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Details

Facts to remember
OTP
45
Other
Professional
04/28/2009

Additional Other Flashcards

 


 

Cards

Term
Accommodative Flippers
Definition

+/- 2.00 D

monoc = >11cpm

binoc = > 8 cpm

Term
Vergence Flippers
Definition

12PD BO and 3PD BI:

> 15cpm

Best target = single vertical line of letters

Term
Hart Chart
Definition

2x flipper value

monoc > 22cpm

binoc > 16 cpm

Term
Prism Diopter
Definition
1 prism diopter is = displacement of 1 cm at a viewing distance of 1 meter
Term
Vergence response
Definition

Maddox classification:

The sum of Tonic, Proximal, Accommodative, and Disparity Vergence

Term
Hirschberg test
Definition

w.d. = 40 cm

look for symmetrical reflex

each 1 mm of reflex displacement = 22 PD or 11 degrees of deviation

Term
NPC
Definition
5cm/7cm
Term
Expected dist BO
Definition
9/19/10
Term
Expected dist BI
Definition
X/7/4
Term
Expected near BO
Definition
17/21/11
Term
Expected near BI
Definition
13/21/13
Term
Vertical ranges
Definition

Break: 3-4

Recovery: 1.5-2

Term
Duane's syndrome
Definition

marked limitation of abduction (mimiking CN VI paresis)

notable difference: retraction of globe and narrowing of palpebral fissure

Term
Brown's syndrome
Definition

usually congenital, anomaly w/ superior oblique tendon/trochlear complex

absence of elevation in adduction of affected eye --> stimulates paresis of inf oblique

Term
Secondary sequelae
Definition

1. primary muscle restriction

2. overaction of the contralateral synergist

3. contracture of the direct antagonist

4. secondary inhibitional palsy of the contralateral antagonist

Term
Sherrington's Law
Definition
contraction of a muscle is accompanied by the simultaneous and proportional relaxation of its antagonist
Term
Herring's Law
Definition
contralateral synergists are equally innervated when a movement is executed by both eyes
Term
Stereopsis
Definition
Binocular perception of depth based upon retinal disparity
Term
Panum's Fusional Area
Definition

images on non corresponding retinal points but still seen as single

typically around 6-10 mins of arc at the fovea

30-40 mins @ 12 degrees away

Term
Stereothreshold
Definition
smallest distance between two objects where the observer can judge that one is behind the other
Term
Stereoacuity
Definition

threshold detection of binocular disparity

smallest difference in retinal disparity that is perceived in depth (beta - alpha)

Term
Expected stereo results
Definition

Pro = 2 seconds of arc

Average = 20 seconds of arc (stdev = +/- 10 sec)

96% at least 40 seconds of arc

Term
Ranges for polarized tests for stereo
Definition

Wirt circles = 400 -20 sec of arc

RDS = 400 - 250 sec of arc

both @ 40 cm

Term
Alpern's Approx
Definition

ACr/A is greater than ACs/A:

ACr/A = 1.08*ACs/A

Term
Normal AC/A ratio
Definition
.6Δ/1D?
Term
Normal CA/C ratio
Definition
0.4D/MA = 0.4D/6Δ
Term
Fixation Disparity
Definition

image of a binoc fixated object does not fall on corresponding retinal points but are w/in Panums Fusional area --> seen as single

(microtropia)

Term
Associated phoria
Definition
Prism necessary to eliminate the fixation disparity
Term
Fixation disparity curves I, II, III, IV
Definition

I: normal

II: esophoric

III: exophoric

IV: most symptomatic pts

general rule: flat = good (except for IV)

Term
Morgan's norms
Definition

Distance: 1XP, range 0-2 XP

Near: 3XP, range 0-6 XP

Dist BO range (positive): 9/19/10

Dist BI range (negative): X/7/4

Near BO (positive): 17/21/11

Near BI (negative): 13/21/13

Dynamic ret: +1.37

monoc x-cyl: +1.00

binoc x-cyl: +0.50

PRA/NRA: -2.37/+2.00

Gradient AC/A: 4/1

Term
Sheard's criterion
Definition

best for XP

compensating range should be at least 2x phoria

Term
Percival's criterion
Definition

zero demand point should lie in the middle third of the vergance range

best w/ EP

Term
1:1 rule
Definition
for EP, add prism until phoria is equal to the BI recovery
Term
Spherical lenses
Definition

if high AC/C, useful

must check the amplitude and the affects of the lenses on phoria and fixation disparity

Term
Prism adaptation
Definition

fast fusional vergence stimulates slow fusional vergence which contributes to the total vergence response

output of slow fusional vergence --> increase accuracy of aggregate vergence response --> decline in fixation disparity

Term
according to rosenfield, how much change in heterophoria is considered significant for extended dissociation?
Definition
2 prism dioptres
Term
Which factor (blur, break, recovery) is most affected by prism adaptation?
Definition
Base-in recovery
Term
clinically, which method of FD quantification is commonly used?
Definition
Sheedy disparometer
Term
patients who show an absence of slow fusional vergence tend to have what presenting symptom?
Definition
asthenopia
Term
coefficient of prism adaptation (probably not important to memorize)
Definition

(B-A) - (C-A)

(B-A)

A = heterophoria immediately before prism

B = heterophoria immediately after intro of prism

C = heterophoria measured after 10 mins

No adaptation --> C = B so coefficent = 0

complete adaptation --> coefficient = 1 and C =A

Term
Parameters of the blind spot (of Mariotte)
Definition

15 degrees from the optic nerve

7.5 degrees vertical and 5.5 degrees horizontal

Term
Extinction phenomenon
Definition
pts sees one object fine, but when a second is presented, one of the two disappears, maybe due to unilateral brain damage
Term

Visual field defect descriptions:

congruous, incongruous, altitudinal, homonymous, heteronymous, hemianopsia

Definition

congruous: defects are the same shape and size

incongruous: defects are different in shape and size

altitudinal: defects are either superior or inferior

homonymous: same half of both eyes

heteronymous: different half of both eyes

hemianopsia: affects one half of the visual field

Term

What are the defects:

prechiasmal, chiasmal, post chiasmal

Definition

prechiasmal: only in one eye

chiasmal: bitemporal

post chiasmal: homonymous (maybe congruous, incongruous, altitudinal)

Term
Amsler grid
Definition

each square measures 5 mm when held at 30 cm --> each square subtends 1 degree on retina

generally 10 degrees in all directions from center/fovea, if observed from corners --> 40 degrees around fovea?

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