Emerging order of anomalous eye movements with progressive drowsiness. 2023

Shunya Umemoto, and Yutaka Hirata
Department of Computer Science, Chubu University Graduate School of Engineering, Aichi, Japan.

It has been widely recognized that human alertness is reflected in the eyes (e.g., when drowsiness, miosis, slow saccades, divergence, less compensatory vestibulo-ocular reflex, and less-accurate optokinetic response and smooth pursuit emerge). Previous studies that discovered these pupil/oculomotor anomalous behaviors along with lowering alertness evaluated only one or a few of them simultaneously, thus their emergence order is yet unknown. Presently, we focused on the following five pupil/oculomotor behaviors that can be evaluated under a natural stationary environment without giving external sensory stimulations: saccades, slow-phase eye movements, vergence, pupil diameter, and blinks. We demonstrate that their anomalous behaviors emerge in the following order: first: frequent saccades; second: slow saccades; third: divergence & miosis, then slow eye movement, while elongated eyelid closure duration emerges randomly in this sequence. These results provide a basis for the oculo-pupillometry-enabling objective monitoring of progressive drowsiness.

UI MeSH Term Description Entries
D011698 Pursuit, Smooth Eye movements that are slow, continuous, and conjugate and occur when a fixed object is moved slowly. Pursuits, Smooth,Smooth Pursuit,Smooth Pursuits
D001767 Blinking Brief closing of the eyelids by involuntary normal periodic closing, as a protective measure, or by voluntary action. Orbicularis Oculi Reflex,Reflex, Blink,Reflex, Corneal,Reflex, Orbicularis Oculi,Winking,Blink Reflexes,Corneal Reflexes,Orbicularis Oculi Reflexes,Blink Reflex,Reflexes, Blink,Reflexes, Orbicularis Oculi
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012438 Saccades An abrupt voluntary shift in ocular fixation from one point to another, as occurs in reading. Pursuit, Saccadic,Saccadic Eye Movements,Eye Movement, Saccadic,Eye Movements, Saccadic,Movement, Saccadic Eye,Movements, Saccadic Eye,Pursuits, Saccadic,Saccade,Saccadic Eye Movement,Saccadic Pursuit,Saccadic Pursuits
D015877 Miosis Pupillary constriction. This may result from congenital absence of the dilatator pupillary muscle, defective sympathetic innervation, or irritation of the CONJUNCTIVA or CORNEA. Pupillary Miosis,Constricted Pupil,Miosis, Persistent,Small Pupil,Constricted Pupils,Mioses,Mioses, Persistent,Mioses, Pupillary,Miosis, Pupillary,Persistent Mioses,Persistent Miosis,Pupil, Constricted,Pupil, Small,Pupillary Mioses,Pupils, Constricted,Pupils, Small,Small Pupils
D017120 Nystagmus, Optokinetic Normal nystagmus produced by looking at objects moving across the field of vision. Optokinetic Nystagmus

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