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1From the Departments of Surgery (Division of Otolaryngology), 2Ophthalmology, 3Neurology, 4Neuroscience, and 5Bioengineering Interdepartmental Programs, University of California, Los Angeles, California.
| Abstract |
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METHODS. Binocular LPs were defined during visual fixation in eight normal humans. The VOR was evoked by a highly repeatable transient whole-body yaw rotation in darkness at a peak acceleration of 2800 deg/s2. Immediately before rotation, subjects regarded targets 15 or 500 cm distant located at eye level, 20° up, or 20° down. Eye and head responses were compared with LL predictions in the position and velocity domains.
RESULTS. LP orientation varied both among subjects and between individual subjects eyes, and rotated temporally with convergence by 5 ± 5° (±SEM). In the position domain, the eye compensated for head displacement even when the head rotated out of LP. Even within the first 20 ms from onset of head rotation, the ocular velocity axis tilted relative to the head axis by 30% ± 8% of vertical gaze position. Saccades increased this tilt. Regardless of vertical gaze position, the ocular rotation axis tilted backward 4° farther in abduction than in adduction. There was also a binocular vertical eye velocity transient and lateral tilt of the ocular axis.
CONCLUSIONS. These disconjugate, short-latency axis perturbations appear intrinsic to the VOR and may have neural or mechanical origins.
Before the anatomy of the orbital connective tissues was known, it seemed certain that LL was implemented entirely in premotor circuits as an intrinsic component of central ocular motor control.7 8 Miller and Demer9 first proposed that the pulleys constraining rectus extraocular muscle (EOM) paths could make their directions dependent on eye position. It has subsequently emerged that the rectus EOMs have connective tissue soft pulleys.10 These pulleys receive insertions from the orbital layer of each rectus EOM, the force in which is controlled so that the pulley moves in coordination with the globe, thus mechanically causing the EOM pulling direction to change by half the change in eye position.1 2 3 4 5 6 7 8 9 10 11 12 13 Because 3-D eye velocity is imparted by the direction of EOM force, the mechanical arrangement and coordinated linear motion of the rectus EOM pulleys appears to account for some features of LL without explicit central computation of eye torsion.14 15 16 However, physiologic violations of LL have continued to suggest central neural control of 3-D ocular kinematics.17 For example, during convergence, both eyes extort,18 and LP for each eye rotates temporally.19 20 21 The ocular extorsion in central gaze is associated with torsional repositioning of the rectus EOM pulley array by the oblique EOMs, but the temporal rotation of LP appears to require that this effect be neurally modulated as a function of vertical gaze position.16
Another conspicuous physiologic violation of LL is the vestibulo-ocular reflex (VOR), which rotates the eyes during head rotation so that images of fixed objects are stabilized on the retina. During ambulation, head rotation is significant in all 3 DF.22 If head motion were not compensated, image motion on the retina would significantly degrade visual acuity.23 24 Unlike the 2-D retinal signals that provide input for pursuit and saccades, the angular VOR originates in the semicircular canals of the inner ear that detect head rotation in 3 DF. Specifically, the three pairs of orthogonally oriented canals detect three orthogonal time derivatives of the angular components rotational head position. Ideal VOR performance would perfectly stabilize images on the retina and is achieved when the eye rotates about an axis parallel to that of head rotation.25 This would not be problematic if head position was confined to LP, but no such constraint exists on natural head motion. It is not uncommon for purely torsional head rotation to occur about an axis perpendicular to LP, and the evoked torsional VOR violates LL utterly. An ideal VOR would not be influenced by LL, since constrained conformity would destabilize images on the peripheral retina during head rotation. Some investigators have reported that the monkey and human VOR closely follow some axes of head rotation as would be optimal for image stabilization,25 particularly when torsional VOR gain is high,26 or in monkey viewing a structured visual environment.27
Even though conformity of the VORs axis to the axis of head rotation would be visually optimal, in several studies, it has been reported that the human angular VOR compromises between LL and the axis of head rotation.21 28 29 30 31 These studies have tested for experimental convenience the half angle velocity formulation of LL. In the velocity domain, an ideal VOR would follow an axis independent of eye position in the orbit, and thus be said to follow a "zero-angle rule" with respect to eye position. The general finding has been that regardless of the orientation of the head rotational axis relative to LP, the VOR velocity axis is influenced by eye position in the orbit. The change in VOR velocity axis is less than half the change in ocular angle dictated by LL, motivating description of the VOR as observing a "half-Listings strategy" or "quarter-angle rule."21 28 29 30 31 The quarter-angle velocity formulation implies obligatory violation of LL by the VOR, regardless of the relationship of the axis of head rotation to LP. Obligatory quarter-angle VOR behavior would be difficult to reconcile with the presence of rectus EOM pulleys as sole determinants of ocular kinematics.
Quarter-angle behavior of the VOR does not have the same lawful consistency as does LL for visually guided eye movements, however. The eye-position dependence of the VOR rotational axis has been found to vary considerably. The dependence was initially described for the VOR in eccentric vertical gaze positions during sinusoidal yaw rotation, with the VOR conforming to LL in central gaze.28 32 Investigations of the temporal dynamics of the fractional angle behavior have yielded confusing findings. During manually delivered transient yaw head rotation, the human VOR reportedly matches the rotational axis of the head for the first 47 ms after the onset of head rotation, and thereafter in upward and central gaze to tend toward LL behavior.30 However, in downward gaze and during self-generated yaw rotation, the human VOR axis remains aligned with that of the head.30 Others have found that the human VOR in response to manually imposed yaw transients follows a partial LL strategy only at lower head velocities, while aligning with the head at higher velocities.29 One study found the VOR axis to be time-dependent, most closely approaching quarter-angle behavior 40 ms after manual delivery of a transient yaw head rotation.21 These findings have motivated a suggestion that rectus pulley shifts contribute a time dependence to the axis of the human VOR.30
Inconsistent findings regarding conformity of the VOR to LL might be the results of methodological differences. The method of delivering the head motion stimulus is potentially important. In the Walker et al.31 and Misslisch et al.28 studies, subjects underwent sinusoidal, whole-body rotations about an earth-vertical axis at relatively low frequencies (0.20.7 Hz) and velocities (37.5 deg/s). Although the axis of head rotation can be well controlled during whole-body rotation at low velocity, quick phases interrupt the slow-phase VOR, and only the steady state response can be analyzed. Gaze position also cannot be well controlled in darkness during the long periods required for study of low frequency sinusoidal stimulation. Analysis of the VOR in the face of such factors required elaborate modeling28 or selection of only brief time periods.31 Manually delivered head thrusts avoid the problem of quick phases, but the stimulus cannot be identically reproduced during multiple trials, and the axis of head rotation cannot be precisely controlled, with the inevitable introduction by neck mechanics of significant time-dependent head torsion leading to a time-dependent shift in the heads rotational axis,29 and a likelihood of otolith stimulation. The common practice of measurement of head position using sensors on the skin surface may be confounded by skin slippage over the skull at high acceleration. Possible differences in the rotational axes of the two eyes have not been evaluated.
To resolve the inconsistencies of previous studies, in the current re-examination, we evaluated the human VOR during highly repeatable, mechanically delivered, transient whole-body yaw transients having dynamics similar to manually delivered head thrusts.22 Whole-body rotation has the advantage of a well-controlled axis not confounded by neck mechanics and has the potential to place that axis so as to minimize stimulation of the otoliths.22 In the present study, skull rotation was measured at the rigidly fixed upper teeth to reflect faithfully the stimulus actually delivered to the VOR. Because target distance has been shown to have an effect on both the gain of the initial VOR22 33 and the orientation of LP,19 21 34 responses with both near and distant targets were examined. The orientation of LP was determined for each eye, permitting direct comparison of the VOR with both the Euler angle formulation of LL and the velocity axis formulation in unambiguous Listings coordinates.
| Methods |
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Apparatus
Binocular eye and head angular positions were measured with dual winding scleral magnetic search coils (Skalar Medical, Delft, The Netherlands),35 as used by other investigators36 and in the current laboratory.22 Reference magnetic fields were generated by three pairs of solenoid coils, each 2 m in diameter and arranged to form the sides of a cube (C-N-C Engineering, Seattle, WA). This configuration placed the center of the cube near eye level. The two vertically oriented coil pairs were driven by 60-kHz sinusoidal currents in phase quadrature.35 The horizontally oriented coil pair was driven by a 120-kHz sinusoidal current.37 Dual-winding scleral magnetic search coil annuli were placed on both eyes of each subject under topical anesthesia with proparacaine 0.5%. Angular head position was measured via dual search coils mounted on a bite bar, custom molded to the upper teeth of each subject so that they were rigidly coupled to skull motion. Preliminary experiments indicated that search coils affixed to a headband register head velocity with a significant delay compared with those affixed to a dental appliance, and so only the latter were regarded as accurate. Search coils were connected to external detectors (C-N-C Engineering) incorporating single-pole, low-pass filters with a cutoff frequency of 167 Hz. Horizontal angular positions were demodulated by a phase angle method that is linear over a range of ±100°.
The homogeneity of the reference magnetic field was directly verified. Gain calibration curves were constant to ±5% within a central cube 58 cm on each side and ±1.6% within a central cube measuring 11 cm on each side. The measured peak-to-peak position noise level of the search coil system at a bandwidth of 0 to 100 Hz was 2 min arc. The root mean square (RMS) horizontal velocity noise of the system over a bandwidth of 0 to 43 Hz was 30 min arc/s.
Experimental control and data acquisition were performed by a computer (Macintosh, Apple Computer, Cupertino, CA) running the MacEyeball software package. Search coil data (horizontal, vertical, and torsion gaze and head positions) were displayed on a digital polygraph and low-pass filtered over a bandwidth (4-pole Butterworth) of 300 Hz before simultaneous digital sampling with 16-bit precision at 1.2 kHz.
Subjects were rotated by a 500 N-m stepper motor (Compumotor, Rohnert Park, CA) with a dedicated driver and position feedback digital controller, as previously described.22 The motor had a resolution of 425,984 steps per revolution and could reliably reproduce the desired head motion. Because the motors step resolution was 0.05 min arc, the steps were well below the noise level of the search coil system, making the steps indistinguishable from continuous rotation. The presence of the motor did not have a detectable effect on search coil measurements.
Measurement Conditions
During each trial, the subject sat with the head comfortably upright in a hardwood chair fabricated with nonmetallic fasteners as previously described.22 The chair was fit with dense foam cushions. Lap and chest belts, as well as padded clamps, secured each subject over the knees and feet to prevent decoupled body motion. The head was held firmly within a nonmetallic head holder that provided adjustable pressure support via Confor-foam (Oregon Aero, Inc., Scappoose, OR)-padded clamps to the forehead, vertex, occiput, malar eminences, and mental promontory of the subjects head. Every rotational trial was preceded by a 2-second calibration recording in which the stationary subject looked directly at centered target 500 cm away.
In 60-second recordings, LP was defined for each eye for near viewing as subjects tracked the quasirandom movements of a projected laser target on a tangent screen 15 cm from the center of the eyes. For far viewing, LP was defined for each eye as the subject tracked the quasirandom motion of a laser target projected on the laboratory walls, floor, and ceiling at distances of 4 to 10 m, all of which adequately approximate optical infinity.
The angular VOR was tested during 50-second trials that included 20 directionally unpredictable transient yaw rotations (10 in each direction). During each trial, subjects were asked to regard a target located at eye level, approximately 20° up, or approximately 20° down. Each target consisted of a black cross against a white background, as previously described.22 Onset of rotations varied randomly by
250 ms, to avoid predictive effects. The laboratory was illuminated between rotations, to enable subjects to maintain an accurate memory of the target. The fluorescent room lights were extinguished at random times 50 to 70 ms before the onset of each head rotation and remained off until after the chair returned to center
400 ms later. Subjects were instructed to maintain gaze on the target, even when the lights were extinguished. Far targets were 500 cm distant, centered between the eyes. Near targets were 15 cm anterior to the centers of the eyes and in separate trials were both centered horizontally between the two eyes and centered before the right eye.
Head position was adjusted so that the axis of rotation was located between the external auditory canals, which were approximately 7 cm posterior to the eyes. This axis was chosen to minimize the translational stimulus to the otoliths. Rotational stimulus had a peak acceleration of 2800 deg/s2 to a velocity of 190 deg/s, which rotated the head 40° in 250 ms, which was the time at which the peak velocity was reached. At 300 ms the velocity averaged 150 deg/s. The head moved to its maximal offset of 55° after 550 ms.
Data Analysis
Data were analyzed automatically with custom software (LabView 7.1; National Instruments, Austin TX; Macintosh G4 and G5 computers; Apple Computer). For each subject, rotational transients were grouped based on target distance, direction of rotation, and direction of gaze. Transient rotations in which eye position varied by more than 0.2° in the 80 ms before rotation were discarded as failures of fixation. For study of the early slow-phase VOR, events were also discarded when there were saccades or blink artifact within 70 ms of the onset of head rotation. Less than 10% of trials had to be removed due to such artifacts, and most trials of all eight subjects were included in the analysis during this early period. Five of the eight subjects typically introduced a saccade 100 to 200 ms after rotation onset. The remaining three subjects only rarely introduced saccades before 300 ms, and so this subgroup was used to analyze the later period of the slow-phase VOR for events when no saccades were present.
Sampled search coil voltages were corrected for misalignment of the sine nonlinearity in the pitch axis of the search coil system. These Fick angles were converted to rotation matrices as previously described.4 38 Data from LP definition and VOR trials were first corrected for presumed imperfect alignment of the coils on the eye in central gaze during the immediately preceding reference trial. This was done using the following equations where H and E represent the rotation matrices of head and eye positions, respectively, collected from the search coil signals after correction of the sine nonlinearity. H' and E' represent the inverses of the head and eye position matrices measured during the reference trial, and Hc and Ec represent corrected head and eye positions:
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The position of the eye in the head, EH, was calculated using the inverse of the corrected head position, H'c:
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LP was determined by converting the eye position rotation matrices, EH, to quaternions.4 Data collected during LP definition trials were decimated from 1.2 to 120 Hz to speed computation. Data were best fit with a single-value decompression algorithm.30 39 The unit vector normal to LP determined its orientation. Eye position could then be rotated and expressed in Listings coordinates.5
Torsional scleral coil slippage was identified by comparing measured ocular torsion with that predicted by LL during the period of visual target fixation immediately before each head rotation. Ideal torsion (
ideal) was calculated from the yaw (
) and pitch (
) eye positions in a Fick sequence coordinate system as given below:
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The orientations of eye and head rotations relative to LP were determined for each trial for each eye and viewing condition in the position domain. Head and eye positions during VOR initiation were also converted to quaternions in Listings coordinates.
Velocity vectors (
) for eye and head were computed from quaternion positions (q) and derivatives (
) as previously described.4 31 40 41
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Eye and head rotations were also examined in the velocity domain. The tilt angle of the velocity vector out of LP,
(in the approximately sagittal plane perpendicular to LP), was determined with the horizontal (h) and torsional (t) components of velocity as previously described.31
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Linear regression was used to calculate the tilt of the velocity axis in the sagittal plane,
, relative to vertical ocular displacement. Linear regression was performed on data sets obtained from three similar trials when the eye was in central, up, and down gaze, respectively. Each regression was repeated every 800 µs from 40 ms before the onset of head motion to 400 ms after the onset of head rotation. After a preliminary fit, data points lying farther than two standard deviations (SDs) from the initial fit were discarded. This process was then repeated once to determine the final slope and regression coefficient for the linear regression. On average, the process retained 92% of data points, with the range for individual subjects at 87% to 95%.
Gain of the VOR was determined in the velocity domain. Eye velocity was divided by head velocity during the first 80 ms of head rotation. Gain was only calculated when head velocity exceeded 20 deg/s, to avoid inaccurate gains due to poor signal-to-noise ratio during the initial milliseconds of rotation when head velocity was minimal. Because the axis of rotation was always earth vertical, head velocity components in pitch and torsion axes were typically so small as to preclude reliable computation of gains for pitch and torsion.
| Results |
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During the initial 70 ms, the axis of the abducting eye shifted back relative to that of the adducting eye for both up and central gaze viewing (Figs. 5A 5B , respectively). This difference was not significant during down gaze (Fig. 5C) . In central and up gaze the shift in the ocular axis became statistically significant by no later than 20 ms. After 70 ms, the duction-dependent effect on VOR axis reversed, so that the axis of the adducting eye shifted back relative to that of the abducting eye. There was no significant late difference between the axes of the ab- and adducting eyes in up and central gaze (Figs. 5A 5B) . In down gaze, the axis of the adducting eye shifted further back than did that of the abducting eye (Fig. 5C) , reversing the earlier effect observed in up and central gaze. The period after 100 ms had the potential to be problematic due to the tendency of many subjects to introduce quick phases. To determine whether these late effects might be influenced by quick phases, the analysis was repeated in the subset of three subjects in whom a significant number of trials could be selected that were free of quick phases for the initial 300 ms. In these selected trials, the result was similar to those of the larger dataset: The axis of eye rotation was tilted significantly farther back during abduction in the first 70 ms for up and center gaze and significantly farther forward during abduction after 70 ms in down gaze.
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As an alternative method to determine the TAR in individual subjects and testing conditions, linear regression was performed on the tilt of the ocular axis in the sagittal plane versus vertical eye position (Fig. 7) . This regression analysis was repeated for each eye of each subject at every time point (sampled at 800 µs intervals) after onset of head rotation, exploiting the variability at each time point arising from variations in gaze positions in multiple trials. Although this could be done at any time in the response, the regression became more reliable with the passage of time as head and eye velocity increased. Because the earliest saccades in any subject were observed slightly more than 70 ms from head rotation onset, regressions 70 ms after the onset of head rotation were considered the most robust measure of VOR axis behavior. Because LP orientation varies among subjects, eyes, and target distances, linear regressions were performed separately for these conditions, and for each regression the correlation coefficient (R) was noted. Measured 70 ms after head rotation onset, the TAR averaged over all eight subjects was 0.30 ± 0.08 (mean ± SD), ranging 0.15 to 0.40 among individual subjects (Table 1) . Correlation coefficients varied from 0.23 to 0.75. Unlike the raw eye velocity axis, the TAR did not vary significantly with ab- versus adduction, target distance, right versus left eye, or stimulus direction (P > 0.1 for all).
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100 ms.
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| Discussion |
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The present study generally supports a temporal tilt of LP with convergence. The magnitude of this effect varied considerably among subjects, with three of eight subjects demonstrating virtually no temporal tilt (Fig. 2) . Subjects had an average if 0.3° of temporal tilt in LP per deg of convergence. Other investigators have reported similar but variable ratios of temporal tilt in LP with convergence: 0.18 to 0.33,34 0.25,20 0.3,42 and 0.5.3 It has been argued that this temporal rotation of LP facilitates sensory alignment of corresponding retinal meridians during near viewing3 and improves stereopsis.43 Some have proposed a neurally implemented, binocular extension of LL to explain temporal rotation of LP with convergence, invoking a central mechanism to maximize peripheral retinal correspondence,44 but the phenomenon is so strongly dependent on visual sensory features that others regard it as a sensorimotor adjustment rather than a fundamental kinematic principle.19
The large observed interocular variation in LP also makes it unlikely that the brain encodes high-level binocular motor commands in Listings coordinates. It is certainly implausible for premotor conjugate VOR commands to be encoded in Listings coordinates, since in the present study the VOR in one eye can conform to LL, whereas that in the other eye violates it. It is difficult to reconcile this with the concept that LL is a premotor neural strategy explicitly computed in 3-D.7 45 46
Several possible rationales for LL have been proposed. One advantage of LL is minimization of the ocular rotation required to achieve a gaze shift.28 It has been pointed out that an oculomotor plant conforming to LL simplifies the requirements of neural control.47 Although eye velocity is simply the derivative of eye position in 1-D, eye velocity in a head coordinate system is more complex for noncommutative 3-D rotations. Modeling suggests that if LL were implemented in the orbital mechanics, the oculomotor plant would appear commutative to the brain, and could then be commanded by signals corresponding to time derivatives of eye position without measurable errors in velocity position matching.14 47 Strong functional anatomic evidence from orbital magnetic resonance imaging (MRI) indicates that the rectus EOMs change their pulling directions by half the change in eye orientation across a broad range of secondary and tertiary gaze positions.48 49 This mechanical action intrinsically implements half-angle behavior that is also typical of the inferior50 and superior oblique (SO) EOMs.16 The active pulley hypothesis proposes that half-angle kinematics of the rectus and inferior oblique (IO) EOMs is due to their path constraint by connective tissue rings comprising pulleys. These pulleys receive insertions from the orbital layers of their respective EOMs, permitting (for all pulleys except the trochlea of the SO) neurally commanded, active control of pulley position and hence the EOM pulling direction.13 48 49 Thus, although orbital layer EOM fibers could be driven by an apparently simple neural control rule to maintain a coordinated anteroposterior relationship between the pulleys and the globe, the 3-D aspects of LL can largely be explained as emergent properties of the gaze-dependence of rectus EOM paths. This structure in some respects simplifies the encoding of visually guided eye movements to drive the ocular motor plant. With such plant structure, visual fixation and pursuit can be commanded by low level 2-D signals,11 leaving more complex 3-D sensorimotor transformations to higher central processing levels for the computation of target locations in space.46
Notwithstanding LL, the orbits are configured to permit 3-D control of ocular orientation when the oblique EOMs participate. The orbital layers of the IO50 and SO51 EOMs insert directly and indirectly on the rectus pulleys, so that oblique EOM activity can alter the torsional orientation of the rectus pulley array during convergence and during the ocular counterrolling.16 18 Such an arrangement would impose a torsional offset in the mechanically implemented LP, as is observed during static head tilts,52 53 54 for pursuit and saccades,25 55 and for both slow and quick phases during the dynamic VOR.56 Consistent with the noncommutative demands of the VOR,57 torsional repositioning of the rectus pulley array would be expected to influence the directional response of the rectus EOMs to subsequent activation by semicircular canal activity.
Vestibulo-ocular Reflex Kinematics
The present study is the first to examine temporal dynamics of the initial human VOR axis during transient, high acceleration of the whole body. Velocity domain analysis confirmed that the VOR has an axis dependence on eye position that is approximately quarter angle. In individual subjects, the VOR velocity axis shifted by 0.15 to 0.40 of the vertical gaze angle when measured 70 ms after the onset of motion (Table 1) with an average value of 0.30 ± 0.08 (mean ± SD) not significantly different from one quarter. However, the significant variation in this value among subjects suggests that precise quarter-angle behavior is not critical to the function of the VOR. Furthermore, the velocity axis shift did not depend on target distance. The time course of this quarter-angle behavior has been controversial. During manual head thrusts, quarter-angle behavior has been described only in the period 47 ms after head motion onset, with the VOR axis aligned with that of the head earlier.30 Other laboratories have reported quarter-angle behavior at its maximum 40 ms after head rotation21 or only during lower acceleration head thrusts.29 The current study is uniquely suited to studying the velocity axis of the early VOR. Using a mechanical stimulus to provide en bloc rotation of subjects, we avoided the variability and large amounts of torsion inherent in manually delivered head thrusts. Signal-to-noise ratio was also improved by averaging multiple similar trials. Using this technique we found that even 20 ms after the onset of head rotation, the earliest time at which the velocity axis could be accurately calculated (Figs. 8 9) , the VOR had approximately quarter-angle behavior. For this stimulus used in the present study, there is no early period of the VOR in which the velocity axis follows a zero-angle rule. Others have suggested a zero-angle rule early in the response, which may be due to the higher acceleration of the manual head thrust stimulus.30 The present study did not use accelerations above 2800 deg/s2, and it is possible that the zero-angle behavior described by others is specific to very high accelerations. In the present study, quarter-angle behavior applies from the earliest time the VOR can be analyzed, suggesting that the strategy is implemented by the same neural commands that initiate the VOR. As shown by examination of trials with (Fig. 8) and without (Fig. 9) saccades, saccades in the same plane as the VOR slow phase appear to shift quarter-angle VOR behavior toward the half-angle behavior of LL.
Some early studies have reported that the angular VOR axis matches the head rotational axis in the position domain. This was the case in monkeys during vertical axis rotation25 and in humans during rotation about pitch and yaw axes.26 These findings have been confirmed in the current experiments: Eye displacement mirrors head displacement independent of LP orientation. The eye-position error produced by this quarter-angle behavior is small, even in tertiary gaze positions: 0.75° in gaze 20° up and 10° lateral, or 0.47° in gaze was 20° down and 10° lateral. For secondary positions or central gaze, the error would be considerably less. Because the resultant eye position error is very small and only evident at large tertiary gaze positions, it is likely to be of minor influence on behavior. The effect on eye velocity may be more important.
The present study indicates that the VOR observes quarter-angle strategy even at very short latency, varying from this behavior only with the occurrence of saccades or quick phases that would be expected to conform to LL. A completely mechanical implementation of a partial LL strategy seems improbable, because it would require an anatomically unrealistically large rectus pulley shift and cannot explain some observed VOR axis behavior during roll.45 The short latency of the quarter-angle VOR behavior observed here suggests that it is intrinsic to the neural processing of the angular VOR. As suggested by Misslisch and Tweed,45 this neural processing must incorporate 3-D eye position to derive commands consistent with half LL behavior.
A novel finding is that the VOR velocity axis has a duction dependence. In addition to the gaze-position dependence (Fig. 6) , the current results demonstrate a difference in VOR axis dependent on ab- versus adduction (Fig. 5) . There was an approximately 4° greater backward tilt in the velocity axis of the ab- than adducting eye in central and up gaze in the initial 70 ms after head rotation onset, with a reversal of this effect in down gaze after 70 ms. This tilt in the ocular axis depending on ab- versus adduction cannot be explained as a direction-dependent decoupling of the head. The head-velocity axis was of course identical for the two eyes and both directions of head rotation. This duction dependence is presumably due to some neural or orbital mechanical factor and lacks an obvious physiologic advantage. It may also be related to the velocity or acceleration profile of the stimulus used, which changed with time.
A small vertical eye velocity occurred during the initial VOR in most subjects under every viewing condition. There was an initial downward eye velocity peaking 50 ms after onset of head rotation, then reversing to become an upward eye velocity 20 ms later (Fig. 10) . This effect cannot be explained as a physiologically appropriate VOR to a vertical component of head rotation, because when eye and head velocities were added (Fig. 10 , panels on right), the vertical eye movement remained significant. During this sort of addition, a VOR response to vertical head rotation would have cancelled it, to produce a null gaze change. The coincidental vertical eye velocity corresponds to a rotation of the ocular velocity axis within LP. It is possible that this effect is neurally mediated, but this small transient perturbation is likely to be of no advantage and little visual consequence, since it occurred in the early period of the VOR when no visual feedback is available. It is also possible that the velocity aberration may be the result of an aborted blink, which occurred in a stereotyped manner across subjects, since blinking is associated with downward eye movement.58
A possibility worth considering is that the duction dependence of the VOR velocity axis and the adventitious initial vertical velocity are consequences of orbital mechanical factors. It is not known what occurs during the initial milliseconds of transient eye rotation, but magnetic resonance imaging (MRI) evidence suggests that the globe moves medially during both sustained ab- and adduction.12 Such a medial shift would be likely to decrease tension on the SO and IO EOMs. If globe translation reduced tension in both oblique EOMs equally, no ocular torsion would occur. However, the pulleys of the IO and inferior rectus muscles are tightly coupled, probably more so than the SO sheath is coupled to the superior rectus pulley.13 50 The trochlea of the SO muscle is rigidly attached to the orbital wall, whereas the IO pulley moves elastically under the influence of inferior rectus and IO tension. Thus, medial globe translation might result in a dynamic imbalance of the vertical and torsional effects of the oblique EOMs, and could perhaps be the cause of the apparently uncommanded vertical components observed in the initial VOR. Data on the temporal dynamics of the EOM pulleys are needed to evaluate this possibility.
| Acknowledgements |
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| Footnotes |
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Submitted for publication February 9, 2005; revised April 27 and June 3, 2005; accepted February 16, 2006.
Disclosure: B.T. Crane, None; J. Tian, None; J.L. Demer, None
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: Joseph L. Demer, Jules Stein Eye Institute, 100 Stein Plaza, UCLA, Los Angeles, CA 90095-7002; jld{at}ucla.edu.
| References |
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