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Related post: the image ; this can be done by an overtension on the part
of the superior rectus of the right eye. Such overtension
can not be regarded in the light of guilt, but rather as an
honest effort on the part of the superior rectus to furnish
its master with single binocular vision. I select two cases
of this condition of affairs.
5. The right eye was situated higher in the skull than the
left. Horizontal homonymous diplopia having been caused,
the left image was found to be the higher.
Right Eye. — Power of superior Purchase Cefpodoxime Online rectus, 2° ; power of inferior
rectus, 2°.
Left Eye. — Power of superior rectus, 2° ; power of inferior
rectus, 3°. Buy Cefpodoxime Online
The right eye must be accepted as the standard ; an
image that falls on its macula must fall above the macula of
the left eye, were it not for the inferior rectus of the latter,
that pulls the eye downward and carries the macula upward
to meet the image at the trysting-place. In this way single
binocular vision is attained by an overtension on the part
of the inferior rectus of the left eye. An operation upon
either the superior rectus of the right eye or the inferior
rectus of the left would be quite out of the question. This
patient had been examined by two other gentlemen, and the
diagnosis of right hyperphoria had been made by each; one
suggested clipping the tendon of the superior rectus of the
right eye.
Although the patient had a considerable refractive error
{H), he had no symptom of asthenopia save a little heavi-
ness of the eyes at night when reading.
6. Buy Cheap Cefpodoxime The left eye was situated in a higher plane than the right.
Homonymous diplopia having been caused, the right image was
found to be the higher.
Right Eye. — Power of superior rectus, —1° (= less than Order Cefpodoxime 1°) ;
power of inferior rectus, 1°.
Left Eye. — Power of superior rectus, 1°; power of inferior
rectus, 1°.
A prism of 1° with its base placed upward over the right eye
was overcome. Prism 2° could not be overcome. Prism 1°,
with its base down over the same eye could not be overcome;
value of superior rectus less than 1°.
The left eye must be taken as the standard ; this eye
lay higher in the skull than the right. An Generic Cefpodoxime image that falls
upon the macula of the left eye will fall above the macula of
the right. The superior rectus of the right eye, appreciat-
ing the condition of affairs, gracefully yields, thereby per-
mitting its opponent to pull the eye downward and throw
the macula upward till single binocular vision is attained.
This patient evinced refractive errors in both eyes and
complained of asthenopia on reading at night. The errors
were corrected and relief was given. I have in my record-
book twenty-three cases in which I have made the examina-
tion for " hyperphoria." The position of the images has
been explained in all save three. In one of Buy Cefpodoxime these I found
equal tension in the muscles of each eye, but one image
stood higher than the other. This may be accounted for
by an unintentional twisting of the displacing prism. In
the two others there seemed to be irregular Order Cefpodoxime Online clonic contrac-
tion of the vertical muscles, as was attested by different
valuations obtained on several occasions.
A difference in the height of the eyes has been observed
in five cases. I had not commenced to observe this pecul-
iarity till I had made fourteen examinations for " hyper-
phoria." Of the above-mentioned five cases, three have
been marked by compen.satory overtension on the part of
one of the vertical muscles. The two others are anomalous.
I cite one of the latter : Purchase Cefpodoxime
7. The left eye lies in a higher plane than the right. The
left image is found to be higher than the right.
Right Eye. — Power of superior rectus, 2° ; power of inferior
rectus, 1°.
Left Eye. — Power of superior rectus, 2° ; power of inferior
rectus, 2°.
We must accept the left as the standard eye. As the
left eye lies higher than the right, an image that falls upon
its macula ought to fall above the macula of the right eye.
We should expect the inferior rectus of the right eye to
show the greater power, but it does not. The compensation
232

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