Efficient gaze stabilization during video Active Gaze Shift Test (vAGST) in bilateral vestibulopathy

Recent model suggests that compensatory eye movements, which stabilize gaze during the counter rotation phase of active gaze shifts, are predictive in nature. vAGST is not designed to provide an etiological diagnosis but rather a functional assessment of the patient's ability to generate predictive eye movements that compensate for vestibular sensor deficits. Understanding the quality of the patient's sensory predictions can also shed light on vestibular symptoms, even in cases where no vestibular sensor deficit is detected. This suggest that quality of life and oscillopsia questionnaires should distinguish between predictable and unpredictable movements.