Abstract
purpose. To assess dynamic interactions of eye and head movements during return-sweep saccades (RSS) when reading with single-vision (SVL) versus progressive-addition (PAL) lenses in a simulated computer-based business environment.
methods. Horizontal eye and head movements were recorded objectively and simultaneously at a rate of 60 Hz during reading of single-page (SP; 14° horizontal [H]) and double-page (DP; 37° H) formats at 60 cm with binocular viewing. Subjects included 11 individuals with normal presbyopic vision aged 45 to 71 years selected by convenience sampling from a clinic population. Reading was performed with three types of spectacle lenses with a different clear near field of view (FOV): a SVL (60° H clear FOV), a PAL-I with a relatively wide intermediate zone (7.85 mm; 18° H clear FOV), and a PAL-II with a relatively narrow intermediate zone (5.60 mm; 13° H clear FOV).
results. Eye movements were initiated before head movements in the SP condition, and the reverse was found in the DP condition, with all three lens types. Duration of eye movements increased as the zone of clear vision decreased in the SP condition, and they were longer with the PALs than with the SVL in the DP condition. Gaze stabilization occurred later with the PALs than with the SVL in both the SP and DP conditions. The duration of head movements was longer with the PAL-II than with the SVL in both the SP and DP conditions. Eye movement peak velocity was greater with the SVL than the PALs in the DP condition.
conclusions. Eye movement and head movement strategies and timing were contingent on viewing conditions. The longer eye movement duration and gaze-stabilization times suggested that additional eye movements were needed to locate the clear-vision zone and commence reading after the RSS. Head movements with PALs for the SP condition were similarly optically induced. These eye movement and head movement results may contribute to the reduced reading rate and related symptoms reported by some PAL wearers. The dynamic interactions of eye movements and head movements during reading with the PALs appear to be a sensitive indicator of the effect of lens optical design parameters on overall reading performance, because the movements can discriminate between SVL and PAL designs and at times even between PALs.
Adaptation to and satisfaction with progressive-addition lenses (PALs) have been hampered in part by the restricted zones that may make reading difficult.
1 2 This includes the intermediate working distance of the typical computer user. The narrow intermediate zone of clear vision may cause an increase in the frequency of compensatory head movements, which is thought to be a major contributor to nonacceptance of PALs.
1 2
Few studies have been conducted in which both eye and head movements during reading have been objectively recorded simultaneously,
3 especially in multiple spatial dimensions. In one study
4 in which no special spectacle lenses were worn or compared, horizontal head and eye movements were recorded while reading Korean text placed along the midline at a distance of 35 cm. Smooth head movement occurred almost continuously during reading. However, the horizontal text extent was 90°, and hence represented a very unnatural condition that demanded initiation of extremely large eye and head movements. In a preliminary study of eye and head movements in three experienced subjects reading a text that extended 20° horizontally and using no spectacle lenses,
5 smooth and slow head movements were found during and immediately after the return-sweep saccade (RSS), lasting approximately 500 msec. Thus, during these periods, the eye moved to the right to read as the subject’s head was still rotating to the left. In a recent study of ours,
6 two-dimensional eye movements and three-dimensional head movements were recorded objectively during reading with the conventional single-vision lens (SVL) and two types of PALs with different intermediate zone widths. Single-page (SP) and double-page (DP) text formats of adult-level text were used, similar to that which a reader confronts in the typical contemporary computer-based environment, especially in the business world. In addition to quantification of the standard reading eye movement parameters (e.g., fixation duration, number of regressions),
7 frequency and amplitude of head movements were assessed. Several important differences in these static oculomotor and reading test parameters were found between lens conditions and text formats that provided important insights into the reading process and strategies used with PALs.
We now report on the dynamic eye and head interactions that occurred during the RSS eye movements in the same experiment.
Eye and head movements during reading were recorded objectively with an integrated eye and head movement computer-based system (RK-726 PCT; ISCAN, Burlington, MA) that has been used by us in other static oculomotor and reading analyses.
6 Files with both sets of dynamic data (i.e., instantaneous eye and head position) were numerically identified according to the time recorded, so that temporal aspects across and between the eye and head movements could be compared quantitatively.
The eye movement system (ETL-400; RK-726 PCT; ISCAN) uses a video-based, dark pupil-to-cornea reflection method. It consists of a head-mounted recording system attached to a stable cap that is fixed with Velcro straps onto the head, an eye imaging monitor, and a personal computer with specialized analysis and graph-producing software. An infrared light-emitting unit and video camera are mounted on the lightweight cap worn by the subject. The eye is illuminated by the infrared light, and the camera records the image of the eye. The video eye image is transmitted simultaneously to the monitor and computer. Differences between the corneal Purkinje image 1 and the pupil center are calculated as changes in eye position. The system can record horizontal and vertical eye movements simultaneously and independently, with a sampling frequency of 60 Hz. Although this moderate level of sampling-frequency may reduce or distort the true time and absolute peak velocity, we were interested in the relative temporal and peak velocity changes across lens type, and hence this lower sampling would not present a problem. Only horizontal eye movements were considered in the present study. The system has a linear range of ±20° with a resolution of 0.3° in both directions.
The head movement system (Insidetrak; Polhemus, Colchester, VT) involves an electromagnetic field recording method, consisting of an electromagnetic emitting unit and a sensor. The small sensor is attached to the cap, and the emitting unit is placed on a table 40 cm away. Three-dimensional (horizontal, vertical, and torsional) head movements can be recorded simultaneously and independently with a sampling frequency of 60 Hz; however, only horizontal head movements were considered in the present study. The system has a linear range of 360° with a resolution of 0.1° in all three directions.
The parameters investigated in this study were:
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Peak saccadic eye movement velocity.
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Peak step head movement velocity.
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Duration of the RSS eye movement.
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Duration of eye movement from initiation of the RSS to the beginning of the first reading fixation.
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Duration of head movement.
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Time difference between initiation of eye and head movement.
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Time difference between completion of eye and head movement.
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Time difference between eye and head movement peak velocity.
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Time difference between initiation of RSS and head movement peak velocity.
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Gaze stabilization time from completion of RSS to the first reading fixation.
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Percentage of responses showing nonzero gaze-stabilization times.
Figure 1 shows some of these dynamic parameters. Determination of eye and head position changes was based on the associated velocity. The velocity criteria for each parameter were: eye movement (EM) 2.8 deg/s, head movement (HM) 1.7 deg/s, and gaze 3.3 deg/s. These values are somewhat lower than typically found in the literature; however, they were noise-based values for detection of any type of movement (i.e., slow or fast) and not just the most rapid, such as occurs with a saccade or a steplike head movement. These thresholds were based on the noise levels of the respective motor responses when the subjects were instructed to keep their eyes and heads as steady as possible during midline fixation in primary position. Hence, there was no or minimal movement or change in eye or head position during these periods.
For all but one of the statistical analyses, a one-way ANOVA was performed for each text condition (i.e., SP or DP), followed by the post hoc least-significant-difference (LSD) test, because we were interested in lens-related performance changes within each text condition. The only exception was for the parameters of gaze-stabilization time and percentage of the responses showing nonzero gaze-stabilization times for the SP text condition in which a one-tailed, paired means t-test was used. In all cases, α was set at 0.05.