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The kinematics of the horizontal VOR for near fixation demand that VOR gain should change dependent on the target distance and the orientation of the head with respect to the target, or, equivalently, the amount of ocular vergence and the asymmetry of this vergence. Across two experiments, the gain of the VOR was measured in the right eye of humans who rotated their heads to the right or left while viewing a target placed either 22, 32.5 or 200 cm from the center of head rotation, in conditions with and without visual feedback. When the eye was in-line with the target, the measured VOR gain was up to 43% greater than when the eye was in an eccentric position. However, in the eccentric position, higher VOR gains were achieved with visual feedback of the target than without feedback, indicative of a visual component in the compensatory eye movement. Also, by changing the posture of the left eye but keeping the right eye constant, the VOR gain in the right eye was changed substantially during a subsequent head rotation. Hence, the positions of both eyes in their orbits determine the gain of the VOR in each eye.

Because the center of natural head rotation lies some distance behind the centers of eye rotation, the VOR has to operate with a gain substantially above 1 for there to be stable fixation of targets lying near the head. In humans, VOR gain was increased inversely proportional to fixation distance and changed with the angle of the head for very near targets. These effects were also evident when the subject imagined the target. However, this "high-gain" VOR was found to deteriorate substantially at frequencies beyond ca 2.5 Hz. In conditions without visual feedback, the VOR gain enhancement due to near fixation was disrupted by monocular viewing. When the subjects wore lenses to relax or increase accommodation, the lenses were found to have no effect on VOR gain. On the other hand, prisms of equivalent power to the lenses had a large effect whereby gain was adjusted according to the vergence state of the eyes. This suggests that VOR gain modulation is under the direct control of convergence.