[1][2] The main focus of this gesture is the "cut" of the eyes, and can be performed by moving them in one direction or several sharp up and down movements, meant to convey a feeling of anger or disapproval.
[1] In media depictions, the people who perform the neck roll are usually also portrayed as loud, tough, argumentative, and even combative.
The use of the cut-eye gesture is meant to send a feeling of anger or disgust without verbally communicating the same sentiment.
In this case, a sharp cut-eye is given in order to show the level of anger and disrespect felt by the user.
[4] The visual gesture of cut-eye is found in many Ghanaian languages, including translations in Akan, Ga, and Ewe.