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The Effect of Neuroleptics and Tardive Dyskinesia on Smooth-Pursuit Eye Movement in Chronic Schizophrenics
Herbert E. Spohn, PhD;
Lolafaye Coyne, PhD;
Judy Spray
Arch Gen Psychiatry. 1988;45(9):833-840.
Abstract
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• We sought to determine whether such state-related factors as neuroleptic treatment and facio-oral tardive dyskinesia (TD) influence smooth-pursuit eye movement (SPEM) in chronic schizophrenics. The design Involved 100 schizophrenics, 64 of whom showed "abnormal" eye tracking. Experimentally drug-withdrawn patients, some of whom were clinically relapsed, were compared with control patients who continued taking medication in prewithdrawal and postwithdrawal SPEM tests. All groups showed a slight worsening in eye-tracking performance on two postwithdrawal tests, but significant group-by—test session "interactions" were not demonstrable. We also determined that patients with TD tend to substitute large, nontracking saccades for SPEM to a significantly greater extent than nondyskinetic patients. Our findings strengthen the supposition that impaired SPEM is a trait in many schizophrenics but suggest that patients with TD be excluded in future studies of SPEM addressed to trait issues.
Author Affiliations
From The Menninger Foundation, Topeka, Kan.
Footnotes
Accepted for publication Jan 15, 1988.
Read before the International Congress on Schizophrenia, Clearwater, Fla, March 30, 1987.
Reprint requests to The Menninger Foundation, PO Box 829, Topeka, KS 66601 (Dr Spohn).
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