Impaired analysis of moving objects due to deficient smooth pursuit eye movements

It is usually assumed that the raison d'être for smooth pursuit eye movements is an advantage in the visual analysis of moving objects due to the stabilization of the retinal image on the fovea. Although such benefits resulting from foveal pursuit are plausible, there have been few attempts to demonstrate them rigorously. Moreover, it is unknown whether and to what extent pursuit deficits due to neurological disease impair vision. In this study, therefore, we measured psychophysical thresholds for two different discrimination tasks assessing the visual analysis of moving objects as a function of smooth pursuit performance. Results from a group of healthy subjects were compared with those obtained from patients exhibiting catch-up saccades (n = 9) or saccadic intrusions in the form of square-wave jerks (n = 2). In a first set of experiments we measured acuity thresholds for Landolt optotypes moving horizontally at velocities of up to 14 degrees /s (dynamic visual acuity, DVA). In the control group (n = 20), DVA thresholds were indistinguishable from thresholds observed under stationary fixation due to efficient pursuit eye movements allowing continuous foveal stabilization of the retinal Landolt image. In contrast, all patients with catch-up saccades showed pursuit gains that decreased with increasing velocity, paralleled by a dramatic rise in DVA thresholds. Patients with square-wave jerks in turn revealed sufficient pursuit velocity but impaired foveation due to the involuntary saccades that occurred at similar frequencies independent of target velocity. In these patients, thresholds were more or less independent of the Landolt velocity but significantly raised compared with controls. Similar results were obtained in a test determining the sensitivity for vertical position steps of a given pursuit target. In summary, our results indicate that the lack of adequate pursuit eye movements is indeed deleterious for the visual analysis of moving objects.