Evidence map›Paper›PMID 42223310›Full record

ArticleInvestigative ophthalmology & visual science2026

Visually Guided Saccades in Amblyopia and Strabismus: The Roles of Sensory Deficits and Nystagmus.

Ibrahim Quagraine, Busra Cakir, Archana Mandava, Jordan Murray, Zaina Albirini, Aasef Shaikh, Fatema Ghasia

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Article in Investigative ophthalmology & visual science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ibrahim QuagraineBiomedical Engineering, Case Western Reserve University, Cleveland, Ohio, United States.
Busra CakirCole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States.
Archana MandavaMathematics, Case Western Reserve University, Cleveland, OH, United States.
Jordan MurrayCole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States.
Zaina AlbiriniNeuroscience, Case Western Reserve University, Cleveland, Ohio, United States.
Aasef ShaikhNeurology, Case Western Reserve University, Cleveland, Ohio, United States.
Fatema GhasiaCole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To determine how amblyopia subtype, visual acuity, stereoacuity, and nystagmus influence visually guided saccades across viewing conditions in subjects with amblyopia and strabismus. Methods: Visually guided saccades were recorded using video‑oculography in controls, anisometropic amblyopia, strabismic amblyopia, and strabismus without amblyopia subjects under binocular and monocular viewing. Saccadic latency, gain, disconjugacy, movement strategies, and main sequence relationships were quantified. Linear mixed effects models assessed group and viewing condition effects, and χ2 tests compared saccadic strategies and diagnostic distributions by nystagmus status. Results: Saccadic latency varied with viewing condition and was most strongly associated with amblyopic eye visual acuity, with prolonged latencies during amblyopic eye viewing in anisometropic and strabismic amblyopia. Subjects with strabismic amblyopia also showed increased latencies during binocular viewing. Reduced saccadic gain and increased reliance on multiple‑step saccades were most pronounced in strabismic amblyopia and were strongly associated with nystagmus. Saccadic disconjugacy was greatest in subjects with reduced stereoacuity and was most evident during binocular viewing. Main sequence relationships were preserved across all cohorts, including those with nystagmus. Conclusions: Visually guided saccade abnormalities in amblyopia and strabismus reflect distinct contributions of sensory deficits and nystagmus. Although saccadic latency primarily indexes sensory access to the target, reduced gain and altered movement strategies are closely associated with nystagmus. Preservation of main sequence kinematics indicates intact saccadic motor execution. These findings identify nystagmus as an important modifier of saccadic accuracy and underscore the need to account for nystagmus when interpreting oculomotor behavior in amblyopia and strabismus, with relevance to visuomotor tasks such as reading and visual scanning.

Indexed as

AmblyopiaNystagmus, PathologicSaccadesStrabismusAdolescentAdultChildFemaleHumansMaleMiddle AgedVision, BinocularVisual AcuityYoung Adult

Identifiers

PMID42223310
PMCPMC13235755

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.