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Original Article

The “Marche-En-Étoile” Revised: The Influence of After-Images and Prism-Glasses on Starwalks

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Pages 553-557 | Published online: 08 Jul 2009
 

Abstract

An analysis of the role that casual after-images play in starwalk (marche-en-etoile) tests, shows that these can be turned from unreliable into reliable tests. The vestibular function test described in this article is as follows: (a) the individual walks with open eyes to a point of reference 5 m distant. On arrival, he closes his eyes and walks backward and forward according to the marche-en-etoile procedure, (b) Same procedure as (a) but now the orientation point is replaced by a light source that is switched off when the patient reaches it. (c) Same procedure as (b) but now the patient is wearing prism-glasses. It turns out, the deviations in the starwalk are caused mainly by drifting of the after-image. This drift is based on an oculogyral illusion, and it appears that it can be influenced by wearing prism-glasses. These investigations reveal the existence of hitherto too little known interactions between the vestibular and the visual system.

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