Abstract

Use of a preferred retinal locus (PRL) in patients with central scotomas has been extensively investigated in reading. However, less is know about how consistently a PRL is used in ordinary behavior, where high resolution may not always be needed. We investigated eye movements of a Stargardt's disease patient, with bilateral central scotomas, in three tasks in both real and virtual environments. While making a sandwich, the subject predominantly located the object being manipulated in the lower left visual field, scattered over a 20°×30° region. While catching a ball our subject positioned the ball in the lower left visual quadrant and also exhibited pursuit eye movements driven by the peripheral retina. While walking in a virtual environment, the patient did not use a PRL but instead centered gaze on pedestrians, whose vertical extent surpassed the boundaries of the scotoma. In the natural tasks studied the PRL is very broadly defined and depends on the resolution required for the task. We therefore suggest use of the term “preferred retinal region”.

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