How to check for abnormal eye movements?

Question

Hello doctor,

I want to talk about my son, and I am sharing a video with you.

Please tell me whether you see any abnormal eye movements in this video of my son following my finger with his eyes.

I observed some unusual eye movements; he complained that he could not see well out of his right eye this morning. He could only see how many fingers I held up when his other eye was covered.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

This is not how we can check eye movements.

The child should be in a sitting position with a fixation point. He should not move his neck or head while seeing; only his eyes should move.

Other than that, counting fingers is a vague examination. What you can do at home is ask your child 6 feet away from the tv/iPad. You can download a digital Snellens chart and ask him to read with either eye, keeping other eyes closed.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome to icliniq.com again.

Yes, I did watch the video (attachment removed to protect the patient’s identity)—twice. His right eyes seem to lose focus momentarily and look esotropic. But seriously, I cannot comment on his position—lying down, half-lids covering his eyes—and I cannot determine all his muscle actions or movements.

You can take the same video with him sitting on a chair. that would be of proper help. and check the vision, as I advised earlier.

I hope this helps.

Please reach out to me again if you need a follow-up.

Thank you.