Eye movement

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(Redirected from Ocular motility disorders)

Eye movements are the voluntary or involuntary movements of the eyes, helping in acquiring, fixating and tracking different visual stimuli. In addition, rapid eye movements occur during REM sleep.

1 Eye movement systems [1]
2 Physiology of eye movement
- 2.1 Types
- 2.2 Yoked movement vs. antagonistic movement
3 Anatomy of eye movement
- 3.1 Ocular anatomy: the extraocular muscles
- 3.2 Neuroanatomy
4 Disorders of eye movement
5 Psychology of eye movement
6 References
7 Notes
8 See also
9 External links

Eye movement systems [1]

Eyes are the visual organs that have the retina, a specialized type of brain tissue containing photoreceptors and interneurons. These specialised cells convert light into electrochemical signals that travel along the optic nerve fibers to the brain.

Primates use two types of voluntary eye movements to track objects of interest: pursuits and saccades.^[1] These movements appear to be initiated by a small cortical region in the brain's frontal lobe.^[1]^[1]

Physiology of eye movement

Types

Eye movements are typically classified as either ductions, versions, or vergences^[1]^[1]:

Ductions - A duction is an eye movement involving only one eye.
Versions - Versions are eye movements involving both eyes in which each eye moves in the same direction.
Vergences - Vergences are eye movements involving both eyes in which each eye moves in opposite directions.

Fixational eye movements
Gaze stabilizing mechanisms

Gaze shifting mechanisms

Yoked movement vs. antagonistic movement

The visual system in the brain is too slow to process that information if the images are slipping across the retina at more than a few degrees per second.^[1] Thus, to be able to see while we are moving, the brain must compensate for the motion of the head by turning the eyes. Another specialisation of visual system in frontal-eyed animals is the development of a small area of the retina with a very high visual acuity. This area is called the fovea, and covers about 2 degrees of visual angle in people. To get a clear view of the world, the brain must turn the eyes so that the image of the object of regard falls on the fovea. Eye movements are thus very important for visual perception, and any failure to make them correctly can lead to serious visual disabilities. To see a quick demonstration of this fact, try the following experiment: hold your hand up, about one foot (30 cm) in front of your nose. Keep your head still, and shake your hand from side to side, slowly at first, and then faster and faster. At first you will be able to see your fingers quite clearly. But as the frequency of shaking passes about 1 Hz, the fingers will become a blur. Now, keep your hand still, and shake your head (up and down or left and right). No matter how fast you shake your head, the image of your fingers remains clear. This demonstrates that the brain can move the eyes opposite to head motion much better than it can follow, or pursue, a hand movement. When your pursuit system fails to keep up with the moving hand, images slip on the retina and you see a blurred hand.

The brain must point both eyes accurately enough that the object of regard falls on corresponding points of the two retinas in order to avoid the perception of double vision. In primates (monkeys, apes, and humans), the movements of different body parts are controlled by striated muscles acting around joints. The movements of the eye are slightly different in that the eyes not rigidly attached to anything, but are held in the orbit by six extraocular muscles.

Anatomy of eye movement

Ocular anatomy: the extraocular muscles

Main article: Extraocular muscles

Each eye has six extraocular muscles (EOM) that bring about the various eye movements:

lateral rectus, (supplied by Abducens nerve)
medial rectus, (supplied by Oculomotor nerve)
inferior rectus, (supplied by Oculomotor nerve)
superior rectus, (supplied by Oculomotor nerve)
inferior oblique, (supplied by Oculomotor nerve) and
superior oblique (supplied by Trochlear nerve)

When the muscles exert differential tensions (contractions in synergistic muscles and relaxation of antagonist muscles), a torque is exerted on the globe that causes it to turn. This is an almost pure rotation, with only about one millimeter of translation (Carpenter, 1988). Thus, the eye can be considered as undergoing rotations about a single point in the center of the eye.

Neuroanatomy

The brain exerts ultimate control over both voluntary and involuntary eye movements. Three cranial nerves carry signals from the brain to control the extraocular muscles. They are: