BTKR0543p Clinical rehabilitation of binocular vision - lII

Faculty of Medicine
Autumn 2017
Extent and Intensity
2/0/0. 3 credit(s). Type of Completion: zk (examination).
Teacher(s)
MUDr. Miroslav Dostálek, Ph.D. (lecturer), doc. MUDr. Svatopluk Synek, CSc. (deputy)
PhDr. Mgr. Hana Fraitová (lecturer)
Mgr. Andrea Košťálová, Ph.D. (lecturer)
Guaranteed by
MUDr. Miroslav Dostálek, Ph.D.
Department of Optometry and Orthoptics – Departments of Non-medical Branches – Faculty of Medicine
Contact Person: Zdeňka Homolová
Supplier department: Department of Optometry and Orthoptics – Departments of Non-medical Branches – Faculty of Medicine
Timetable
Mon 18. 9. to Wed 13. 12. each even Wednesday 13:40–17:30 KOM S116
Prerequisites
BTKR0442p Rehab. of binoc.vision II-l && BTKR0442s Rehab. of binoc.vision II-s && BTKR0442c Rehab. of binoc.vision II-e
BTKR0442p && BTKR0442s && BTKR0442c
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
Binocular vision is ability to see with both eyes single image. It isn´t inborn, it develops until one year and is refined until six years. It is divided artificially into 3 grades. Binocular vision is important for the selection of profession and also for social relations and life. Significant defects of single binocular vision (SBV) are strabismus and amblyopia. Strabismus is treated with glasses, occlusion, pleoptics (conservative treatement of amblyopia), surgery and ortoptics (conservative treatment of binocularity). Paralytic strabismus arises from palsy of oculomotor nerves, muscles or defect of central nervous system. Palsy also manifests as a eye´s deviation and consequent SBV defects. Treatment then involves symptomatic procedures (occlusion), spectacle correction, exercise and/or surgical treatment.
Learning outcomes
After this course of lectures/exercise/seminars, student will be able to define a terms pleoptics, ortoptics and divide the single therapeutic procedures according to the applied type of binocular vision dissociation, according to optical conditions (dissociation in the device and real space) and according to their suitability for domestic use. Student will be able to describe the principles and performe practical implementation of pleoptic methods based on the restrictions of the dominant eye and methods that develop (stimulate) vision of amblyopic eye and procedures for normalization of eccentric fixation. Student will know the principles and practical implementations of orthoptic methods focused on the treatment of motor and sensory arm of binocular vision and their mutual synkinetic integration. Student will have a basic knowledge of the history of orthoptics as a distinct subject.
Syllabus
  • In lectures, there is discussed in detail strabismus, types, causes, diagnostic methods, possibilities of conservative and surgical treatment. There is discussed in detail the theoretical basis of the subject (dissociation, excercises in real and device space, excercise load, general principles of dispensing exercise load - impact maximal, long-term submaximal, ...). Rehabilitation of the sensory fusion: reeducation of monocular vision (= pleoptics) (occlusion total, sector, partial, inverse, atropinization, optical penalization, pharmacotherapy, pleoptics active (exercise eye-hand, locator, corrector), passive pleoptics (Campbell, r-TMS, NeuroVision, ..)). Treatment of eccentric fixation (= "passive pleoptics") (pleoptofor by Bangerter, euthyskop and coordinator by Cupers, diffusion filters by Lang, prisms by Pigassou, red filters by Brinker-Katze, ...). Breaking and increase of suppression treshold of dichoptic masking (= "exercise of fusion") (changes in contrast - diffusion and a density neutral filters, changes in position - KRST, changes in brightness- disinhibition, cheiroskop, mirror stereoscope, Brewster-Holmes, reading with grid). Breaking and reduction of suppression threshold of retinal rivalry(diploptics by Avetisov ...). Rehabilitation of motor arm of fusion (orthoptics): Exercise of duction (trainer of eye movements ....). Exercise of relative convergence and divergence in real space (prisms far and near, computer programs, Remy separator, ...) and in the device space (troposkop, Brewster-Holmes, .....). Exercise of convergence within the VAS (push-up, convergence simulator, ...). Normalization of VAS (Remy separator and diploskop). Summary of possibilities of conservative treatment of strabismus /by type/ in pleoptic and ortoptic and surgical treatment.
Literature
  • Weissberg, E.M.: Essentials of Clinical Binocular Vision, Butterworth-Heinemann, 2004
  • Wright, K.H, Spiegel, P.H..: Paediatric ophthalmology and strabismus, Springer, 2003
  • Wright, K.H, Spiegel, P.H., Thompson, L.S.: Handbook of paediatric strabismus and amblyopia, Springer, 2006
  • Campos, E.C. von Noorden: Binocular vision and ocular motility, Theory and Management of Strabismus, 6th edition, Mosby, St. Louis, 2002
  • SCHEIMAN, Mitchell and Bruce WICK. Clinical management of binocular vision : heterophoric, accommodative, and eye movement disorders. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2008, xii, 748. ISBN 9780781777841. info
  • ROZSÍVAL, Pavel. Oční lékařství. Vyd. 1. Praha: Karolinum, 2006, 373 s. ISBN 8024612135. info
  • Strabismus. Edited by Herbert Kaufmann - Wilfried De Decker. 3., grundlegend überarb. un. Stuttgart: Georg Thieme Verlag, 2004, xii, 594. ISBN 3131297239. info
  • HROMÁDKOVÁ, Lada. Šilhání. 2. dopl. vyd. Brno: Institut pro další vzdělávání pracovníků ve zdravotnictví v Brně, 1995, 162 s. ISBN 8070132078. info
  • DIVIŠOVÁ, Gabriela. Strabismus. Vyd. 1. Praha: Avicenum, zdravotnické nakladatelství, 1979, 295 s. info
  • System of ophthalmology. Edited by Stewart Duke-Elder - Kenneth C. Wybar. St. Louis: C.V. Mosby, 1973, xviii, 873. ISBN 0853137765. info
Teaching methods
lecture
Assessment methods
exam Oral examination: courses for oral examination (viz informace učitele). Minimal grade E evaluation of answers to questions is needed to pass.
Language of instruction
Czech
Further comments (probably available only in Czech)
The course is taught annually.
Listed among pre-requisites of other courses
The course is also listed under the following terms Autumn 2015, Autumn 2016, autumn 2018, autumn 2019, autumn 2020, autumn 2021, autumn 2022, autumn 2023, autumn 2024.
  • Enrolment Statistics (Autumn 2017, recent)
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