A Description of Some of the Most Important Ophthalmic Methods Employed for ...

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A Description of Some of the Most Important Ophthalmic Methods Employed for ...
Charles a Charles Augustus Oliver
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In many instances, principally in the incipient and in the irritative stages of nerve- disease, the recognition of minor de- grees of disturbances of these muscles is extremely difficult. Hidden from view, associated in the most complex way in their normal actions, and so readily compensated for among themselves in their faults, their peculiarities of balance and the disturbances of their action are much' less readily recognized upon mere inspection than the peculiarities of their related inter...ior groupings.
Often, however, a quick observer may notice abnormalities of facial expression, and take advantage of peculiar movements of the head and trunk muscles when certain ocular motions are attempted. Should the patient complain of double vision, one eye will often be found unable to fix upon some object held at about occupation distance (such as reading or sewing) upon the median line. The clinical demonstration of this sign, which can be very readily determined by alternately ex- cluding one of the eyes whilst its fellow is made to gaze at an object, such as a pen-point, held directly ahead of the patient at about thirty- five centimetres' distance, is ordinarily known as the method by exclu- sion.


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