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Updated: Jun 30, 2026

Efficiently Recording the Eye-Hand Coordination to Incoordination Spectrum
Published on: March 21, 2019
The functional consequences of glaucoma for eye-hand coordination.
Aachal Kotecha1, Neil O'Leary, Dean Melmoth
1Department of Optometry and Visual Sciences, City University, London, United Kingdom. aachalkotecha@gmail.com
Glaucoma patients show impaired visually guided reaching and grasping (prehension) due to slower movement planning and execution. These deficits correlate with visual field loss and reduced stereoacuity, impacting eye-hand coordination.
Area of Science:
- Ophthalmology
- Neuroscience
- Biomechanics
Background:
- Glaucoma is a progressive optic neuropathy leading to visual field loss.
- Visually guided reaching and grasping (prehension) are complex sensorimotor tasks crucial for daily activities.
- Previous research has not fully elucidated the impact of glaucoma on prehension kinematics.
Purpose of the Study:
- To investigate differences in prehension behavior between glaucoma patients and normally sighted controls.
- To assess the relationship between visual field sensitivity and prehension deficits in glaucoma.
Main Methods:
- 16 glaucoma patients and 16 controls performed reaching-and-grasping tasks under various viewing conditions.
- 3D motion capture recorded hand movements, quantifying prehension planning, execution, and control.
- Visual fields (VF), stereoacuity, and movement kinematics were measured and analyzed.
Main Results:
- Glaucoma patients exhibited significant delays in movement onset (approx. 100 ms) and overall movement time (approx. 140 ms) compared to controls.
- Reaching movements were more tentative in glaucoma patients, correlating with visual field severity and stereoacuity deficits.
- No significant differences in grasping kinematics were observed between groups.
Conclusions:
- Glaucoma patients demonstrate impaired eye-hand coordination, specifically in the reaching phase of prehension.
- Deficits in prehension are linked to the extent of visual field loss and reduced stereoacuity.
- Further research should explore how specific visual field defect locations influence prehension.
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