Vergence Eye Movements Research Articles

Sensory and Motor Visual Functions in Parkinson’s Disease with Respect to Freezing of Gait Symptoms

Freezing of gait (FOG) is considered to be a motor disorder symptom that affects some Parkinson Disease (PD) patients; however, it is hypothesized that sensory systems may also be involved in FOG. This review article summarizes the results from previous studies focusing on visual functions in PD patients. More emphasize will be focused on freezing of gait PD patients and whether visual functions are affected to greater amount among them than non-freezing of gait PD patients. Visual functions include high contrast visual acuity, low contrast visual acuity, contrast sensitivity, Vernier acuity, mesopic vision, stereopsis, motion perception, and vergence eye movements are all affected in PD patients, with FOG patients having more deficits in some of these functions. FOG patients also had larger impairments in non-dopaminergic mediated functions such as pupil light reflex and visual processing speed test, which suggests that FOG patients have greater impairment in two functions that involve cholinergic neurotransmitters. Whether these impairments are contributing to the FOG or just associated with FOG is uncertain.

Large-scale cortico-cerebellar computations for horizontal and vertical vergence in humans

Horizontal and vertical vergence eye movements play a central role in binocular coordination. Neurophysiological studies suggest that cortical and subcortical regions in animals and humans are involved in horizontal vergence. However, little is known about the extent to which the neural mechanism underlying vertical vergence overlaps with that of horizontal vergence. In this study, to explore neural computation for horizontal and vertical vergence, we simultaneously recorded electrooculography (EOG) and whole-head magnetoencephalography (MEG) while presenting large-field stereograms for 29 healthy human adults. The stereograms were designed to produce vergence responses by manipulating horizontal and vertical binocular disparities. A model-based approach was used to assess neural sensitivity to horizontal and vertical disparities via MEG source estimation and the theta-band (4 Hz) coherence between brain activity and EOG vergence velocity. We found similar time-locked neural responses to horizontal and vertical disparity in cortical and cerebellar areas at around 100–250 ms after stimulus onset. In contrast, the low-frequency oscillatory neural activity associated with the execution of vertical vergence differed from that of horizontal vergence. These findings indicate that horizontal and vertical vergence involve partially shared but distinct computations in large-scale cortico-cerebellar networks.

Atypical cognitive vergence responses in children with attention deficit hyperactivity disorder but not with autism spectrum disorder in a facial emotion recognition task

Facial expression of emotion is fundamental to human social interactions. Attention to relevant cues in ADHD and ASD patients are believed to underlie difficulties in recognizing emotions. Cognitive vergence eye movements during gaze fixation have a role in attention. Here we evaluate a possible role of cognitive vergence in facial emotion recognition. We recorded eye vergence from children with ADHD (n ​= ​27), ASD (n ​= ​18) or ADHD&ASD (n ​= ​15) and from neurotypical (NT; n ​= ​31) children during a facial emotion recognition task. Vergence responses to relevant stimuli were stronger than those to distractor stimuli. ADHD and ADHD&ASD children showed shorter gaze fixation duration and weaker cognitive vergence responses to the eye regions of the face stimuli compared to neurotypically developing children. In contrast, gaze behavior and vergence responses of ASD children resembled that of neurotypically developing children. These results provide evidence for the idea that impaired recognition of facial expression of emotion is a problem of attending the relevant cues to adequately recognize facial expressions. As ASD patients resembled that of NT, cognitive vergence represents an etiological difference between ADHD and ASD.

Audiovisual Integration for Saccade and Vergence Eye Movements Increases with Presbycusis and Loss of Selective Attention on the Stroop Test.

Multisensory integration is a capacity allowing us to merge information from different sensory modalities in order to improve the salience of the signal. Audiovisual integration is one of the most used kinds of multisensory integration, as vision and hearing are two senses used very frequently in humans. However, the literature regarding age-related hearing loss (presbycusis) on audiovisual integration abilities is almost nonexistent, despite the growing prevalence of presbycusis in the population. In that context, the study aims to assess the relationship between presbycusis and audiovisual integration using tests of saccade and vergence eye movements to visual vs. audiovisual targets, with a pure tone as an auditory signal. Tests were run with the REMOBI and AIDEAL technologies coupled with the pupil core eye tracker. Hearing abilities, eye movement characteristics (latency, peak velocity, average velocity, amplitude) for saccade and vergence eye movements, and the Stroop Victoria test were measured in 69 elderly and 30 young participants. The results indicated (i) a dual pattern of aging effect on audiovisual integration for convergence (a decrease in the aged group relative to the young one, but an increase with age within the elderly group) and (ii) an improvement of audiovisual integration for saccades for people with presbycusis associated with lower scores of selective attention in the Stroop test, regardless of age. These results bring new insight on an unknown topic, that of audio visuomotor integration in normal aging and in presbycusis. They highlight the potential interest of using eye movement targets in the 3D space and pure tone sound to objectively evaluate audio visuomotor integration capacities.

Research article summary: “Properties of fast vergence eye movements and horizontal saccades in athletes”

The Aim of this study is to sum up the research paper entitled “Properties of fast vergence eye movements and horizontal saccades in athletes” published by Yoshimura et al. in Physiology and Behavior ( https://doi.org/10.1016/j.physbeh.2021.113397 ). L’objectif de cet article est de résumer l’étude scientifique intitulée « Properties of fast vergence eye movements and horizontal saccades in athlete » publiée par l’équipe de Yoshimura et collaborateurs dans la revue Physiology and Behavior ( https://doi.org/10.1016/j.physbeh.2021.113397 )

Loss of audiovisual facilitation with age occurs for vergence eye movements but not for saccades

Though saccade and vergence eye movements are fundamental for everyday life, the way these movements change as we age has not been sufficiently studied. The present study examines the effect of age on vergence and saccade eye movement characteristics (latency, peak and average velocity, amplitude) and on audiovisual facilitation. We compare the results for horizontal saccades and vergence movements toward visual and audiovisual targets in a young group of 22 participants (mean age 25 ± 2.5) and an elderly group of 45 participants (mean age 65 + 6.9). The results show that, with increased age, latency of all eye movements increases, average velocity decreases, amplitude of vergence decreases, and audiovisual facilitation collapses for vergence eye movements in depth but is preserved for saccades. There is no effect on peak velocity, suggesting that, although the sensory and attentional mechanisms controlling the motor system does age, the motor system itself does not age. The loss of audiovisual facilitation along the depth axis can be attributed to a physiologic decrease in the capacity for sound localization in depth with age, while left/right sound localization coupled with saccades is preserved. The results bring new insight for the effects of aging on multisensory control and attention.

Contributed Session I: The effect of spherical defocus on vergence and diplopia in adults and children

Anisometropic children (with unequal refractive error in the two eyes) are at risk for strabismus or amblyopia. We simulated unilateral and bilateral spherical defocus to clarify the link between anisometropia, vergence eye movements and the perception of single vision. Adults (N=20, 15-51 yrs) and typically developing children (N=9, 5-8 yrs) viewed a dichoptic cartoon character presented in the fixation plane. Step changes in disparity of between 0 and 8 deg were introduced for 320 ms, followed by a blank screen. Vergence responses were recorded with an Eyelink 1000 and subjects reported whether they perceived a single (fused) or double (diplopic) character. Spherical defocus from 0.5 to 4D was applied to one or both eyes' stimuli using convolution of the point spread function for the subject's pupil size. Open loop vergence amplitude was used to estimate the reflex response (without feedback). For no defocus, open loop vergence peaked at +/-2 deg disparity with amplitudes of 0.29 deg convergence and -0.44 deg divergence for adults, and 0.56 deg and -0.46 deg for children. Bilateral defocus had no effect on this reflex response; however, 4D unilateral defocus significantly reduced vergence amplitudes in both age groups with no corresponding change in diplopia thresholds. Our results confirm that anisometropic blur is particularly disruptive to reflex vergence responses, which could limit the accurate realignment of the eyes and lead to atypical binocular development.

The Contrast Between Classical and Behavioral Approaches to Vergence Eye Movements: A Personal Perspective

Drs. Tara Alvarez and Mitch Schieman pre- sented the latest research in convergence and accommodative therapy and their underlying neurological mechanisms at the 2021 COVD annual meeting. The behavioral model originated by Skeffington as it relates to vergence may seem to be at odds with this type of research, and with the classical model of vision. This perspective aims to inform the synergy between behavioral philosophy and classical analysis of vergence anomalies. Incorporating research into our clinical models and approaches yields further insights that can make significant differences in the lives of our patients.

Properties of Smooth and Fast Vergence Eye Movements in Ball Athletes

Properties of Smooth and Fast Vergence Eye Movements in Ball Athletes

Effects of Parkinson Disease on Blur-Driven and Disparity-Driven Vergence Eye Movements.

Synchronous movements of the 2 eyes in the opposite direction, disconjugate movements such as vergence, facilitate depth perception. The vergence eye movements are affected in Parkinson disease (PD). Visual blur (accommodation) and fusion (retinal disparity) are important triggers for the vergence. The neural circuit responsible for blur-driven and disparity-driven vergence is tightly coupled. We investigated the effect of PD on these 2 vergence paradigms. In the experiment involving 14 patients with PD and 6 healthy controls, substantial differences between blur-driven and disparity-driven vergence were found. The gain (ratio of actual vs desired eye movements) was reduced in patients with PD in case of disparity-driven vergence but not in blur-driven vergence. The latency of disparity-driven vergence onset was significantly longer for patients with PD compared with healthy controls. Four strategies were used to drive disparity-driven vergence: a) pure disconjugate vergence, b) conjugate saccadic movements, c) disconjugate vergence followed by saccadic movements, and d) conjugate saccades followed by disconjugate vergence movements. Blur-driven vergence had only 2 strategies: a) conjugate saccades followed by disconjugate vergence and b) conjugate saccadic movements only. The results are consistent with the prediction that PD primarily affects disparity-driven vergence, but there are some effects on the strategies to execute blur-driven vergence. We speculate that the deep cerebellar nuclei and the supraoculomotor area of the midbrain that carry the disparity-driven and blur-driven vergence are affected in PD. It is possible to modulate their function through projections to the subthalamic nuclei.

Predicting Dyslexia and Reading Speed in Adolescents from Eye Movements in Reading and Non-Reading Tasks: A Machine Learning Approach.

There is evidence that abnormalities in eye movements exist during reading in dyslexic individuals. A few recent studies applied Machine Learning (ML) classifiers to such eye movement data to predict dyslexia. A general problem with these studies is that eye movement data sets are limited to reading saccades and fixations that are confounded by reading difficulty, e.g., it is unclear whether abnormalities are the consequence or the cause of reading difficulty. Recently, Ward and Kapoula used LED targets (with the REMOBI & AIDEAL method) to demonstrate abnormalities of large saccades and vergence eye movements in depth demonstrating intrinsic eye movement problems independent from reading in dyslexia. In another study, binocular eye movements were studied while reading two texts: one using the “Alouette” text, which has no meaning and requires word decoding, the other using a meaningful text. It was found the Alouette text exacerbates eye movement abnormalities in dyslexics. In this paper, we more precisely quantify the quality of such eye movement descriptors for dyslexia detection. We use the descriptors produced in the four different setups as input to multiple classifiers and compare their generalization performances. Our results demonstrate that eye movement data from the Alouette test predicts dyslexia with an accuracy of 81.25%; similarly, we were able to predict dyslexia with an accuracy of 81.25% when using data from saccades to LED targets on the Remobi device and 77.3% when using vergence movements to LED targets. Noticeably, eye movement data from the meaningful text produced the lowest accuracy (70.2%). In a subsequent analysis, ML algorithms were applied to predict reading speed based on eye movement descriptors extracted from the meaningful reading, then from Remobi saccade and vergence tests. Remobi vergence eye movement descriptors can predict reading speed even better than eye movement descriptors from the meaningful reading test.

Contrast Sensitivity of Vertical Vergence Eye Alignment

Purpose: The purpose of the study was to measure the response of vertical vergence eye movement to bandpass filtered noise of various spatial frequencies and contrasts. The results of our previous experiment in which we measured the contrast sensitivities using vertical vergence response to sine-wave gratings suggested that vertical vergence responses were robust for middle spatial frequencies (0.5 to 4 cycles per degree). However, the responses to higher and lower spatial frequencies were weaker. The weak responses at higher spatial frequencies could have been due to matching ambiguity of the gratings in the two eyes. So, to eliminate this ambiguity we used bandpass filtered noise as the stimulus to measure the contrast sensitivity of vertical vergence eye alignment. Methods: Subjects were 2 adults with normal vision. A Dual Purkinje image eye tracker was used for eye tracking. Vertical vergence was measured in response to full-screen bandpass filtered noise patterns of all orientations with one-octave bandwidth. A block of trials comprised combinations of 8 contrasts [0%, 1%, 2%,4%,8%,16%,32%,64%] and 8 spatial frequencies [0.125, 0.25, 0.50, 1, 2, 4, 8 ,16 cpd] presented in shuffled order. Various Oculometric functions (AUC, Percent Correct, Weibull fit, Vergence amplitudes) were created to determine the oculometric CSFs. The psychophysical CSF was obtained with a 2AFC staircase method for the same spatial frequencies using bandpass filtered noise patterns as stimuli. Results: Vertical vergence responses were robust for middle spatial frequencies. The responses for higher spatial frequencies were weaker or absent, similar to the results with sine-wave gratings. Conclusion: The results of this study suggest that matching ambiguity was not the primary limiting factor in the response of vertical vergence at higher spatial frequencies, despite being easily detected psychophysically. Further research is needed to understand why vertical vergence does not show a response at higher spatial frequencies.

Computational models to delineate 3D gaze-shift strategies in Parkinson’s disease

Objective: Parkinson’s disease (PD) frequently affects vergence eye movements interfering with the perception of depth and dimensionality critical for mitigating falls. We examined neural strategies that compensate for abnormal vergence and their mechanistic underpinning in PD. Approach: The a priori hypothesis was that impaired vergence is compensated by incorporating rapid eye movements (saccades) to accomplish gaze shifts at different depths. Our experiments examined the hypothesis by simulating biologically plausible computational models of saccade-vergence interactions in PD and validating predictions in the actual patient data. Main results: We found four strategies to accomplish 3D gaze shift; pure vergence eye movements, pure saccadic eye movements, combinations of vergence followed by a saccade, and combination of saccade followed by vergence. The gaze shifting strategy of the two eyes was incongruent in PD. The latency of vergence was prolonged, and it was more so when the saccades preceded the vergence or when the saccades only made 3D gaze shift. Computational models predicted at least two possible mechanisms triggering saccades along with vergence. One is based on the lack of foveal accuracy when the vergence gain is suboptimal. The second mechanism reflects the noise in the gating mechanism, the omnipause neurons, for vergence and saccades. None of the two model predictions alone were completely supported by the patient data. However, a combined model incorporating both abnormal vergence velocity gain and impaired gating accurately simulated the results from PD patients. Significance: The combined strategy is biologically plausible for two reasons: (a) The basal ganglia that is prominently affected in PD projects to the vergence velocity neurons in the midbrain via the cerebellum. The projection directly affects the vergence velocity gain. (b) The basal ganglia, via superior colliculus, influences the pattern of omnipause neuronal activity. Abnormal basal ganglia activity may introduce noise in the omnipause neurons.

Vergence Exercises for Six Weeks Induce Faster Recovery of Convergence Insufficiency Than Accommodation Exercises in School Children.

PurposeConvergence insufficiency (CI) is characterized by abnormal vergence eye movement frequently accompanied by abnormal accommodation and subjective symptoms, such as headache, blurred vision, and diplopia. CI is treated with vergence and accommodation exercises that are integrated so that the relative contributions of vergence and accommodation exercises to the outcome are concealed. The purpose of the present study was to determine the individual contributions of vergence and accommodation exercises for the treatment of CI in school children.MethodsIn a prospective crossover study 44 children aged 9 to 13 years with CI were randomized to perform either vergence exercises followed by accommodation exercises each for 6 weeks or the 2 treatment regimes in the reverse order. The outcome measures were recovery from CI and the parameters vergence facility, positive fusional vergence, near point of convergence, monocular amplitude, and facility of accommodation.ResultsAfter the first 6-week period, full recovery from CI was significantly more frequent in the group commencing vergence exercises than in the group commencing monocular accommodation exercises (p = 0.01), whereas there was no significant difference between these proportions after the second 6-week period (p = 0.45). Vergence facility and positive fusional vergence improved significantly more after the period with vergence exercises than after the accommodation exercises, whereas there was no significant difference between the effects of the two types of exercises on the other studied parameters.ConclusionsVergence treatment induces a faster recovery of CI than accommodation treatment in school children. This may be used to improve compliance and success rate of the treatment.

Vergence eye movements during figure-ground perception

Figure-ground, that is the segmentation of visual information into objects and their surrounding backgrounds, provides structure for visual attention. Recent evidence shows a novel role of vergence eye movements in visual attention. In the present work, vergence responses during figure-ground segregation tasks are psychophysically investigated. We show that during a figure-ground detection task, subjects convergence their eyes. Vergence eye movements are larger in figure trials than in ground trials. In detected figures trials, vergence are stronger than in trials where the figure went unnoticed. Moreover in figure trials, vergence responses are stronger to low-contrast figures than to high-contrast figures. We argue that these discriminative vergence responses have a role in figure-ground.

Disparity vergence differences between typically occurring and concussion-related convergence insufficiency pediatric patients

This study sought to test the hypothesis that significant differences would be observed in clinical measures, symptoms, and objective assessments of vergence eye movements between children with typically developing convergence insufficiency (TYP-CI) and children with persistent post-concussion symptoms with convergence insufficiency (PPCS-CI). Data from age-matched binocularly normal controls (BNC) were used for comparison. Data from three groups of children 11 to 17 years of age are presented: BNC (N = 11), TYP-CI (N = 10), and PPCS-CI (N = 15). Clinical measures of vergence, accommodation, and symptom severity were collected. Symmetrical 4° disparity vergence eye movements were quantified with an eye tracker integrated into a head-mounted display (Oculus DK2). Peak velocity and final response amplitude of convergence and divergence eye movement responses were assessed. The mean near point of convergence (break) was more receded (worse), the amplitude of accommodation more deficient, and convergent and divergent peak velocities slower in the PPCS-CI group compared with the TYP-CI and BNC groups. These results suggest that PPCS-CI may be a different clinical entity than TYP-CI. Hence, more research is warranted to determine whether the therapeutic interventions that are effective for TYP-CI can also be used for PPCS-CI populations.

Properties of fast vergence eye movements and horizontal saccades in athletes

Visual information based on eye movements influences sports performance in 3-D space. The purpose of this study was to clarify the properties of fast vergence eye movements and horizontal saccades in athletes. Thirty-four college students were classified into three groups: twelve baseball players (BAS), ten track and field athletes (TRA) and twelve non-athletes (NON). The oculomotor tasks consisted of vergence eye movements (vergence task) including convergence and divergence, and horizontal saccades (saccade task). The participants made a rapid gaze shift toward a visual target. For the vergence task, the target was irradiated at 5 different vergence angles (3, 5, 10, 15, 20°) randomly. For the saccade task, the target was irradiated at 5 different saccade amplitudes (0, ±5, ±10°) randomly. The results showed that the peak eye velocity was higher in order of saccade, convergence, and divergence eye movements. The gain of convergence and saccades was higher than that of divergence. Furthermore, the latency of saccades was shorter than that of convergence and divergence. These results suggest that saccades and convergence are superior compared with divergence, and the dynamic property of convergence is partially analogous to horizontal saccades. The results of the comparison between the three groups showed that the latency of convergence was shorter for BAS than for NON. Therefore, different visual experience and baseball training could influence the gaze-shift dynamics during convergence eye movements.

Altered Vergence Eye Movements and Pupil Response of Patients with Alzheimer's Disease and Mild Cognitive Impairment During an Oddball Task.

Alzheimer's disease (AD) is characterized by progressive deterioration of cognitive functions and may be preceded by mild cognitive impairment (MCI). Evidence shows changes in pupil and vergence responses related to cognitive processing of visual information. Here we test the hypothesis that MCI and AD are associated with specific patterns in vergence and pupil responses. We employed a visual oddball task. In the distractor condition (80%of the trials), a blue stimulus was presented whereas in the target condition (20%of trials) it was red. Participants (23 Controls, 33 MCI patients, and 18 AD patients) were instructed to press a button when a target appeared. Participants briefly converged their eyes 200 ms after stimulus presentation. In controls, this transient peak response was followed by a delay response to targets but not to distractor stimuli. In the patient groups, delay responses to distractors were noticed. Consequently, the differential vergence response was strong in the control group, weak in the MCI group, and absent in the AD group. Pupils started to dilate 500-600 ms after the appearance of a target but slightly contracted after the presentation of a distractor. This differential pupil response was strongest in the AD group. Our findings support the idea of a role of vergence and pupil responses in attention and reveal altered responses in MCI and AD patients. Further studies should assess the value of vergence and pupil measurements as an objective support tool for early diagnosis of AD.

The vergence horopter

The horopter is defined by the criterion with which it is measured; these include the apparent frontoparallel plane, the region of binocular single vision, and identical visual direction. Another criterion is one that “the positions of the points are such that none provides a stimulus for fusional movement of the eyes”. Measuring the horopter using this criterion is the aim of the current paper. Based on previous research investigating corresponding points, we predicted the vergence horopter should trace an arc similar to the empirical horizontal horopter. We further predicted based on the characteristics of vergence eye movements in the periphery, that the range of horizontal disparities that do not elicit a vergence movement would increase with eccentricity. In experiment 1 we conducted the first measurements of the vergence horopter along the horizontal plane of regard and sagittal planes. We found that the vergence horopter consists of a stable range of disparities that do not increase with eccentricity. In experiment 2, we measured Panum’s fusional range for the same eccentricities and elevations to determine the placement of the vergence horopter within the fusional ranges. In the horizontal plane, the vergence horopter sits centrally within Panum’s fusional range. In the vertical plane, the data are suggestive that the vergence horopter is less slanted than the corresponding fusional range.

DIRECTED CONTROL OF VERGENCE – EFFECTIVE METHOD OF VISUAL ACUITY IMPROVEMENT IN PATIENTS WITH SPASM OF ACCOMMODATION OR MYOPIA

An original method of visual acuity improvement has been developed and tested. Epiphinomenon of visual perception - a virtual visual image (VVI) is used as a base of the proposed method. The VVI emerges in conditions of physiological diplopia and fusion of paired images. The purpose of the research is to show that a directed small-stepped control of the VVI’s parameters including change of vergence of the visual axis is an integral condition of the visual acuity improvement in patients with spam of accommodation or myopia. But such control is possible if only a patient has a binocular vision together with a created on purpose strong motivation to improve the visual acuity. Directed precision control of vergence eye movements leads to the accommodation control and creation of a structural track of adaptation during the training. As a result of trainings a functional correction of visual acuity is possible in patients with spasm of accommodation or myopia (of low and moderate degrees). The proposed method was used for training of 37 school children with spasm of accommodation and 223 patients with myopia of low and moderate degrees. The visual acuity of all the training participants improved by 5-75 per cent. The results of the visual acuity improvement depend on the patient’s visual system flexibility and his/her scrupulous following the instructions given during the training.