Stereothresholds in persons with congenital nystagmus and in normal observers during comparable retinal image motion

Despite rapid oscillations of the eyes, visual acuity is close to normal in many observers with congenital nystagmus (CN). This study investigated whether binocular hyperacuity thresholds are also close to normal in observers with CN. To do so, we assessed stereothresholds for horizontally and vertically separated line targets in three normal observers and six observers with idiopathic horizontal CN. Stereothresholds in normal observers are better than in the observers with CN, especially for horizontally-separated targets and very small inter-line separations. Stereothresholds remain better in normal observers than in the observers with CN, even in the presence of conjugate retinal image motion simulating that in jerk nystagmus. However, when the simulated CN wave form also includes disconjugate position variability of the foveation periods, normal observers' stereothresholds become similar to those of approximately half of the observers with CN. We conclude that stereothresholds in observers with CN are degraded by the more-or-less constant motion of the retinal image, by excessive vergence instability and, in some observers, by a neural sensory deficit.