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J Neurol Neurosurg Psychiatry 1998;65:808 ( December )

Editorial commentary

Oscillopsia: impaired vision during motion in the absence of the vestibulo-ocular reflex

The first 150 words of the full text of this article appear below.

The vestibuloocular reflex evolved to guarantee clear vision of the environment during perturbations of the head, especially those occurring during locomotion.1 This point was elegantly made by the anonymous physician, JC, who had lost his "balancing mechanism" as a consequence of toxic doses of streptomycin2:

"During a walk I found too much motion in my visual picture of the surroundings to permit recognition of fine detail. I learned that I must stand still in order to read the lettering on a sign."

However, with time, such symptoms partially abate. Thus, JC reported that he was able to return to tennis doubles after about 4 years. The nature and extent of the visual symptoms that persist after loss of the VOR are the subject of the paper by Morland et al (this issue, pp 828-835).

Clear vision of objects in the environment requires that their images be held fairly steadily, close . . . [Full text of this article]







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