As will be seen, each muscle acts most energetically in some special
direction of the gaze, termed field of action of that particular
muscle; thus the external rectus acts most powerfully when the eye
is directed outward, and acts little or not at all when the eye is
directed inward, except by purely passive traction. Likewise the
superior rectus acts mainly when the eye is directed down. Furthermore,
its action is limited to the upper and outer field; for in the upper
and inner field elevation is performed chiefly by the inferior oblique.
This is also true of all the other muscles.
DIRECTION OF THE GAZE
There are six cardinal directions of the gaze, each corresponding to
the field of action of one of the six ocular muscles as follows:
CARDINAL DIRECTION: MUSCLES SPECIALLY ACTIVE:
Straight out External rectus
Straight in Internal rectus
Up and out Superior rectus (as an elevator)
Up and in Inferior oblique (as an elevator)
Down and out Inferior rectus (as a depressor)
Down and in Superior oblique (as a depressor)
It is to be noted that the action of each muscle does not absolutely
_stop_ at the middle line, but extends somewhat beyond it. Thus the
action of the right externus extends not only throughout the whole
right half of the field of vision, but also some fifteen to twenty
degrees to the left of the median line; and that of the superior rectus
extends not only above the horizontal plane but also somewhat below.
PRIMARY POSITION—FIELD OF FIXATION
Under normal conditions, when the head is erect and the eye is directed
straight forward—that is, when its line of sight is perpendicular
to the line joining the centres of rotation of the two eyes in the
horizontal plane—the muscles are all balanced. This is called “the
position of equilibrium” or the primary position. It is this position
which must be assumed by the patient in conducting tests for balance of
the muscles.
From the primary position, the eye may make excursions in every
direction so that the patient can look at a whole series of objects in
succession without moving the head. This portion of space, occupied
by all the objects that may thus be seen directly by moving the eye
without moving the head, is called “the field of fixation.”
BINOCULAR MOVEMENTS
While either eye alone may move in all possible directions, one cannot
move _independently_ of the other eye. Under ordinary circumstances,
those movements only are possible which are regularly required to
subserve binocular vision, hence, binocular single vision, as well.
These movements are as follows:
PARALLEL MOVEMENTS
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