By Mitchell Scheiman OD, Bruce Wick OD PhD
Written with an emphasis on right review, prognosis, and remedy, every one is roofed in-depth and comprises heritage details, indicators, case research, and administration ideas. This variation additionally comprises the most recent details on new imaginative and prescient treatment equipment.
Easy to learn and comprehend, this publication is perfect for school while designing classes, scholars learning those subject matters for the 1st time, or tested practitioners trying to find a pragmatic, easy-to-use reference on accommodative, ocular motility, and nonstrabismic imaginative and prescient anomalies.
• fabric awarded via diagnostic class for simple reference
• Case experiences provided on the finish of every bankruptcy to illustrate how info relates to actual life
• makes use of the most recent study and proof to aid the review and therapy protocols suggested
• Over two hundred illustrations – now in complete color!
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Extra resources for Clinical Management of Binocular Vision: Heterophoric, Accommodative, and Eye Movement Disorders
3. Ask the patient to report the number through which the line is passing and whether it is to the right or left of the zero. 4. 00 lenses OU, in addition to the distance prescription. (c) 2015 Wolters Kluwer. All Rights Reserved. 40 Section I / Diagnosis and General Treatment Approach IMPORTANT POINTS 1. It is critical to control accommodation for both measurements by stressing the importance of keeping the target clear. Horizontal Smooth Vergence Testing EQUIPMENT NEEDED Phoropter Near point card with a vertical line of 20/30 letters SETUP 1.
If, however, the patient fails binocularly and passes monocularly, a binocular vision problem is more likely. (d) Target for binocular testing The importance of using a suppression control when performing BAF testing has been stressed in the literature (51,54–56). The target that is generally used is the Bernell No. 9 vectogram. This is a Polaroid target (Fig. 6) that has one line seen by the right eye, one by the left eye, and one by both. This target has also been used in studies that developed expected values for adults.
In their investigation, Yothers et al. 00 lenses at 40 cm. (b) Instructional set When testing adults, the clinician can simply ask the patient to report when the target is clear. With elementary schoolchildren, this may not be a reliable method (51). Rather, with young children, a target such as the Accommodative Rock Cards should be used (Fig. 5). Using this target, the clinician can ask the child to call out the number, picture, or letter after each flip of the lenses. If the child can accurately call out the number, this suggests accurate accommodation.