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Dysconjugate Gaze

  • Reference work entry
  • First Online:
Encyclopedia of Clinical Neuropsychology

  • 8 Accesses

Synonyms

Strabismus

Definition

Dysconjugate gaze is a failure of the eyes to turn together in the same direction.

Current Knowledge

Vision

Normal coordinated movement of the eyes produces conjugate gaze, in which the eyes are aligned for binocular three-dimensional vision. Misalignment results in loss of this vision. With the visual axis of each eye fixated on a different point, diplopia (or double vision) usually results and may be perceived as a blurred image if the two images are very closely aligned. However, if the image from the weaker eye is suppressed by higher cortical centers, there is only one image with loss of visual acuity (or a blurred image).

Pathology

Pathology usually resides either in the oculomotor muscles or their neuronal pathways, including the medial longitudinal fasciculus, the paramedian pontine reticular formation, the medullary reticular formation, the superior colliculus, or the cranial nerves III, IV, or VI, or their respective nuclei. It may result from a...

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References and Readings

  • Goldberg, M. E., & Walker, M. F. (2013). The control of gaze. In A. J. Hudspeth, J. H. Schwartz, T. M. Jessell, S. A. Siegelbaum, & E. R. Kandel (Eds.), Principles of neural science (5th ed., pp. 894–916). New York: McGraw-Hill.

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  • Liu, G. T., Volpe, N. J., & Galetta, S. L. (2010). Neuro-ophthalmology diagnosis and management (2nd ed.). New York: W. B. Saunders Company.

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  • Walsh, F. B., & Hoyt, W. F. (2005). Walsh and Hoyt’s clinical neuro-ophthalmology. Philadelphia: Lippincott, Williams & Wilkins.

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Author information

Authors and Affiliations

  1. Center for Pain and Medical Rehabilitation, Fitchburg, MA, USA

    Edison Wong

  2. Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA

    Richard Kunz

Authors
  1. Edison Wong
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  2. Richard Kunz
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Corresponding author

Correspondence to Richard Kunz .

Editor information

Editors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA

    Jeffrey S. Kreutzer

  2. Kessler Foundation, Pleasant Valley Way, West Orange, NJ, USA

    John DeLuca

  3. Independent Practice, Wynnewood, PA, USA

    Bruce Caplan

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Cite this entry

Wong, E., Kunz, R. (2018). Dysconjugate Gaze. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-57111-9_22

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