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A Method to Quantify Visual Information Processing in Children Using Eye Tracking
Published on: July 9, 2016
Quantitative Characterization of Smooth Pursuit Eye Movements in School-Age Children Using a Child-Friendly Setup
Valldeflors Vinuela-Navarro1, Jonathan T Erichsen2, Cathy Williams3
1Aston Optometry School, Aston University, Birmingham, UK.
Insights
Child-friendly methods reveal that children over 7-8 years old exhibit adultlike smooth pursuit eye movements. These findings highlight the importance of tailored procedures for accurate assessments in pediatric populations.
Area of Science:
- Ophthalmology
- Developmental Neuroscience
- Pediatric Eye Movement Research
Background:
- Current smooth pursuit studies in children often lack age-appropriate methodologies.
- This can lead to suboptimal characterization of pediatric smooth pursuit development.
Purpose of the Study:
- To characterize smooth pursuit eye movements in children using customized, child-friendly stimuli and procedures.
- To establish normative data for smooth pursuit in a pediatric cohort.
Main Methods:
- Eye movements of 169 children (4-11 years) and 10 adults were recorded.
- Participants viewed animated stimuli moving horizontally and vertically at 6°/s and 12°/s.
- Key parameters analyzed included velocity gain, proportion of smooth pursuit, and saccade characteristics.
Main Results:
- Significant age-related differences in horizontal smooth pursuit velocity gain, saccade number, and saccade amplitude were observed (p < 0.05).
- Children aged 7 years or younger differed significantly from adults in these horizontal parameters.
- No significant age-related differences were found for vertical smooth pursuit parameters.
Conclusions:
- Children aged 7-8 years and older demonstrate smooth pursuit capabilities comparable to adults when assessed with child-friendly methods.
- The study underscores the critical role of tailored procedures in accurately evaluating smooth pursuit eye movements in children.
Purpose:
It could be argued that current studies investigating smooth pursuit development in children do not provide an optimal measure of smooth pursuit characteristics, given that a significant number have failed to adjust their setup and procedures to the child population. This study aimed to characterize smooth pursuit in children using child-friendly stimuli and procedures.
Methods:
Eye movements were recorded in 169 children (4-11 years) and 10 adults, while a customized, animated stimulus was presented moving horizontally and vertically at 6°/s and 12°/s. Eye movement recordings from 43 children with delayed reading, two with nystagmus, two with strabismus, and two with unsuccessful calibration were excluded from the analysis. Velocity gain, proportion of smooth pursuit, and the number and amplitude of saccades during smooth pursuit were calculated for the remaining participants. Median and quartiles were calculated for each age group and pursuit condition. ANOVA was used to investigate the effect of age on smooth pursuit parameters.
Results:
Differences across ages were found in velocity gain (6°/s P < 0.01; 12°/s P < 0.05), as well as the number (12°/s P < 0.05) and amplitude of saccades (12°/s P < 0.05), for horizontal smooth pursuit. Post hoc tests showed that these parameters were different between children aged 7 or younger and adults. No significant differences were found across ages in any smooth pursuit parameter for the vertical direction (P > 0.05).
Conclusions:
Using child-friendly methods, children over the age of 7 to 8 years demonstrated adultlike smooth pursuit.
Translational Relevance:
Child-friendly procedures are critical for appropriately characterizing smooth pursuit eye movements in children.

