Cranial
Nerves 4: Eye
movements (III, IV and VI)
Oculomotor
(III), Trochlear (IV) and Abducens (VI):
Extraocular Movements
(III, IV and VI)
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Stand or sit 3 to 6 feet in front of the patient.
-
Observe for abnormal eye position at rest.
-
Ask the patient to follow your finger with their eyes
without moving their head.
-
Ask patient how many fingers they can see in each position
(double vision?)
-
Check gaze in the six
cardinal directions using a cross or "H" pattern.
-
Pause during upward and lateral gaze to check for nystagmus.
-
Check convergence
by moving your finger toward the bridge of the patient's
nose.
The pupil should get smaller.
- report any double vision or nystagmus.
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