Primary Care Diagnosis and Vision Therapy for Non-Strabismic Binocular Vision Disorders

Author(s):  
Erik M. Weissberg
2014 ◽  
Vol 142 (7-8) ◽  
pp. 492-497 ◽  
Author(s):  
Branka Jablan ◽  
Vesna Vucinic ◽  
Branka Eskirovic ◽  
Milorad Ljutica

Binocular vision is characterized by a harmonious relation between sensory and motor systems of both eyes. This relation enables directing visual axes toward the observed object simultaneously, fusing images from two eyes, and the sense of threedimensionality. Motility and binocular vision disorders occur in manifest and latent strabismus. The irregular position of eyes in strabismus is perceived by most people as an esthetic defect. Also, psychosocial consequences and the importance of treating strabismus are very superficially explained in this context. Bearing in mind the results of recent researches, which indicate that individuals of all ages with strabismus face different difficulties in psychosocial functioning, we believe that this issue in our surroundings should be dealt with. Strabismus leads to forming prejudices which usually have a negative impact on socialization and employment opportunities. Timely treatment of strabismus has a positive influence on the functionality of binocular vision, building self-esteem and self-satisfaction, being accepted by typically developing population, the quality and quantity of social interaction. The aim of this paper is to present the relation between strabismus and psychosocial reactions with regard to the available literature.


2020 ◽  
pp. 243-251

Background: Binocular vision assessment is an integral part of an eye and vision care practice. With the need for a user friendly, simplified, and comprehensive tool especially in this digital era, we propose a new indigenous cloudbased software, Bynocs.® This manuscript describes the technical details, the functioning of this indigenous software, and a case series demonstrating the application and efficacy of Bynocs® as a tele-health vision therapy tool. All the three cases were handled remotely through the Bynocs tele-health vision therapy platform. Case Reports: Case 1: This is a case of symptomatic convergence insufficiency who had prior compliance issues with a conventional vision therapy approach. With 10 sessions of Bynocs vision therapy focused on improving convergence amplitudes, the patient showed significant improvements in both subjective and objective parameters. Case 2: This case is of a 12 year old child with residual anisometropic amblyopia who had excellent compliance with patching therapy for 3 years but visual acuity had plateaued over the last 6 months. After 20 sessions of Dichoptic amblyopia therapy, best-corrected visual acuity (BCVA) improved by 3 log MAR lines, with improvements in stereoacuity to 100 sec of arc. Case 3: This case of a 10 year old child with residual exophoria after strabismus surgery was referred for managing the residual deviation and associated visual complaints. The child had 20/20 visual acuity in both eyes and 10 prism diopters of residual exophoria at distance and near. After 30 sessions of vision therapy, improvements in fusional vergence amplitudes was achieved along with the deviation restoring to orthophoria at both distance and near, with further improvements in stereoacuity from 400 sec of arc to 120 sec of arc. Conclusions: As tele-health is finding favor across the globe, Bynocs® can be a valuable tele-health vision therapy tool for in the management of binocular vision anomalies and amblyopia with the functionality for remote diagnosis and therapy.


2020 ◽  
pp. 170-172

The current pandemic has accentuated interest in alternative or adjunctive vision therapy evaluations and therapy. The BVA (Binocular Vision Analysis) Test and the PTS (Perceptual Therapy Suite) Test provide a useful baseline for the HTS/HTS2 and PTS2/PVT2 programs respectively. Computerized testing and therapy can serve as an effective complement to non-computerized testing and therapy procedures. Success in administering remote vision therapy evaluations and interventions through telemedicine platforms bodes well for the future of these technologies.


2015 ◽  
Vol 92 (9) ◽  
pp. e214-e221 ◽  
Author(s):  
Erin M. Rueff ◽  
P. Ewen King-Smith ◽  
Melissa D. Bailey

2020 ◽  
Vol 68 (1) ◽  
pp. 257
Author(s):  
Mihir Kothari ◽  
Faiza Bhombal ◽  
MohammadOliullah Abdal ◽  
Shruti Lad ◽  
Gul Nankani

Background: To explore the relationship between vision problems and athletic performance, we measured refractive error and binocular vision in highly trained canine athletes. This group offers the opportunity to examine vision effects pristinely, without any influence of corrective lenses or vision therapy. Such a study is impossible in humans, but can add insight about the influence vision has on athletic performance in general. Methods: 210 dogs were recruited via word of mouth and examined at agility events in California, Texas, and Washington for cover test near and far, prism bar vergence near and far, Hirschberg and Bruckner tests for eye alignment, and retinoscopy. Owners and/or trainers categorized each dog as a good or poor jumper. Results: 190 dogs qualified; 54 (28.4%) had binocular disorders and 136 (71.6%) did not. Among those without binocular problems, mean SE was +0.07 D for good jumpers and -0.82 D for poor jumpers; poor jumpers were significantly more myopic and had more astigmatism than good jumpers. However, because the distribution of refractive errors in our sample was broad (from -3.00 to +3.00 spherical equivalent), some myopic dogs were good jumpers and some emmetropic and hyperopic dogs were poor jumpers. Binocular vision problems had a separate and sometimes additive effect, with anisometropia and unilateral (constant) strabismus more strongly related to poor jumping than alternating strabismus. Regression analysis showed that binocular competence had relatively more weight in jumping than refraction. Conclusions: Refractive error and binocular problems can affect jumping behavior in highly trained canine athletes. However, these vision problems are not predictive for any individual case, and as with human athletes, some individuals appear able to overcome physical attributes that for others are limiting. The results support the importance of vision, and in particular binocular and refractive problems, to athletic performance for humans as well as canines.


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