(Investigative Ophthalmology and Visual Science. 2001;42:2297-2302.)
© 2001
by The Association for Research in Vision and Ophthalmology, Inc.
Modification of Smooth Pursuit Initiation by a Nonvisual, Afferent Feedback Signal
Clifford R. Weir1,2 and
Paul C. Knox3
1 From the Vision Sciences, Glasgow Caledonian University, Scotland, United Kingdom; the
2 Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, Scotland, United Kingdom; and the
3 Division of Orthoptics, University of Liverpool, United Kingdom.
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Abstract
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PURPOSE. To investigate the role of extraocular muscle afferent signals in the
initiation and early maintenance of smooth-pursuit eye movements.
METHODS. A suction scleral contact lens was used to impede the movements of the
right eye while subjects tracked small targets in a stepramp pursuit
paradigm. Movements of the left eye were measured by infrared
oculography. Pursuit latency, eye acceleration, and velocity were
analyzed trial-by-trial and compared before, while, and after the right
eye was impeded.
RESULTS. When the right eye was impeded, initial acceleration and eye velocity
were reduced. Pursuit latency was unchanged. The velocity effect had a
rapid onset and offset; there was no evidence that the effects built up
over a number of trials. Detailed analysis suggested that the reduction
in velocity occurred approximately 40 msec after pursuit was initiated.
CONCLUSIONS. These results are consistent with the hypothesis that extraocular
muscle afferent signals provide a feedback signal of the movements of
the eyes that may be used to modify the initiation and early
maintenance of smooth pursuit on-line. It appears that for pursuit, as
with saccades, the priority in these conditions is to maintain
conjugacy.
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Introduction
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Co-ordinated movements of the eyes are essential to place
and then maintain the images of objects of interest on the fovea,
thereby ensuring a high level of visual acuity.1
For this
to occur accurately, the output of the oculomotor system (i.e., the
movement and position of the eyes) requires constant monitoring through
a combination of both visual and nonvisual feedback. There are two
potential sources of nonvisual information regarding eye position:
first, central monitoring of the oculomotor commands (efference copy or
corollary discharge; see Bridgeman2
and
Ruskell3
for reviews) and, second, afferent signals
derived from extraocular muscle (EOM) proprioceptors.4
5
Although the human EOMs are well endowed with intramuscular receptors,
the role of afferent signals arising from these receptors remains
controversial,5
6
and it is generally accepted that
efference copy is the predominant source of the nonvisual
feedback.2
3
A greater understanding of the role of EOM
afferent feedback in oculomotor control would not only be of scientific
interest, but also of clinical relevance, particularly because abnormal
EOM proprioception has been implicated in the cause of certain
oculomotor disorders, such as congenital esotropia.7
Recent studies have demonstrated that experimentally manipulating
afferent feedback signals from the EOM in human subjects modifies
static eye position8
and both memory and visually guided
saccades.9
10
However, saccades are only one aspect of the
human oculomotor repertoire. Given the rapid time course of all but the
very largest saccades, there is clearly little time available for an
afferent signal from the periphery to act in their control. It has
therefore been difficult to establish exactly how EOM afferent signals
modify them. By contrast, smooth pursuit has a much slower time course
because of the lower eye velocities involved. Although it has been
demonstrated that EOM afferent signals influence adaptive pursuit
responses to changes in target velocity over an adapting
period,11
nothing is known about the role of nonvisual
afferent signals in the initiation of smooth pursuit. Theoretically, a
nonvisual feedback signal might aid pursuit performance during the
initial open-loop phase of pursuit when visual feedback is not
available due to delays in the visual pathway. If the initiation of
smooth pursuit was modified by manipulating EOM afferent feedback, it
might also be possible to establish whether effects were consistent
with an on-line or parametric adaptive role for EOM afferent signals,
by investigating the time at which modifications were manifest.
We therefore investigated the effect of manipulating EOM afferent
signals on the initiation and early maintenance of smooth pursuit in
human subjects. We used a suction contact lens to acutely increase the
load under which the EOMs had to work, thus altering afferent feedback.
We examined the effect of this by monitoring the movements of the other
eye during stepramp pursuit tasks.
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Materials and Methods
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The experimental procedures followed the tenets of the
Declaration of Helsinki for research involving human subjects. Ethics
committee approval and informed consent were obtained before the study
began. Three adult male subjects (aged 2037 years) participated in
the experiment. Two naïve subjects (KB, JD) were tested on two
occasions and one subject (PCK, one of the authors) on three occasions.
Corrected visual acuities were 6/6 for each subject for each eye. Each
testing session consisted of three runs of either 52 or 96 trials.
The subjects viewed a computer monitor with the left eye from a
distance of 57 cm. The right eye was either occluded but free to move
or impeded and occluded by a suction contact lens and holder (described
later). Head movement was prevented using a chin rest and adjustable
cheek pads, with particular care taken to ensure that the head did not
move during either the placement or removal of the suction contact
lens. In runs of either 52 or 96 stepramp pursuit
tasks,12
subjects were presented with a central fixation
target (generated by a Visual Stimulus Generator; Cambridge Research
Systems, Rochester, UK), which appeared in the center of the monitor
for a random period of 0.5 to 1.5 sec. This was replaced by the
smooth-pursuit target, which appeared randomly 5° to the right or
left of fixation and then moved back through the center of the display
at a speed of 14 deg/sec. This task configuration was chosen because it
ensured that in most trials the beginning of smooth pursuit was not
obscured by the occurrence of an early saccadic eye movement (see Figs. 1 4
), and the pursuit responses of normal subjects had been thoroughly
investigated using these parameters previously.13
14
15
Horizontal movements of the left eye were recorded with an infrared
corneal reflection device (IRIS; Skalar Medical, Delft, The
Netherlands; spatial resolution of 0.1°), which was calibrated at the
beginning of each testing session. Eye position signals were digitized
at 1 kHz with 12-bit precision using a data aquisition interface (CED
µ1401; Cambridge Electronic Design, Ltd., Cambridge, UK). The eye
position and a time marker of the appearance of the pursuit target were
displayed on the computer screen; data from 100 msec before to 500 msec
after the appearance of the target were stored on disc for analysis
off-line.

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Figure 1. Example of response to a target that appeared 5° to the right
and moved at 14 deg/sec back through the center of the display.
Downward represents movement to left. Eye (A) position and
(B) velocity. Linear regressions (solid lines)
were fitted to velocity traces, 25 msec before to 25 msec after the
target appeared, and during the acceleration phase of the response. The
slope of the second line was used to estimate initial acceleration. The
intercept between the regression lines was taken as the time of
smooth-pursuit initiation (large arrows). Small upward
arrows: first 100-msec response, open-loop.
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Figure 4. Eye position (dashed line) and eye velocity
(solid line) during a single trial,
showing the four 20-msec epochs over which eye velocity was averaged.
For this trial, pursuit latency was 157 msec and the saccade latency
was 299 msec. Initial eye acceleration was 64 deg/sec2. Eye
velocity averaged over the four epochs was: 1.38 deg/sec, 2.42 deg/sec,
4.55 deg/sec, and 4.78 deg/sec.
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In the first and third runs of trials, the right eye was occluded but
free to move. In the second run the occluder was removed, and two drops
of local anesthetic (Proxymetacaine Minims; Chauvin, Essex, UK) were
instilled into the right eye before insertion of a suction scleral
contact lens.10
16
The lens had a central stalk that
fitted into a custom-built holder, and this prevented movement of the
lens, which in turn impeded, but did not prevent, movement of the right
eye. The lens was placed while the subjects head remained stabilized,
with care taken not to dislodge the eye tracker or move the head during
placement. Once in place, the pressure beneath the lens was reduced by
approximately 70 mm Hg, and pursuit targets were again presented to the
left eye. Recording began within 90 seconds of lens insertion. We
limited use of the lens to approximately 5 minutes in any testing
session and on completion of the experiment the intraocular pressure
and the corneal surface were examined. In a separate series of control
experiments, local anesthetic was instilled into the right eye and
pursuit data collected without the lens in place and with the right eye
occluded.
Data were analyzed using an analysis program that displayed the
recorded eye position, the calculated eye velocity, and the time at
which the pursuit target appeared. For each record in which target
appearance was preceded by steady fixation, the initial acceleration
and latency of the smooth pursuit response were calculated from traces
of eye velocity (see Fig. 1
). To objectively establish the time of initiation of smooth pursuit and
calculate latency, a regression technique was used.15
Briefly, two least-squares linear regression functions were fitted to
traces of eye velocity over a 50-msec period, the first from 25 msec
before to 25 msec after the target appeared, and the second during the
acceleration phase of the pursuit response. The slope of this second
line was used to estimate initial acceleration. The intercept between
these two regression lines was taken as the time of initiation of
smooth pursuit.
Smooth pursuit consists of two phases: approximately the first 100 msec
of pursuit is executed without the benefit of visual feedback (the
open-loop period). Thereafter, pursuit can be modified by visual
feedback and other nonretinal influences (closed-loop pursuit). To
assess pursuit performance during both of these phases, we measured eye
velocity at the end of the open-loop period 100 msec after pursuit
initiation, and at 200 msec, after an appreciable amount of closed-loop
pursuit. After pursuit is initiated, eye velocity often builds up to
peak before declining slightly and oscillating around the target
velocity. We measured the maximum slow eye velocity reached within 500
msec of pursuit initiation. Mean parameters were calculated and
compared statistically with Students t-test. To
investigate the time evolution of the effects observed, we also
examined eye velocity over the first 80 msec in more detail. For two of
the subjects in which the occurrence of the first saccade was
sufficiently delayed, each trial was divided into four 20-msec epochs
(020, 2040, 4060, and 6080 msec), and the mean eye velocity
calculated over this segment. Data were pooled across sessions and
subjects and the mean eye velocity for each epoch compared using
analysis of variance and Bonferronis multiple comparison test.
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Results
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All subjects were able to execute smooth pursuit eye movements
with reasonable accuracy. When the suction contact lens was placed on
the right eye, they reported no discomfort and had no difficulty in
visualizing the target with the left eye. None of the subjects reported
any difficulty in following the target with the lens in place. In
addition, no obvious difference in fixation or the quality of pursuit
was noted when compared with the control trials. A degree of slippage
under the lens was apparent, but a definite restriction of movement was
also observed.
The mean initial acceleration of the left eye decreased significantly
in all three subjects when the right eye was impeded by the suction
contact lens (Fig. 2A)
. Because both the pattern and magnitude of effect were very similar in
all three subjects, only pooled data are illustrated. For pursuit
movements made in response to targets moving from right to left, the
mean pooled acceleration decreased by 20% from 80 ± 22 to
64 ± 18 deg/sec2 (mean ± SD). This
reduction was statistically significant (t = 5.6,
P < 0.001). For pursuit movements made in response to
targets moving from left to right, the mean pooled acceleration
decreased by 17% from 82 ± 19 to 68 ± 16
deg/sec2 (t = 4.81,
P < 0.001).

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Figure 2. A comparison of left eye parameters before (black
bars) and while (open bars) the right eye
was impeded. Data pooled across subjects and sessions. Error bars, SD.
***Statistically significant differences between column pairs
(P < 0.001). Effect on (A) initial
acceleration, (B) eye velocity 100 msec after pursuit
initiation (maximum open-loop velocity), (C) velocity 200
msec after pursuit initiation, and (D) maximum slow eye
velocity.
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As might be expected, given the results on eye acceleration, eye
velocity during smooth pursuit initiation decreased in all subjects
when the right eye was impeded. The peak open-loop velocity, measured
100 msec after the initiation of pursuit, was reduced in all subjects
(Fig. 2B)
. For example, in subject PCK this reduction was from 5.1 ± 1.4 to 4.2 ± 1.1 deg/sec (t = 3.49;
P < 0.001) for targets moving from right to left, and
from 5.5 ± 1.2 to 4.7 ± 1.1 deg/sec for targets
moving from left to right (t = 3.63; P <
0.001). For the pooled data, velocity at this point was reduced by 15%
from 5.4 ± 1.6 to 4.6 ± 1.3 deg/sec (t = 3.52;
P < 0.001) and by 11% from 5.4 ± 1.1 to
4.8 ± 1.2 deg/sec (t = 3.6; P <
0.001) in response to targets moving from right to left and from left
to right, respectively (Fig. 2B) . At 200 msec after the initiation of
pursuit (i.e., well into the closed-loop phase), reductions in velocity
were still observed when the right eye was impeded. For example, in
subject PCK this reduction was from 12.8 ± 2.9 to 10.4 ±
2.2 deg/sec (t = 4.66; P < 0.001) for
targets moving from right to left and from 13.4 ± 2.4 to
11.2 ± 2.0 deg/sec (t = 5.16; P <
0.0001) for targets moving from left to right. For the pooled data, the
mean velocity was reduced by 14% from 12.8 ± 2.7 to 11 ±
2.4 deg/sec (t = 4.72; P < 0.001) and by
14% from 13.2 ± 2.3 to 11.4 ± 1.9 deg/sec (t =
5.22; P < 0.001) in response to targets moving from
right to left and from left to right, respectively (Fig. 2C) .
Peak velocity (the maximum slow eye velocity reached within 500 msec of
the initiation of pursuit) was also reduced in all subjects when the
right eye was impeded. For the pooled data, the mean velocity was
reduced by 17% from 14.3 ± 2.8 to 11.8 ± 2.6 deg/sec
(t = 9.1; P < 0.001) and by 12% from
14.9 ± 2.6 to 13.1 ± 3.4 deg/sec (t = 5.87;
P < 0.001) in response to targets moving from right to
left and from left to right, respectively (Fig. 2D)
.
These reductions in pursuit velocity were observed from the first trial
when the right eye was impeded. Figure 3
shows trial-by-trial mean velocities (data pooled across subjects and
sessions) for velocity at both 100 msec and 200 msec after the
initiation of pursuit. Individual data are similar. Linear regressions
of velocity on trial number for both the pooled and individual data
showed no significant difference in the slope from zero, and no
significant difference in the slope between the eye-free and
eye-impeded conditions. Thus, there was no evidence for a build-up in
the effect.

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Figure 3. Trial-by-trial pooled mean (±SEM) left eye velocity before
(filled symbols) and while (open symbols)
the right eye was impeded. Lines are linear regression lines calculated
from the data. Positive values: target moved from left to right.
Negative values: target moved from right to left. Eye velocity
(A) 100 msec after initiation of pursuit and (B)
200 msec after initiation of pursuit. Velocity was reduced from the
first trial and there was little indication that the reduction built up
during the run.
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Having found that impeding the right eye led to significant
reductions in left eye velocity as early as 100 msec after pursuit
initiation, we attempted to establish with more precision the time
point at which reductions in velocity first became apparent. In two of
the subjects (PCK and JD) the first saccade occurred relatively late in
their responses to target motions (Fig. 4)
. This made it possible to analyze the first 80 msec of the pursuit
response by averaging eye velocity over four 20-msec epochs from the
initiation of pursuit without having to either "desaccade" records
or reject large numbers of trials. Unsurprisingly, there was a
statistically significant difference overall in the means for both
leftward (F: 129.4, df = 7,1323; P <
0.0001) and rightward (F: 157.2, df = 7,1416;
P < 0.0001) pursuit when compared by ANOVA. Using
Bonferronis multiple comparison test to compare mean eye velocity in
impeded and free conditions, we found that there was no statistically
significant difference in mean velocity in the first (020 msec) or
second (2040 msec) epochs for either leftward or rightward pursuit
(P > 0.05; Fig. 5
). However, eye velocity was significantly reduced when the right eye
was impeded in both the third (4060 msec) and fourth (6080 msec)
epochs for both rightward (third: t = 3.8, P < 0.001; fourth: t = 5.3, P < 0.001) and
leftward (third: t = 4.5 P < 0.001; fourth:
t = 4.2, P < 0.001) pursuit. Thus, the
difference in velocity between the two conditions became significant at
approximately 40 msec.

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Figure 5. Mean (± SEM) left eye velocity over 20-msec epochs during the first 80
msec of the pursuit response before (filled symbols) and
while (open symbols) the right eye was impeded. Center
point of epoch is plotted. Positive values: target moved from left to
right. Negative values: target moved from right to left. ***Significant
differences between epochs (P < 0.001).
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When the contact lens was removed, the parameters of smooth pursuit
returned to their original values. We observed no statistically
significant difference in smooth-pursuit latency when comparing trials
in which the right eye was free and those in which it was impeded. To
check that the effects we observed were not caused by the use of local
anesthetic, we performed a control experiment that was identical in all
respects with the main experiment, with the exception that no suction
lens was placed on the right eye. There was no difference in any of the
pursuit parameters measured when comparing the first (preanesthetic)
with the second (postanesthetic) run.
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Discussion
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We have previously shown that impeding the movement of one eye
modifies the saccades of the contralateral eye. Specifically, saccade
amplitude is reduced, whereas the main sequence relationships are
unaltered.10
However, saccades are only one element in the
human oculomotor repertoire. We have now investigated another important
class of human eye movementssmooth pursuitwhich serves a different
function than saccades and has a distinct neurobiological substrate.
Our results show that impeding the movement of one eye while the
subject executes smooth pursuit with the contralateral eye leads to
small but consistent alterations in the initiation and early
maintenance of pursuit. Both the initial acceleration and the peak
open-loop velocity in the free eye were reduced by a statistically
significant amount. These parameters provide a measure of the
performance of the pursuit system in the absence of either retinal
(visual) feedback or internal representations of target trajectory. We
found no evidence that the effects built up over time or initial
trials; they were present from the first trial in which the eye
was impeded. Given that latency was unaffected, it seems unlikely that
subjects had any difficulty seeing target motion and extracting useful
information from it. Had impeding one eye altered motion thresholds,
then we would have expected pursuit latency to be increased. Gross
problems seeing motion would have lead to large reductions in pursuit
gain with a marked increase in the number of catch-up saccades.
Although we examined only the first 300 to 400 msec of pursuit, we
would still have expected to see marked qualitative as well as
quantitative changes in pursuit in these circumstances. We saw nothing
of the sort.
One objection may be that the relatively predictable stepramp
trajectories used in these experiments might allow subjects to
compensate for difficulties in perceiving motion, complicating the
interpretation of our findings. However, we know from previous
experiments13
14
that there is sufficient temporal
uncertainty (by displaying the fixation target for a variable period)
and spatial uncertainty (by having targets appear randomly to right and
left) to prevent significant prediction and anticipation in the pursuit
tasks used in the study. And indeed, over the first few trials of each
run, there was no evidence of a systematic decrease in pursuit latency,
which would be expected if prediction or anticipation were a feature of
these responses.
The velocity 200 msec after pursuit initiation and peak velocity were
also reduced when the contralateral eye was impeded. From approximately
100 msec after pursuit is initiated, retinal feedback is available to
indicate the accuracy of the pursuit response. This information could,
in theory, be used to provide a retinal error signal, indicating that
velocity in the free eye was inadequate, thereby allowing a
compensatory response to be initiated. We saw no indication of such
compensation. There was a reduction in eye velocity of 14% at 200 msec
and of 17% and 12% in peak velocity for targets moving to left and
right, respectively. However, a number of factors must be borne in
mind. With a target velocity of 14 deg/sec the observed reductions in
peak eye velocity imply a retinal slip velocity of 1.68 deg/sec and 2.4
deg/sec over, at most, a few tens of milliseconds. It may be that
retinal errors of this magnitude are not sufficient to trigger
alterations in pursuit. If they had persistedthat is, if we had
exposed subjects to longer trajectories of target motion or used higher
target velocitieswe presume the most likely effect would have been
the occurrence of saccades to correct the growing position error.
Alternatively, if we had exposed subjects to larger trial numbers we
may have observed adaptation of the pursuit system.17
van Donkelaar et al.11
used a suction contact lens system
to hold one eye in the primary position during a pursuit visual
adaptation paradigm and demonstrated a modification in the normal
adaptive processes. They concluded that nonretinal afferent signals,
probably originating in the EOMs, provide information concerning eye
and target motion that is necessary for the normal operation of the
pursuit system. Although their approach was clearly different from
ours, their results appear to be complementary. However, our results
also indicate that in addition to providing information used for
parametric adaptation of pursuit responses on the time scale of minutes
or hours, the nonvisual afferent signal induced by impeding the eye may
alter oculomotor responses on-line. We found no evidence that there was
any build-up in the velocity reductions we observed; rather, they
appeared to be present from the first trial. The detailed velocity
analysis we conducted of the first 80 msec of pursuit suggested that
within individual trials, effects were manifest within approximately 40
msec of the initiation of smooth pursuit. This is compatible with an
afferent signal exerting an effect centrally, and bringing about a
reduction in eye velocity. It also implies that both the receptors and
the control system are sensitive to small changes in performance. If
the effects we observed beginning at 40 msec are based on online
detection, then this must occur over the first 10 to 20 msec of each
trial. The difference between intended eye position or velocity and
actual eye position or velocity is clearly rather small, at least in
absolute terms, over this part of the response.
Our results are compatible with the hypothesis that impeding the eye
induces a nonvisual afferent signal that indicates to the oculomotor
control system that one eye is moving more slowly than it should. The
lens we used stands clear of the cornea, contacting the eye at the
sclera, and lies under the lid margins. Because the eye carrying the
lens was anesthetized in our experiments, although we cannot
conclusively rule out scleral or orbital sources, the most likely
sources for such a signal are EOM intramuscular receptors. Afferent
signals from the EOM are known to carry information concerning eye
position and velocity in a wide range of species including those that,
like humans, have muscle spindles18
19
and those that do
not.20
21
These signals are known to alter the central
processing of visual, vestibular, and oculomotor information (see Weir
et al.5
for review). Why the response of the oculomotor
control system should be to reduce eye velocity in the contralateral
eye is unclear. It appears that for pursuit, as with
saccades,10
the priority in these conditions is to
maintain conjugacy.
The exact site or sites within the central nervous system where EOM
afferent feedback may influence the smooth-pursuit system is not clear.
However, the unexpected finding that impeding one eye reduces the drive
from the oculomotor system during pursuit strongly parallels our
earlier results on saccades. In that study, we found that when one eye
was impeded, the saccade amplitude in the other eye was reduced,
whereas the main sequence relationships were substantially unaltered.
This suggests a signal acting above the brain stem gaze centers,
perhaps at the level of the superior colliculus or cerebellum, both of
which receive afferent signals from the EOMs.5
21
22
23
24
Of
these two, the structure that plays a central role in the control of
both saccade amplitude and smooth pursuit is the cerebellum. It is
interesting to note that new models of both the saccade25
and pursuit26
control systems incorporate cerebellar
monitoring of oculomotor performance, with the latter26
also including a role for EOM proprioception in providing eye position
and velocity information by mossy fiber input. Although this model
relates to predictive targets rather than the randomized stepramp
target trajectories used in our study, it adds weight to the evidence
presented herein that EOM afferent feedback contributes to the
generation and control of smooth pursuit eye movements.
There is not necessarily a conflict between our results and data
indicating the absence of a monosynaptic stretch reflex in one species
of monkey,27
notwithstanding the recent questioning of the
applicability of this to a wider range of species.28
Neither the results we report here nor our saccade data10
require monosynaptic brain stemlevel interactions; indeed, as argued,
they suggest interactions higher up in the hierarchy of oculomotor
control structures.
In addition to providing further evidence for the role of EOM afferent
signals in human oculomotor control, our results have clinical
implications. By impeding the movement of one eye, we have acutely
increased the load under which the EOMs operate. This may be analogous
to situations in which the function of the EOMs have been altered
unilaterally as a result of a pathologic processfor example rectus
muscle entrapment after a blow-out fracture. Our findings give some
insight into the changes that might occur acutely, as the oculomotor
system tries to compensate for any restriction of eye movement. In
addition, strabismus surgery involves manipulating, and potentially
damaging, the very areas of the EOMs that are richly endowed with
sensory receptors. Although surgical procedures have been shown to
affect spatial localization,29
possibly by altering
afferent feedback, what effect, if any, they have in modifying
subsequent oculomotor control is not known. A better understanding of
this may enable further refinements in strabismus surgery.
 |
Footnotes
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Supported by a grant from the Chief Scientist Office, Scotland.
Submitted for publication January 12, 2001; revised April 25, 2001;
accepted May 23, 2001.
Commercial relationships policy: N.
The publication costs of this article were defrayed in part by page
charge payment. This article must therefore be marked
"advertisement" in accordance with 18 U.S.C.
1734
solely to indicate this fact.
Corresponding author: Paul C. Knox, Division of Orthoptics, University
of Liverpool, Thompson Yates Building, Brownlow Hill, Liverpool L69
3GB, UK. pcknox{at}liv.ac.uk
 |
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