Binocular Vision & Orthoptics. Investigation and Management by Bruce J. W. Evans BSc PhD FCOptom DipCLP DipOrth FAAO

By Bruce J. W. Evans BSc PhD FCOptom DipCLP DipOrth FAAO FBCLA, Sandip Doshi PhD MCOptom

* this article represents a standard method of the prognosis and administration of binocular imaginative and prescient issues * it's a useful, very smooth textual content with a hugely designed structure and with broad use of complete color illustrations * Containing contributions by means of proper specialists within the box it really is carefully edited to make sure that a uniform and continually excessive commonplace is maintained all through

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Extra info for Binocular Vision & Orthoptics. Investigation and Management

Sample text

Vis. , 75, 605-10. 1nsufficiency and decompensated. IFS exercises Convergence insufficiency and decompensated exophoria at near Two of the most common orthoptic problems are convergence insufficiency and decompensated exophoria at near. Both these problems can be treated by using exercises to train the convergent (positive) fusional reserves and negative relative convergence. Nomenclature Some confusion arises owing to differences in nomenclature. The Duane-White classification (Evans, 1997, pp.

L994) Stattsucallystgnltlcllnt associatinn patients and patients with only a low heterophoria. It is possible that the distinction between binocular instability and decompensated heterophoria is an artefact resulting from the historical way in which we view heterophoria and fusional reserves. The two main methods of assessing fusional reserves are lntersubject (comparing values with norms) and intrasubject (comparing the opposing fusional reserve with the heterophoria). The usual intrasubject method (Sheard's criterion) requires that the appropriate fusional reserve is a multiple (2x) of the phoria.

Or more was taken as indicating a test fail for the Blurred vision Double vision Distorted vision Difficulty with stereopsis Monocular comfort Difficulty changing focus Headache Sore, tired, aching eyes General irritation. The symptoms can be broadly classified into three categories: visual perceptual distortions (1~3), binocular disturbances (4-6), and asthenopia (7-9). 1 Receiver-operatorcharacteristiccurve ( ROC) of aligningprism for detecting decompensated heterophoria, re-drawn with permission from Jenkinsei (/1.

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