Saccade Initiation Research Articles

Ups and downs in catch-up saccades following single-pulse TMS-methodological considerations.

Transcranial magnetic stimulation (TMS) can interfere with smooth pursuit or with saccades initiated from a fixed position toward a fixed target, but little is known about the effect of TMS on catch-up saccade made to assist smooth pursuit. Here we explored the effect of TMS on catch-up saccades by means of a situation in which the moving target was driven by an external agent, or moved by the participants’ hand, a condition known to decrease the occurrence of catch-up saccade. Two sites of stimulation were tested, the vertex and M1 hand area. Compared to conditions with no TMS, we found a consistent modulation of saccadic activity after TMS such that it decreased at 40-100ms, strongly resumed at 100-160ms, and then decreased at 200-300ms. Despite this modulatory effect, the accuracy of catch-up saccade was maintained, and the mean saccadic activity over the 0-300ms period remained unchanged. Those findings are discussed in the context of studies showing that single-pulse TMS can induce widespread effects on neural oscillations as well as perturbations in the latency of saccades during reaction time protocols. At a more general level, despite challenges and interpretational limitations making uncertain the origin of this modulatory effect, our study provides direct evidence that TMS over presumably non-oculomotor regions interferes with the initiation of catch-up saccades, and thus offers methodological considerations for future studies that wish to investigate the underlying neural circuitry of catch-up saccades using TMS.

Prodromal Alzheimer's Disease Demonstrates Increased Errors at a Simple and Automated Anti-Saccade Task.

Saccade alterations are potential early signs of Alzheimer's disease. However, uncertainty persists in how early and reliably automated saccade recording systems detect impairments. This multicenter pathophysiological case-control transversal study explored saccade execution in carefully diagnosed amnestic mild cognitive impairment patients fulfilling research criteria for prodromal Alzheimer's disease (n = 29), as compared to both aged-matched mild Alzheimer's disease patients (n = 23) and controls (n = 27). Auto-coded saccades from horizontal (gap) vertical (step) stimulus elicited pro-saccades, and anti-saccade (gap) tasks were compared across the 3 groups. Mild cognitive impairment patients committed significantly more anti-saccade errors compared to controls (46.9 versus 24.3%, p < 0.001). Conventional analyses of the auto-coded stimulus elicited saccades parameters did not distinguish the amnestic mild cognitive impairment from controls or the mild Alzheimer's disease group. However, an offline analysis of manually coded saccade latencies, using resampling statistics did reveal subtle differences among the groups. Analysis of the manually coded data revealed that the mild Alzheimer's disease group had a reliably larger self-corrected error-rate than in amnestic mild cognitive impairment and controls (p = 0.003). Analysis of the manually coded saccade latencies, using more sensitive lognormal bootstrap analysis revealed a continuum, from amnestic mild cognitive impairment to mild Alzheimer's disease, of an increased severity of impaired inhibition of stimulus elicited saccades and correct voluntary saccade initiation. Anti-saccade error rates and psychometric measures of executive and several other cognitive functions were moderately and negatively correlated. Overall, inhibitory impairments in stimulus elicited saccades, characteristic of Alzheimer's disease, may be detected early in presumed prodromal patients using a simple, automated anti-saccade task.

P22. Long-term course of progression of clinical ocular motor signs in progressive supranuclear palsy

Aim To investigate the natural course of progression of ocular motor signs in patients with progressive supranuclear palsy (PSP). Methods 114 patients with a possible or probable PSP following NINDS-SPSP criteria seen at the Department of Neurology and the German Center for Vertigo and Balance Disorders (LMU, Munich) were included in this retrospective study. All patients underwent a structured neuro-ophthalmological testing by a orthoptist at initial diagnostic evaluation, 35 patients several times during their course of disease. The following ocular motor signs were extracted from the charts: Saccadic slowing (with normal range of movement) and saccadic paresis (loss of saccade initiation or severe saccadic hypometria) in vertical and horizontal direction, range of up- and downward as well as horizontal ocular motility during smooth pursuit in mm, presence of square wave jerks, function of the vestibulo-ocular reflex on head impulse testing. Clinical ocular motor signs were analysed in all patients in relation to the duration of disease at the time of examination (based on the medical history of the first sign indicative for PSP) or longitudinally during the course of disease in a subgroup of 35 patients. Results In the whole group of PSP patients saccadic abnormalities showed the following distribution over time: at 1 year of disease duration 10% showed only saccadic slowing on upgaze, 40% on up- and downgaze, 21% saccadic paresis on upgaze and 29% complete vertical saccade paresis; at 2 years the proportion of vertical saccade paresis was 32%, at 3 years 65% and at 4 years 82%. Progression of horizontal saccade paresis was slower (year 1: 6%, year 2: 9%, year 3: 21%, year 4: 41%). The subgroup of patients with longitudinal follow up showed a similar tendency. Ocular motility in this group decrease by a mean of 1.5 mm/a on upgaze, 1.6 mm/a on downgaze and 1.4 mm/a on horizontal gaze. The degree of motility loss on up- and downgaze over time showed a good correlation (R2 = 0.71). Conclusion Ocular motor examination can be used as a robust marker of disease progression. Variability between patients however is considerable. Prospective clinical and apparative quantification of ocular motor markers in well-characterized cohorts of PSP patients is needed.

The curious case of spillover: Does it tell us much about saccade timing in reading?

In completing daily activities, the eyes make a series of saccades by gazing at stimuli in succession. The duration of gaze on each stimulus has been used to infer how the initiation of a saccade is timed relative to the underlying mental processing. In reading, gaze dwells longer on a word that occurs infrequently in English text (low frequency) than on a more frequent word (high frequency), but also on the following word, which is referred to as spillover. Accounts of spillover attribute it to mechanisms of lexical access. A low-frequency word n is assumed to delay the onset of cognitive processing of word n+1 more than it delays the saccade to n+1, leaving more processing to be done on n+1 once it is fixated. We tested this assumption by having participants perform a series of speeded lexical decisions on a linear array of letter strings spaced 5° apart, using low- and high-frequency words to vary the lexical difficulty. Lexical decision adds a response selection stage that is absent in reading, which should eliminate differential effects on saccades and cognitive processing. Nonetheless, we found the typical pattern of lengthened gaze duration and spillover for low-frequency words, with effects that were consistent in magnitude with those seen in studies of reading. These data challenge existing accounts of spillover and argue against the idea that reading has a unique interaction with oculomotor control. Instead, the similarity of our gaze patterns to those of reading suggests a common pattern of saccade initiation across tasks.

Premanifest Huntington's disease: Examination of oculomotor abnormalities in clinical practice.

IntroductionDifferent oculomotor abnormalities have been reported to occur in premanifest Huntington’s disease. The aim of this study is to investigate which oculomotor items of the Unified Huntington’s Disease Rating Scale (UHDRS) are affected in premanifest individuals compared to healthy controls, and if CAG repeat length and age are correlated with oculomotor abnormalities in premanifest Huntington’s disease gene carriers.MethodsWe compared baseline data of 70 premanifest individuals and 27 controls who participated in the Enroll-HD study at the Leiden University Medical Center, the Netherlands. Premanifest gene carriers were divided in individuals near to disease onset and individuals far from disease onset.ResultsUsing a logistic regression model, only horizontal ocular pursuit of the six oculomotor items of the UHDRS was significantly more frequently affected in premanifest individuals close to disease onset compared to controls (p = 0.044, OR 13.100). Age was significantly higher in premanifest individuals with affected horizontal ocular pursuit (p = 0.016, OR 1.115) and with affected vertical ocular pursuit (p = 0.030, OR 1.065) compared to premanifest individuals without ocular pursuit deficits.ConclusionsOur results suggest that horizontal ocular pursuit is the only affected oculomotor item of the UHDRS in premanifest individuals and could be used to assess early clinical signs of Huntington’s disease. Saccade initiation and saccade velocity do not seem useful for detecting differences between premanifest individuals and controls.

Strabismic amblyopia affects decision processes preceding saccadic response

Amblyopia is a developmental disorder of vision associated with abnormal visual stimulation during early childhood. It is known that amblyopia may affect not only spatial vision parameters but also oculomotor behavior. Several previous studies showed that increased saccadic reaction time (latency) may be present in amblyopic subjects. In our recent work, we have demonstrated that not only amblyopic but also a dominant eye may show increased saccadic latency in strabismic individuals. Since saccadic latency can be considered as a decision time, we have applied LATER (Linear Approach to Threshold with Ergodic Rate) decision model to find out how developmental impairment of visual input affects visual decision-making processes, as well as to verify whether amblyopia affects also the cortical ability to inhibit more primitive, early saccadic responses during our modified delayed saccade task. Ten subjects with strabismic amblyopia and twelve control subjects were examined. As we expected, strabismic amblyopes showed decreased rate of rise of the neural decision signal for all viewing conditions as compared to controls. In addition, the comparison between the strabismic and anisometropic groups revealed that the amblyopic eye in strabismic subjects showed decreased rate of rise of the decision signal as compared to amblyopic eye in anisometropic subjects. Although we speculated that amblyopia may reduce the ability of cortical control and favor more reflexive, early saccadic actions to occur, our findings did not confirm this hypothesis. This study provide further evidence that amblyopia is associated with cortical deficits which affect the cortical decision about saccade initiation.

Are Covert Saccade Functionally Relevant in Vestibular Hypofunction?

The vestibulo-ocular reflex maintains gaze stabilization during angular or linear head accelerations, allowing adequate dynamic visual acuity. In case of bilateral vestibular hypofunction, patients use saccades to compensate for the reduced vestibulo-ocular reflex function, with covert saccades occurring even during the head displacement. In this study, we questioned whether covert saccades help maintain dynamic visual acuity, and evaluated which characteristic of these saccades are the most relevant to improve visual function. We prospectively included 18 patients with chronic bilateral vestibular hypofunction. Subjects underwent evaluation of dynamic visual acuity in the horizontal plane as well as video recording of their head and eye positions during horizontal head impulse tests in both directions (36 ears tested). Frequency, latency, consistency of covert saccade initiation, and gain of covert saccades as well as residual vestibulo-ocular reflex gain were calculated. We found no correlation between residual vestibulo-ocular reflex gain and dynamic visual acuity. Dynamic visual acuity performance was however positively correlated with the frequency and gain of covert saccades and negatively correlated with covert saccade latency. There was no correlation between consistency of covert saccade initiation and dynamic visual acuity. Even though gaze stabilization in space during covert saccades might be of very short duration, these refixation saccades seem to improve vision in patients with bilateral vestibular hypofunction during angular head impulses. These findings emphasize the need for specific rehabilitation technics that favor the triggering of covert saccades. The physiological origin of covert saccades is discussed.

Frontal Eye Field Inactivation Diminishes Superior Colliculus Activity, But Delayed Saccadic Accumulation Governs Reaction Time Increases.

Stochastic accumulator models provide a comprehensive framework for how neural activity could produce behavior. Neural activity within the frontal eye fields (FEFs) and intermediate layers of the superior colliculus (iSC) support such models for saccade initiation by relating variations in saccade reaction time (SRT) to variations in such parameters as baseline, rate of accumulation of activity, and threshold. Here, by recording iSC activity during reversible cryogenic inactivation of the FEF in four male nonhuman primates, we causally tested which parameter(s) best explains concomitant increases in SRT. While FEF inactivation decreased all aspects of ipsilesional iSC activity, decreases in accumulation rate and threshold poorly predicted accompanying increases in SRT. Instead, SRT increases best correlated with delays in the onset of saccade-related accumulation. We conclude that FEF signals govern the onset of saccade-related accumulation within the iSC, and that the onset of accumulation is a relevant parameter for stochastic accumulation models of saccade initiation.SIGNIFICANCE STATEMENT The superior colliculus (SC) and frontal eye fields (FEFs) are two of the best-studied areas in the primate brain. Surprisingly, little is known about what happens in the SC when the FEF is temporarily inactivated. Here, we show that temporary FEF inactivation decreases all aspects of functionally related activity in the SC. This combination of techniques also enabled us to relate changes in SC activity to concomitant increases in saccadic reaction time (SRT). Although stochastic accumulator models relate SRT increases to reduced rates of accumulation or increases in threshold, such changes were not observed in the SC. Instead, FEF inactivation delayed the onset of saccade-related accumulation, emphasizing the importance of this parameter in biologically plausible models of saccade initiation.

Saccadic eye movements do not disrupt the deployment of feature-based attention.

The tight link of saccades to covert spatial attention has been firmly established, yet their relation to other forms of visual selection remains poorly understood. Here we studied the temporal dynamics of feature-based attention (FBA) during fixation and across saccades. Participants reported the orientation (on a continuous scale) of one of two sets of spatially interspersed Gabors (black or white). We tested performance at different intervals between the onset of a colored cue (black or white, indicating which stimulus was the most probable target; red: neutral condition) and the stimulus. FBA built up after cue onset: Benefits (errors for valid vs. neutral cues), costs (invalid vs. neutral), and the overall cueing effect (valid vs. invalid) increased with the cue-stimulus interval. Critically, we also tested visual performance at different intervals after a saccade, when FBA had been fully deployed before saccade initiation. Cueing effects were evident immediately after the saccade and were predicted most accurately and most precisely by fully deployed FBA, indicating that FBA was continuous throughout saccades. Finally, a decomposition of orientation reports into target reports and random guesses confirmed continuity of report precision and guess rates across the saccade. We discuss the role of FBA in perceptual continuity across saccades.

Novel PNKP mutation in siblings with ataxia-oculomotor apraxia type 4

The phenotypic and genetic spectrum of ataxia with oculomotor apraxia (AOA) disorders is rapidly evolving and new technologies such as genetic mapping using whole exome sequencing reveal subtle distinctions among the various subtypes. We report a novel PNKP mutation in two siblings with progressive ataxia, abnormal saccades, sensorimotor neuropathy and dystonia consistent with the AOA type 4 phenotype. Laboratory evaluation revealed hypoalbuminemia, hypercholesterolemia with elevated LDL, elevated IgE levels and normal α fetoprotein levels. Eye movement examination demonstrated a marked saccade initiation defect with profound hypometric horizontal saccades. Vertical saccades were also affected but less so. Also present were conspicuous thrusting head movements when attempting to change gaze, but rather than an apraxia these were an adaptive strategy to take advantage of an intact vestibulo-ocular reflex to carry the eyes to a new target of interest. This is demonstrated in accompanying videos.

Fixation target representation in prefrontal cortex during the antisaccade task.

Neurons that discharge strongly during the time period of fixation of a visual target and cease to discharge before saccade initiation have been described in the brain stem, superior colliculus, and cortical areas. In subcortical structures, fixation neurons play a reciprocal role with saccadic neurons during the generation of eye movements. Their role in the dorsolateral prefrontal cortex is less obvious, and it is not known if they are activated by fixation, inhibit saccade generation, or play a role in more complex functions such as the inhibition of inappropriate responses. We examined the properties of prefrontal fixation neurons in the context of an antisaccade task, which requires an eye movement directed away from a prepotent visual stimulus. We tested monkeys with variants of the task, allowing us to dissociate activity synchronized on the fixation offset, presentation of the visual stimulus, and saccadic onset. Fixation neuron activity latency was most strongly tied to the offset of the fixation point across task variants. It was not well predicted by the appearance of the visual stimulus, which is essential for planning of the correct eye movement and inhibiting inappropriate ones. Activity of fixation neurons was generally negatively correlated with that of saccade neurons; however, critical differences in timing make it unlikely that they provide precisely timed signals for the generation of eye movements. These results demonstrate the role of fixation neurons in the prefrontal cortex during tasks requiring timing of appropriate eye movement and inhibition of inappropriate actions.NEW & NOTEWORTHY Properties of neurons that discharge during eye fixation and go silent before saccade initiation have been described in subcortical structures involved in eye movement generation, but their role in the dorsolateral prefrontal cortex presents a puzzle. Our results demonstrate the role of fixation neurons in the prefrontal cortex during tasks requiring precise timing of appropriate eye movement and inhibition of inappropriate actions.

Presaccadic target competition attenuates distraction.

Although it is well known that salient nontargets can capture attention despite being task irrelevant, several studies have reported short fixation dwell times, suggesting the presence of an attentional mechanism to "rapidly reject" dissimilar distractors. Rapid rejection has been hypothesized to depend on the strong mismatch between distractor features and the target template, but it is unknown whether the presence of strong feature mismatch is sufficient, or if the presence of a target at a competing location is also necessary. Here, we investigated this question by first replicating the finding of rapid rejection for dissimilar distractors in the presence of a concurrent target (Experiment 1); manipulating the onset of the target stimulus relative to the distractor (Experiment 2); and using a saccade-contingent display to delay the target onset until after the first saccade was initiated. The results demonstrate that the speed of distractor rejection depends on the presence of target competition prior to the initiation of the first saccade, and not after the saccade. This suggests that stimulus competition for covert attention sets a "saccade priority map" that unfolds over time, resulting in faster corrective saccades to an anticipated object with higher top-down attentional priority.

Validation of a Behavioral Approach for Measuring Saccades in Parkinson's Disease

ABSTRACTSpeed and control of saccades are related to disease progression and cognitive functioning in Parkinson's disease (PD). Traditional eye-tracking complexities encumber application for individual evaluations and clinical trials. The authors examined psychometric properties of standalone tasks for reflexive prosaccade latency, volitional saccade initiation, and saccade inhibition (antisaccade) in a heterogeneous sample of 65 PD patients. Demographics had minimal impact on task performance. Thirty-day test–retest reliability estimates for behavioral tasks were acceptable and similar to traditional eye tracking. Behavioral tasks demonstrated concurrent validity with traditional eye-tracking measures; discriminant validity was less clear. Saccade initiation and inhibition discriminated PD patients with cognitive impairment. The present findings support further development and use of the behavioral tasks for assessing latency and control of saccades in PD.

Electrical Microstimulation of the Pulvinar Biases Saccade Choices and Reaction Times in a Time-Dependent Manner.

The pulvinar complex is interconnected extensively with brain regions involved in spatial processing and eye movement control. Recent inactivation studies have shown that the dorsal pulvinar (dPul) plays a role in saccade target selection; however, it remains unknown whether it exerts effects on visual processing or at planning/execution stages. We used electrical microstimulation of the dPul while monkeys performed saccade tasks toward instructed and freely chosen targets. Timing of stimulation was varied, starting before, at, or after onset of target(s). Stimulation affected saccade properties and target selection in a time-dependent manner. Stimulation starting before but overlapping with target onset shortened saccadic reaction times (RTs) for ipsiversive (to the stimulation site) target locations, whereas stimulation starting at and after target onset caused systematic delays for both ipsiversive and contraversive locations. Similarly, stimulation starting before the onset of bilateral targets increased ipsiversive target choices, whereas stimulation after target onset increased contraversive choices. Properties of dPul neurons and stimulation effects were consistent with an overall contraversive drive, with varying outcomes contingent upon behavioral demands. RT and choice effects were largely congruent in the visually-guided task, but stimulation during memory-guided saccades, while influencing RTs and errors, did not affect choice behavior. Together, these results show that the dPul plays a primary role in action planning as opposed to visual processing, that it exerts its strongest influence on spatial choices when decision and action are temporally close, and that this choice effect can be dissociated from motor effects on saccade initiation and execution.SIGNIFICANCE STATEMENT Despite a recent surge of interest, the core function of the pulvinar, the largest thalamic complex in primates, remains elusive. This understanding is crucial given the central role of the pulvinar in current theories of integrative brain functions supporting cognition and goal-directed behaviors, but electrophysiological and causal interference studies of dorsal pulvinar (dPul) are rare. Building on our previous studies that pharmacologically suppressed dPul activity for several hours, here we used transient electrical microstimulation at different periods while monkeys performed instructed and choice eye movement tasks, to determine time-specific contributions of pulvinar to saccade generation and decision making. We show that stimulation effects depend on timing and behavioral state and that effects on choices can be dissociated from motor effects.

Effects of Pure Vergence Training on Initiation and Binocular Coordination of Saccades.

We hypothesized that saccade eye movement properties, particularly latency and binocular coordination, depend on vergence quality. We studied 11 students clinically diagnosed for vergence disorders versus 8 healthy controls. Rehabilitation of vergence disorders was done with a novel research-based method, using vergence in midsagittal plane. Vergence and saccades were recorded in separate blocks, before and after five weekly rehabilitation sessions. Healthy controls showed higher accuracy and velocity of convergence and divergence relative to the vergence disorders group; then rehabilitation led to significant decrease of latency and increase of gain and peak velocity of vergence. Before rehabilitation of the vergence disorders, saccade parameters did not differ significantly from healthy controls, except the binocular coordination that was significantly deteriorated. Following vergence rehabilitation, saccade properties improved: The latency decreased significantly, the gain increased particularly at far, and the binocular coordination improved significantly. Latency and accuracy improved in a durable way, with values even better than the range of accuracy measured in healthy controls; binocular coordination of saccades, although improved, did not normalize. In healthy controls, binocular coordination was optimal at 40 cm (working distance), and the vergence disorders group showed improvement at 40 cm. Results confirm the hypothesis, which is further corroborated by the correlation between vergence and saccade latency. Results are in line with the hypothesis of permanent interaction between saccades and vergence, even when the task requires only saccades. Relevance of such interaction is emphasized by improvements of binocular saccades through the novel research-based method of vergence rehabilitation.

Sneak peek: Raptors search for prey using stochastic head turns

The strategies by which foraging predators decide when to redirect their gaze influence both prey detection rates and the prey's ability to detect and avoid predators. We applied statistical analyses that have been used to study neural decision-making for gaze redirection in primates to 3 species of predatory birds with different sizes, visual systems, habitats, and hunting behaviors: the Northern Goshawk (Accipiter gentilis), Cooper's Hawk (A. cooperii), and Red-tailed Hawk (Buteo jamaicensis). The timing of head saccades was measured during visual searches using field video recordings of foraging raptors, and during a variety of behaviors using a miniature camera mounted on the head of a Northern Goshawk. The resulting statistical distribution of latencies (time between successive head saccades) was compared to predictions from various models proposed to describe visual search strategies. Our results did not support models that assume a constant probability of gaze redirection per unit time, a constant time for “giving up” on the visual search, or an initial setup time before visual search initiation. Instead, our data were fit best by a log-normal distribution, consistent with the raptors stochastically changing their gaze direction on the basis of accumulated environmental information. Specifically, this suggests that saccade initiation arises from a neural computation based on detection of a threshold level of a dynamically updated decision signal that encodes noisy sensory data, similar to the processes inferred from previous studies of visual search strategies in primates. The only significant between-species difference we found was a slower mean gaze-redirection rate for 2 larger species compared to the Cooper's Hawk, even though the latter has hunting behavior and maneuverability similar to that of the Northern Goshawk. Head-saccade latencies measured for a Northern Goshawk during different behaviors showed that the bird changed gaze direction significantly less frequently, on average, while perched than while in motion.

The saccadic size-latency phenomenon explored: Proximal target size is a determining factor in the saccade latency

Saccade latencies are known to increase for targets presented close to fixation. Recently, it was shown that not only target eccentricity, but the size of a proximal saccade target also plays a crucial role: latencies increase rapidly with increasing target size. Interestingly, these latency increases are greater than those typically found for other supra-threshold manipulations of target properties. Here we evaluate to what extent this phenomenon is distinct from known delays in saccade initiation and whether the phenomenon is truly related to the size of a proximal target. In Experiment 1 we focus on the importance of the required amplitude. Employing a saccade adaptation paradigm we find that the required amplitude is not a determining factor. Focusing on the role of size, in Experiment 2, we find that while latency increases are strongest for targets elongated in the direction of the fovea, elongations perpendicular to this direction also lead to an increase in latencies. Finally, in Experiment 3 we verify that the latency increases are driven by the properties of the saccade target rather than visual input in general. Together these experiments provide converging evidence that the current phenomenon is both novel and a consequence of the relation between proximal target size and its eccentricity.

Cognitive Control of Saccadic Eye Movements in Children with Developmental Coordination Disorder.

The ability to use advance information to prepare and execute a movement requires cognitive control of behaviour (e.g., anticipation and inhibition). Our aim was to explore the integrity of saccadic eye movement control in developmental coordination disorder (DCD) and typically developing (TD) children (8–12 years) and assess how these children plan and inhibit saccadic responses, the principal mechanisms within visual attention control. Eye movements and touch responses were measured (separately and concurrently) in Cued and Non-Cued conditions. We found that children with DCD had similar saccade kinematics to the TD group during saccade initiation. Advance information decreased hand movement duration in both groups during Cued trials, but decrements in accuracy were significantly worse in the DCD group. In addition, children with DCD exhibited greater inhibitory errors and inaccurate fixation during the Cued trials. Thus, children with DCD were reasonably proficient in executing saccades during reflexive (Non-Cued) conditions, but showed deficits in more complex control processes involving prediction and inhibition. These findings have implications for our understanding of motor control in children with DCD.

Immediate Neural Plasticity Involving Reaction Time in a Saccadic Eye Movement Task is Intact in Children With Fetal Alcohol Spectrum Disorder.

Saccades are rapid eye movements that bring an image of interest onto the retina. Previous research has found that in healthy individuals performing eye movement tasks, the location of a previous visual target can influence performance of the saccade on the next trial. This rapid behavioral adaptation represents a form of immediate neural plasticity within the saccadic circuitry. Our studies have shown that children with fetal alcohol spectrum disorder (FASD) are impaired on multiple saccade measures. We therefore investigated these previous trial effects in typically developing children and children with FASD to measure sensory neural plasticity and how these effects vary with age and pathology. Both typically developing control children (n=102; mean age=10.54±3.25; 48 males) and children with FASD (n=66; mean age=11.85±3.42; 35 males) were recruited from 5 sites across Canada. Each child performed a visually guided saccade task. Reaction time and saccade amplitude were analyzed and then assessed based on the previous trial. There was a robust previous trial effect for both reaction time and amplitude, with both the control and FASD groups displaying faster reaction times and smaller saccades during alternation trials (visual target presented on the opposite side to the previous trial). Children with FASD exhibited smaller overall mean amplitude and smaller amplitude selectively on alternation trials compared with controls. The effect of the previous trial on reaction time and amplitude did not differ across childhood and adolescent development. Children with FASD did not display any significant reaction time differences, despite exhibiting numerous deficits in motor and higher level cognitive control over saccades in other studies. These results suggest that this form of immediate neural plasticity in response to sensory information before saccade initiation remains intact in children with FASD. In contrast, the previous trial effect on amplitude suggests that the motor component of saccades may be affected, signifying differential vulnerability to prenatal alcohol exposure.

Not only amblyopic but also dominant eye in subjects with strabismus show increased saccadic latency.

Amblyopia is a developmental disorder of vision usually associated with the presence of strabismus and/or anisometropia during early childhood. Subject literature has shown that both the amblyopic and fellow eyes (especially in strabismic subjects) may manifest a variety of perceptual and oculomotor deficits. Previous studies using simple saccadic responses (pro-saccades) showed an increased saccadic latency only for the amblyopic eye viewing conditions. So far, there have appeared no saccadic latency studies in strabismic amblyopia for more complex volitional saccades. In order to maximize the contribution of the central retina in the process of saccade initiation, we decided to use delayed saccadic responses in order to test the hypothesis about saccadic latency increase in both eyes in strabismic amblyopes. The results from our study have shown that saccadic latency is increased both in the dominant and amblyopic eyes. In addition, the amblyopic eye in the strabismic group showed greater increase in saccadic latency compared to an amblyopic eye in the anisometropic group from our previous study. The observed increase in saccadic reaction time for the dominant eye is novel and provides further evidence that the visual pathway associated with the dominant eye might be also impaired in strabismic amblyopia. Since an abnormal binocular input during visual system development may affect gaze stability in both eyes, we speculate that unsteady fixation accompanied with subtle perceptual deficits contribute to an increase in saccadic latency that is observed in the dominant eye. Moreover, it appears that the cortical processes related to saccade decisions are delayed both for amblyopic and fellow eyes in strabismic subjects.