Quotidian Profile of Vergence Angle in Ambulatory Subjects Monitored With Wearable Eye Tracking Glasses.

Purpose: Wearable eye trackers record gaze position as ambulatory subjects navigate their environment. Tobii Pro Glasses 3 were tested to assess their accuracy and precision in the measurement of vergence angle. Methods: Four subjects wore the eye tracking glasses, with their head stabilized, while fixating at a series of distances corresponding to vergence demands of: 0.25, 0.50, 1, 2, 4, 8, 16, and 32°. After these laboratory trials were completed, 10 subjects wore the glasses for a prolonged period while carrying out their customary daily pursuits. A vergence profile was compiled for each subject and compared with interpupillary distance. Results: In the laboratory, the eye tracking glasses were comparable in accuracy to remote video eye trackers, outputting a mean vergence value within 1° of demand at all angles except 32°. In ambulatory subjects, the glasses were less accurate, due to tracking interruptions and measurement errors, partly mitigated by the application of data filters. Nonetheless, a useful record of vergence behavior was obtained in every subject. Vergence profiles often had a bimodal distribution, reflecting a preponderance of activities at near (mobile phone and computer) or far (driving and walking). As expected, vergence angle correlated with interpupillary distance. Conclusions: Wearable eye tracking glasses make it possible to compile a nearly continuous record of vergence angle over hours, which can be correlated with the corresponding visual scene viewed by ambulatory subjects. Translational Relevance: This technology provides new insight into the diversity of human ocular motor behavior and may become useful for the diagnosis of disorders that affect vergence function such as: convergence insufficiency, Parkinson disease, and strabismus.