Despite the fact that almost 50% of the brain is dedicated to the visual system, many neurologists feel intimidated by ocular movement abnormalities and consider eye movement disorders to be a difficult, inapproachable subject. This is perhaps unsurprising because the evaluation of eye movements requires a proper and detailed clinical technique, as well as an understanding of the circuitry involved in the important task of moving the eyes to an object of regard and maintaining the eyes in that position. Furthermore, there is often insufficient time to dedicate to learning the correct clinical techniques and the etiopathophysiologic basis of ocular movement disorders in the hectic bustle of medical school and neurology residency training.
Beh SC. Review of Eye Movement Disorders in Clinical Practice. JAMA Neurol. 2015;72(11):1380. doi:10.1001/jamaneurol.2015.1707