ELECTROOCULOGRAPHY Dep. of Physiology, Fac. of Medicine, MU, 2016 © Zuzana Nováková ELECTROOCULOGRAPHY • Method for assesment of the eye movements employing the measurement of potential difference between cornea and retina • This potential generates an electric dipole oriented in parallel with the optical axis of the eye • The main goal of eye movements: to maintain and stabilize the object of interest at the point of the sharpest vision (yellow spot) Types of eye movements • Sustaining (miniature) – such as fixation - Looking into our eyes do not stray far away in space, but they are automatically fixed on a point in space (its visual field) • Smooth pursuit movements - assist the macular stabilization of the observed object • Saccadic movements – assist the transferring the view to a new object • Nystagmus – rhythmic eye-bulb movements, with 2 components: slow deviation to one side and fast twitch to the opposite side (slow is vestibular, fast from brainstem structures) • Vestibulo-ocular reflex – stabilization of the retinal image during sudden, nonuniform movements of the head • Optokinetic nystagmus – regular eye movement stabilizing the view during slight movement of the head or when the object changes its position with respect to motionless head Function of Eye Movement Type of Eye Movement "Holding" (slow) •Smooth Pursuit •Optokinetic Nystagmus (slow phase) •Vestibular Nystagmus •Convergence •Divergence •Accommodative Vergence "Catching" (fast) •Saccades •Optokinetic Nystagmus (quick phase) "Sustaining" (miniature) •Microsaccades •Tremor •Drift voluntary eye movement; involuntary eye movement Eye Movement The Vestibular Apparatus •The vestibulo-ocular and optokinetic reflexes are the earliest eye movements to appear phylogenetically •The vestibulo-ocular reflex (VOR) stabilizes retinal images during head motion by counter-rotating the eyes at the same speed as the head but in the opposite direction Characteristics of the VOR The VOR stabilizes retinal images during brief head movements by counter-rotating the eyes at the same speed as the head but in the opposite direction Summary of Central Control of Pursuit Eye Movement Vertigo Nystagmus Dep. of Physiology, Fac. of Medicine, MU, 2016 © Zuzana Nováková Vertigo • Vertigo (dizziness)– subjective loss of stability in space, rotation of surrounding space or rotation of body in space • connected with objective symptoms – disturbances of equilibrium and nystagmus – by stimulation of the labyrinths • semicircular canals are stimulated by: • rotation - post-rotational vertigo • Caloric (application of external auditorial tube either with cold=27°C or warm=47°C water • electric current - galvanic vertigo Nystagmus • rhythmic eye-bulb movements, 2 components: slow deviation to one side and fast twitch to the opposite side • slow is vestibular, fast from brainstem structures • Nystagmus at rest – vestibular system is affected by some pathological process or cerebellum Vestibular System: Structure 11 Vestibular System: Structure 12 utricle saccule Otolith organs Semicircular canals: structure 13  each semicircular canal contains an ampulla  Contains hair cells embedded in sensory epithelium called crista ampullaris  Cilia of hair cells project into gelatinous cap called cupula Enlargement of ampulla Crista ampullaris Semicircular canals Semicircular canals: function 14  Specialized for responding to rotational acceleration of the head  Head rotation results in the movement of endolymph in opposite direction  Bends cupula which bends hair cells  Same mechanical/electrical coupling as in auditory hair cells B&B Figure 13-18 Semicircular canals: sensory transduction 15 B&L Figure 8-26  Steriocilia maintain directionality on both sides of the head  Bending towards kinocilium  opens mechanically gated cation channels  K+ influx  depolarization  Bending away from kinocilium  closes channels that are open during resting state  hyperpolarization Semicircular canals: sensory transduction 16 Kandel Figure 40-7  Paired canals work together to signal head movement  With turning of the head, hair cells on one side of the body send excitatory signals to the brain while hair cells on the opposite side are inhibited Vestibular Pathways 17 • vestibular afferents synapse on vestibular nuclei located in medulla & pons • Nuclei integrate information from vestibular, visual, and somatic receptors and send collaterals to • 1.cerebellum • Sends corrective adjustments to motor cortex: maintenance of balance and posture Vestibular Pathways 18 • 2.nuclei of cranial nerves • Control coupled movements of the eyes, maintain focus and visual field • 3.nuclei of accessory nerves • Control head movement and assist with equilibrium Vestibular Pathways 19 • 4.ventral posterior nucleus of thalamus and vestibular area in cerebral cortex (part of primary somatosensory cortex) • Conscious awareness of the position and movement of head Areas 1,2,3 Vestibular Reflexes 20 Vestibulospinal Reflexes • Senses falling/tipping • contracts limb muscles for postural support Vestibulocollic Reflexes • acts on the neck musculature to stabilize the head if body moves Vestibulo-ocular Reflexes • stabilizes visual image during head movement • causes eyes to move simultaneously in the opposite direction and in equal magnitude to head movement Summary of Central Control of Saccades