Eye
Eye
Eye muscle test
Eye muscle test

Extraocular muscle function testing

Definition:
An examination of the function of the eye muscles, which is done by a doctor observing the movement of the eyes in six specific directions.

Alternative Names:
EOM; Extraocular movement; Ocular motility examinatin

How the test is performed:
You are asked to sit or stand with your head erect and a forward gaze. Your health care provider will hold a pen or other object 12 inches in front of your face. Without moving your head, the examiner will move the object from a center point in space out to the periphery at the following angles and ask you to follow without moving your head: 45 degrees, 90 degrees, 135 degrees, 180 degrees, 225 degrees, 270 degrees, 315 degrees, and 360 degrees.

How to prepare for the test:
No special preparation is necessary for this test.

How the test will feel:
The test involves only normal movement of the eyes.

Why the test is performed:
This test is performed to evaluate any weakness or other defect in the extraocular muscles which may result in double vision or nystagmus.

Normal Values:
Normal movement of the eyes in all cardinal directions.

What abnormal results mean:
If there are oscillations of the eyes during the test, nystagmus is present. For more information on the clinical significance of fine oscillations in the eye see nystagmus.

What the risks are:
There are no risks associated with this test.

Special considerations:
Minute nystagmus at extreme lateral (to the side) gaze is normal.


Review Date: 11/30/2001
Reviewed By: Edward B. Feinberg, M.D., M.P.H., Department of Ophthalmology, Boston University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network.

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