Saccades can be elicited voluntarily, but occur reflexively whenever the eyes are open, even when fixated on a target (see Box A). The rapid eye movements that occur during an important phase of sleep (see Chapter 28) are also saccades. The time course of a saccadic eye movement is shown in Figure 20.4.

What causes saccadic eye movements?

Saccadic intrusions or oscillations: These saccades occur when patients are fixating in the eye primary position, or they may be superimposed during smooth pursuit. Examples include square wave jerks, macrosaccadic oscillations and ocular flutter/opsoclonus.

How do you treat saccadic eye movement?

Saccadic deficiencies can be treated using vision therapy at any age, and it can help to improve reading speed and ability. Some of the treatments that might be used are monocular exercises done with a patch including charts, games, hitting a Marsden Ball, and doing eye stretches and jumps.