Fixational instability and saccadic eye movements of dyslexic children with subtle cerebellar dysfunction.

Fixational stability and saccadic eye movements were measured in 9- to 13-year-old dyslexics with signs of subtle cerebellar dysfunction and in a group of age-matched normal readers. This group of dyslexics was specifically chosen because cerebellar disorders are often associated with ocular motor dysfunction. Dyslexic children were found to exhibit significantly greater fixational instability than controls while viewing a simple, stationary stimulus. Although both groups of children showed disruption of fixational stability when viewing stationary targets against optokinetic backgrounds, gaze stability of dyslexics was more degraded than that of controls. However, latency and accuracy of saccadic eye movements of dyslexic children were not different from those of normal readers. The results suggest that poor maintenance of gaze stability, rather than inadequate control over saccadic eye movements, characterizes the ocular motor problems that may contribute to reading difficulties in this subgroup of dyslexics.