The Science Behind HarmonEyes
Science + AI and Eye-Tracking Data = Innovation
HarmonEyes’ parent company, RightEye, has pushed eye-tracking science into areas previously unexplored with more than 48 published articles in peer-reviewed journals.
Explore our full list of published articles and conference presentations to see how we are leading the research and making the world richer.
August 2024
Eye Movement Differences in Contact Versus Non-Contact Olympic Athletes
The purpose of this study was to investigate the difference in oculomotor functioning between Olympic-level contact and non-contact sports participants. In total, 67 male and female Olympic-level contact (n=27) and non-contact (n=40) athletes completed oculomotor tasks, including Horizontal Saccade (HS), Circular Smooth Pursuit (CSP), Horizontal Smooth Pursuit (HSP), and Vertical Smooth Pursuit (VSP) using a remote eye tracker.
Publication
Journal of Motor Behavior
Age-Based Developmental Biomarkers in Eye Movements: A Retrospective Analysis Using Machine Learning
This study aimed to identify when and how eye movements change across the human lifespan to benchmark developmental biomarkers. The sample size comprised 45,696 participants, ranging in age from 6 to 80 years old (M = 30.39; SD = 17.46). Participants completed six eye movement tests: Circular Smooth Pursuit, Horizontal Smooth Pursuit, Vertical Smooth Pursuit, Horizontal Saccades, Vertical Saccades, and Fixation Stability. These tests examined all four major eye movements (fixations, saccades, pursuits, and vergence) using 89 eye-tracking algorithms.
Publication
Brain Sciences
January 2024
Reliability and Validity of a 9-Point Ocular Alignment Test of Cardinal Gaze using Eye Tracking
The purpose of this study is to determine the reliability of eye-tracking enabled 9-Point Motor Function Test and to determine the validity of the eye-tracking system compared with a traditional Cover Test (CT). Fifty participants between the ages of 19-61 years were tested by a veteran Board-Certified Optometrist using the RightEye 9-Point Motor Function Test (MFT; eye tracking test) and a Cover Test. Participants completed both the 9-Point MFT and the Cover Test in random order and completed the 9-Point MFT test twice to assess test-retest reliability. Reliability was evaluated using Cronbach’s Alpha (CA). Overall reliability was acceptable to excellent per statistical standards.
Publication
Vision Development & Rehabilitation
December 2023
Automated Eye Tracking Enables Saccade Performance Evaluation of Patients with Concussion History
Automated eye tracking could be used to evaluate saccade performance of patients with concussion history, providing quantitative insights about the degree of oculomotor impairment and potential vision rehabilitation strategies for this patient population. The purpose of this study is to evaluate the saccade performance of patients with concussion history based on automated eye-tracking test results.
Publication
Optometry and Vision Science
July 2022
THE EFFECTS OF CHIROPRACTIC CRANIOPATHY UPON TBI PATIENTS MEASURED BY EYE SACCADES
Saccades appear to be a reliable measure of brain dysfunction following Traumatic Brain Injury (TBI). Four subjects were chosen at random having a history of traumatic brain injury and active symptomatology. Trauma and chronic stresses are potentially associated with certain distortion patterns of the pelvis and cranium in the Sacro Occipital Technic® Methods (SOT™) of chiropractic and Chiropractic Craniopathy.
Publication
Logan University, Atrium Health Services
May 2022
Long-Term Effects of Low-Level Blast Exposure and High-Caliber Weapons Use in Military Special Operators
Chronic low-level blast exposure has been linked with neurological alterations and traumatic brain injury (TBI) biomarkers. Impaired smooth-pursuit eye movements (SPEM) are often associated with TBI. The purpose of this study was to determine whether long-term operators of low-level blast exposure or high-caliber weapons use displayed oculomotor behaviors that differed from controls.
Publication
Brain Science
March 2022
Developing Brain in Danger: Critical Periods of Vulnerability from In-utero to Adolescence
The perinatal temporal window is a highly vulnerable time in which environmental factors, such as nutrients, drugs, infections, chemicals, and stress, experienced by the mother can be communicated to the offspring and produce lasting consequences on the newborn brain. Eye tracking is a non-invasive method used to understand these changes.
Publication
Frontiers in Neuroscience; Frontiers in Genetics; Frontiers in Behavioral Neuroscience
March 2022
Alpha Desynchronization Increases During Dynamic Visual Assessments Within One Year of Mild Traumatic Brain Injury
Mild Traumatic Brain Injuries (mTBI) can lead to visual processing deficits, including decreased visual acuity, visual field impairment, eye movement dysfunction- including vergence, saccadic, smooth pursuit movements, and an increase in mental workload during visual tasks. The purpose of this project was to examine the relationship between brain activity and visual-motor deficit in participants with a recent mTBI compared to healthy controls.
Publication
National Science Foundation: Biomedical Engineering in Simulations, Imaging, and Modeling (BME-SIM)
February 2022
Eye-Tracker Outcomes from Static, Mobile, Virtual Reality Eye-Tracking Devices
This volume explores the latest eye-tracking methodologies that help researchers understand the background, methods, and applications involved in these studies.
Publication
Book, Springer US
December 2021
Oculomotor Behavior Predict Professional Cricket Batting and Bowling Performance
The purpose of this project is to determine if a series of oculomotor measures can predict batting and bowling performance in professional cricket players.
Publication
Frontiers in Human Neuroscience
December 2021
Smooth Pursuit Eye Movements as a Biomarker for Mild Concussion within 7-Days of Injury
Deficits in smooth-pursuit eye movements (SPEM) are often associated with mild traumatic brain injury (TBI). Eye tracking tests serve as a quick objective clinical tool to assess such predictive visual tracking. In this study, SPEM was assessed along circular, horizontal and vertical trajectories in adolescents with concussion and age-matched controls.
Publication
Brain Injury
October 2021
The Pupillary Light Reflex as a Biomarker of Concussion
A retrospective clinical review of pupillary light reflex. Results show differences in age, gender and concussion status.
Publication
Life
September 2021
Visual Performance as a Function of Clear Central Aperture Diameter with a Defocused Myopic Periphery
The purpose of this study was to assess the effect of clear central apertures of different diameters with a defocused retinal periphery, using a range of visual performance tasks. The finding has important applications for spectacle and contact lens designs to optimize myopia.
Publication
Optometry and Visual Science
August 2021
Brain Vital Signs in Elite Ice Hockey: Towards Characterizing Objective and Specific Neurophysiological Reference Values for Concussion Management
Provides practical clinical implementations that overcome inherent challenges related to dependence on a baseline. This article establishes normative reference data sets.
Publication
Frontiers in Neuroscience
July 2021
[Presenting October 2021] Circular Smooth Pursuit Assessment and Neuronal Activity in the Alpha Frequency as Predictors of mTBI
Combination of circular smooth pursuit assessment and neuronal activity in the alpha frequency have the potential to be a successful diagnostic tool for TBIs.
Publication
Biomedical Engineering Society. National Science Foundation.
May 2021
Oculomotor Training for Poor Saccades Improves Functional Vision Scores and Neurobehavioral Symptoms
Examines oculomotor training exercises for poor saccadic eye movements. Includes neurobehavioral symptoms pre and post-treatment.
Publication
American Congress of Rehabilitation Medicine
March 2021
Classification of Comprehensive Neuro-Ophthalmologic Measures of Postacute Concussion
Compares persons with and without concussion after the acute injury period. Classification accuracy of clinically important discriminator eye-tracking (ET) metrics. 6 eye-tracking measures that reflect slowed visual reaction time had a combined sensitivity of 77.8% and specificity of 92.6% for discriminating between the groups
Publication
Journal of the American Medical Association: Neurology
December 2020
Fixation Stability as a Biomarker for Differentiating Mild Traumatic Brain Injury from Age Matched Controls in Pediatrics
Examines fixation stability in pediatric patients with mTBI versus age-matched controls.
Publication
Brain Injury
December 2020
Head Position and Posturography: A Novel Biomarker to Identify Concussion Sufferers
Head and neck position induced by statically maintained head turns is associated with lower stability scores than the standardized head neutral position of the mCTSIB in Post-Concussion Syndrome (PCS) subjects but not in healthy controls. Head positions of the neutral plane provide biomarkers that differentiate subjects suffering from PCS from healthy normal subjects.
Publication
Brain Sciences
November 2020
Oculomotor Behavior as a Biomarker for Differentiating Pediatric Patients With Mild Traumatic Brain Injury and Age Matched Controls.
Explains how the combined measurement of saccades, smooth pursuit, fixations, and reaction time represent a biomarker for differentiating pediatric patients with mild traumatic brain injury compared to age-matched controls.
Publication
Frontiers in Behavioral Neuroscience
June 2020
Visual and Oculomotor Abilities Predict Professional Baseball Batting Performance
RightEye tests predict discipline at the plate for Major League Baseball athletes.
Publication
International Journal of Performance Analysis in Sport
May 2020
A Comparison of Cardinal Gaze Speed Between Major League Baseball Players, Amateur Prospects, and Nonathletes
Shows differences between Major League Baseball, amateur prospects, and non-athletes in visual speed of gaze.
Publication
Journal of Sports and Performance Vision
January 2020
Vertical Smooth Pursuit as a Diagnostic Marker of TBI
Examines vertical smooth pursuit test to screen patients with mTBI compared with age-matched controls.
Publication
Concussion
October 2019
Visual Assessments Predict Swing Propensity in Professional Baseball
[Conference Presentation] Shows how better visual abilities predict O-Swing and Z-Swing propensity.
Publication
American Academy of Optometry (AAO)
September 2019
Oculomotor Behavior of Acutely Concussed Patients undergoing Hyperbaric Oxygen Treatment & Posters
[Conference Presentation] New eye-tracking technology, such as RightEye, offers an objective, reliable and quantifiable way of differentiating between individuals with different severities of TBI, and those without a TBI.
Publication
Neuro Optometric Rehabilitation Association (NORA)
July 2019
Horizontal and Vertical Self-Paced Saccades as a Diagnostic Marker of Traumatic Brain Injury
Examines using eye-tracking tests to measure horizontal and vertical saccades as a marker of damage to neural circuits associated with TBI.
Publication
Concussion
June 2019
An Examination of the Oculomotor Behavior Metrics Within a Suite of Digitized Eye Tracking Tests
[Conference Presentation] The purpose of this study was to examine the reliability of oculomotor behavior metrics in healthy individuals, to determine the normative values through cluster analysis, and to compare oculomotor behavior metrics by age groups in a suite of digitized eye-tracking tests.
Publication
North American Society for the Psychology of Sport and Physical Activity
February 2019
A Comparison of Visual Speed to the Cardinal Gaze Positions Between Major League Baseball Players and Amateur Prospects
[Conference Presentation] Major League Baseball players have faster eye movements in down and horizontal gaze directions compared with amateur prospects. There are not differences in upward gaze.
Publication
North American Society for the Psychology of Sport and Physical Activity
February 2019
An Examination of the Oculomotor Behavior Metrics Within a Suite of Digitized Eye Tracking Tests
This article discusses reliability and normative data across many of the RightEye tests.
Publication
Vision Development and Rehabilitation (COVD)
October 2018
The Effect of Prior Tennis Experience on Wheelchair Tennis Players’ Visual Search
Examination if prior biped tennis playing experience results in different visual search strategies for wheelchair tennis athletes.
Publication
Adapted Physical Activity Quarterly
August 2018
Interpupillary Distance and Pupil Diameter of Baseball Athletes and Non-Athletes
Examines if differences occur in Interpupillary Distance (IPD) and Pupil Diameter (PD) between professional baseball players and non-athletes.
Publication
Optometry and Visual Performance
July 2018
Reliability of Computerized Eye-tracking Reaction Time Tests in Non-athletes, Athletes, and Individuals with Traumatic Brain Injury
Examination of visual and motor reaction time in athletes, non-athletes, and those with concussion.
Publication
Optometry and Visual Performance
March 2018
Brain Monitoring Devices in Neuroscience Clinical Research: The Potential of Remote Monitoring Using Sensors, Wearables, and Mobile Devices
RightEye technology cited in providing reliable estimates of eye-tracking parameters.
Publication
Clinical Pharmacology & Therapeutics
February 2018
Eye Tracking Technology for Clinical Practice: Benefits, Limitations, and Considerations
This opinion piece discusses the use of eye-tracking in clinical practice, including benefits of such technology.
Publication
Optometry and Visual Performance
January 2018
Applied Psychophysiology: Using Biofeedback, Neurofeedback, and Visual Feedback
Visual assessment benefits and tools using eye-tracking in performance (textbook chapter).
Publication
Assessment in Applied Sport Psychology
December 2017
An Exploration of Shifts in Visual Fixation Prior to the Execution of Baseball Batting: Evidence for Oculomotor Warm Up, Attentional Processes or Pre-Performance Routines?
Results suggest that athletes exhibit multiple dynamic shifts in visual fixation prior to the onset of pitcher’s action. A significant positive relationship was found between the number of shifts in visual fixations and batting average.
Publication
International Journal of Sport Sciences
July 2017
The Reliability, Validity, and Normative Data of Interpupilary Distance and Pupil Diameter Using Eye-Tracking Technology
The purpose of this study was to determine the reliability of interpupillary distance (IPD) and pupil diameter (PD) measures using an infrared eye tracker and central point stimuli.
Publication
Translational Vision Science and Technology
June 2017
Lingering Binocular Vision Issues after a Suspected Concussion: A Case Study
This case study examines clinical assessments and eye tracking to monitor patient change over time after extensive vision therapy from a suspected concussion.
Publication
Translational Biomedicine
April 2017
Evaluation of Stereo Acuity in Professional Baseball and LPGA Athletes Compared to Non-Athletes
RightEye fine depth perception tests demonstrate reliability and validity. Differences are found between athletes and non-athletes.
Publication
Vision Development and Rehabilitation (COVD)
April 2017
Reliability and Normative Data of Computerized Dynamic Visual Acuity Tests
RightEye DVA tests demonstrate strong reliability results
Publication
Vision Development and Rehabilitation (COVD)
December 2016
Home-Based Therapy for Symptomatic Convergence Insufficiency in Children: A Randomized Clinical Trial
To compare the effectiveness of home-based (HB) computer vergence/accommodative therapy (HB-C) to HB near target push-up therapy (HB-PU) and to HB placebo treatment (HB-P) among children aged 9 to G18 years with symptomatic convergence insufficiency (CI).
Publication
Optometry and Vision Science
June 2016
Wearing Eye Tracking Technology during Batting Practice: Assessing the Experiences of Professional Baseball Athletes
Examines the use of eye-tracking technology in practice and reaction of the technology by athletes.
Publication
International Journal of Sports Science
March 2016
A Comparison of Visual Search Strategies of Elite and Non-Elite Tennis Players Through Cluster Analysis
Eye-tracking research used to assess levels of performance with novel statistical analysis.
Publication
Journal of Sports Sciences
October 2015
Treatment of symptomatic convergence insufficiency with home-based computerized vergence system therapy in children
To evaluate the efficacy of a home-based computer orthoptic program for symptomatic convergence insufficiency (CI) in children.
Publication
Journal of AAPOS
November 2012
Convergence insufficiency–A Major Review
Convergence insufficiency is a common binocular vision disorder affecting approximately 5% of the population in the United States. It is often associated with a host of symptoms that occur when doing near work, such as reading and computer viewing. This article reviews the existing literature on convergence insufficiency including etiology, diagnosis, sensorimotor findings, and management.
Publication
American Optometric Association
March 2011
Treatment of symptomatic convergence insufficiency with a home-based computer orthoptic exercise program
To determine the efficacy of a home-based computer orthoptic program to treat symptomatic convergence insufficiency
Publication
Journal of AAPOS
December 2009
Reduction of Symptoms in Binocular Anomalies Using Computerized Home Therapy HTS
Recent studies have found that symptoms associated with convergence insufficiency are reduced by in-office vision therapy with supplemental home therapy. This retrospective study was designed to evaluate the changes in symptoms using an automated, home computer vision therapy program (HTSTM) in accommodative/vergence disorders.
Publication
Optometry
December 2007
Computerized Vision Therapy for Home and Office Treatment of Accommodative & Vergence Disorders & Amblypia
Vision therapy or orthoptics is the standard treatment for symptomatic accommodative-vergence anomalies and amblyopia. Computerization of vision therapy has improved treatment results by: standardizing protocols; providing positive or negative reinforcement based upon responses; eliminating experimental (therapist) bias in research and/or therapy; and standardizing stimuli and methodology for diagnosis/treatment.
Publication
Journal of Behavioral Optometry
July 2007
The Role of Verbal Cues in Visual Search Behavior During Observational Llearning
Connects verbal cues with visual cues during observational learning.
Publication
Journal of Sport & Exercise Psychology
March 2005
Characteristics of Expert Wheelchair Tennis Players According to Visual Selectie Attention Preference
Examines the visual search patterns of wheelchair tennis players related to past experience.
Publication
Research Quarterly for Exercise and Sport
December 2003
Validity & Reliability of the Revised Convergence Insufficiency Symptoms Survey in Children Aged 9 to 18 Years
To assess the validity and reliability of the Convergence Insufficiency Symptom Survey (CISS) in children aged 9 to 18 years. The CISS is the primary outcome measure for a pilot study evaluating two different treatments for convergence insufficiency (CI).
Publication
Optometry and Vision Science
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