 This man has experienced some blurry vision, which then became double vision, some pain in the left eye. Let's just check his eye movements, follow my finger with just your eyes, and he has a limitation of depression in the adduction of the left eye. Now we'll do a three-step test. He's focusing on an object. We're going to cover and uncover, keep looking at the object, and he has a right or a left hypertropia along with some exode deviation as well. Now we're going to have him look, turn his head and it's a very large hyper. We'll turn his head to the right with his eyes looking to the left and there's no very little vertical deviation in this direction. Now we'll tilt his head to the right and very little deviation. However, when we tilt his head to the left, we have another large hyperphoria on the left side.