Now we have to unite the individual fragments of the eye examination into a coherent routine. We could easily convince you to practice if you were a tennis player wanting to improve your strokes or an actor. A great actor, preparing to play the role of a physician, would practice hour after hour to capture the exact nuances of professional behavior. Ours, too, is a performing art. If you want to offer a professional performance to your Pts, practice Part V, steps 1 to 5, of the Standard Neurologic Examination (NE). Practice until the steps unite into one beautiful, flowing sequence for testing CrNs II, III, IV, and VI and their central pathways. Then you can say with Blaise Cendrars:
I have deciphered all the confused texts of the wheels and I have assembled the scattered elements of a most violent beauty.
The five steps that you have just rehearsed from the Standard NE constitute a minimum routine examination. Patients with ocular complaints may need more thorough study. Use Table 5-7 as a reference to supplement Part V A of the basic examination.