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EOM and Pupil testing.

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EOM and Pupil testing.

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EOM and Pupil testing
Annulus of Zinn - ANS-Origin of the 4 rectus muscles

Primary action planes - ANS-Ability to isolate muscles
23 degrees temporal
51 degrees nasal

23 degrees temporal up - ANS-Superior rectus
CN III

23 degrees temporal down - ANS-Inferior rectus
CN III

51 degrees nasal up - ANS-Inferior oblique
CN III

51 degrees nasal down - ANS-Superior oblique
CN IV

Temporal muscle - ANS-Lateral rectus
CN VI

Nasal muscle - ANS-Medial rectus
CN III

What angle do you use for version - ANS-30 degrees

Angle Kappa test - ANS-Monocular
Reflection of penlight should be slightly nasal in pupil
Normal finding +0.5mm

Hirschberg test - ANS-Binocular
Reflection of penlight in both eyes should be slightly nasal in pupil
Normal finding +0.5mm OU

Abduction - ANS-Rotation of eye away from midline

Adduction - ANS-Roataion of eye toward midline

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