Quantification of monocular optokinetic nystagmus asymmetries and motion perception with motion-nulling techniques

When tested monocularly, strabismic and amblyopic subjects often show asymmetries of optokinetic nystagmus (OKN), with OKN being more readily elicited by temporal-to-nasal than by nasal-to-temporal stimulus motion. We tested five visually normal subjects and ten strabismic and/or amblyopic subjects by use of motion-nulling stimuli, which consisted of superimposed temporal-to-nasal and nasal-to-temporal sinusoidal-grating components with a summed contrast of 100%. Both the direction of OKN and the subject's perceived direction of motion (PDM) were tested. Most normal subjects showed symmetrical OKN and PDM, but a rightward OKN bias was observed in one of the visually normal subjects. Temporal-to-nasal eye-movement biases were seen in most strabismic and amblyopic subjects, whereas PDM biases were smaller and less frequent. The primary purpose of this study was to demonstrate the feasibility of quantifying OKN and PDM asymmetries in a diverse group of visually abnormal adults by use of the motion-nulling technique. Application of this technique to larger and more homogeneous clinical populations may contribute to the continued differentiation and characterization of variants of the visual disorders associated with strabismus and amblyopia and with other defects of binocular vision.