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 |