Fixational eye movement waveforms in amblyopia: Characteristics of fast and slow eye movements

Fixational eye movements comprise of fast microsaccades alternating with slow inter-saccadic drifts. These physiologic eye movements play an important role in visual perception.  Amblyopic patients are known to have fixation instability, particularly of the amblyopic eye. We examined eye movement ab...

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Main Authors: Sarah Linda Kang, Sinem B. Beylergil, Jorge Otero-Millan, Aasef Shaikh, Fatema Ghasia
Format: Article
Language:English
Published: Bern Open Publishing 2019-07-01
Series:Journal of Eye Movement Research
Subjects:
Online Access:https://bop.unibe.ch/JEMR/article/view/4335
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author Sarah Linda Kang
Sinem B. Beylergil
Jorge Otero-Millan
Aasef Shaikh
Fatema Ghasia
author_facet Sarah Linda Kang
Sinem B. Beylergil
Jorge Otero-Millan
Aasef Shaikh
Fatema Ghasia
author_sort Sarah Linda Kang
collection DOAJ
description Fixational eye movements comprise of fast microsaccades alternating with slow inter-saccadic drifts. These physiologic eye movements play an important role in visual perception.  Amblyopic patients are known to have fixation instability, particularly of the amblyopic eye. We examined eye movement abnormalities that contribute to this instability. We found that fixation stability is affected by the presence of fusion maldevelopment nystagmus (FMN). However, some amblyopes can have nystagmus without nasally directed slow phases and reversal in direction of the quick phase on ocular occlusion, features seen in FMN. In patients without nystagmus, we found increased amplitude of fixational saccades and inter-saccadic drifts. We categorized amblyopia patients by type (anisometropic, strabismic, or mixed) and eye movement waveform (no nystagmus, nystagmus without FMN, and FMN). We found specific fast and slow eye movement abnormalities of the fellow and amblyopic eye during fellow, amblyopic and both eyes viewing conditions across eye movement waveforms and types of amblyopia. These eye movement abnormalities can serve as biomarkers that can predict the impact of amblyopia as measured by visual acuity and stereopsis. Evaluation of fixational eye movements in amblyopia could be important to diagnose these common eye diseases and predict treatment effectiveness.
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spelling doaj.art-c95cb56b7dc04eeaa6a5a46abbd2f8262022-12-21T23:20:25ZengBern Open PublishingJournal of Eye Movement Research1995-86922019-07-0112610.16910/jemr.12.6.9Fixational eye movement waveforms in amblyopia: Characteristics of fast and slow eye movementsSarah Linda Kang0Sinem B. Beylergil1Jorge Otero-Millan2Aasef Shaikh3Fatema Ghasia4Case Western Reserve University School of MedicineCase Western Reserve University, Cleveland OHJohns Hopkins UniversityDaroff-Dell'Osso Ocular Motility Laboratory Louis Stokes VA Medical CenterCole Eye Institute Cleveland ClinicFixational eye movements comprise of fast microsaccades alternating with slow inter-saccadic drifts. These physiologic eye movements play an important role in visual perception.  Amblyopic patients are known to have fixation instability, particularly of the amblyopic eye. We examined eye movement abnormalities that contribute to this instability. We found that fixation stability is affected by the presence of fusion maldevelopment nystagmus (FMN). However, some amblyopes can have nystagmus without nasally directed slow phases and reversal in direction of the quick phase on ocular occlusion, features seen in FMN. In patients without nystagmus, we found increased amplitude of fixational saccades and inter-saccadic drifts. We categorized amblyopia patients by type (anisometropic, strabismic, or mixed) and eye movement waveform (no nystagmus, nystagmus without FMN, and FMN). We found specific fast and slow eye movement abnormalities of the fellow and amblyopic eye during fellow, amblyopic and both eyes viewing conditions across eye movement waveforms and types of amblyopia. These eye movement abnormalities can serve as biomarkers that can predict the impact of amblyopia as measured by visual acuity and stereopsis. Evaluation of fixational eye movements in amblyopia could be important to diagnose these common eye diseases and predict treatment effectiveness.https://bop.unibe.ch/JEMR/article/view/4335eye movementchildrensaccadesmicrosaccadesamblyopiastrabismus
spellingShingle Sarah Linda Kang
Sinem B. Beylergil
Jorge Otero-Millan
Aasef Shaikh
Fatema Ghasia
Fixational eye movement waveforms in amblyopia: Characteristics of fast and slow eye movements
Journal of Eye Movement Research
eye movement
children
saccades
microsaccades
amblyopia
strabismus
title Fixational eye movement waveforms in amblyopia: Characteristics of fast and slow eye movements
title_full Fixational eye movement waveforms in amblyopia: Characteristics of fast and slow eye movements
title_fullStr Fixational eye movement waveforms in amblyopia: Characteristics of fast and slow eye movements
title_full_unstemmed Fixational eye movement waveforms in amblyopia: Characteristics of fast and slow eye movements
title_short Fixational eye movement waveforms in amblyopia: Characteristics of fast and slow eye movements
title_sort fixational eye movement waveforms in amblyopia characteristics of fast and slow eye movements
topic eye movement
children
saccades
microsaccades
amblyopia
strabismus
url https://bop.unibe.ch/JEMR/article/view/4335
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AT jorgeoteromillan fixationaleyemovementwaveformsinamblyopiacharacteristicsoffastandsloweyemovements
AT aasefshaikh fixationaleyemovementwaveformsinamblyopiacharacteristicsoffastandsloweyemovements
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