3DeepVOG: An Open-Source Framework for Real-Time, Accurate 3D Gaze Tracking with Deep Learning

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Abstract

Objective

Eye movements are key biomarkers for diagnosing and monitoring neuro-otological, neuro-ophthalmological and neurodegenerative disorders. Video-oculography (VOG) systems enable detection of small, rapid eye movements and subtle oculomotor pathologies that may be missed during clinical exams. However, they rely on high-quality input for accurate tracking, struggle with torsional movements, and are often limited by high costs in broader clinical and research settings.

Methods

To overcome these limitations, we developed 3DeepVOG, a deep learning-based framework for three-dimensional monocular gaze tracking (horizontal, vertical, and torsional rotation) designed to operate robustly across varied imaging conditions, including low-light and noisy environments. The method includes automated framewise segmentation of the pupil and iris from video frames, followed by geometrically interpretable gaze estimation based on a two-sphere anatomical eyeball model incorporating corneal refraction correction. Torsion is tracked in real time using a novel mini-patch template matching approach. The system was trained on over 24,000 annotated samples obtained across multiple devices and clinical scenarios. Application was tested against a gold-standard VOG system in healthy controls.

Results

3DeepVOG operates in real time (>300 fps) and achieves mean gaze errors of approximately 0.1° in all three motion dimensions. Derived oculomotor metrics – such as saccadic peak velocity, smooth pursuit gain, and optokinetic nystagmus slow-phase velocity – show good-to-excellent agreement with results from a clinical gold-standard system.

Conclusions

3DeepVOG enables accurate, quantitative eye movement tracking across three dimensions under diverse conditions. As an open-source framework, it provides an accessible and scalable tool for advancing research and clinical assessment in neurological oculomotor disorders.

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