Purpose-The purpose of the present work was to investigate whether individual differences in eye surface area are related to the rate of spontaneous eye blinking (SB) in young infants. Rate of SB was also compared to the rate of gaze shifts.Methods-Forty-four 4-month-old infants were observed under controlled conditions for 4-6 minutes. SB, eye surface area, gaze shifts and various background variables were measured.Results-Individual differences in the rate of SB and in eye surface area were wide. Neither the eye surface area nor the rate of gaze shifting was related to the rate of SB in young infants. However, when SB do occur, they are more likely to coincide with a shift in gaze than immediately precede or follow a shift in gaze.
Conclusions-Eye surface area does not explain individual differences in the rate of SB in infancy.This and other recent work suggests that central factors may play a more prominent role in the mechanisms of SB early in human development than previously reported and that the mechanisms regulating the rate of SB appear to be developmentally continuous with those of adults. To the extent that the rate and timing of SB reflects developing neurological systems, SB may be useful clinically.
Keywordsspontaneous eye blinking; palpebral fissure; eye surface area; gaze shifts; infants Human infants exhibit low rates (<4 per min) of spontaneous eye blinking (SB). 1, 2 From this low rate of SB in infancy, the rate increases gradually to about 15-30 per min in adulthood [3][4][5] . Current explanations of the low rate of SB in infants compared to adults have focused primarily on the precorneal tear film. The lipid layer of the tear film has been a focal point because it retards evaporation and stabilizes the tear film 6 . In infants, the lipid layer of the tear film is thicker and more stable than in adults 7,8 and the amount of exposed eye surface area is smaller. Following a blink, it is believed that evaporation leads to eye surface cooling which triggers a blink that in turn restores the tear film 9,10 Because adults and infants show similar levels of corneal sensitivity to cooling of the eye surface 10 , the lower SB rate in infants is not due to reduced sensitivity to surface cooling that results when the tear film breaks up. These facts have led to the hypothesis that the low rate of SB in infants is due to the combination of thicker lipid layer and relatively small palpebral aperture and so, as children develop, a thinner tear film is less effective in reducing evaporation and SB are triggered more frequently which is manifested as a developmental increase in SB. 8,10 In contrast, research on adults has identified central as well as peripheral mechanisms that regulate the rate of SB. Peripheral factors that are believed to affect rate of SB include: tear film stability, thickness of the lipid layer, and rate of eye drying 6,9 . Environmental factors