Pupillary Pathways

I’ve said this before and I’ll say it again: Optometry school was no walk in the park. Just like any graduate program, just when you think you couldn’t possibly take on one more task, you’re hit with even more things to do. Sometimes it’s hard to even catch a break.

Third year is also a bittersweet milestone. Most students are excited because they are halfway through their optometry school experience. However, this is also when things become much more serious. Third year is when the curriculum gets tougher, expectations in clinic become greater and, to top it all off, you’re studying for boards.

If you are anything like me, when I hear of a patient on their way into the office complaining of sudden onset of double vision, I get a little worried! I was never good at remembering all of the cranial nerve palsies, signs, symptoms, diagnoses, and causes.

But what I do remember is how easy the Parks 3-step test is in helping isolate the paretic muscle in cases of an acquired hypertropia. Here is a quick review that can help you feel more confident in tackling these patients!