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Purpose: We present a new method for identifying the absolute location (i.e., relative to the optic disc) of the preferred retinal location (PRL) simultaneously for the two eyes of patients with central vision loss. For this, we used a binocular eye-tracking system that determines the pupillary axes of both eyes without a user calibration routine., Methods: During monocular viewing, we measured the pupillary axis and the angle between it and the visual axis (angle Kappa) for 10 eyes with normal vision. We also determined their fovea location relative to the middle of the optic disc with the MP-1 microperimeter. Then, we created a transformation between the eye-tracking and microperimeter measurements. We used this transformation to predict the absolute location of the monocular and binocular PRLs of nine patients with central vision loss. The accuracy of the monocular prediction was evaluated with the microperimeter. The binocular PRLs were checked for retinal correspondence and functionality by placing them on fundus photographs., Results: The transformation yielded an average error for the monocular measures of 0.2 (95% confidence interval, 1.0 to -0.6 degrees) horizontally and 0.5 (95% confidence interval, 1.1 to -0.1 degrees) vertically. The predicted binocular measures showed that the PRLs were generally in corresponding locations in the two eyes. One patient whose PRLs were not in corresponding positions complained about diplopia. For all patients, at least one PRL fell onto functional retina during binocular viewing., Conclusions: This study shows that measurements of the location of the binocular PRLs relative to the pupillary axes can be transformed into absolute locations.

Purpose: The goal of this study was to explore binocular coordination during fixation in patients with age-related macular degeneration (AMD) and to investigate whether there is a shift in eye position when the viewing condition changes from binocular to monocular., Methods: Sixteen people with normal vision and 12 patients with AMD were asked to look at a 3 deg fixation target with both eyes and with each eye individually while the fellow eye was covered by an infrared filter. Fixational eye movements were recorded for both eyes with an EyeLink eye-tracker in all conditions. The shift in eye position at the end of every fixation period was calculated for each eye., Results: All people with normal vision as well as the majority of patients had good binocular coordination during fixation in the binocular viewing condition. When the viewing condition changed from binocular to monocular, three patients (25%) had atypical shifts in their eye position. The shift was related to (1) loss of fixational control when the better eye was covered and the worse eye viewed the target or (2) a slow drift of the viewing eye that was associated with a large phoria in the covered eye., Conclusions: Patients with AMD have good binocular ocular motor coordination during fixation. A change in viewing condition from binocular to monocular can lead to disturbances in ocular motor control for some patients, especially in the worse eye.

Purpose: The authors examined the fixation stability patterns of people with age-related macular degeneration (AMD) using the MP-1 microperimeter and describe a method to bypass some calibration artifacts that can influence the fixation results., Method: The preferred retinal locus (PRL) and fixation patterns of 37 eyes with AMD and the fovea's location relative to the middle of the optic disc of 10 experienced controls were measured. For the patients, fixation characteristics such as the former fovea's location, PRL distance, and fixation stability were analyzed., Results: For the controls, the mean foveal distance temporal to the middle of the optic disc was 15.5 deg +/- 0.86 deg horizontally and -1.33 deg +/- 0.71 deg vertically. Thirty-one out of 37 PRLs occurred in the upper and right quadrants of the retina. There were significant positive correlations between fixation stability and PRL distance from the former fovea. Time since diagnosis and acuity also showed positive correlations with fixation stability and PRL distance from the fovea., Conclusions: The authors recommend that fixation stability recorded with the MP-1 be analyzed based on the raw data. Most of the fixation parameters obtained agree with those reported in the literature, if proper calibration is used.