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Final Common Pathway (for Horizontal Eye Movements)

Here we show that the left frontal eye field drives the eyes to the right as follows:
  • The left frontal eye field projects to the right abducens nucleus.
  • The CN 6 motor neurons, then, innervate the ipsilateral lateral rectus muscle (LR), which drives the ipsilateral eye to the right (it abducts it).
  • The CN 6 interneurons send fibers up the contralateral MLF to the oculomotor nucleus to innervate the medial rectus, which drives the eye to the right (it adducts the eye).
Internuclear ophthalmoplegia