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Management of Microtropia
Br J Ophthalmol: first published as 10.1136/bjo.58.3.281 on 1 March 1974. Downloaded from Brit. J. Ophthal. (I974) 58, 28 I Management of microtropia J. LANG Zirich, Switzerland Microtropia or microstrabismus may be briefly described as a manifest strabismus of less than 50 with harmonious anomalous correspondence. Three forms can be distinguished: primary constant, primary decompensating, and secondary. There are three situations in which the ophthalmologist may be confronted with micro- tropia: (i) Amblyopia without strabismus; (2) Hereditary and familial strabismus; (3) Residual strabismus after surgery. This may be called secondary microtropia, for everyone will admit that in most cases of convergent strabismus perfect parallelism and bifoveal fixation are not achieved even after expert treatment. Microtropia and similar conditions were not mentioned by such well-known early copyright. practitioners as Javal, Worth, Duane, and Bielschowsky. The views of Maddox (i898), that very small angles were extremely rare, and that the natural tendency to fusion was much too strong to allow small angles to exist, appear to be typical. The first to mention small residual angles was Pugh (I936), who wrote: "A patient with monocular squint who has been trained to have equal vision in each eye and full stereoscopic vision with good amplitude of fusion may in 3 months relapse into a slight deviation http://bjo.bmj.com/ in the weaker eye and the vision retrogresses". Similar observations of small residual angles have been made by Swan, Kirschberg, Jampolsky, Gittoes-Davis, Cashell, Lyle, Broadman, and Gortz. There has been much discussion in both the British Orthoptic Journal and the American Orthoptic journal on the cause of this condition and ways of avoiding it. -
Routine Eye Examination
CET Continuing education Routine eye examination Part 3 – Binocular assessment In the third part of our series on the eye examination, Andrew Franklin and Bill Harvey look at the assessment and interpretation of binocular status. Module C8290, one general CET point, suitable for optometrists and DOs he assessment of binocular previous question. Leading questions function is often one of the should be avoided, especially when weaker areas of a routine, dealing with children. If they are out if observation of candidates of line ask the patient ‘Which one is out in the professional qualifica- of line with the X?’ Ttions examination is any guide. Tests are You should know before you start the done for no clearly logical reason, often test which line is seen by which eye. because they always have been, and in If you cannot remember it from last an order which defeats the object of the time, simply look at the target through testing. Binocular vision seems to be one the visor yourself (Figure 1). Even if of those areas that practitioners shy away you think you can remember, check from, and students often take an instant anyway, as it is possible for the polarisa- dislike to. Many retests and subsequent tion of the visor not to match that of the remakes of spectacles are the result of a Mallett Unit at distance or near or both, practitioner overlooking the effects of a Figure 1 A distance fixation disparity target especially if the visor is a replacement. change of prescription on the binocular If both eyes can see both bars, nobody status of the patient. -
Neuro-Opthalmology (Developments in Ophthalmology, Vol
Neuro-Ophthalmology Developments in Ophthalmology Vol. 40 Series Editor W. Behrens-Baumann, Magdeburg Neuro- Ophthalmology Neuronal Control of Eye Movements Volume Editors Andreas Straube, Munich Ulrich Büttner, Munich 39 figures, and 3 tables, 2007 Basel · Freiburg · Paris · London · New York · Bangalore · Bangkok · Singapore · Tokyo · Sydney Andreas Straube Ulrich Büttner Department of Neurology Department of Neurology Klinikum Grosshadern Klinikum Grosshadern Marchioninistrasse 15 Marchioninistrasse 15 DE–81377 Munich DE–81377 Munich Library of Congress Cataloging-in-Publication Data Neuro-ophthalmology / volume editors, Andreas Straube, Ulrich Büttner. p. ; cm. – (Developments in ophthalmology, ISSN 0250-3751 ; v. 40) Includes bibliographical references and indexes. ISBN 978-3-8055-8251-3 (hardcover : alk. paper) 1. Neuroophthalmology. I. Straube, Andreas. II. Büttner, U. III. Series. [DNLM: 1. Eye Movements–physiology. 2. Ocular Motility Disorders. 3. Oculomotor Muscles–physiology. 4. Oculomotor Nerve-physiology. W1 DE998NG v.40 2007 / WW 400 N4946 2007] RE725.N45685 2007 617.7Ј32–dc22 2006039568 Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents® and Index Medicus. Disclaimer. The statements, options and data contained in this publication are solely those of the individ- ual authors and contributors and not of the publisher and the editor(s). The appearance of advertisements in the book is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. -
The Effect of the Fixation Disparity on Photogrammetric Processes
The Effect of the Fixation Disparity on Photogrammetric Processes SANDOR A. VERES, Asst. Proj., Surveying and Mapping, Purdue University ABSTRACT: This paper reviews the function oj the human eyes in photogram metry, and discusses its limitations. The correction of the observation error is presented by mathematical derivations and practical examples. The paper points out the need for continued development of techniques in view of con stantly increasing requirements. INTRODUCTION study of coincidence is most important from the photogrammetric point of view. For a HOTOGRAMMETRIC instrumentation has undergone a revolutionary development study of this kind an instrument called a P horopter has been used. since the second World War. A precision photogrammetric instrument today is able to The horopter designed by Tschermak con provide measurement to within a precision of sists of thirteen steel channels mounted so as ± 3 microns. By using these precision in to converge to the midpoint of the inter struments the compensation of errors in pupillary base line of the two eyes of an volved in the measurements becomes of pri observer. The central channel lies in a median mary importance. The compensation of errors plane, perpendicular to the eyebase of the is based upon the geometrical knowledge of observer, and the others make angles of 1, 2. the source of errors. The human eye is in 4, 8, 12, and 16 degrees on each side of the volved in every photogrammetric measure central channel. A small vertical steel rod can ment; consequently the geometrical knowl slide smoothly in each channel and the rods edge of the errors due to the limi tation of the are mounted for use at visual distances of 20, human eye is very important. -
The Nature, Testing, and Variables Influencing
THE NATURE, TESTING, AND VARIABLES INFLUENCING FIXATION DISPARITY; ROLE OF THE FUSION LOCK 1 by Leland W. Carr with Dr. James J. Saladin I ... *I Tl.e N.-1• .._1 Tufi"), A.l IJ.,.;.,l/.s I.{l..•• :? F1*'/:·.., /);,,_,. ; ~ R.lc. OF 'Tlc. ~="••1•.. C. •• l( I Introduction A fixation disparity is a small angular measurement of the mis alignment of the two eyes which can occur while still permitting single, fused binocular vision. It represents a small error in the aiming of the eyes which occurs without diplopia being detected. Fixation disparity is allowed because of the slight "slippage" pro vided to the fusional system through the existence of Panum's fusional areas. So long as binocular alignment is precise enough to place the two retinal images of a single object within corre sponding Panum's areas, the final perception is likely to be single and fused. Sensory fusion thus occurs in spite of a small error in motor fusion. A slight muscle imbalance is the rule, rather than the excep tion in individuals even with normal assymptomatic binocular systems. It is rare that all twelve extraocular muscles are precisely bal anced in their agonist-antagonist relationships, and thus the inate drive to achieve single vision requires a fusional effort to over come existing imbalance. When binocularity is dissociated (as with a covertest) the fusional drive is interrupted and the eyes deviate out of alignment under the influence of the muscle imbalance. This deviation under dissociation is referred to as the heterophoria. When both eyes are permitted to view without dissociative conditions the fusional drive to achieve single binocular vision pulls the eyes toward alignment in opposition to the phoric "stress" operating to deviate the alignment. -
Care of the Patient with Accommodative and Vergence Dysfunction
OPTOMETRIC CLINICAL PRACTICE GUIDELINE Care of the Patient with Accommodative and Vergence Dysfunction OPTOMETRY: THE PRIMARY EYE CARE PROFESSION Doctors of optometry are independent primary health care providers who examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions. Optometrists provide more than two-thirds of the primary eye care services in the United States. They are more widely distributed geographically than other eye care providers and are readily accessible for the delivery of eye and vision care services. There are approximately 36,000 full-time-equivalent doctors of optometry currently in practice in the United States. Optometrists practice in more than 6,500 communities across the United States, serving as the sole primary eye care providers in more than 3,500 communities. The mission of the profession of optometry is to fulfill the vision and eye care needs of the public through clinical care, research, and education, all of which enhance the quality of life. OPTOMETRIC CLINICAL PRACTICE GUIDELINE CARE OF THE PATIENT WITH ACCOMMODATIVE AND VERGENCE DYSFUNCTION Reference Guide for Clinicians Prepared by the American Optometric Association Consensus Panel on Care of the Patient with Accommodative and Vergence Dysfunction: Jeffrey S. Cooper, M.S., O.D., Principal Author Carole R. Burns, O.D. Susan A. Cotter, O.D. Kent M. Daum, O.D., Ph.D. John R. Griffin, M.S., O.D. Mitchell M. Scheiman, O.D. Revised by: Jeffrey S. Cooper, M.S., O.D. December 2010 Reviewed by the AOA Clinical Guidelines Coordinating Committee: David A. -
Colour Perception in Autism Spectrum Condition and Williams Syndrome
Colour Perception in Autism Spectrum Condition and Williams Syndrome A thesis submitted for the degree of Doctor of Philosophy Matthew Benjamin Cranwell Institute of Neuroscience, Faculty of Medical Sciences, Newcastle University September 2016 Abstract Autism Spectrum Condition (ASC) and Williams syndrome (WS) are neurodevelopmental conditions associated with socio-communicative deficits. Also, present in both conditions are sensory sensitivities and reactivities. In ASC extreme sensory reactivity/sensitivities in one or more of any sensory domain have recently been recognised as new diagnostic criteria in DSM-V. Whilst in WS there are reported visuo-spatial and auditory atypicalities. There is increasing importance in identifying both the typical and atypical development of sensory processing, as well as establishing condition-specific and condition-general aspects of sensory processing. Traditionally sensory processing has been studied using a cross-sectional design using either psychophysical tasks or behavioural questionnaires. However little work has attempted to link between these different methodologies resulting in a disconnected study of sensory processing in both typical and atypical development. Colour perception is useful domain to study sensory processing because it can be characterised through psychophysical/cognitive tasks and behavioural questionnaires. Colour perception is also relatively understudied in both ASC and WS despite anecdotal reports of behaviour being influenced by colour. The present research aims to investigate colour perception in ASC and WS relative to mental age typically developing (TD) controls using the same participants across a combination of psychophysical (chromatic discrimination - chapter 3), cognitive (chapters 4 and 5, colour preference and naming), questionnaire (chapter 6) and case studies (chapter 7) methodologies to establish a rounded representation of colour perception in ASC and WS through using these mixed methodologies. -
Brock String and the Horopter: a Perspective
Brock String and the with neurological disorders such as cerebral 2 3 Horopter: A Perspective palsy and traumatic brain injury. A question that has been posed to us on Kenneth J. Ciuffreda, OD, PhD, more than one occasion, frequently with a FAAO, FCOVD-A, FARVO look ranging from inquisitiveness to distain, Diana P. Ludlam, BS, COVT is, “Why the horopter?” Certainly, this is a fair question. Unfortunately, the horopter seems Barry Tannen, OD, FCOVD to be misunderstood by many, and hence Naveen K. Yadav, BS Optom, the question. In our lectures, we have always MS, PhD, FAAO emphasized the concept of the horopter and its clinical importance, with its clinical analog being the all-important “Brock String.”4 Our Over the past number of years, we immediate reply to this question has been, have been involved in the teaching “Why not, as the concept of the horopter is of both normal and abnormal the underpinning for, and basis of, nearly ALL binocular vision at several optometry aspects of normal and abnormal binocular colleges, national and international vision”. This answer usually results in a pause, vision meetings, and vision research sometimes followed by the request for an institutes and hospitals. This has explanation, which we gladly provide in great involved both the underlying detail with numerous clinical examples. theory and its multitude of clinical The horopter is a wonderful pedagogical implications, including the sensory, and clinical tool, as it blends and integrates PERSPECTIVE motor, and perceptual domains and basic aspects -
Comparison of a Unique Anaglyphic Vertical Fixation Disparity Test to the Sheedy Disparometer
Pacific University CommonKnowledge College of Optometry Theses, Dissertations and Capstone Projects 5-2003 Comparison of a unique anaglyphic vertical fixation disparity test to the Sheedy disparometer Paul Stasik Pacific University Randy Kelly Pacific University Matt Hoppe Pacific University Recommended Citation Stasik, Paul; Kelly, Randy; and Hoppe, Matt, "Comparison of a unique anaglyphic vertical fixation disparity test to the Sheedy disparometer" (2003). College of Optometry. 1456. https://commons.pacificu.edu/opt/1456 This Thesis is brought to you for free and open access by the Theses, Dissertations and Capstone Projects at CommonKnowledge. It has been accepted for inclusion in College of Optometry by an authorized administrator of CommonKnowledge. For more information, please contact [email protected]. Comparison of a unique anaglyphic vertical fixation disparity test ot the Sheedy disparometer Abstract The clinical gold standard for deriving vertical prism prescriptions is the patient's vertical associated phoria (The relieving prism to bring a vertical fixation disparity ot zero). It is generally accepted that the most accurate device used to measure fixation disparity at nearpoint is the Sheedy disparometer. However, the Sheedy disparometer is relatively large, expensive and not currently manufactured. These factors may make measurements of vertical associated phorias less appealing and accessible to practitioners. This study evaluated the vertical associated phoria measurements of twenty non- asthenopic subjects with measurable vertical phorias. Vertical associated phoria measurements were made using the Sheedy disparometer and a unique inexpensive anaglyphic vertical fixation disparity test composed of a card with a specifically designed edr and green image and a pair of standard anaglyphic glasses for the patient to wear. -
Causing and Curing Infantile Esotropia in Primates
Washington University School of Medicine Digital Commons@Becker Open Access Publications 2007 Causing and curing infantile esotropia in primates: The oler of decorrelated binocular input (an American Ophthalmological Society thesis) Lawrence Tychsen Washington University School of Medicine in St. Louis Follow this and additional works at: https://digitalcommons.wustl.edu/open_access_pubs Recommended Citation Tychsen, Lawrence, ,"Causing and curing infantile esotropia in primates: The or le of decorrelated binocular input (an American Ophthalmological Society thesis)." Transactions of the American Ophthalmological Society.105,. 564-593. (2007). https://digitalcommons.wustl.edu/open_access_pubs/3298 This Open Access Publication is brought to you for free and open access by Digital Commons@Becker. It has been accepted for inclusion in Open Access Publications by an authorized administrator of Digital Commons@Becker. For more information, please contact [email protected]. CAUSING AND CURING INFANTILE ESOTROPIA IN PRIMATES: THE ROLE OF DECORRELATED BINOCULAR INPUT (AN AMERICAN OPHTHALMOLOGICAL SOCIETY THESIS) BY Lawrence Tychsen, MD ABSTRACT Purpose: Human infants at greatest risk for esotropia are those who suffer cerebral insults that could decorrelate signals from the 2 eyes during an early critical period of binocular, visuomotor development. The author reared normal infant monkeys, under conditions of binocular decorrelation, to determine if this alone was sufficient to cause esotropia and associated behavioral as well as neuroanatomic deficits. Methods: Binocular decorrelation was imposed using prism-goggles for durations of 3 to 24 weeks (in 6 experimental, 2 control monkeys). Behavioral recordings were obtained, followed by neuroanatomic analysis of ocular dominance columns and binocular, horizontal connections in the striate visual cortex (area V1). -
Binocular Vision
0331—Foundations of Clinical Ophthalmology—Ch24—R2—05-21-04 15:35:55— advantage in detection of faint images and rejection of the optical distortions within the eyes. 24 4. The presence of two mobile eyes allows the organism to converge the line of sight on distant objects and obtain a reading as to their absolute distance. 5. And, probably the most dramatic reason for binocu- Binocular lar vision, two eyes permit stereoscopic depth per- ception–the ability to use the differences in the im- ages caused by each eye viewing from a slightly Vision different viewpoint, known as binocular disparities, to perceive distance in the third dimension of visual space. Presumably all animals develop a visual system with Christopher W. Tyler some weighting among these different factors. Most lower animals take advantage of the possibility of a 360- degree field of view by having the eyes pointing in op- posite directions. This advantage applies to fish, many birds, and to a large extent, mammals that are preyed upon. However, most predatory animals, from spiders and crustaceans through birds to mammals and humans, Eyes come in pairs, providing special capabilities that tend to have the eyes facing in the same direction. This are not available to a single imaging system. This chap- arrangement is, presumably, to take advantage of stereo- ter provides an overview of the ways that visual process- scopic depth perception, which has been demonstrated ing has evolved to utilize the joint capabilities of a dual in humans, monkeys, cats, and falcons, and is likely to optical system for the perception of the third spatial be widespread across other species.2–5 dimension, of the visual deficits that can occur specific Actually, almost all animals show some degree of to the binocular coupling of this system, and of current binocular overlap, even those with a full 360-degree approaches to ameliorating those deficits. -
Glaucoma : Science and Practice
www.dbeBooks.com - An Ebook Library MRSNFM-i-xiv 8/30/02 9:40 AM Page i Glaucoma Science and Practice MRSNFM-i-xiv 8/30/02 9:40 AM Page ii This page intentionally left blank MRSNFM-i-xiv 8/30/02 9:40 AM Page iii Glaucoma Science and Practice Edited by John C. Morrison, M.D. Irvin P. Pollack, M.D. Professor of Ophthalmology Professor of Ophthalmology Oregon Health and Science University The Johns Hopkins University And And Director of the Glaucoma Service Emeritus The Fred P. Thompson Glaucoma Clinic Ophthalmologist-In-Chief and and Casey Eye Institute Director Krieger Eye Institute Portland, Oregon Sinai Hospital of Baltimore Baltimore Maryland Thieme New York • Stuttgart MRSNFM-i-xiv 8/30/02 9:40 AM Page iv Consulting Editor: Esther Gumpert Editorial Assistant: Owen Zurhellen Director, Production and Manufacturing: Anne Vinnicombe Production Editor: Becky Dille Marketing Director: Phyllis Gold Sales Manager: Ross Lumpkin Chief Financial Officer: Peter van Woerden President: Brian D. Scanlan Compositor: Emilcomp\Prepare Ltd. Printer: Four Colour Imports, Ltd. Library of Congress Cataloging-in-Publication Data Glaucoma : a clinical guide / [edited by] John C. Morrison, Irvin P. Pollack p. ; cm. Includes bibliograpical references. ISBN 0-86577-915-5 (TMP : alk. paper) -- ISBN 3131246715 (GTV : alk. paper) 1. Glaucoma. I. Morrison, John C., 1951 - II. Pollack, Irvin P. [DNLM: 1. Glaucoma. WW 290 G54935 2003] RE871 .G5437 2003 617.7'41--dc21 2002075001 Copyright © 2003 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally protected by copyright. Any use, exploitation or commercialization outside the narrow limits set by copyright legislation, without the publisher’s consent, is illegal and liable to prosecution.