Skip to main content
. Author manuscript; available in PMC: 2013 Mar 15.
Published in final edited form as: J Neurol Sci. 2011 Dec 21;314(1-2):97–101. doi: 10.1016/j.jns.2011.10.016

Table 2.

Standardized clinical ocular motility examination.

Instruction given to subject Target presented Abnormal findings assessed by reviewers
Look at camera Camera (3 s) Square wave jerks
Nystagmus
Look and keep looking right, left, up, down (3 s each) None Nystagmus
Gaze limitation
Gaze impersistence
Visually follow moving target Target moving at Saccadic intrusions into smooth pursuit
30°/s horizontally
15°/s horizontally
30°/s vertically
15°/s vertically
(3 cycles of each)
If you see a target in the periphery, look at it Stationary target at 25° from center on horizontal (random left and right), 25° from center on vertical (random left and right) (3 of each) Lack of visually guided saccades
Dysmetria
Anticipatory movements (i.e. eye Movement generated when no target provided)
If you see a target in the periphery, look in the opposite direction Stationary target at 25° from center on horizontal (random left and right) 25° from center on vertical (random up and down) (3 of each) Anti-saccade error (i.e. eye movement toward target) or no movement when target provided
Anticipatory movements (i.e. eye movement when no target provided)
Close your eyes, open your eyes None Eyelid opening apraxia
Eyelid closure apraxia
Close your eyes while one eye is held open None Impaired Bell's phenomenon (i.e. limited ocular deviation during attempted eye closure)
Look at the camera while your head is moved Camera Limited vestibular ocular reflex