Fast disconjugate adaptations of saccades in microstrabismic subjects

In normal subjects, saccade amplitude inequality can be induced almost immediately when the image is made larger for one eye. This disconjugacy allows binocular fusion at the point of regard despite the image size inequality. It persists under subsequent monocular viewing which suggests a fast adaptive mechanism. This study tests whether such disconjugacy can be induced in subjects with microstrabismus who do not have foveal fusion. Three microstrabismic subjects viewed a random dot pattern the size of which was 10% larger in one eye. Within 40 sec horizontal saccades became larger in the eye viewing the larger image by 4-10%; the induced disconjugacy persisted under subsequent monocular viewing. Thus, fast disconjugate adaptation is possible in microstrabismus demonstrating that foveal fusion is not necessary to achieve it.