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Cranial Nerve III, IV and VI
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Testing Procedures – Saccades (rapid point localizations)

The clinician sits facing the patient, and the patient is instructed not to move his or her head. The patient is then instructed to quickly focus his or her eyes from one focus point to the next (object or finger) when prompted by the therapist. The therapist changes the position of the focus point eight to ten times, making certain to assess all four quadrants. The figures to the right depict four focus points and four quadrants; point here to see a close-up view of the focus points (disable pop-up blocker to view animation). Document normal or abnormal responses.

Special Instructions or Considerations

  • Pay special attention to the patient's ability to follow commands,
  • Look for past or under pointing movement of head.
  • Children have difficulty waiting, and the therapist will typically need to move to the next focus point with the command.

 

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Section: Cranial Nerves III, IV and VI
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Page 7 of 11
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