Scribd Logo
Upload

Welcome to Scribd!

  • 233 views

    NkiOptokinetics (OPK or OKN)

    Uploaded by

    Changho Lee
    - Optokinetic nystagmus (OPK/OKN) testing requires a full visual field stimulus covering at least 90% of the vision field to properly evaluate the optokinetic system and trigger the sense of rotation. - The optokinetic system is evaluated by nystagmus during visual stimulation (OPK/OKN testing) and after (OKAN), which indicates a normal functioning central vestibular mechanism. - Instructions to the patient can influence OPK/OKN results, so it is best to provide no instructions or have them look for shapes to avoid biases.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd

    NkiOptokinetics (OPK or OKN)

    Uploaded by

    Changho Lee
    233 views11 pages
    - Optokinetic nystagmus (OPK/OKN) testing requires a full visual field stimulus covering at least 90% of the vision field to properly evaluate the optokinetic system and trigger the sense of rotation. - The optokinetic system is evaluated by nystagmus during visual stimulation (OPK/OKN testing) and after (OKAN), which indicates a normal functioning central vestibular mechanism. - Instructions to the patient can influence OPK/OKN results, so it is best to provide no instructions or have them look for shapes to avoid biases.

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    - Optokinetic nystagmus (OPK/OKN) testing requires a full visual field stimulus covering at least 90% of the vision field to properly evaluate the optokinetic system and trigger the sense of rotation. - The optokinetic system is evaluated by nystagmus during visual stimulation (OPK/OKN testing) and after (OKAN), which indicates a normal functioning central vestibular mechanism. - Instructions to the patient can influence OPK/OKN results, so it is best to provide no instructions or have them look for shapes to avoid biases.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    233 views11 pages

    NkiOptokinetics (OPK or OKN)

    Uploaded by

    Changho Lee
    - Optokinetic nystagmus (OPK/OKN) testing requires a full visual field stimulus covering at least 90% of the vision field to properly evaluate the optokinetic system and trigger the sense of rotation. - The optokinetic system is evaluated by nystagmus during visual stimulation (OPK/OKN testing) and after (OKAN), which indicates a normal functioning central vestibular mechanism. - Instructions to the patient can influence OPK/OKN results, so it is best to provide no instructions or have them look for shapes to avoid biases.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 11

    Optokinetics (OPK or OKN)

    • Testing requires a full visual field stimulus


    – At least 90% of vision field
    – If using a light bar you are testing smooth
    pursuit and OPK/OKN but not OKN alone
    • May get normal results when not normal
    – If the patient can see any visual marks in the
    room they may not be able to be tested
    accurately
    • The optokinetic system is evaluated by both
    nystagmus during visual stimulation (OPK/OKN
    testing) and after (OKAN- the optokinetic after-
    nystamus)
    – This indicates a normal functioning central vestibular/ velocity
    storage mechanism
    Optokinetics (OPK or OKN)
    • Need full field to also trigger the sense of
    rotation known as circular vection
    – OPK is centrally mediated
    • Basford et al. 2003 found 4 of 10 TBI
    patients did not generate OPK and none had
    circular vection
    Optokinetics (OPK or OKN)
    • Instructions to the patient influence the results!
    – If instructed to follow the dots you get
    prolonged slow phases with large corrective
    saccades
    • Look nystagmus
    – If instructed to stare straight ahead you get
    small quick phases that are frequent
    • Stare nystagmus
    – Best Instructions are none
    • If patient is falling asleep…
    – Have them look for the “ red heart”, or “ the
    star shape”, etc.
    Abnormalities: Optokinetics
    • Low Gain
    – Both directions
    – CNS Lesion
    • Examples: floccular lesion, parietal lobe
    lesion
    – Rule out
    • large or multiple visual field deficits
    • Inattention
    • medications
    Abnormalities: Optokinetics
    • Asymmetric OPK/OKN
    – Vestibular end organ
    • If reduction opposite of spontaneous
    nystagmus
    • If acute
    • IF there is no spontaneous nystamus and not
    acute
    – Then it is supra-tentorial
    – Likely parietal lobe lesion
    – Rule out
    • Visual field deficit (one hemifield)
    Supratentorial
    www.Musckids.com
    www.wikipedia.com
    Analysis – OKN (OPK)
    Analysis – OKN (OPK)
    • % to remove segment ends
    – Removes a % from each end of a test segment.
    • Increasing the % causes more data to be
    deleted from each end and less to be used
    for calculation.
    • The result is based solely on the data
    remaining between the green cursors.
    • Stimulus Noise Filter:
    – Same function as sine filter (remove high
    frequency component of the
    signal), but to the OKN feedback signal.
    • Make sure it is always on.
    Analysis – OKN (OPK)
    • Segment:
    – Moves the green
    cursors along the
    data
    – Selects each
    segment in turn
    – The results are
    shown for the
    current segment
    selected
    Analysis – OKN (OPK)
    • Avg Eye Vel
    – average SPV
    • StDev
    – standard deviation
    for average SPV
    • Validity
    – The percentage of
    the total SPV data
    that matches the
    best fit line.
    – As this number
    approaches 100%,
    the results will
    become more valid.
    • Avg Stimulus vel –
    – Velocity of the
    OKN, norms

    You might also like