Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Dysconjugate Gaze

  • Edison Wong
  • Richard KunzEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_22




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

Current Knowledge


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 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

  1. 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.Google Scholar
  2. Liu, G. T., Volpe, N. J., & Galetta, S. L. (2010). Neuro-ophthalmology diagnosis and management (2nd ed.). New York: W. B. Saunders Company.Google Scholar
  3. Walsh, F. B., & Hoyt, W. F. (2005). Walsh and Hoyt’s clinical neuro-ophthalmology. Philadelphia: Lippincott, Williams & Wilkins.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Center for Pain and Medical RehabilitationFitchburgUSA
  2. 2.Department of Physical Medicine and RehabilitationVirginia Commonwealth UniversityRichmondUSA