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Ocular motility should always be tested, especially when patients complain of double vision or physicians suspect neurologic disease. First, the doctor should visually assess the eyes for deviations that could result from strabismus, extraocular muscle dysfunction, or oculomotor nerve dysfunction. Saccades are assessed by having the patient move his or her eye quickly to a target at the far right, left, top and bottom.
Slow tracking is assessed by the 'follow my finger' test, in which the examiner's finger traces an imaginary "H", which touches upon the six cardinal fields of gaze. These test the inferior, superior, lateral and medial rectus muscles of the eye, as well as the superior and inferior oblique muscles.
If he can read fine print at four inches, although they ought, according to the table, to have lost that power shortly after twenty. But if, with the improved vision, details upon the surface begin to come out, or if the patient begins to think of the test card, which he has seen imperfectly, the strain to see will return and the period will be lost. At times no reflection could be obtained at all, regardless of the angle of the light to the eye of the subject,.
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