When assessing patients, normal eye movements during convergence testing do not rule out visual motion hypersensitivity; clinicians must observe behavioral responses such as squinting, eye closing, or pulling away, as these indicate the brain's abnormal processing of visual motion and optic flow rather than actual oculomotor dysfunction.
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Eye movements look normal… but the patient squints, closes their eyes, or pulls away?Added:
This is a test of convergence performed on a lovely PT student. When performing this test, it's important to acknowledge the [music] quality of her eye movement as well as the symptoms associated with the movement. She's dizzy. You can clearly see this in her expression, and she's surprised at how the symptoms are delayed. But what if you can change the perception of dizziness within [music] a session? Stay tuned next week for saccades on a stick.
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