The video head impulse test during post-rotatory nystagmus: physiology and clinical implications.

The aim of this study was to test the effects of a sustained nystagmus on the head impulse response of the vestibulo-ocular reflex (VOR) in healthy subjects. VOR gain (slow-phase eye velocity/head velocity) was measured using video head impulse test goggles. Acting as a surrogate for a spontaneous nystagmus (SN), a post-rotatory nystagmus (PRN) was elicited after a sustained, constant-velocity rotation, and then head impulses were applied. 'Raw' VOR gain, uncorrected for PRN, in healthy subjects in response to head impulses with peak velocities in the range of 150°/s-250°/s was significantly increased (as reflected in an increase in the slope of the gain versus head velocity relationship) after inducing PRN with slow phases of nystagmus of high intensity (>30°/s) in the same but not in the opposite direction as the slow-phase response induced by the head impulses. The values of VOR gain themselves, however, remained in the normal range with slow-phase velocities of PRN < 30°/s. Finally, quick phases of PRN were suppressed during the first 20-160 ms of a head impulse; the time frame of suppression depended on the direction of PRN but not on the duration of the head impulse. Our results in normal subjects suggest that VOR gains measured using head impulses may have to be corrected for any superimposed SN when the slow-phase velocity of nystagmus is relatively high and the peak velocity of the head movements is relatively low. The suppression of quick phases during head impulses may help to improve steady fixation during rapid head movements.

A novel and inexpensive digital system for eye movement recordings using magnetic scleral search coils.

After their introduction by Robinson (IEEE Trans Biomed Eng 10:137-145, 1963), magnetic scleral search coils quickly became an accepted standard for precise eye movement recordings. While other techniques such as video-oculography or electro-oculography may be more suitable for routine applications, search coils still provide the best low-noise and low-drift characteristics paired with the highest temporal and spatial resolution. The problem with search coils is that many research laboratories still have their large and expensive coil systems installed and are acquiring eye movement data with old, analog technology. Typically, the number of recording channels is limited and modifications to an existing search coil system can be difficult. We propose a system that allows to retro-fit an existing analog search coil system to become a digital recording system. The system includes digital data acquisition boards and a reference coil as the hardware part, receiver software, and a new calibration method. The circuit design has been kept simple and robust, and the proposed software calibration allows the calibration of a single coil within a few seconds.

Design, simulation and evaluation of uniform magnetic field systems for head-free eye movement recordings with scleral search coils.

The precise measurement of eye movements is important for investigating vision, oculomotor control and vestibular function. The magnetic scleral search coil technique is one of the most precise measurement techniques for recording eye movements with very high spatial (≈ 1 arcmin) and temporal (>kHz) resolution. The technique is based on measuring voltage induced in a search coil through a large magnetic field. This search coil is embedded in a contact lens worn by a human subject. The measured voltage is in direct relationship to the orientation of the eye in space. This requires a magnetic field with a high homogeneity in the center, since otherwise the field inhomogeneity would give the false impression of a rotation of the eye due to a translational movement of the head. To circumvent this problem, a bite bar typically restricts head movement to a minimum. However, the need often emerges to precisely record eye movements under natural viewing conditions. To this end, one needs a uniform magnetic field that is uniform over a large area. In this paper, we present the numerical and finite element simulations of the magnetic flux density of different coil geometries that could be used for search coil recordings. Based on the results, we built a 2.2 × 2.2 × 2.2 meter coil frame with a set of 3 × 4 coils to generate a 3D magnetic field and compared the measured flux density with our simulation results. In agreement with simulation results, the system yields a highly uniform field enabling high-resolution recordings of eye movements.