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It has been suggested that control over saccadic eye movements represents cognitive proficiency. but the precise cognitive mechanisms underpinning saccades are unclear. This thesis aims to elucidate the mechanisms controlling the accuracy, validity and latencies of prosaccades and antisaccades. Experiment I assessed the role of working memory in determining antisaccade latencies and errors, by measuring the impact of imposing a task-relevant, concurrent load. It was found that reducing available working memory for saccades comparably impeded prosaccade and antisaccade performance. This suggests that, contrary to earlier indications, working memory capacity is not a specific determinant of antisaccade latencies or errors. Experiment 2 systematically varied concurrent working memory load in prosaccade and antisaccade tasks, whilst eliminating potentially confounding attentional factors. The results confirmed the minor role played by working memory in the control of antisaccades: when attentional factors were eliminated, the effects previously misattributed to working memory were abolished. Experiment 3 assessed the relative contributions of working memory and inhibitory control, and revealed that antisaccades are more reliant upon an inhibitory mechanism, particularly in older adults. In Experiment 4, the previously documented decline in this inhibitory mechanism with age was unpacked. Inhibitory control was temporally segregated into covert inhibition of attention and overt inhibition of saccades. The results suggested that it is only when covert and overt inhibition are required simultaneously, as in the standard antisaccade task, that older adults exhibit notably poorer performance, since older adults demonstrated a selective decline in overt inhibitory control. Finally, Experiment 5 tested competitive programming models of antisaccades, which predict that performance is largely determined by the relative programming speed of prosaccades, but found no support for such models. Taken together, these results suggest that visual attention, covert and overt inhibition, and working memory capacity all contribute to the cognitive control of saccadic eye movements.

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The need to measure the response of the oculomotor system, such as ocular accommodation, accurately and in real-world environments is essential. New instruments have been developed over the past 50 years to measure eye focus including the extensively utilised and well validated Canon R-1, but in general these have had limitations such as a closed field-of-view, a poor temporal resolution and the need for extensive instrumentation bulk preventing naturalistic performance of environmental tasks. The use of photoretinoscopy and more specifically the PowerRefractor was examined in this regard due to its remote nature, binocular measurement of accommodation, eye movement and pupil size and its open field-of-view. The accuracy of the PowerRefractor to measure refractive error was on averaging similar, but more variable than subjective refraction and previously validated instrumentation. The PowerRefractor was found to be tolerant to eye movements away from the visual axis, but could not function with small pupil sizes in brighter illumination. The PowerRefractor underestimated the lead of accommodation and overestimated the slope of the accommodation stimulus response curve. The PowerRefractor and the SRW-5000 were used to measure the oculomotor responses in a variety of real-world environment: spectacles compared to single vision contract lenses; the use of multifocal contact lenses by pre-presbyopes (relevant to studies on myopia retardation); and ‘accommodating’ intraocular lenses. Due to the accuracy concerns with the PowerRefractor, a purpose-built photoretinoscope was designed to measure the oculomotor response to a monocular head-mounted display. In conclusion, this thesis has shown the ability of photoretinoscopy to quantify changes in the oculomotor system. However there are some major limitations to the PowerRefractor, such as the need for individual calibration for accurate measures of accommodation and vergence, and the relatively large pupil size necessary for measurement.

The binding issue of th is thesis was the examination of workload, induced by relinotopic and spatiotopic stimuli, on both the ocu lomotor and cardiovascular systems together with investigating the covariation between the two systems - the 'eye-heart' link. Further, the influence of refractive error on ocular accommodation and cardiovascular function was assessed. A clinical evaluation was undertaken to assess the newly available open-view infrared Shin-Nippon NVision-K 5001 optometer, its benefit being the capability to measure through pupils = 2.3 mm. Measurements of refractive error taken with the NVision-K were found to be both accurate (Difference in Mean Spherical Equivalent: 0.14 ± 0.35 D; p = 0.67) and repeatable when compared to non-cycloplegic subjective refraction. Due to technical difficulties, however, the NVision-K could not be used for the purpose of the thesis, as such, measures of accommodation were taken using the continuously recording Shin-Nippon SRW-5000 openview infrared optometer, coupled with a piezo-electric finger pulse transducer to measure pulse. Heart rate variability (HRV) was spectrally analysed to determine the systemic sympathetic and parasympathetic components of the autonomic nervous system (ANS). A large sample (n = 60), cross-sectional study showed late-onset myopes (LOMs) display less accurate responses when compared to other refractive groups at high accommodative demand levels (3 .0 0 and 4.0D). Tonic accommodation (TA) was highest in the hypermetropes, fo llowed by emmetropes and early-onset myopes while the LOM subjects demonstrated statistically significant lower levels of TA. The root-meansquare (RMS) value of the accommodative response was shown to amplify with increased levels of accommodative demand. Changes in refractive error only became significant between groups at higher demand levels (3.0 D and 4.0 D) with the LOMs showing the largest magnification in oscilIations. Examination of the stimulus-response cross-over point with the unit ratio line and TA showed a correlation between the two (r = 0.45, p = 0.001), where TA is approximately twice the dioptric value of the stimulus-response cross-over point. Investigation of the relationship between ocular accommodation and systemic ANS function demonstrated covariation between the systems. Subjects with a faster heart rate (lower heart period) tended to have a higher TA value (r = -0.27, p < 0.05). Further, an increase in accommodative demand accompanies a faster heart rate. The influence of refractive error on the cardiovascular response to changes in accommodative demand, however, was equivocal. Examination of the microfluctuations ofacconunodation demonstrated a correlation between the temporal frequency location of the accommodative high Frequency component (HFC) and the arterial pulse frequency. The correlation was present at a range of accommodative demands from 0.0 D to 4.0 D and in all four refractive groups, suggesting that the HFC was augmented by physiological factors. Examination of the effect of visual cognition on ocular accommodation and the ANS confirmed that increasing levels of cognition affect the accommodative mechanism. The accommodative response shifted away from the subject at both near and far. This shift in accommodative response accompanied a decay in the systemic parasympathetic innervation to the heart. Differences between refractive groups also existed with LOMs showing less accurate responses compared to emmetropes. This disparity, however, appeared to be augmented by the systemic sympathetic nervous system. The investigations discussed explored Ihe role of oculomotor and cardiovascular fu nction in workload enviromnents, providing evidence for a behavioural link between the cardiovascular and oculomotor systems.

Optokinetic nystagmus (OKN) is a fundamental gaze-stabilising response in which eye movements attempt to compensate for the retinal slip caused by self-motion. The OKN response consists of a slow following movement made in the direction of stimulus motion interrupted by fast eye movements that are primarily made in the opposite direction. The timing and amplitude of these slow phases and quick phases are notably variable, but this variability is poorly understood. In this study I performed principal component analysis on OKN parameters in order to investigate how the eigenvectors and eigenvalues of the underlying components contribute to the correlation between OKN parameters over time. I found three categories of principal components that could explain the variance within each cycle of OKN, and only parameters from within a single cycle contributed highly to any given component. Differences found in the correlation matrices of OKN parameters appear to reflect changes in the eigenvalues of components, while eigenvectors remain predominantly similar across participants, and trials. I have developed a linear and stochastic model of OKN based on these results and demonstrated that OKN can be described as a 1st order Markov process, with three sources of noise affecting SP velocity, QP triggering, and QP amplitude. I have used this model to make some important predictions about the optokinetic reflex: the transient response of SP velocity, the existence of signal dependent noise in the system, the target position of QPs, and the threshold at which QPs are generated. Finally, I investigate whether the significant variability within OKN may represent adaptive control of explicit and implicit parameters. iii

La qualité de la vision sensorielle, l’aspect oculomoteur et la cognition ont très souvent été abordés de façon individuelle. D’un côté, les désordres de la vergence, liés fréquemment à des désordres de l’accommodation, entraînent des symptômes tels que douleurs, diminution de la qualité de vision mais aussi problèmes d’attention et de concentration, pouvant avoir une incidence sur l’apprentissage. D’un autre côté, les désordres de la vergence sont aussi liés à des problèmes oculomoteurs dans la coordination et la précision des saccades, domaine sur lequel repose l’aptitude à la lecture. L’ambition de cette thèse est d’approfondir ces constats et d’introduire des moyens expérimentaux afin de mettre en évidence les liens entre accommodation/vergence (A/V), contrôle des saccades et leur interférence avec la cognition. Dans une première partie, nous avons étudié l’impact des dysfonctionnements A/V classique et l’impact d’un conflit A/V induit sur les performances au test de Stroop, reconnu pour évaluer certains types de fonctions cognitives, faisant appel aux capacités basiques de lecture et exigeant un déploiement attentionnel élevé. Pour une population d’étudiants, les résultats ont montré des performances diminuées en cas de désordres de la vergence existant et en cas de conflit A/V induit, attestant d’une incidence négative des dysfonctionnements et des déséquilibres A/V induits sur les fonctions exécutives et les processus attentionnels. Ici, l’hypothèse d’une interaction des processus visuels et cognitifs en parallèle apparait plus plausible que celle d’un model sériel, avec une performance cognitive retardée par un problème visuel. Dans un deuxième temps, une réhabilitation de la vergence chez les sujets en présentant des désordres a permis une restauration des capacités, a montré une amélioration de la coordination des saccades et a eu une incidence positive sur l’aspect cognitif pendant la lecture, venant confirmer la théorie d’interférence en parallèle. L’ensemble des travaux apportent des ouvertures de recherches (1) sur le plan théorique, en croisant des domaines comme la neurologie, la psychologie cognitive, l’oculomotricité, l’optométrie et l’orthoptie ; (2) sur le plan clinique, en proposant des tests caractéristiques de dépistage ainsi que des solutions d’amélioration ; (3) sur le plan éducatif, en proposant des pistes pour expliquer l’incidence que le système visuel peut avoir sur les performances académiques. / Quality of sensory vision, eye movements and cognition have been broached one by one so far. However, recent studies suggest possible interactions between these fields without clarifying the link. On the one hand, vergence/accommodative (V/A) dysfunctions leads to visual symptoms like sore eyes, blurry or double vision but also problems of attention, concentration, and appear to have a negative impact on academic performances. On the other hand, people diagnosed with vergence disorders also show poor coordination of their saccades, which are essential in reading and cognitive demanding activities. The goal of this thesis is to go into this analysis in depth and to propose experimental ways to evidence the links between V/A disorders, control of the saccades and their influence on cognition. In a first part, we studied the impact of typical V/A disorders and the impact of an induced A/V conflict on the performances during the Stroop test, which is a neurological test known for evaluating cognitive executive functions like inhibition, demanding a high attentional deployment and stimulating basic reading skills. Results show that vergence dysfunctions and V/A inducted conflict have a negative influence on the Stroop performances in students, leading to a diminished control of cognitive functions. These results suggest a more parallel interaction between visual and attentional processes instead of a serial model where vision would be a prerequisite to cognition, slowing down the cognitive processes when disturbed. Secondly, we pursue this theory: vergence rehabilitation in subjects diagnosed with vergence disorders permitted an increase of the vergence capacities, showed an improvement on the coordination of the reading saccades and had a positive influence on the cognitive aspect during reading. This work gives new research possibilities at different level: (1) at a theoretical level, it permits to cross fields like neurology, cognitive psychology, eye movements and optometry; (2) at a clinical level, it suggests typical tests for a more efficient screening and opens new perspectives on solutions to rehabilitate people with V/A disorders; (3) at an educational level, it gives clues on how visual functions could affect academic performances.