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Information

Describe size, regularity, and shape of pupils; reaction (direct and consensual) to light; and convergence (pt follows an object as it moves closer). Check for lid drooping, lag, or retraction. Ask pt to follow your finger (and report any double vision) as you move it horizontally to left and right and vertically with each eye first fully adducted then fully abducted. Check for failure to move fully in particular directions and for presence of regular, rhythmic, involuntary oscillations of eyes (nystagmus). Test quick voluntary eye movements (saccades) as well as pursuit (e.g., follow the finger).

Outline

Section 14. Neurology