Evaluation and diagnosis of incomitant ocular deviations

Incomitant ocular deviations can indicate the presence of a significant health care problem and can produce distressful patient symptoms. Appropriate diagnosis and management of such problems are needed. This clinical review discusses the etiology, classification, and extraocular muscle changes associated with incomitant ocular deviations. The various testing procedures needed to determine the specific extraocular muscle involved are discussed in detail. The basic management of such deviations is reviewed.