Horizontal Gaze Nystagmus (HGN)
How It’s Administered
The officer holds a stimulus — usually a pen or fingertip — about 12 to 15 inches from your face, slightly above eye level, and moves it slowly side to side while watching your eyes. You are told to follow the stimulus with your eyes only, without moving your head.
What Officers Score as Clues
- Lack of smooth pursuit — the eye jerks as it tracks the stimulus instead of following it smoothly
- Distinct and sustained nystagmus at maximum deviation — the eye jerks noticeably when held at the far corner for at least four seconds
- Onset of nystagmus prior to 45 degrees — jerking begins before the eye reaches a 45-degree angle
Decision point: 4+ clues suggests BAC ≥ 0.08%
Where It Falls Apart
- Dozens of medical conditions cause nystagmus with zero alcohol: inner-ear problems, brain injury, hypertension, caffeine, nicotine, and certain prescription medications
- Flashing police lights or passing traffic in your field of view can trigger optokinetic nystagmus — NHTSA's own manual says the test should face you away from them
- Timing errors are common: each pass has a prescribed speed (roughly two seconds out, two seconds back) and the officer must hold the stimulus at maximum deviation for a minimum of four seconds
- Holding the stimulus too close, too high, or moving it too fast invalidates the clue