The usual result of this is, first a relaxing of binocular vision, and
as together with this the motive for convergence, namely, the effort of
the accommodation ceases, the conditions for the commencement of
divergence are produced. Still the elastic tension of the ocular muscles
decides even here; if the interni preponderate, convergent squint
results, when the myopic eye is used for near objects, the emmetropic
for distant ones. If the externi preponderate, then permanent or
periodic divergent strabismus is caused. Nevertheless, in a remarkable
minority of cases the elastic tension of the ocular muscles is so
regulated that, despite relaxation of binocular fusion, neither
convergent squint nor absolute divergence occurs, but simple relative
divergence remains with employment of the myopic eye for near objects.
DYNAMIC SQUINT, INSUFFICIENCY OF THE INTERNI AND MUSCULAR ASTHENOPIA.
The habit of binocular single vision, when it has once reached its
normal development, governs the movements of our eyes to a great degree;
the desire to avoid double images makes itself continually felt; and
where this is not possible, an uncomfortable feeling of uncertainty
arises at every movement of the body. Double images are prevented as far
as possible by movements of the eyes, which we must designate as
voluntary when we are conscious of their occurrence.
If we follow a moving object with the eyes, the latter make
corresponding movements in order to keep the image in the centre of both
retinæ. For example, if we look at a distant object which approaches in
the direction of one visual axis, this eye will necessarily remain
still, while the other will be put into convergence in proportion as the
object advances. If this did not happen, if this eye remained also
immovable, the retinal image would deviate outwards more and more from
the macula lutea and diplopia would arise. In order then to avoid
diplopia the macula lutea moves to where the retinal image is formed. We
can, however, move the images on the retina by the aid of prisms without
movement of the object. If, for example, we hold a prism before the eye
so that the base lies towards the temporal side, the retinal image will
be displaced towards the base of the prism, outwards then from the
macula, and double images will occur, which are at once removed by a
distinctly perceptible inward movement of the eye. In this way, by means
of a prism applied with the base inwards, outward deviation may be
produced, and even in a modified way deviations in height of the visual
axes by means of prisms with the base upwards or downwards. Here the
force of habit is apparent, for in the daily use of our eyes we
continually practise the inward movement of the visual axes; we can also
easily restore the customary degree of convergence by means of prisms
with the bases outwards; physiologically indeed, it is quite immaterial
whether an object is in a proximity to our eyes attainable by
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