2. Eyes:
Expression: lids: obliquity, mongol type, lagophthalmus, protrusion of eyeballs (with or without the Graefe symptom), ptosis; spasm of palpebral muscles.
Movement of eyes, nystagmus, strabismus (divergent or convergent); position and extent of movement of the eyes; double vision (in what direction does the second object move and incline?).
Weakness of the internal rectus (in close focussing).
Conjunctiva, lachrymal canal. Scars of cornea. Arcus senilis. Reflectory iridoplegia.
Size and form of pupils. Residuals or formation of adhesion of iris. Contraction of iris on exposure to strong light; on accommodation (for near vision) and after shutting the eye.
Imperfect sight (reading print), improved or not by glasses, dimness of sight, limitation of field of vision, scotoma, hemianopsia, loss of color sense; anomalies of refraction. Condition of apparatus (cornea, lens, vitreous body). Ophthalmoscopy where indicated (for choked disc, optic atrophy, lesions of the fundus). Field of vision where indicated and possible (reversal of color fields in hysteria; scotomata).
3. Ears:
Discharge, otoscopy. Defect of hearing on one or both sides (use watch and tuning fork).
Conduction through skull. Tinnitus aurium (auscultation for actual sound, over the head).