Torsional optokinetic nystagmus: normal response characteristics

Br J Ophthalmol. 2004 Jun;88(6):796-802. doi: 10.1136/bjo.2003.028738.

Abstract

Background/aims: Few studies have investigated normal response characteristics of torsional optokinetic nystagmus (tOKN). The authors have investigated the effect of stimulus velocity and central/peripheral stimulation on tOKN.

Methods: Torsional OKN was elicited using a sinusoidal grating rotating at velocities of 3 degrees /s to 1000 degrees /s in clockwise and anticlockwise directions. To investigate the effect of central stimulation, stimulus size was varied from 2.86 degrees to 50.8 degrees. An artificial scotoma placed over a 50.8 degrees stimulus was varied from 2.86 degrees to 43.2 degrees to investigate peripheral stimulation. Eight subjects participated in each experiment and torsional eye movements were recorded using video-oculography. The mean slow phase velocity (MSPV) and gain were calculated.

Results: The maximum gain occurred in response to 8 degrees /s stimulation. The MSPV increased up to a stimulus velocity of 200 degrees /s achieving a maximum of 3 degrees /s in both directions. MSPV was linearly correlated with the log of stimulus velocity. The smallest field size, rotating at 40 degrees /s, evoked 10% of the gain elicited by the largest display. When the most peripheral stimulus was used, the gain was maintained at 50% of the gain evoked when the full display was used.

Conclusions: A wide range of stimulus velocities can elicit tOKN and peripheral field stimulation contributes significantly to its response.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nystagmus, Optokinetic / physiology*
  • Torsion Abnormality
  • Video Recording
  • Vision Tests