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April 28, 1917


Author Affiliations

Chicago Ophthalmic Surgeon, Cook County Hospital

JAMA. 1917;LXVIII(17):1255-1256. doi:10.1001/jama.1917.04270040243017

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In the examination of a number of exophthalmic goiter patients for the purpose of determining the relative frequency of the various eye symptoms and signs, this peculiar action of the lateral eye muscles was noted in many:

After extreme lateral rotation of the eyes, either to the right or to the left, with the head fixed and with fixation of an object at this point maintained for a second or two, on attempting to follow this fixation point as it is rapidly swung into the median line, one of the eyes—it may be either—fails to follow the other in a complementary manner into proper convergence and fixation for this point when it is brought into the median plane. Either the right or the left eye makes a sudden rotation into the fixation with its fellow, but before it does so, an apparent divergent strabismus is manifest.

A muscle balance for

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