the length-matching task (a variant of the filled-space illusion) were investigated. In the first two series of psychophysical experiments, the illusion magnitude was measured as a function of the displacement of distractors (either single or double sets of dots) orthogonally to the main axis of the stimulus. It was demonstrated that with increasing displacement, the illusion smoothly decreases for a single set of distractors, while for two sets, the illusion first increases to a certain maximum value, and then gradually decreases. In the third and fourth series of experiments, magnitude of the illusion was measured as a function of the luminance of one set of distracting dots, while the luminance of the other set was fixed. It has been shown that increasing the luminance until the same value is reached for both sets leads to a monotonous growth in the illusion magnitude; after that, the illusion asymptotically decreases to an almost constant level. The theoretical interpretation of the established functional dependencies was performed using a quantitative model based on the assumption that the illusion may arise due to the weighted summation of the distractor-induced normalized neural activity, which leads to the perceptual mislocalization of terminators of stimulus spatial intervals.

Multisensory decisions from self to world

Classic Bayesian models of perceptual inference describe how an ideal observer would integrate 'unisensory' measurements (multisensory integration) and attribute sensory signals to their origin(s) (causal inference). However, in the brain, sensory signals are always received in the context of a multisensory bodily state-namely, in combination with other senses. Moreover, sensory signals from both interoceptive sensing of one's own body and exteroceptive sensing of the world are highly interdependent and never occur in isolation. Thus, the observer must fundamentally determine whether each sensory observation is from an external (versus internal, self-generated) source to even be considered for integration. Critically, solving this primary causal inference problem requires knowledge of multisensory and sensorimotor dependencies. Thus, multisensory processing is needed to separate sensory signals. These multisensory processes enable us to simultaneously form a sense of self and form distinct perceptual decisions about the external world. In this opinion paper, we review and discuss the similarities and distinctions between multisensory decisions underlying the sense of self and those directed at acquiring information about the world. We call attention to the fact that heterogeneous multisensory processes take place all along the neural hierarchy (even in forming 'unisensory' observations) and argue that more integration of these aspects, in theory and experiment, is required to obtain a more comprehensive understanding of multisensory brain function. This article is part of the theme issue 'Decision and control processes in multisensory perception'.

Maintaining eye fixation relieves pressure of cognitive action control

Cognitive control enables humans to behave guided by their current goals and intentions. Cognitive control in one task generally suffers when humans try to engage in another task on top. However, we discovered an additional task that supports conflict resolution. In two experiments, participants performed a spatial cognitive control task. For different blocks of trials, they either received no instruction regarding eye movements or were asked to maintain the eyes fixated on a stimulus. The additional eye fixation task did not reduce task performance, but selectively ameliorated the adverse effects of cognitive conflicts on reaction times (Experiment 1). Likewise, in urgent situations, the additional task reduced performance impairments due to stimulus-driven processing overpowering cognitive control (Experiment 2). These findings suggest that maintaining eye fixation locks attentional resources that would otherwise induce spatial cognitive conflicts. This reveals an attentional disinhibition that boosts goal-directed action by relieving pressure from cognitive control.

Test-retest reliability of eye tracking measures in a computerized Trail Making Test

The Trail Making Test (TMT) is a frequently applied neuropsychological test that evaluates participants' executive functions based on their time to connect a sequence of numbers (TMT-A) or alternating numbers and letters (TMT-B). Test performance is associated with various cognitive functions ranging from visuomotor speed to working memory capabilities. However, although the test can screen for impaired executive functioning in a variety of neuropsychiatric disorders, it provides only little information about which specific cognitive impairments underlie performance detriments. To resolve this lack of specificity, recent cognitive research combined the TMT with eye tracking so that eye movements could help uncover reasons for performance impairments. However, using eye-tracking-based test scores to examine differences between persons, and ultimately apply the scores for diagnostics, presupposes that the reliability of the scores is established. Therefore, we investigated the test-retest reliabilities of scores in an eye-tracking version of the TMT recently introduced by Recker et al. (2022). We examined two healthy samples performing an initial test and then a retest 3 days (n = 31) or 10 to 30 days (n = 34) later. Results reveal that, although reliabilities of classic completion times were overall good, comparable with earlier versions, reliabilities of eye-tracking-based scores ranged from excellent (e.g., durations of fixations) to poor (e.g., number of fixations guiding manual responses). These findings indicate that some eye-tracking measures offer a strong basis for assessing interindividual differences beyond classic behavioral measures when examining processes related to information accumulation processes but are less suitable to diagnose differences in eye-hand coordination.

Motor Capabilities in Children with ADHD Are Improved after Brief Visuopostural Training

Children with ADHD show poor motor control. The aim of the present study was to test whether children with ADHD improved their motor performances (oculomotor as well as posture) after a short visuopostural training period. Two groups (G1 trained and G2 non-trained), each comprising 15 children with ADHD matched in IQ (intelligence quotient), sex, and age, participated in the study. Eye movements and postural sway were measured before (T1) and after (T2) 10 min of visuopostural training for the trained group and after 10 min of resting for the non-trained group. Training consisted of a visual search task performed while the child was standing on an unstable platform. At T1, oculomotor and postural abilities were statistically similar for both groups of children with ADHD (trained and non-trained). At T2, significant improvements in both oculomotor and postural capabilities were observed for the trained group but not for the non-trained group. These findings suggest that a short visuopostural training period could help children with ADHD to learn how to focus their visual attention in order to improve motor performance. Visuopostural training could allow a better integration of sensory inputs via central mechanisms, leading to improvement in both oculomotor and postural control. Further studies on a larger number of children with ADHD will be needed to confirm these findings and explore the eventual possible persistence of the training effect.

Cognitive influences on fixational eye movements

We perceive the world based on visual information acquired via oculomotor control,1 an activity intertwined with ongoing cognitive processes.2,3,4 Cognitive influences have been primarily studied in the context of macroscopic movements, like saccades and smooth pursuits. However, our eyes are never still, even during periods of fixation. One of the fixational eye movements, ocular drifts, shifts the stimulus over hundreds of receptors on the retina, a motion that has been argued to enhance the processing of spatial detail by translating spatial into temporal information.5 Despite their apparent randomness, ocular drifts are under neural control.6,7,8 However little is known about the control of drift beyond the brainstem circuitry of the vestibulo-ocular reflex.9,10 Here, we investigated the cognitive control of ocular drifts with a letter discrimination task. The experiment was designed to reveal open-loop effects, i.e., cognitive oculomotor control driven by specific prior knowledge of the task, independent of incoming sensory information. Open-loop influences were isolated by randomly presenting pure noise fields (no letters) while subjects engaged in discriminating specific letter pairs. Our results show open-loop control of drift direction in human observers.

Do categorically distinct stressors alter the attention to visual food cues?

Stressor exposure affects food intake as well as the preference for high or low palatability foods, but little is known about how stressor types impact the visual attention to food images. We used eye tracking methodology in humans to determine if activation of the hypothalamus-pituitary-adrenal (HPA) axis and sympathetic nervous system is associated with changes in attention to food images as determined by measuring changes in oculomotor activity. Specifically, we tested two questions: 1) Do categorically distinct stressors alter aspects of visual attention to food images as determined by oculomotor activity (i.e., saccade latency, gaze duration, and saccade bouts)? 2) Do categorically distinct stressors differentially affect visual attention to food images of high or low palatability? A total of sixty participants were randomly divided into one of three test groups: controls, an anticipatory stressor group, or a reactive stressor group. We measured salivary cortisol and salivary alpha-amylase (sAA) before and after stressor exposure to confirm activation of the HPA axis and sympathetic nervous system, respectively. Following stressor exposure participants performed an eye-tracking test using a standardized food picture database (Food-pics). We analyzed saccade latency, gaze duration, and saccade bouts in balanced pairs of food and non-food images. Salivary cortisol was elevated by both stressors, although the elevation in salivary cortisol to the reactive stressor was driven by women only. sAA was elevated only by the anticipatory stressor. There were main effects of image type for all three eye-tracking variables, with initial saccades of shorter latency to food images and longer gaze duration and more saccade bouts with food images. Participants exposed to the reactive stressor reduced gaze duration on food images relative to controls, and this affect was not linked to palatability or salivary cortisol levels. We conclude that the reactive stressor decreased time spent looking at food, but not non-food, images. These data are partly consistent with the idea that reactive stressors reduce attention to non-critical visual signals.

Spatial localization during open-loop smooth pursuit

Introduction

Numerous previous studies have shown that eye movements induce errors in the localization of briefly flashed stimuli. Remarkably, the error pattern is indicative of the underlying eye movement and the exact experimental condition. For smooth pursuit eye movements (SPEM) and the slow phase of the optokinetic nystagmus (OKN), perceived stimulus locations are shifted in the direction of the ongoing eye movement, with a hemifield asymmetry observed only during SPEM. During the slow phases of the optokinetic afternystagmus (OKAN), however, the error pattern can be described as a perceptual expansion of space. Different from SPEM and OKN, the OKAN is an open-loop eye movement.

Methods

Visually guided smooth pursuit can be transformed into an open-loop eye movement by briefly blanking the pursuit target (gap). Here, we examined flash localization during open-loop pursuit and asked, whether localization is also prone to errors and whether these are similar to those found during SPEM or during OKAN. Human subjects tracked a pursuit target. In half of the trials, the target was extinguished for 300 ms (gap) during the steady-state, inducing open-loop pursuit. Flashes were presented during this gap or during steady-state (closed-loop) pursuit.

Results

In both conditions, perceived flash locations were shifted in the direction of the eye movement. The overall error pattern was very similar with error size being slightly smaller in the gap condition. The differences between errors in the open- and closed-loop conditions were largest in the central visual field and smallest in the periphery.

Discussion

We discuss the findings in light of the neural substrates driving the different forms of eye movements.

Role of Rostral Superior Colliculus in Gaze Stabilization during Visual Fixation

Visual fixation (i.e., holding gaze on a specific visual object or location of interest) has been shown to be influenced by activity in the rostral pole of the intermediate layers of the superior colliculus (SCi)-a sensory-motor integration nucleus in the midbrain involved in visual fixation and saccadic eye movement generation. Neurons in the rostral SCi discharge tonically during visual fixation and pause during saccades to locations beyond their foveal visual-sensory or saccadic-motor response fields. Injection of muscimol to deactivate rostral SCi neurons also leads to an increase in fixation instability. However, the precise role of rostral SCi activity for controlling visual fixation has not been established and is actively debated. Here, we address whether this activity reflects signals related to task demands (i.e., maintaining visual fixation) or foveal visual stimulus properties. Two non-human primates performed an oculomotor task that required fixation of a central fixation point (FP) of varying luminance at the start of each trial. During this fixation period, we measured fixational saccades (≤ 2° of the FP, including microsaccades) and fixation-error saccades (> 2° from the FP) in combination with activity from the rostral SCi. Fixation of the lowest FP luminance increased the latency (onset time relative to initial FP foveation) for both fixational and fixation-error saccades. Fifty percent of the rostral SCi neurons exhibited activity that opposed the change in FP luminance and correlated with delayed fixational saccades and increased fixation-error saccades. Twenty-two percent of rostral SCi neurons exhibited activity that followed the change in FP luminance and correlated with earlier fixational saccades and decreased fixation-error saccades. This suggests the rostral SCi contains both sensory-driven and task-related motor signals related to foveal sensory stimuli and visual fixation. This evidence supports a role for the rostral SCi in gaze stabilization and can help inform artificial computational models of vision.

Targeting displacement as an indicator of binocular fixation in normal Chinese adults

Purpose

The stability of fixation is crucial for the development of visual function. In this study, we quantify the deviation of visual target during fixational and saccadic tasks using eye-tracking technology, reflecting the control ability and characteristics of fixational displacement among healthy adults in a convenient method.

Methods

One hundred healthy participants aged between 18 and 55 years were recruited in the study. All participants underwent a complete ophthalmic assessment. The eye positions in the fixational and saccadic tasks were documented and analyzed by the Tobii eye-tracking system. Participants were grouped by age and gender. Targeting displacement (TD), defined as the average displacement between visual target and the mean of fixation points corresponding to that stimuli, was used to quantitatively observe fixational displacement in the horizontal and vertical directions.

Result

There was a strong reproducibility of TD as an indicator of fixation (ICC 0.812 to 0.891, p < 0.001). The TD in fixational task was significantly smaller than that of the saccadic task (3.884 ± 0.525 vs. 4.484 ± 0.509, p < 0.001) among normal people. Moreover, the difference of TD in the horizontal and vertical meridians was related to the nature of the task: In the fixational task, the TD in horizontal was smaller than that in the vertical (p < 0.001), whereas the TD in horizontal was larger than that in vertical in the saccadic task (p = 0.003). In the different age and gender groups: There was no significant difference between different gender and age groups in fixational task. However, during the saccadic task, males had smaller TD in the vertical direction than females (4.061 ± 0.495 vs. 4.404 ± 0.484, p = 0.002), and the average TD increased with age, mainly in the vertical direction (all p < 0.05). The fixation stability decreased significantly in the group over 50-years-old.

Conclusion

By reporting the fixational displacement of different genders and ages in fixational and saccadic tasks, as well as different longitude lines among normal people, our study might provide an objective, quantitative and convenient reference index for the evaluation of fixation stability in visual impairment diseases and aging phenomenon of visual function.

A Narrative Literature Review About the Role of Microsaccades in Sports

In many daily and sport situations, people have to simultaneously perceive and process multiple objects and scenes in a short amount of time. A wrong decision may lead to a disadvantage for a team or for a single athlete, and during daily life (i.e., driving, surgery), it could have more dangerous consequences. Considering the results of different studies, the ability to distribute visual attention depends on different levels of expertise and environment-related constraints. This article is a narrative review of the current scientific evidence in the field of eye movements in sports, focusing on the role of microsaccades in sporting task situations. Over the past 10 years, microsaccades have become one of the most increasing areas of research in visual and oculomotor studies and even in the area of sport science. Here, we review the latest findings and discuss the relationships between microsaccades and attention, perception, and action in sports.

Changes in length judgments caused by rotation of the contextual distractor

In the present study, we tested the applicability of the computational model of the illusion of interrupted spatial extent (Bulatov, Marma, & Bulatova, Attention, Perception, & Psychophysics, 82, 2714-2727, 2020) to account for the psychophysical data collected with three-dot stimuli containing a cross-shaped contextual distractor. In different series of experiments, the illusion magnitude changes caused by the rotation of distractors with different values of the internal angle (45°, 75°, and 90°) were quantitatively determined. It was shown that the data obtained for all modifications of stimuli can be rather well approximated by model functions proportional to the sum of the absolute values of cosines. A good agreement between theoretical calculations and experimental results supports the suggestion that the perceptual displacement of the stimulus terminators, which occurs due to the processes of local integration of neural activity, may be one of the main causes of the illusion investigated.

Eye Movement Abnormalities Can Distinguish First-Episode Schizophrenia, Chronic Schizophrenia, and Prodromal Patients From Healthy Controls

Background

This study attempts to replicate in a Chinese population an earlier UK report that eye movement abnormalities can accurately distinguish schizophrenia (SCZ) cases from healthy controls (HCs). It also seeks to determine whether first-episode SCZ differ from chronic SCZ and whether these eye movement abnormalities are enriched in psychosis risk syndrome (PRS).

Methods

The training set included 104 Chinese HC and 60 Chinese patients with SCZ, and the testing set included 20 SCZ patients and 20 HC from a UK cohort. An additional 16 individuals with PRS were also enrolled. Eye movements of all participants were recorded during free-viewing, smooth pursuit, and fixation stability tasks. Group differences in 55 performance measures were compared and a gradient-boosted decision tree model was built for predictive analyses.

Results

Extensive eye-movement abnormalities were observed in patients with SCZ on almost all eye-movement tests. On almost all individual variables, first-episode patients showed no statistically significant differences compared with chronic patients. The classification model was able to discriminate patients from controls with an area under the curve of 0.87; the model also classified 88% of PRS individuals as SCZ-like.

Conclusions

Our findings replicate and extend the UK results. The overall accuracy of the Chinese study is virtually identical to the UK findings. We conclude that eye-movement abnormalities appear early in the natural history of the disorder and can be considered as potential trait markers for SCZ diathesis.

Oculomotor changes following learned use of an eccentric retinal locus

People with bilateral central vision loss sometimes develop a new point of oculomotor reference called a preferred retinal locus (PRL) that is used for fixating and planning saccadic eye movements. How individuals develop and learn to effectively use a PRL is still debated; in particular, the time course of learning to plan saccades using a PRL and learning to stabilize peripheral fixation at the desired location. Here we address knowledge limitations through research describing how eye movements change as a person learns to adopt an eccentric retinal locus. Using a gaze-contingent, eye tracking-guided paradigm to simulate central vision loss, 40 participants developed a PRL by engaging in an oculomotor and visual recognition task. After 12 training sessions, significant improvements were observed in six eye movement metrics addressing different aspects involved in learning to use a PRL: first saccade landing dispersion, saccadic re-referencing, saccadic precision, saccadic latency, percentage of useful trials, and fixation stability. Importantly, our analyses allowed separate examination of the stability of target fixation separately from the dispersion and precision of the landing location of saccades. These measures explained 50% of the across-subject variance in accuracy. Fixation stability and saccadic precision showed a strong, positive correlation. Although there was no statistically significant difference in rate of learning, individuals did tend to learn saccadic precision faster than fixation stability. Saccadic precision was also more associated with accuracy than fixation stability for the behavioral task. This suggests effective intervention strategies in low vision should address both fixation stability and saccadic precision.

New methods for the diagnosis and monitoring of cognitive function in patients with type 2 diabetes

The presence of type 2 diabetes acts as an accelerator of cognitive impairment (mild cognitive impairment and later dementia), with a significant impact on the management of the disease and its complications. Therefore, it is recommended to perform an annual evaluation of cognitive function in patients with diabetes older than 65 years. Current guidelines still recommend the use of the Minimental State Evaluation Test (MMSE) as screening test, but it has a modest sensitivity and specificity for identifying mild cognitive impairment. This represents an important gap because patients with mild cognitive impairment are at risk of progressing to dementia. The neurocognitive diagnosis is based on complex neuropsychological tests, which require specifically trained personnel and are time consuming, making its routine incorporation into daily clinical practice unfeasible. Therefore, at present there are no reliable biomarkers to identify patients with type 2 diabetes at increased risk of developing cognitive impairment. Since the brain and the retina have a common embryological origin, our Research Group, has worked over the last 10 years evaluating the usefulness of the retina as a "window" to the brain. We provided evidence that retinal microperimetry is a simple, feasible and useful tool for screening and monitoring cognitive function in patients with type 2 diabetes. We propose a review of actual tests recommended for screening of cognitive impairment as well as an update of new emerging methods, such as retinal microperimetry.

Eye Movement Abnormalities in Glaucoma Patients: A Review

Glaucoma is a common condition that relies on careful clinical assessment to diagnose and determine disease progression. There is growing evidence that glaucoma is associated not only with loss of retinal ganglion cells but also with degeneration of cortical and subcortical brain structures associated with vision and eye movements. The effect of glaucoma pathophysiology on eye movements is not well understood. In this review, we examine the evidence surrounding altered eye movements in glaucoma patients compared to healthy controls, with a focus on quantitative eye tracking studies measuring saccades, fixation, and optokinetic nystagmus in a range of visual tasks. The evidence suggests that glaucoma patients have alterations in several eye movement domains. Patients exhibit longer saccade latencies, which worsen with increasing glaucoma severity. Other saccadic abnormalities include lower saccade amplitude and velocity, and difficulty inhibiting reflexive saccades. Fixation is pathologically altered in glaucoma with reduced stability. Optokinetic nystagmus measures have also been shown to be abnormal. Complex visual tasks (eg reading, driving, and navigating obstacles), integrate these eye movements and result in behavioral adaptations. The review concludes with a summary of the evidence and recommendations for future research in this emerging field.