Image analysis of quick phase eye movements in nystagmus with high-speed video system.

There are several methods of measuring horizontal, vertical and torsional nystagmus for the diagnosis of vertigo. Using Frentzel glasses, electronystagmography (ENG) and video-oculography (VOG) are common methods for observing nystagmus. In this study, a high-speed video camera is used to analyse high-speed eye movements, including three components of nystagmus, in order to monitor precisely the amplitude and velocity of the quick phase of nystagmus. To confirm the accuracy of the analysis, images of optokinetic nystagmus (OKN) evoked by a stimulating device were analysed. We obtained a high linearity with regard to the relation between the horizontal nystagmus amplitude detected with the high-speed video system and ENG (R2= 0.99). On comparison of the maximum velocities detected with 30Hz and with 250 Hz at each amplitude, the velocities calculated at 30Hz were smaller than those calculated at 250 Hz. At an amplitude of 5 degrees , the 30 Hz velocity decreased by 50%, while a decrease of 35% was observed at 15 degrees. The vertical nystagmus data obtained using high-speed VOG was different in appearance to that obtained using ENG. The torsional component of nystagmus was also measured, and was recorded in the form of a large number of sampling points.