The muscles forming any one pair are called associates. Any two
associates acting together will move their respective eyes in precisely
the same direction and to the same extent. Thus the right superior
rectus moves the eye up to the left and rotates its vertical meridian
to the left; and its associate, the left inferior oblique, moves its
eye up to the left and rotates its vertical meridian to the left. This
likewise applies to each of the other five groups of associates.
If one eye fails to keep pace with the other in executing parallel
movements, diplopia ensues. If the eyes are moved in all directions
and the point noted where the patient just begins to see double, we
_delimit_ the field of binocular single vision.
Normally, however, the two eyes maintain parallelism to the very
limit of their excursion, so that diplopia occurs only at the extreme
periphery of the field of vision, if at all. In fact, the field of
binocular single vision usually extends not less than 40 degrees from
the primary position in every direction.
Each of the various parallel movements of the eye appear to be governed
by a distinct nerve mechanism, there being one centre for movements to
the right, one for movements to the left, one for movements up, etc.
MOVEMENTS OF CONVERGENCE
In order to see an object at a nearby point, the eyes have to
converge—a movement affected by a simultaneous and equal contraction
of both internal recti. This movement may be combined with a vertical,
lateral or oblique parallel movement. Thus, when we wish to look at a
near object situated twenty degrees to our right, we first turn both
eyes twenty degrees to the right, then converge both equally, turning
the left a little more to the right and the right a little back toward
the left.
Convergence is governed by a distinct mechanism of the nerves, the
source of which has not been determined.
MOVEMENTS OF DIVERGENCE
In passing from a position of convergence to a position of parallelism,
the lines of sight separate or diverge. This movement of divergence
is a simultaneous, equal contraction of both externi; or, probably,
of both actions combined. The eyes may even diverge somewhat beyond
parallelism, as in overcoming prisms, base in, when looking at a
distant object.
VERTICAL DIVERGENCE
The amount by which the lines of sight can separate in a vertical
direction is very limited—at most but one or two degrees.
ORTHOPHORIA
The term orthophoria is used to denote an absolutely normal balance of
the extrinsic muscles, just as the term emmetropia denotes a normal
refractive condition. They are equally rare.
HETEROPHORIA
The term heterophoria includes all those conditions in which there is
a tendency to depart from normal balance, but which nature is able to
compensate for; while the term also includes the conditions in which
nature has been unequal to the task and an actual turning or squint has
occurred.
SUBDIVISIONS
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