Age- and Sex-Based Developmental Biomarkers in Eye Movements

Background: Eye movement research serves as a critical tool for assessing brain function, diagnosing neurological and psychiatric disorders, and understanding cognition and behavior. Sex differences have largely been under reported or ignored in neurological research. However, eye movement features...

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Main Authors: Frederick Robert Carrick, Melissa Hunfalvay, Takumi Bolte, Sergio F. Azzolino, Mahera Abdulrahman, Ahmed Hankir, Matthew M. Antonucci, Nouf Al-Rumaihi
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/14/12/1288
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author Frederick Robert Carrick
Melissa Hunfalvay
Takumi Bolte
Sergio F. Azzolino
Mahera Abdulrahman
Ahmed Hankir
Matthew M. Antonucci
Nouf Al-Rumaihi
author_facet Frederick Robert Carrick
Melissa Hunfalvay
Takumi Bolte
Sergio F. Azzolino
Mahera Abdulrahman
Ahmed Hankir
Matthew M. Antonucci
Nouf Al-Rumaihi
author_sort Frederick Robert Carrick
collection DOAJ
description Background: Eye movement research serves as a critical tool for assessing brain function, diagnosing neurological and psychiatric disorders, and understanding cognition and behavior. Sex differences have largely been under reported or ignored in neurological research. However, eye movement features provide biomarkers that are useful for disease classification with superior accuracy and robustness compared to previous classifiers for neurological diseases. Neurological diseases have a sex specificity, yet eye movement analysis has not been specific to our understanding of sex differences. Methods: The study involved subjects recruited from 804 sites equipped with RightEye Vision Systems, primarily located in optometry practices across the United States. Subjects completed six eye movement assessments: circular smooth pursuit (CSP), horizontal smooth pursuit (HSP), vertical smooth pursuit (VSP), horizontal saccades (HS), vertical saccades (VS), and fixation stability (FS). Eye movements were analyzed and classified in accordance with age and sex by multiple <i>t</i>-tests and linear regression models. Results: This study represented a large sample size of 23,557 subjects, with 11,871 males and 11,686 females representing ages from birth through 80 years of age. We observed statistically significant differences for all eye movement functions between males and females. Conclusions: We demonstrate that eye movements are sex-specific and offer normative data to compare sex-specific eye movement function by age. Novel baseline metrics can be compared to individual performance, regardless of sex. This study represents significant progress in linking eye movements with brain function and clinical syndromes, allowing researchers and clinicians to stratify individuals by age and sex.
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spelling doaj-art-d0ae8ffd5be24ffbb626f55e129657cb2025-08-20T02:00:24ZengMDPI AGBrain Sciences2076-34252024-12-011412128810.3390/brainsci14121288Age- and Sex-Based Developmental Biomarkers in Eye MovementsFrederick Robert Carrick0Melissa Hunfalvay1Takumi Bolte2Sergio F. Azzolino3Mahera Abdulrahman4Ahmed Hankir5Matthew M. Antonucci6Nouf Al-Rumaihi7College of Medicine, University of Central Florida, Orlando, FL 32827, USADepartment of Neurology, The Carrick Institute, Cape Canaveral, FL 32920, USARightEye LLC, 6107A, Suite 400, Rockledge Drive, Bethesda, MD 20814, USADepartment of Neurology, The Carrick Institute, Cape Canaveral, FL 32920, USADepartment of Informatics and Smart Heath, Dubai Health Authority, Dubai 431111, United Arab EmiratesDepartment of Neurology, The Carrick Institute, Cape Canaveral, FL 32920, USADepartment of Neurology, The Carrick Institute, Cape Canaveral, FL 32920, USADepartment of Neurology, The Carrick Institute, Cape Canaveral, FL 32920, USABackground: Eye movement research serves as a critical tool for assessing brain function, diagnosing neurological and psychiatric disorders, and understanding cognition and behavior. Sex differences have largely been under reported or ignored in neurological research. However, eye movement features provide biomarkers that are useful for disease classification with superior accuracy and robustness compared to previous classifiers for neurological diseases. Neurological diseases have a sex specificity, yet eye movement analysis has not been specific to our understanding of sex differences. Methods: The study involved subjects recruited from 804 sites equipped with RightEye Vision Systems, primarily located in optometry practices across the United States. Subjects completed six eye movement assessments: circular smooth pursuit (CSP), horizontal smooth pursuit (HSP), vertical smooth pursuit (VSP), horizontal saccades (HS), vertical saccades (VS), and fixation stability (FS). Eye movements were analyzed and classified in accordance with age and sex by multiple <i>t</i>-tests and linear regression models. Results: This study represented a large sample size of 23,557 subjects, with 11,871 males and 11,686 females representing ages from birth through 80 years of age. We observed statistically significant differences for all eye movement functions between males and females. Conclusions: We demonstrate that eye movements are sex-specific and offer normative data to compare sex-specific eye movement function by age. Novel baseline metrics can be compared to individual performance, regardless of sex. This study represents significant progress in linking eye movements with brain function and clinical syndromes, allowing researchers and clinicians to stratify individuals by age and sex.https://www.mdpi.com/2076-3425/14/12/1288eye trackinggenderagevisual saccadesvisual pursuitsneurology
spellingShingle Frederick Robert Carrick
Melissa Hunfalvay
Takumi Bolte
Sergio F. Azzolino
Mahera Abdulrahman
Ahmed Hankir
Matthew M. Antonucci
Nouf Al-Rumaihi
Age- and Sex-Based Developmental Biomarkers in Eye Movements
Brain Sciences
eye tracking
gender
age
visual saccades
visual pursuits
neurology
title Age- and Sex-Based Developmental Biomarkers in Eye Movements
title_full Age- and Sex-Based Developmental Biomarkers in Eye Movements
title_fullStr Age- and Sex-Based Developmental Biomarkers in Eye Movements
title_full_unstemmed Age- and Sex-Based Developmental Biomarkers in Eye Movements
title_short Age- and Sex-Based Developmental Biomarkers in Eye Movements
title_sort age and sex based developmental biomarkers in eye movements
topic eye tracking
gender
age
visual saccades
visual pursuits
neurology
url https://www.mdpi.com/2076-3425/14/12/1288
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