Smooth-Pursuit Eye Movements in the Newborn Infant

The capacity of newborn infants to smooth-pursuit eye movements in single-target tracking and in optokinetic nystagmus to a moving striped field was examined utilizing DC electrooculography. Smooth-pursuit movements were observed in all infants who were alert during testing, but they occupied less than 15% of viewing time during single-target tracking. The velocity of smooth-pursuit segments in single-target tracking increased linearly to a target velocity of 19 degrees/sec and deteriorated rapidly at faster speeds. No smooth pursuit occurred above 32 degrees/sec in single-target tracking. By contrast, optokinetic nystagmus was observed at all field velocities to 40 degrees/sec, but the speed of the mean slow component increased linearly to 25 degrees/sec and diminished above that field velocity. Infant optokinetic nystagmus differed strikingly from that of adults in that tonic ocular deviation was in the direction of field movement rather than away from it. This feature of neonatal optokinetic nystagmus is consistent with deficient foveal function and suggests that the relatively poor smooth-pursuit performance of newborns may be related to foveal immaturity.