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A clinical scale fully dedicated to evaluating ocular motor abnormalities is required for now. We investigated the utility of a recently developed Scale for Ocular motor Disorders in Ataxia (SODA) in patients with multiple system atrophy (MSA). We prospectively assessed SODA in consecutive patients with MSA between August 2021 and August 2023 at the Korea University Medical Center. The results of the clinical exam-based SODA were compared with those measured using video-oculography (VOG-guided SODA). We also compared the findings with other established clinical scales targeting patients with MSA, including the Unified Multiple System Atrophy Rating Scale (UMSARS) I-II, Movement Disorder Society-Unified Parkinson's Disease Rating Scale motor part (UPDRS-III), Scale for Assessment of Rating of Ataxia (SARA), Composite Autonomic Symptom Score-31 (COMPASS-31), and Composite Autonomic Severity Score (CASS). Twenty patients were enrolled in our study (17 with cerebellar-type MSA and three with Parkinson-type MSA). Scores ranged from 1 to 14 (median [interquartile range (IQR)] = 8 [5-10]). Among the subscales, saccades had a median score of 2.5 (IQR = 1-3), followed by ocular pursuit (1 [0-1]), nystagmus (1 [0-2]), saccadic intrusions (1 [0-1]), vestibulo-ocular reflex (VOR) (0.5 [0-1]), ocular alignment (0 [0-1]), and VOR cancellation (1 [0-1]). The clinical-exam-based SODA (p = 0.020) and VOG-guided SODA (p = 0.034) positively correlated with disease duration. No correlation was found between clinical exam-based SODA and other scales. Skew deviation, gaze-evoked nystagmus, VOR cancellation, and smooth pursuit had the highest precision among the items. Ocular misalignment and spontaneous and positional nystagmus were frequently false positive and were poorly detected with clinical exam-based SODA. Six patients with repeated evaluation exhibited higher scores, along with deterioration documented on other clinical scales. The SODA can reliably predict neurodegeneration as an additional clinical surrogate in MSA., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

The differentiation between continuous and discrete actions is key for behavioral neuroscience. Although many studies have characterized eye-hand coordination during discrete (e.g., reaching) and continuous (e.g., pursuit tracking) actions, all these studies were conducted separately, using different setups and participants. In addition, how eye-hand coordination might operate at the frontier between discrete and continuous movements remains unexplored. Here we filled these gaps by means of a task that could elicit different movement dynamics. Twenty-eight participants were asked to simultaneously track with their eyes and a joystick a visual target that followed an unpredictable trajectory and whose position was updated at different rates (from 1.5 to 240 Hz). This procedure allowed us to examine actions ranging from discrete point-to-point movements (low refresh rate) to continuous pursuit (high refresh rate). For comparison, we also tested a manual tracking condition with the eyes fixed and a pure eye tracking condition (hand fixed). The results showed an abrupt transition between discrete and continuous hand movements around 3 Hz contrasting with a smooth trade-off between fixations and smooth pursuit. Nevertheless, hand and eye tracking accuracy remained strongly correlated, with each of these depending on whether the other effector was recruited. Moreover, gaze-cursor distance and lag were smaller when eye and hand performed the task conjointly than separately. Altogether, despite some dissimilarities in eye and hand dynamics when transitioning between discrete and continuous movements, our results emphasize that eye-hand coordination continues to smoothly operate and support the notion of synergies across eye movement types. NEW & NOTEWORTHY The differentiation between continuous and discrete actions is key for behavioral neuroscience. By using a visuomotor task in which we manipulate the target refresh rate to trigger different movement dynamics, we explored eye-hand coordination all the way from discrete to continuous actions. Despite abrupt changes in hand dynamics, eye-hand coordination continues to operate via a gradual trade-off between fixations and smooth pursuit, an observation confirming the notion of synergies across eye movement types.

The sudden onset of a visual object or event elicits an inhibition of eye movements at latencies approaching the minimum delay of visuomotor conductance in the brain. Typically, information presented via multiple sensory modalities, such as sound and vision, evokes stronger and more robust responses than unisensory information. Whether and how multisensory information affects ultra-short latency oculomotor inhibition is unknown. In two experiments, we investigate smooth pursuit and saccadic inhibition in response to multisensory distractors. Observers tracked a horizontally moving dot and were interrupted by an unpredictable visual, auditory, or audiovisual distractor. Distractors elicited a transient inhibition of pursuit eye velocity and catch-up saccade rate within ∼100 ms of their onset. Audiovisual distractors evoked stronger oculomotor inhibition than visual- or auditory-only distractors, indicating multisensory response enhancement. Multisensory response enhancement magnitudes were equal to the linear sum of responses to component stimuli. These results demonstrate that multisensory information affects eye movements even at ultra-short latencies, establishing a lower time boundary for multisensory-guided behavior. We conclude that oculomotor circuits must have privileged access to sensory information from multiple modalities, presumably via a fast, subcortical pathway.

Humans can accurately estimate and track object motion, even if it accelerates. Research shows that humans exhibit superior estimation and tracking performance for descending (falling) than ascending (rising) objects. Previous studies presented ascending and descending targets along the gravitational and body axes in an upright posture. Thus, it is unclear whether humans rely on congruent information between the direction of the target motion and gravity or the direction of the target motion and longitudinal body axes. Two experiments were conducted to explore these possibilities. In Experiment 1, participants estimated the arrival time at a goal for both upward and downward motion of targets along the longitudinal body axis in the upright (both axes of target motion and gravity congruent) and supine (both axes incongruent) postures. In Experiment 2, smooth pursuit eye movements were assessed while tracking both targets in the same postures. Arrival time estimation and smooth pursuit eye movement performance were consistently more accurate for downward target motion than for upward motion, irrespective of posture. These findings suggest that the visual experience of seeing an object moving along an observer's leg side in everyday life may influence the ability to accurately estimate and track the descending object's motion.

The ability to accurately perceive and track moving objects is crucial for many everyday activities. In this study, we use a "double-drift stimulus" to explore the processing of visual motion signals that underlie perception, pursuit, and saccade responses to a moving object. Participants were presented with peripheral moving apertures filled with noise that either drifted orthogonally to the aperture's direction or had no net motion. Participants were asked to saccade to and track these targets with their gaze as soon as they appeared and then to report their direction. In the trials with internal motion, the target disappeared at saccade onset so that the first 100 ms of the postsaccadic pursuit response was driven uniquely by peripheral information gathered before saccade onset. This provided independent measures of perceptual, pursuit, and saccadic responses to the double-drift stimulus on a trial-by-trial basis. Our analysis revealed systematic differences between saccadic responses, on one hand, and perceptual and pursuit responses, on the other. These differences are unlikely to be caused by differences in the processing of motion signals because both saccades and pursuits seem to rely on shared target position and velocity information. We conclude that our results are instead due to a difference in how the processing mechanisms underlying perception, pursuit, and saccades combine motor signals with target position. These findings advance our understanding of the mechanisms underlying dissociation in visual processing between perception and eye movements.

Smooth pursuit eye movements respond on the basis of both immediate and anticipated target motion, where anticipations may be derived from either memory or perceptual cues. To study the combined influence of both immediate sensory motion and anticipation, subjects pursued clear or noisy random dot kinematograms (RDKs) whose mean directions were chosen from Gaussian distributions with SDs = 10° (narrow prior) or 45° (wide prior). Pursuit directions were consistent with Bayesian theory in that transitions over time from dependence on the prior to near total dependence on immediate sensory motion (likelihood) took longer with the noisier RDKs and with the narrower, more reliable, prior. Results were fit to Bayesian models in which parameters representing the variability of the likelihood either were or were not constrained to be the same for both priors. The unconstrained model provided a statistically better fit, with the influence of the prior in the constrained model smaller than predicted from strict reliability-based weighting of prior and likelihood. Factors that may have contributed to this outcome include prior variability different from nominal values, low-level sensorimotor learning with the narrow prior, or departures of pursuit from strict adherence to reliability-based weighting. Although modifications of, or alternatives to, the normative Bayesian model will be required, these results, along with previous studies, suggest that Bayesian approaches are a promising framework to understand how pursuit combines immediate sensory motion, past history, and informative perceptual cues to accurately track the target motion that is most likely to occur in the immediate future. NEW & NOTEWORTHY Smooth pursuit eye movements respond on the basis of anticipated, as well as immediate, target motions. Bayesian models using reliability-based weighting of previous (prior) and immediate target motions (likelihood) accounted for many, but not all, aspects of pursuit of clear and noisy random dot kinematograms with different levels of predictability. Bayesian approaches may solve the long-standing problem of how pursuit combines immediate sensory motion and anticipation of future motion to configure an effective response.

Movement disorders such as Parkinson's disease (PD) impact oculomotor function - the ability to move the eyes accurately and purposefully to serve a multitude of sensory, cognitive, and secondary motor tasks. Decades of neurophysiological research in monkeys and behavioral studies in humans have characterized the neural basis of healthy oculomotor control. This review links eye movement abnormalities in persons living with PD to the underlying neurophysiological mechanisms and pathways. Building on this foundation, we highlight recent progress in using eye movements to gauge symptom severity, assess treatment effects, and serve as potential precision biomarkers. We conclude that whereas eye movements provide insights into PD mechanisms, based on current evidence they appear to lack sufficient sensitivity and specificity to serve as a standalone diagnostic tool. Their full potential may be realized when combined with other disease indicators in big datasets., Competing Interests: Declaration of interests The authors have no conflicts of interest to declare., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

In daily life, sensorimotor integration processes are fundamental for many cognitive operations. The pursuit-tracking paradigm is an ecological and valid paradigm to examine sensorimotor integration processes in a more complex environment than many established tasks that assess simple motor responses. However, the analysis of pursuit-tracking performance is complicated, and parameters quantified to examine performance are sometimes ambiguous regarding their interpretation. We introduce an open-source algorithm (TRACK) to calculate a new tracking error metric, the spatial error, based on the identification of the intended target position for the respective cursor position. The identification is based on assigning cursor and target direction changes to each other as key events, based on the assumptions of similarity and proximity. By applying our algorithm to pursuit-tracking data, beyond replication of known effects such as learning or practice effects, we show a higher precision of the spatial tracking error, i.e., it fits our behavioral data better than the temporal tracking error and thus provides new insights and parameters for the investigation of pursuit-tracking behavior. Our work provides an important step towards fully utilizing the potential of pursuit-tracking tasks for research on sensorimotor integration processes., (© 2023. The Author(s).)

Amyotrophic lateral sclerosis (ALS) can result into an incomplete locked in state (iLIS), in which communication depends on eye tracking computer devices. Oculomotor function impairments in ALS have been reported, but there is little research, particularly with respect to patients in iLIS. In the present study, we compared reflexive and executive oculomotor function by means of an eye tracking test battery between three groups: advanced ALS patients in iLIS (n = 22), patients in early to middle ALS stages (n = 44) and healthy subjects (n = 32). Patients with ALS showed significant deteriorations in oculomotor functions, with stronger impairments in iLIS. More specifically, ALS patients produced visually guided prosaccades with longer latencies and more frequent hypometria compared to healthy subjects. Longest latencies were obtained in iLIS patients, with a stronger prolongation for vertical than for horizontal prosaccades. ALS patients made more antisaccade errors and generated antisaccades with longer latencies. Smooth pursuit was also impaired in ALS. In the earlier ALS stages, bulbar onset patients presented stronger antisaccade and smooth pursuit deficits than spinal onset patients. Our findings reveal a relevant deterioration of important oculomotor functions in ALS, which increases in iLIS. It includes impairments of reflexive eye movements to loss of executive inhibitory control, indicating a progressing pathological involvement of prefrontal, midbrain and brainstem areas. The assessment of oculomotor functions may therefore provide clinically relevant bio- and progression marker, particularly in advanced ALS., (© 2023. The Author(s).)

Eye tracking accuracy is affected in individuals with vision and oculomotor deficits, impeding our ability to answer important scientific and clinical questions about these disorders. It is difficult to disambiguate decreases in eye movement accuracy and changes in accuracy of the eye tracking itself. We propose the EyeRobot-a low-cost, robotic oculomotor simulator capable of emulating healthy and compromised eye movements to provide ground truth assessment of eye tracker performance, and how different aspects of oculomotor deficits might affect tracking accuracy and performance. The device can operate with eccentric optical axes or large deviations between the eyes, as well as simulate oculomotor pathologies, such as large fixational instabilities. We find that our design can provide accurate eye movements for both central and eccentric viewing conditions, which can be tracked by using a head-mounted eye tracker, Pupil Core. As proof of concept, we examine the effects of eccentric fixation on calibration accuracy and find that Pupil Core's existing eye tracking algorithm is robust to large fixation offsets. In addition, we demonstrate that the EyeRobot can simulate realistic eye movements like saccades and smooth pursuit that can be tracked using video-based eye tracking. These tests suggest that the EyeRobot, an easy to build and flexible tool, can aid with eye tracking validation and future algorithm development in healthy and compromised vision., (© 2022. The Psychonomic Society, Inc.)

The neural networks subserving smooth pursuit eye movements (SPEM) provide an ideal model for investigating the interaction of sensory processing and motor control during ongoing movements. To better understand core plasticity aspects of sensorimotor processing for SPEM, normative sham, anodal or cathodal transcranial direct current stimulation (tDCS) was applied over visual area V5 and frontal eye fields (FEF) in sixty healthy participants. The identical within-subject paradigm was used to assess SPEM modulations by practice. While no specific tDCS effects were revealed, within- and between-session practice effects indicate plasticity of top-down extraretinal mechanisms that mainly affect SPEM in the absence of visual input and during SPEM initiation. To explore the potential of tDCS effects, individual electric field simulations were computed based on calibrated finite element head models and individual functional localization of V5 and FEF location (using functional MRI) and orientation (using combined EEG/MEG) was conducted. Simulations revealed only limited electric field target intensities induced by the applied normative tDCS montages but indicate the potential efficacy of personalized tDCS for the modulation of SPEM. In sum, results indicate the potential susceptibility of extraretinal SPEM control to targeted external neuromodulation (e.g., personalized tDCS) and intrinsic learning protocols., (© 2023. The Author(s).)

Previous research has investigated the degree of congruency in gaze metrics between action execution (AE) and motor imagery (MI) for similar manual tasks. Although eye movement dynamics seem to be limited to relatively simple actions toward static objects, there is little evidence of how gaze parameters change during imagery as a function of more dynamic spatial and temporal task demands. This study examined the similarities and differences in eye movements during AE and MI for an interception task. Twenty-four students were asked to either mentally simulate or physically intercept a moving target on a computer display. Smooth pursuit, saccades, and response time were compared between the two conditions. The results show that MI was characterized by higher smooth pursuit gain and duration while no meaningful differences were found in the other parameters. The findings indicate that eye movements during imagery are not simply a duplicate of what happens during actual performance. Instead, eye movements appear to vary as a function of the interaction between visuomotor control strategies and task demands., (© 2023 The Authors. Psychophysiology published by Wiley Periodicals LLC on behalf of Society for Psychophysiological Research.)

In the current study, we used abrupt-onset distractors similar and dissimilar in luminance to the target of a smooth pursuit eye-movement to test if abrupt-onset distractors capture attention in a top-down or bottom-up fashion while the eyes track a moving object. Abrupt onset distractors were presented at different positions relative to the current position of a pursuit target during the closed-loop phase of smooth pursuit. Across experiments, we varied the duration of the distractors, their motion direction, and task-relevance. We found that abrupt-onset distractors decreased the gain of horizontally directed smooth-pursuit eye-movements. This effect, however, was independent of the similarity in luminance between distractor and target. In addition, distracting effects on horizontal gain were the same, regardless of the exact duration and position of the distractors, suggesting that capture was relatively unspecific and short-lived (Experiments 1 and 2). This was different with distractors moving in a vertical direction, perpendicular to the horizontally moving target. In line with past findings, these distractors caused suppression of vertical gain (Experiment 3). Finally, making distractors task-relevant by asking observers to report distractor positions increased the pursuit gain effect of the distractors. This effect was also independent of target-distractor similarity (Experiment 4). In conclusion, the results suggest that a strong location signal exerted by the pursuit targets led to very brief and largely location-unspecific interference through the abrupt onsets and that this interference was bottom-up, implying that the control of smooth pursuit was independent of other target features besides its motion signal., (© 2023 The Authors. Psychophysiology published by Wiley Periodicals LLC on behalf of Society for Psychophysiological Research.)

Following previous studies documenting the ability to generate anticipatory responses, we tested whether the repeated motion of a visual target along the same path affected its oculomotor tracking. In six rhesus monkeys, we evaluated how the frequency of a target path influenced the onset, accuracy, and velocity of eye movements. Three hundred milliseconds after its extinction, a central target reappeared and immediately moved toward the periphery in four possible (oblique) directions and at a constant speed (20°/s or 40°/s). During each daily session, the frequency of one motion direction was either uncertain (25% of trials) or certain (100% of trials). Our results show no reduction of saccade latency between the two sessions. No express saccades were observed in either session. A slow eye movement started after target onset (presaccadic glissade) and its velocity was larger during the "certain" sessions only with the 40°/s target. No anticipatory eye movement was observed. Longer intersaccadic intervals were found during the "certain" sessions but the postsaccadic pursuit velocity exhibited no change. No correlation was found between the accuracy and precision of saccades (interceptive or catch-up) and the postsaccadic pursuit velocity. Repeatedly tracking a target that moves always along the same path does not favor the generation of anticipatory eye movements, saccadic or slow. Their occurrence is not spontaneous but seems to require preliminary training. Finally, for both sessions, the lack of correlation between the saccade-related and pursuit-related kinematic parameters is consistent with separate control of saccadic and slow eye movements. NEW & NOTEWORTHY Following previous studies documenting anticipatory movements, we investigated how the frequency of occurrence of a target path influenced the generation of tracking eye movements. When present, the effects were small. The limited performance that we found suggests that anticipatory responses require preliminary training, in which case, they should not be considered as a behavioral marker of the primates' ability to extrapolate but the outcome of learning and remembering past experience.

Background: Eye tracking is a promising method for objectively assessing functional visual capabilities, but its suitability remains unclear when assessing the vision of people with vision impairment. In particular, accurate eye tracking typically relies on a stable and reliable image of the pupil and cornea, which may be compromised by abnormalities associated with vision impairment (e.g., nystagmus, aniridia)., Objectives: This study aimed to establish the degree to which video-based eye tracking can be used to assess visual function in the presence of vision impairment., Data Sources: A systematic review was conducted using PubMed, EMBASE, and Web of Science databases, encompassing literature from inception to July 2022., Study Eligibility Criteria, Participants, and Interventions: Studies included in the review used video-based eye tracking, included individuals with vision impairment, and used screen-based tasks unrelated to practiced skills such as reading or driving., Study Appraisal and Synthesis Methods: The included studies were assessed for quality using the Strengthening the Reporting of Observational Studies in Epidemiology assessment tool. Data extraction and synthesis were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines., Results: Our analysis revealed that five common tests of visual function were used: (i) fixation stability, (ii) smooth pursuit, (iii) saccades, (iv) free viewing, and (v) visual search. The studies reported considerable success when testing individuals with vision impairment, yielding usable data from 96.5% of participants., Limitations: There was an overrepresentation of conditions affecting the optic nerve or macula and an underrepresentation of conditions affecting the anterior segment or peripheral retina., Conclusions and Implications of Key Findings: The results offer promise for the use of eye tracking to assess the visual function of a considerable proportion of those with vision impairment. Based on the findings, we outline a framework for how eye tracking can be used to test visual function in the presence of vision impairment., Competing Interests: Conflict of Interest Disclosure: None of the authors have reported a financial conflict of interest., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Optometry.)

The complexity of natural scenes makes it challenging to experimentally study the mechanisms behind human gaze behavior when viewing dynamic environments. Historically, eye movements were believed to be driven primarily by space-based attention towards locations with salient features. Increasing evidence suggests, however, that visual attention does not select locations with high saliency but operates on attentional units given by the objects in the scene. We present a new computational framework to investigate the importance of objects for attentional guidance. This framework is designed to simulate realistic scanpaths for dynamic real-world scenes, including saccade timing and smooth pursuit behavior. Individual model components are based on psychophysically uncovered mechanisms of visual attention and saccadic decision-making. All mechanisms are implemented in a modular fashion with a small number of well-interpretable parameters. To systematically analyze the importance of objects in guiding gaze behavior, we implemented five different models within this framework: two purely spatial models, where one is based on low-level saliency and one on high-level saliency, two object-based models, with one incorporating low-level saliency for each object and the other one not using any saliency information, and a mixed model with object-based attention and selection but space-based inhibition of return. We optimized each model's parameters to reproduce the saccade amplitude and fixation duration distributions of human scanpaths using evolutionary algorithms. We compared model performance with respect to spatial and temporal fixation behavior, including the proportion of fixations exploring the background, as well as detecting, inspecting, and returning to objects. A model with object-based attention and inhibition, which uses saliency information to prioritize between objects for saccadic selection, leads to scanpath statistics with the highest similarity to the human data. This demonstrates that scanpath models benefit from object-based attention and selection, suggesting that object-level attentional units play an important role in guiding attentional processing., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Roth et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Smooth pursuit eye movements are mainly driven by motion signals to achieve their goal of reducing retinal motion blur. However, they can also show anticipation of predictable movement patterns. Oculomotor predictions may rely on an internal model of the target kinematics. Most investigations on the nature of those predictions have concentrated on simple stimuli, such as a decontextualized dot. However, biological motion is one of the most important visual stimuli in regulating human interaction and its perception involves integration of form and motion across time and space. Therefore, we asked whether there is a specific contribution of an internal model of biological motion in driving pursuit eye movements. Unlike previous contributions, we exploited the cyclical nature of walking to measure eye movement's ability to track the velocity oscillations of the hip of point-light walkers. We quantified the quality of tracking by cross-correlating pursuit and hip velocity oscillations. We found a robust correlation between signals, even along the horizontal dimension, where changes in velocity during the stepping cycle are very subtle. The inversion of the walker and the presentation of the hip-dot without context incurred the same additional phase lag along the horizontal dimension. These findings support the view that information beyond the hip-dot contributes to the prediction of hip kinematics that controls pursuit. We also found a smaller phase lag in inverted walkers for pursuit along the vertical dimension compared to upright walkers, indicating that inversion does not simply reduce prediction. We suggest that pursuit eye movements reflect the visual processing of biological motion and as such could provide an implicit measure of higher-level visual function., (Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.)

Objective: We present a novel framework for the detection and continuous evaluation of 3D motion perception by deploying a virtual reality environment with built-in eye tracking., Methods: We created a biologically-motivated virtual scene that involved a ball moving in a restricted Gaussian random walk against a background of 1/f noise. Sixteen visually healthy participants were asked to follow the moving ball while their eye movements were monitored binocularly using the eye tracker. We calculated the convergence positions of their gaze in 3D using their fronto-parallel coordinates and linear least-squares optimization. Subsequently, to quantify 3D pursuit performance, we employed a first-order linear kernel analysis known as the Eye Movement Correlogram technique to separately analyze the horizontal, vertical and depth components of the eye movements. Finally, we checked the robustness of our method by adding systematic and variable noise to the gaze directions and re-evaluating 3D pursuit performance., Results: We found that the pursuit performance in the motion-through depth component was reduced significantly compared to that for fronto-parallel motion components. We found that our technique was robust in evaluating 3D motion perception, even when systematic and variable noise was added to the gaze directions., Conclusion: The proposed framework enables the assessment of 3D Motion perception by evaluating continuous pursuit performance through eye-tracking., Significance: Our framework paves the way for a rapid, standardized and intuitive assessment of 3D motion perception in patients with various eye disorders.

Visual motion drives smooth pursuit eye movements through a sensory-motor decoder that uses multiple parallel neural pathways to transform the population response in extrastriate area MT into movement. We evaluated the decoder by challenging pursuit in monkeys with reduced motion reliability created by reducing coherence of motion in patches of dots. Our strategy was to determine how reduced dot coherence changes the population response in MT. We then predicted the properties of a decoder that transforms the MT population response into dot coherence-induced deficits in the initiation of pursuit and steady-state tracking. During pursuit initiation, decreased dot coherence reduces MT population response amplitude without changing the preferred speed at its peak. The successful decoder reproduces the measured eye movements by multiplication of 1 ) the estimate of target speed from the peak of the population response with 2 ) visual-motor gain based on the amplitude of the population response. During steady-state tracking, the decoder that worked for pursuit initiation failed to reproduce the paradox that steady-state eye speeds do not accelerate to the target speed despite persistent image motion. It predicted eye acceleration to target speed even when monkeys' eye speeds were steady at well below the target speed. To account for the effect of dot coherence on steady-state eye speed, we postulate that the decoder uses sensory-motor gain to modulate the eye velocity positive feedback that normally sustains perfect steady-state tracking. Then, poor steady-state tracking persists because of balance between eye deceleration caused by low positive feedback gain and acceleration driven by MT. NEW & NOTEWORTHY By challenging a sensory-motor system with degraded sensory stimuli, we reveal how the sensory-motor decoder transforms the population response in extrastriate area MT into commands for the initiation and steady-state behavior of smooth pursuit eye movements. Conclusions are based on measuring population responses in MT for multiple target speeds and different levels of motion reliability and evaluating a decoder with a biologically motivated architecture to determine the decoder properties that create the measured eye movements.

Background: Conjugate horizontal eye deviation away from the side of the lesion, termed Wrong Way Eyes (WWE), is a rare manifestation of supratentorial lesions. The proposed etiologic hypotheses include seizure activity, compression of contralateral horizontal gaze pathways from mass effect or midline shift, and asymmetry of hemispheric smooth pursuit mechanisms. We present neurophysiological evidence that favors the asymmetry of hemispheric smooth pursuit hypothesis., Methods: Electroencephalography (EEG) was performed in 2 patients with large left hemispheric supratentorial lesions, capturing fluctuating periods of (a) unresponsiveness with WWE and (b) relative alertness without WWE. One patient had 5 days of continuous EEG, and the other routine EEG., Results: Neither patient had seizures. EEG showed normal right hemispheric activity during both unresponsiveness with WWE and alertness without WWE states. By contrast, more severe left hemispheric dysfunction was evident in the WWE state compared with the non-WWE state in both patients. In one patient, during the relatively alert state, right-beating nystagmus was observed, and drift of the eyes away from the side of the lesion was reliably seen to occur on eyelid closure and after ipsiversive volitional saccades., Conclusions: Seizure activity does not account for WWE. Compression of contralateral horizontal gaze pathways is also unlikely to account for WWE as that hypothetical mechanism should produce EEG abnormalities over the nonlesioned hemisphere, which were not seen. The findings suggest instead that a single dysfunctional hemisphere is sufficient to produce WWE. The repeated rightward drift of the eyes and nystagmus seen in one patient during relative alertness, and the observation of unilateral hemispheric dysfunction on EEG during unresponsiveness with WWE in both patients supports the idea that an imbalance of smooth pursuit mechanisms is most likely to account for this rare phenomenon., Competing Interests: The authors report no conflicts of interest., (Copyright © 2023 by North American Neuro-Ophthalmology Society.)

Despite commonly investigated predictable smooth-pursuit neck-torsion tasks (SPNT) in neck pain patients, unpredictable conditions have been seldom investigated but are indicative of preserved oculomotor functions during neck torsion. Although not previously studied, some speculations about compensatory cognitive mechanisms such as increased phasic alertness during unpredictable tasks were suggested. The aim of this study was to investigate eye movement accuracy and pupillometric responses during predictable and unpredictable SPNT test in neck pain patients and asymptomatic controls. Eye movements (gain and SPNT-difference) and pupillometry indicative of tonic (average and relative pupil diameter) and phasic (index of cognitive activity-ICA) alertness were measured in 28 idiopathic neck pain patients and 30 asymptomatic individuals using infrared video-oculography during predictable and unpredictable SPNT test. Gain in unpredictable SPNT test was lower as compared to predictable tasks and presented with similar levels in neutral and neck torsion positions, but not in the predictable SPNT test. ICA was lower during neutral position in all tasks in patients as compared to control group but increased during neck torsion positions in unpredictable tasks. Relative pupil diameters presented with no differences between the groups or neck positions, but the opposite was observed for average pupil diameter. Higher ICA indicates an increase in phasic alertness in neck pain patients despite no alterations in oculomotor control during SPNT test. This is the first study to indicate cognitive deficits in oculomotor task in neck pain patients. The latter could negatively affect other tasks where additional cognitive resources must be involved., (© 2023. The Author(s).)

Top-down modulation is an essential cognitive component in human perception. Despite mounting evidence of top-down perceptual modulation in adults, it is largely unknown whether infants can engage in this cognitive function. Here, we examined top-down modulation of motion perception in 6- to 8-month-old infants (recruited in North America) via their smooth-pursuit eye movements. In four experiments, we demonstrated that infants' perception of motion direction can be flexibly shaped by briefly learned predictive cues when no coherent motion is available. The current findings present a novel insight into infant perception and its development: Infant perceptual systems respond to predictive signals engendered from higher-level learning systems, leading to a flexible and context-dependent modulation of perception. This work also suggests that the infant brain is sophisticated, interconnected, and active when placed in a context in which it can learn and predict.

During natural viewing, we often recognize multiple objects, detect their motion, and select one object as the target to track. It remains to be determined how such behavior is guided by the integration of visual form and motion perception. To address this, we studied how monkeys made a choice to track moving targets with different forms by smooth pursuit eye movements in a two-target task. We found that pursuit responses were biased toward the motion direction of a target with a hole. By computing the relative weighting, we found that the target with a hole exhibited a larger weight for vector computation. The global hole feature dominated other form properties. This dominance failed to account for changes in pursuit responses to a target with different forms moving singly. These findings suggest that the integration of visual form and motion perception can reshape the competition in sensorimotor networks to guide behavioral selection., (© 2023. Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences.)

Prior knowledge facilitates our perception and goal-directed behaviors, particularly when sensory input is lacking or noisy. However, the neural mechanisms underlying the improvement in sensorimotor behavior by prior expectations remain unknown. In this study, we examine the neural activity in the middle temporal (MT) area of visual cortex while monkeys perform a smooth pursuit eye movement task with prior expectation of the visual target's motion direction. Prior expectations discriminately reduce the MT neural responses depending on their preferred directions, when the sensory evidence is weak. This response reduction effectively sharpens neural population direction tuning. Simulations with a realistic MT population demonstrate that sharpening the tuning can explain the biases and variabilities in smooth pursuit, suggesting that neural computations in the sensory area alone can underpin the integration of prior knowledge and sensory evidence. State-space analysis further supports this by revealing neural signals of prior expectations in the MT population activity that correlate with behavioral changes.

High-level athletes can predict the actions of an opposing player. Interestingly, such predictions are also reflected by the athlete's gaze behavior. In cricket, for example, players first pursue the ball with their eyes before they very often initiate two predictive saccades: one to the predicted ball-bounce point and a second to the predicted ball-bat-contact point. That means, they move their eyes ahead of the ball and "wait" for the ball at the new fixation location, potentially using their peripheral vision to update information about the ball's trajectory. In this study, we investigated whether predictive saccades are linked to the processing of information in peripheral vision and if predictive saccades are superior to continuously following the ball with foveal vision using smooth-pursuit eye-movements (SPEMs). In the first two experiments, we evoked the typical eye-movements observed in cricket and showed that the information gathered during SPEMs is sufficient to predict when the moving object will hit the target location and that (additional) peripheral monitoring of the object does not help to improve performance. In a third experiment, we show that it could actually be beneficial to use SPEMs rather than predictive saccades to improve performance. Thus, predictive saccades ahead of a target are unlikely to be performed to enhance the peripheral monitoring of target., (© 2022. The Author(s).)

When stopping a closing door or catching an object, humans process the motion of inertial objects and apply reactive limb force over short period to interact with them. One way in which the visual system processes motion is through extraretinal signals associated with smooth pursuit eye movements (SPEMs). We conducted three experiments to investigate how SPEMs contribute to anticipatory and reactive hand force modulation when interacting with a virtual object moving in the horizontal plane. We hypothesized that SPEM signals are critical for timing motor responses, anticipatory control of hand force, and task performance. Participants held a robotic manipulandum and attempted to stop an approaching simulated object by applying a force impulse (area under force-time curve) that matched the object's virtual momentum upon contact. We manipulated the object's momentum by varying either its virtual mass or its speed under free gaze or constrained gaze conditions. We examined gaze variables, the timing of hand motor responses, anticipatory force control, and overall task performance. Our results show that when participants were fixated at a designated location instead of following objects with SPEM, anticipatory modulation of hand force before contact decreased. However, constraining gaze by asking participants to fixate did not seem to affect the timing of the motor response or the task performance. Together, these results suggest that SPEMs may be important for anticipatory control of hand force before contact and may also play a critical role in anticipatory stabilization of limb posture when humans interact with moving objects. NEW & NOTEWORTHY We show for the first time that smooth pursuit eye movements (SPEMs) play a role in the modulation of anticipatory control of hand force to stabilize posture against contact forces. SPEMs are critical for tracking moving objects, facilitate processing motion of moving objects, and are impacted during aging and in many neurological disorders, such as Alzheimer's disease and multiple sclerosis. These results provide a novel basis to probe how changes in SPEMs could contribute to deficient limb motor control in older adults and patients with neurological disorders.

Fixating a small dot is a universal technique for stabilizing gaze in vision and eye movement research, and for clinical imaging of normal and diseased retinae. During fixation, microsaccades and drifts occur that presumably benefit vision, yet microsaccades compromise image stability and usurp task attention. Previous work suggested that microsaccades and smooth pursuit catch-up saccades are controlled by similar mechanisms. This, and other previous work showing fewer catch-up saccades during smooth pursuit of peripheral targets suggested that a peripheral target might similarly mitigate microsaccades. Here, human observers fixated one of three stimuli: a small central dot, the center of a peripheral, circular array of small dots, or a central/peripheral stimulus created by combining the two. The microsaccade rate was significantly lower with the peripheral array than with the dot. However, inserting the dot into the array increased the microsaccade rate to single-dot levels. Drift speed also decreased with the peripheral array, both with and without the central dot. Eye position variability was higher with the array than with the composite stimulus. The results suggest that analogous to the foveal pursuit, foveating a stationary target engages the saccadic system likely compromising retinal-image stability. In contrast, fixating a peripheral stimulus improves stability, thereby affording better retinal imaging and releasing attention for experimental tasks., (© 2023. The Author(s).)

Background and Objectives: As the efficacy of current diagnostic methods for myasthenia gravis (MG) remains suboptimal, there is ongoing interest in developing more effective diagnostic models. As oculomotor fatigability is one of the most common and diagnostic symptoms in MG, we aimed to investigate whether quantitative saccadic and smooth-pursuit fatigability analyses with video-oculography (VOG) are useful for diagnosis of MG., Methods: A convenience cohort of 46 MG patients was recruited prospectively, including 35 with ocular and 11 with generalized MG (mean age, 50.9 ± 14.5 years; 17 females); 24 healthy controls (HCs) (mean age, 50.6 ± 16.3 years; 13 females) also were enrolled. Seventy-five repetitive saccades and smooth pursuits were recorded in ranges of 20° (horizontal plane) and 15° (vertical plane) using a three-dimensional VOG system. Based on the oculomotor range of the second saccade and smooth pursuit and the mean ranges of the last five of each, the estimated decrements (%) reflecting oculomotor fatigability were calculated., Results: The baseline oculomotor ranges did not show significant difference between the MG and HCs groups. However, following repetitive saccades and pursuits, the oculomotor ranges were decreased substantially during the last five cycles compared to baseline in the MG group. No such decrements were observed in the HC group (p < 0.01, Mann-Whitney U test). Receiver operating characteristic (ROC) analysis revealed that repetitive vertical saccades yielded the best differentiation between the MG and HC groups, with a sensitivity of 78.3% and specificity of 95.8% when using a decrement with an amplitude of 6.4% as the cutoff., Conclusion: This study presents an objective and reproducible method for measuring decrements of oculomotor ranges after repetitive saccadic and pursuit movements. Quantification of oculomotor fatigability using VOG could be a sensitive and specific diagnostic tool for MG and allows easy, cost-effective, accurate, and non-invasive measurements., Classification of Evidence: This study provides class III evidence that VOG-based quantification of saccadic and pursuit fatigability accurately identifies patients with MG., (© 2023. The Author(s).)