That the squinting eye really possesses its full share of the visual
field can easily be proved (especially in divergent squint) by the aid
of a perimeter. The best eye is covered with a red glass, so that the
objects projected from the fixation point, as well as the excentric
field of vision of this eye, appear red. As soon as the test object
moves towards the side of the squinting eye and enters the visual area
covered by the latter, it appears in its natural white colour, and this
in most cases before it has reached the centre of the retina of this
eye.
Another proof that the squinting eye is really used for vision appears
to me to lie in the fact that persons who squint, provided of course
that the vision of the eye concerned is not very defective, do not show
that uncertainty in the estimation of distance, which is apt to prove so
troublesome to those who have only monocular vision.
[Illustration: FIG. 1.]
If, then, the view of the constant suppression of the retinal images of
the squinting eye is untenable, how is it to be explained that squint as
the result of paralysis of the ocular muscles causes diplopia, while
concomitant squint does not? The answer to this question is clear as
soon as we abandon the supposition of a congenital retinal identity, and
look instead upon the relation of the eyes to each other as harmonious;
identity, or co-ordination as something acquired. Central fixation is
congenital and depends upon anatomical conditions, for as the macula
lutea is anatomically the most perfect part of the retina, it is natural
that the new-born child soon learns to place this part of the retina
opposite objects which attract its attention, and therefore those
relations of the eyes to each other are naturally developed. For
instance, if both eyes (Fig. 1) are directed to the distant point _a_,
the image of point _b_, situated at the same distance, will fall on the
inner half of the retina of the left eye; the left eye will now learn by
experience to refer inner retinal images to objects lying to the left of
the fixation point; at the same time, however, with binocular fixation,
the right eye learns to seek the images of the temporal half of its
retina in the left field of vision, and _vice versâ_. From this it is
easy to trace the laws of binocular diplopia. For example, let _a_ in
Fig. 2 be the fixation point, while at the same time the image of _b_
belongs in both eyes to the temporal half of the retina. Now, as we have
already seen, the right eye has learnt to refer temporal retinal images,
to objects lying to the left of the fixation point, while for the same
reasons the left eye projects temporal images to the right. While then
point _a_ is seen binocularly singly, point _b_ appears double, and
certainly the image of the right eye is projected to the left of the
fixation point, and that of the left eye to the right of it, in other
words, crossed diplopia is present. But the eyes are divergent relative
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