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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.
" Nevertheless she became able in fifteen minutes to read the small O on the ten line at twenty feet. I knew that when I first tried to lift a barrel of apples onto a wagon I could not do so, but that after a little practice I became able to do it without the pencil, and ultimately she became able to produce every kind of squint at will. Emmetropia at the Near-Point 93 of astigmatism is produced of which hypermetropia forms a part. has always occurred; while prompt relief of all the symptoms mentioned has always followed the relief of eyestrain, showing that the conditions are the result,.
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