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Diplopia fields with individual muscle paralysis. The red Maddox rod is in front of the right eye and gives rise to the straight line image, and the fields are
projected as the patient sees the images. A. Paralysis of right lateral rectus. Characteristic: right eye does not move to the right. Field: the vertical red line
is displaced to the right and the separation of images increases on looking to the right. B. Paralysis of right medial rectus. Characteristic: right eye does not
move to the left. Field: horizontal crossed diplopia increasing on looking to the left. C. Paralysis of right inferior rectus. Characteristic: right eye does not
move downward when eyes are turned to the right. Field: vertical diplopia (with the red line, seen by the right eye, displaced inferiorly) increasing on
looking to the right and down. D. Paralysis of right superior rectus. Characteristic: right eye does not move upward when eyes are turned to the right. Field:
Source: Disorders of Ocular Movement and Pupillary Function, Adams and Victor's Principles of Neurology, 11e
vertical diplopia (with red line displaced superiorly) increasing on looking to the right and up. E. Paralysis of right superior oblique. Characteristic: right eye
Citation:
Ropper
AH,eyes
Samuels
MA, Klein
JP,left.
Prasad
Adamsdiplopia
and Victor's
of Neurology,
11e; 2015
Available
at:
does not move
downward
when
are turned
to the
Field:S.vertical
(withPrinciples
red line displaced
inferiorly)
increasing
on looking
to the left and
http://mhmedical.com/
Accessed:
July
28,
2017
down. F. Paralysis of right inferior oblique. Characteristic: right eye does not move upward when eyes are turned to the left. Field: vertical diplopia (with red
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McGraw-Hill
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line displacedCopyright
superiorly)
increasing
on looking
to the left
up.reserved