Oculomotor randomness is higher in autistic children and increases with the severity of symptoms

Inbal Ziv, Inbar Avni, Ilan Dinstein, Gal Meiri, Yoram S. Bonneh

Research output: Contribution to journalArticlepeer-review


A variety of studies have suggested that at least some children with autism spectrum disorder (ASD) view the world differently. Differences in gaze patterns as measured by eye tracking have been demonstrated during visual exploration of images and natural viewing of movies with social content. Here we analyzed the temporal randomness of saccades and blinks during natural viewing of movies, inspired by a recent measure of “randomness” applied to micro-movements of the hand and head in ASD (Torres et al., 2013; Torres & Denisova, 2016). We analyzed a large eye-tracking dataset of 189 ASD and 41 typically developing (TD) children (1–11 years old) who watched three movie clips with social content, each repeated twice. We found that oculomotor measures of randomness, obtained from gamma parameters of inter-saccade intervals (ISI) and blink duration distributions, were significantly higher in the ASD group compared with the TD group and were correlated with the ADOS comparison score, reflecting increased “randomness” in more severe cases. Moreover, these measures of randomness decreased with age, as well as with higher cognitive scores in both groups and were consistent across repeated viewing of each movie clip. Highly “random” eye movements in ASD children could be associated with high “neural variability” or noise, poor sensory-motor control, or weak engagement with the movies. These findings could contribute to the future development of oculomotor biomarkers as part of an integrative diagnostic tool for ASD.

Original languageEnglish
Pages (from-to)249-265
Number of pages17
JournalAutism Research
Issue number2
Early online date8 Jan 2024
StatePublished - Feb 2024

Bibliographical note

Publisher Copyright:
© 2024 The Authors. Autism Research published by International Society for Autism Research and Wiley Periodicals LLC.


This project was supported by ISF grant 657/21 (YB), ISF grant 1150/20 (ID), and a grant from the Azrieli Foundation to create the Azrieli National Center for Autism and Neurodevelopment Research.

FundersFunder number
Israel Science Foundation1150/20, 657/21
Azrieli Foundation


    • eye movements
    • eye-blink
    • eye-tracking
    • movies
    • randomness
    • saccade


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