BTKR0341p Clinical rehabilitation of binocular vision - l

Faculty of Medicine
autumn 2019
Extent and Intensity
2/0/0. 1 credit(s). Type of Completion: z (credit).
Teacher(s)
MUDr. Miroslav Dostálek, Ph.D. (lecturer), doc. MUDr. Svatopluk Synek, CSc. (deputy)
PhDr. Mgr. Hana Fraitová (lecturer)
Guaranteed by
PhDr. Mgr. Hana Fraitová
Department of Optometry and Orthoptics – Departments of Non-medical Branches – Faculty of Medicine
Contact Person: Lenka Herníková
Supplier department: Department of Optometry and Orthoptics – Departments of Non-medical Branches – Faculty of Medicine
Timetable
each even Wednesday 9:00–12:50 KOM S117
Prerequisites
BTBV0231p Binocular Vision I - lecture && BTPO0222s Nursing care in pediatrics II- && BTPO0222c Nursing care in Pediatry II-exercises
BTBV0231p && BTPO0222s && BTPO0222c
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
Clinical rehabilitation of Binocular vision is complex methodology of procedures for the correction and fixation of binocular functions, especially binocular fusion. Students will be introduced to the methodology. Treatment then involves symptomatic procedures (occlusion), spectacle correction, exercise and/or surgical treatment.
Learning outcomes
After this course 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
  • Syllabus of the lectures:
  • History of Orthoptics / Pleoptics I.-Theory: Restriction of the dominant eye (occlusion, penalization): the principle of full occlusion, partial occlusion and atropinization, the principle and types of optical penalization.
  • Pleoptics of I-practice: limiting the dominant eye (penalization occlusion, news): education of an amblyopic patient, recommendations of the PEDIG Group for pleoptics, home pleoptics.
  • Pleoptics II.- Theory: development of the amblyopic eye (active pleoptic, CAM, sensory learning, pharmacological pleoptics, physical pleoptics): possibilities of perceptual learning in adult amblyopia, coordination of eye-hand, pharmacological pleoptics.
  • Pleoptics II.- practice: development of an amblyopic eye (active pleoptics, CAM, sensory learning, t-RMS, t-DCS, news): CAM and its modern variants, active pleoptics.
  • Orthoptics I.-Theory: motoric component (Guyton's theory of three-stage adaptation, relative vergence and its application in ortoptics): general principles of orthoptics (dosage, meaning of concentration and motivation), sensory adaptation vs. sensory learning (in general), the mechanism of the effect of relative and synkinetic vergence exercises.
  • Orthoptics I. Practice: motoric component (motility exercise, relative and synkinetic vergence, HTS, news): practice of relative vergence in instrumentation, exercise of relative vergence in real space, exercise of accommodation.
  • Early care methods: diagnosis of vision disorders in non-verbal children and children with disabilities, specifics of multidisciplinary care for children with various types of disability.
Literature
  • WRIGHT, K.H, SPIEGEL, P.H., THOMPSON, L.S. Handbook of paediatric strabismus and amblyopia. Springer, 2006.
  • ROWE, Fiona J. Clinical orthoptics. 3rd ed. Chichester, West Sussex: Wiley-Blackwell, 2012, 468 s. ISBN 9781444339345.
  • GUTTTER, Mari. Orthoptics: Handbook of Practical Skills. Uitgeverij Luiten, 2010. ISBN 9789076252476.
  • CAMPOS, E.C. Binocular vision and ocular motility, Theory and Management of Strabismus. 6th edition, Mosby, St. Louis, 2002.
  • DOSHI, Sandip a Bruce J. W EVANS. Binocular vision and orthoptics: investigation and management. Boston: Butterworth-Heinemann, 2001. ISBN 0750647132.
  • WEISSBERG, E.M. Essentials of Clinical Binocular Vision. Butterworth-Heinemann, 2004.
  • WRIGHT, K.H. a P.H. SPIEGEL. Paediatric ophthalmology and strabismus. Springer, 2003.
  • DIVIŠOVÁ, G. Strabismus. 2. uprav. vyd. Praha: Avicenum, 1990. 306 s., ob. ISBN 80-201-0037-7.
  • STIDWILL, David. Orthoptic assessment and management. 2nd ed. Oxon, OX: Blackwell Scientific Publications, 1998, 240 s. ISBN 9780632050123.
  • 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
  • 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
credit
Credit: for granting credit, student must fulfill all three following requirements:
1. personally participation in all exercises and seminars during the semester, replacement of the excused absence after agreement with the teacher until the end of the respective semestral lessons.
2. successful passing of all intermediate tests and repeat test during the semester (To pass the test successfully, you need to obtain at least 75% of the correct answers in each test - it is always a test with just one correct answer. These tests include knowledge and information from previous exercises.)
3. successful passing final test in the credit week (To pass the test successfully, you need to obtain at least 75% of the correct answers in this test, which is only one correct answer, this test includes knowledge and information from lectures and seminars in the relevant semester.)
Language of instruction
Czech
Further comments (probably available only in Czech)
Study Materials
The course is taught annually.
Information on the extent and intensity of the course: 30.
Listed among pre-requisites of other courses
The course is also listed under the following terms Autumn 2014, Autumn 2015, Autumn 2016, Autumn 2017, autumn 2018, autumn 2020, autumn 2021, autumn 2022, autumn 2023, autumn 2024.
  • Enrolment Statistics (autumn 2019, recent)
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