Visual Field Dependence Persists in Age-Related Central Visual Field Loss.

Purpose: To examine whether the age-related increase in visual field dependence persists in older adults with central field loss (CFL). Methods: Twenty individuals with CFL were grouped into participants with age-related binocular CFL (CFL, n = 9), age-related monocular CFL/relative scotomata (mCFL, n = 8), and CFL occurring at a young age (yCFL, n = 3). Seventeen controls were age-matched to the older CFL groups (OA) and three to the yCFL group (yOA). Participants judged the tilt direction of a rod presented at various orientations under conditions with and without a visual reference. Visual field dependence was determined as the difference in judgment bias between trials with and without the visual reference. Visual field dependence was examined between groups and relative to visual acuity and contrast sensitivity. Results: All older groups performed similarly without the visual reference. The CFL group showed greater visual field dependence than the OA group (Mann-Whitney U test; U = 39, P = 0.045). However, there was no group difference when considering all three older groups (Kruskal-Wallis ANOVA; H(2, N = 34) = 4.31, P = 0.116). Poorer contrast sensitivity correlated with greater visual field dependence (P = 0.017; ρ = -0.43). Conclusions: Visual field dependence persists in older adults with CFL and seems exacerbated in those with dense binocular scotomata. This could be attributed to the sensitivity of the spared peripheral retina to orientation and motion cues. The relationship with contrast sensitivity further suggests that a decline in visual function is associated with an increase in visual field dependence beyond the effects of normal aging. These observations can guide tailored care and rehabilitation in older adults with CFL.

Noise estimation for head-mounted 3D binocular eye tracking using Pupil Core eye-tracking goggles.

Head-mounted, video-based eye tracking is becoming increasingly common and has promise in a range of applications. Here, we provide a practical and systematic assessment of the sources of measurement uncertainty for one such device - the Pupil Core - in three eye-tracking domains: (1) the 2D scene camera image; (2) the physical rotation of the eye relative to the scene camera 3D space; and (3) the external projection of the estimated gaze point location onto the target plane or in relation to world coordinates. We also assess eye camera motion during active tasks relative to the eye and the scene camera, an important consideration as the rigid arrangement of eye and scene camera is essential for proper alignment of the detected gaze. We find that eye camera motion, improper gaze point depth estimation, and erroneous eye models can all lead to added noise that must be considered in the experimental design. Further, while calibration accuracy and precision estimates can help assess data quality in the scene camera image, they may not be reflective of errors and variability in gaze point estimation. These findings support the importance of eye model constancy for comparisons across experimental conditions and suggest additional assessments of data reliability may be warranted for experiments that require the gaze point or measure eye movements relative to the external world.

A Comparison of Walking Behavior during the Instrumented TUG and Habitual Gait.

The timed up and go test (TUG) is a common clinical functional balance test often used to complement findings on sensorimotor changes due to aging or sensory/motor dysfunction. The instrumented TUG can be used to obtain objective postural and gait measures that are more sensitive to mobility changes. We investigated whether gait and body coordination during TUG is representative of walking. We examined the walking phase of the TUG and compared gait metrics (stride duration and length, walking speed, and step frequency) and head/trunk accelerations to normal walking. The latter is a key aspect of postural control and can also reveal changes in sensory and motor function. Forty participants were recruited into three groups: young adults, older adults, and older adults with visual impairment. All performed the TUG and a short walking task wearing ultra-lightweight wireless IMUs on the head, chest, and right ankle. Gait and head/trunk acceleration metrics were comparable across tasks. Further, stride length and walking speed were correlated with the participants' age. Those with visual impairment walked significantly slower than sighted older adults. We suggest that the TUG can be a valuable tool for examining gait and stability during walking without the added time or space constraints.

A low-cost robotic oculomotor simulator for assessing eye tracking accuracy in health and disease.

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.

Saccadic contributions to smooth pursuit in macular degeneration.

Saccades during smooth pursuit can help bring the fovea on target, particularly in cases of low pursuit gain. Individuals with macular degeneration often suffer damage to the central retina including the fovea, which impacts oculomotor function such as fixation, saccadic and smooth pursuit eye movements. We hypothesized that these oculomotor changes in macular degeneration (MD) would make saccades less appropriately directed (even if more numerous). To investigate saccades during pursuit in MD, we conducted a quantitative analysis of smooth pursuit eye movement data from a prior study, Vision Research 141 (2017) 181-190. Here we examined saccade frequency, magnitude, and direction across viewing conditions for MD and control participants during pursuit of a target moving in a modified step-ramp paradigm. Individuals with MD had more variability in saccade directions that included directions orthogonal to the target trajectory. PRL eccentricity significantly correlated with increases in saccades in non-target directions during smooth pursuit. These results suggest that a large number of saccades during pursuit in MD participants are unlikely to be catch-up saccades that serve to keep the eye on the target.

Eye, head, and gaze contributions to smooth pursuit in macular degeneration.

Macular degeneration (MD) often leads to the loss of the fovea and surrounding central visual field. This type of visual loss is very common and can present particular challenges for oculomotor tasks that may rely on the fovea. For certain tasks, individuals develop a new, eccentric fixational locus. Our previous work has shown that smooth pursuit is impaired in MD. However, extent of retinal lesion size and eccentricity of fixation do not directly contribute to changes in smooth pursuit gain. Oculomotor limitations due to eccentric eye position in the orbit may be another culprit. Here we test the hypothesis that deficits in smooth pursuit in MD would be reduced under head-unrestrained conditions. To that end, we examined eye, head, and gaze movements in eight individuals with MD and seven age-matched controls in response to a step-ramp pursuit stimulus. We found that despite variability across participants, both groups had similar smooth pursuit head movements (P = 0.76), while both had significantly higher pursuit gains in the head-restrained condition (P < 0.0001), suggesting that in older populations, head movements may lead to a decrease in pursuit gain. Furthermore, we did not find a correlation between eccentricity of fixation and amount of head displacement during the trial (P = 0.25), suggesting that eccentric eye position does not lead to higher reliance on head movements in smooth pursuit. Our finding that individuals with MD have lower pursuit gains, despite similar head movements as controls, suggests a difference in how MD affects mechanisms underlying eye versus head movements in smooth pursuit.NEW & NOTEWORTHY This article is the first to look at eye and head movements in observers with macular degeneration. It is the first to show that in older individuals, regardless of central field defect, freedom of head movement may reduce pursuit gain. Despite oculomotor limitations due to eccentric fixation, individuals with macular degeneration do not rely on head movements more than age-matched controls, with both groups having a similarly heterogenous eye and head movement strategy for pursuit.