A system and method for stimulus & eye tracking, useful for the determination of the presence or strength of optokinetic nystagmus (OKN) typically for assessing visual acuity, comprises providing a novel visual stimulus effective to elicit OKN, which includes varying the visibility of a visual stimulus element, or displaying a series of visual stimulus elements so that a later displayed element has different visibility relative to an earlier displayed element. Visual stimulus elements may vanish or appear by reducing or increasing intensity, contrast, size and/or width of the elements or element boundaries. Visual stimulus elements comprise a perimeter that is darker than a background and a centre that is lighter than the background, and/or a perimeter that is lighter than a background and a centre that is darker than the background.
