BTKR0341c Clinical rehabilitation of binocular vision - e

Faculty of Medicine
autumn 2024
Extent and Intensity
0/0/8. 3 credit(s). Type of Completion: z (credit).
In-person direct teaching
Teacher(s)
Mgr. Bc. Barbora Čáslavská (seminar tutor)
MUDr. Miroslav Dostálek, Ph.D. (seminar tutor)
PhDr. Mgr. Hana Fraitová (seminar tutor)
Mgr. Kateřina Malá (seminar tutor)
Jarmila Stehlíková (seminar tutor)
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
Tue 15:30–19:20 KDOft P01016, Thu 15:40–19:00 KDOft P01016, Thu 15:40–19:00 KOOO N01034
Prerequisites
BTBV0231c Binocular Vision I - practice && 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. Students will be introduced to the methodology.
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
  • Exercise: Dominant component of teaching. It is organized as multicentric and individuall training in orthoptic clinics in ahole Czech Republic with accent to Brno. Following the topics discussed in the theoretical teaching, the particular ortoptic and pleoptic therapeutical procedures will be demonstrated and practiced. Students will be encouraged to be self-reliant. Introductory lesson: introduction and organization of the subject, processing of anamnestic data, orthoptic status, assessment of the binocular state of the patient on the basis of orthoptic status, determination of the therapeutic procedure of a particular patient. • 1st subject: Examination of visual acuity in distances and proximity, measurement of pupil distance, examination of resolving ability, methods of preferential looking. • 2nd topic: Motility and convergence examination, cover test, muscle trainer, convergence trainer, Hirschberg test. • 3rd Topic: Maddox Wing (MWT), Maddox Cross, Cyclodeviation analysis by Maddox Double Prism. • 4th topic: Worth test, Hardy test, Bagolini glass, Herschel's double-prism. • 5th topic: synoptophore (including stereoscopy, incycle / excycle deviation and fusion width), amblyoscope, Hering-Bielschow test, gamma angle exam. • 6th topic: synopthore (including stereophoresis, incycllo / excycle deviations, fusion width and eccentric fixation), deviation examination with prisms + red glass examination, primary / secondary deviation on the Maddox cross. • 7th topic: Stereo testers (Fly test, Lang II, ...), Vergence and mirror stereo, Lancaster chart. • Theme 8: Holmes Stereoscope, Hess's chart. • 9th theme: passive pleoptics - CAM, Cuppers table coordinator, euthyscope, pleoptophore. • 10th topic: pleoptics on synoptophore incl. exercises with red filter and eccentric fixation, CAM (color reverse stimulation), centrophor, localizer, corrector, fixation test (Cross according to Dostal). • 11. Theme: free space techniques (polarizing and red-green vectograms), Brock's cord, three cats, Rémy's separator, fusion width exercises with prisms in space. • 12th topic: synoptophore (binocular damping, fusion width training and SPP hunting, KRST), cheiroskop, Holmes stereocopy, diplomat. • Final Recurrence: Summary of Semester Teaching, Patient Education and its Parents, Education of Home Exercise (Active Pleoptics in Home, Convergence Practice, ...), Occlusion Types.
Literature
  • Wright, K.H, Spiegel, P.H., Thompson, L.S.: Handbook of paediatric strabismus and amblyopia, Springer, 2006
  • Wright, K.H, Spiegel, P.H..: Paediatric ophthalmology and strabismus, Springer, 2003
  • Weissberg, E.M.: Essentials of Clinical Binocular Vision, Butterworth-Heinemann, 2004
  • Campos, E.C. von Noorden: Binocular vision and ocular motility, Theory and Management of Strabismus, 6th edition, Mosby, St. Louis, 2002
  • ROWE, Fiona J. Clinical orthoptics. Third edition. Chichester: Wiley, 2012, xvi, 468. ISBN 9781444339345. info
  • STIDWILL, David and R. FLETCHER. Normal binocular vision : theory, investigation and practical aspects. First published. Chichester: Wiley-Blackwell, 2011, viii, 272. ISBN 9781405192507. info
  • HORNOVÁ, Jara. Oční propedeutika. 1. vyd. Praha: Grada, 2011, 103 s. ISBN 9788024740874. info
  • GUTTER, Mari. Orthoptics : handbook of practical skills. [Spojené státy americké]: Luiten, 2010. ISBN 9789076252476. info
  • 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
  • KUCHYNKA, Pavel. Oční lékařství. 1.vyd. Praha: Grada, 2007, [40], 768. ISBN 9788024711638. info
  • ROZSÍVAL, Pavel. Oční lékařství. Vyd. 1. Praha: Karolinum, 2006, 373 s. ISBN 8024612135. info
  • EVANS, Bruce J. W. Binocular vision. Edited by Sandip Doshi - William Harvey. Edinburgh: Elsevier Butterworth-Heinemann, 2005, 151 stran. ISBN 0750688505. info
  • GERINEC, Anton. Detská oftalmológia. 1. vyd. Martin: Osveta, 2005, 592 s. ISBN 8080631816. info
  • Strabismus. Edited by Herbert Kaufmann - Wilfried De Decker. 3., grundlegend überarb. un. Stuttgart: Georg Thieme Verlag, 2004, xii, 594. ISBN 3131297239. info
  • STIDWILL, David. Orthoptic assessment and management. Second edition. Oxford: Blackwell Science, 1998, xvi, 240. ISBN 0632050128. 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
practice
Assessment methods
credit • for granting credit, student must fulfill all these following requirements: • 1. personally participation in all exercises during the semester, replacement of the excused absence after agreement with the teacher until the end of the respective semester 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 85 % of the correct answers in each test - it is always a test with multiple choice questions. These tests include knowledge and information from curriculum overview, exercises.
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: 120.
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 2019, autumn 2020, autumn 2021, autumn 2022, autumn 2023.
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