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Orthoptist
Orthoptics is a profession allied to the eye care profession. Orthoptists are the experts in diagnosing and treating defects in eye movements and problems with how the eyes work together, called binocular vision. These can be caused by issues with the muscles around the eyes or defects in the nerves enabling the brain to communicate with the eyes. Orthoptists are responsible for the diagnosis and non-surgical management of strabismus (cross-eyed), amblyopia (lazy eye) and eye movement disorders.International Orthoptic Association document "professional role" The word ''orthoptics'' comes from the Greek words ὀρθός ''orthos'', "straight" and ὀπτικός ''optikοs'', "relating to sight" and much of the practice of orthoptists concerns disorders of binocular vision and defects of eye movement. Orthoptists are trained professionals who specialize in orthoptic treatment, such as eye patches, eye exercises, prisms or glasses. They commonly work with paediatric patients and also ...
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Eye Care Professional
An eye care professional (ECP) is an individual who provides a service related to the eyes or vision. It is any healthcare worker involved in eye care, from one with a small amount of post-secondary training to practitioners with a doctoral level of education. Types Ophthalmologist Ophthalmologists are Doctors of Medicine (M.D./D.O.)(physicians) who specialize in eye care - this includes optical, medical and surgical eye care. They have a general medical degree, not a degree in eye care specifically.” In the US, this usually includes four years of college, four years of medical school, one year surgical internship and three years of eye specific training (ophthalmology residency). Some surgeons complete additional training (fellowship) in specific areas of the eye. Ophthalmologists are qualified to manage any eye disease, perform invasive eye surgery (including injections) and provide general medical care (non eye related) also. While Ophthalmologists can provide comprehensiv ...
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International Orthoptic Association
The International Orthoptic Association represents over 20,000 orthoptists, in over 20 countries. History The International Orthoptic Association was formed in 1967 after the first International Orthoptic Congress. The British Orthoptic Association were the founding members. Registration and licensing Orthoptists are required to be licensed by their respective countries. Many countries also require them to undertake continuing professional education Professional work Orthoptists are part of the eye care professional team. They primarily work alongside ophthalmologists, in the co-management of strabismus and binocular vision disorders, such as amblyopia. Orthoptists are involved in international research, whilst some are employed (particular in the US and Canada) to teach training ophthalmology residents the practice of standard orthoptic care, vision therapy and ocular sonographer practice. See also * Amblyopia * Eye care professional * Eyepatch * Optometry * Ort ...
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Vision Therapy
Vision therapy (VT), or behavioral optometry, is an umbrella term for alternative medicine treatments using eye exercises, based around the pseudoscientific claim that vision problems are the true underlying cause of learning disabilities, particularly in children. Vision therapy has not been shown to be effective using scientific studies, except for helping with convergence insufficiency. Most claimsfor example that the therapy can address neurological, educational, and spatial difficultieslack supporting evidence. Neither the American Academy of Pediatrics nor the American Academy of Ophthalmology support the use of vision therapy. Definition and conceptual basis Vision therapy is based on the proposition that many learning disabilities in children are based on vision problems, and that these can be cured by performing eye exercises. Vision therapy lacks sound evidence, has been characterized as a pseudoscience and its practice as quackery. Vision therapy is a broad concept t ...
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Eyepatch
An eyepatch is a small patch that is worn in front of one eye. It may be a cloth patch attached around the head by an elastic band or by a string, an adhesive bandage, or a plastic device which is clipped to a pair of glasses. It is often worn by people to cover a lost or injured eye, but it also has a therapeutic use in children for the treatment of amblyopia. Eyepatches used to block light while sleeping are referred to as a sleep mask. An eyepad or eye pad is a soft medical dressing that can be applied over an eye to protect it. It is not necessarily the same as an eyepatch. History In the years before advanced medicine and surgery, eyepatches were common for people who had a lost or injured eye. They were particularly prevalent among members of dangerous occupations, such as soldiers and sailors who could lose an eye in battle. While stereotypically associated with pirates, there is no evidence to suggest the historical accuracy of eye patch wearing pirates before sever ...
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Phoropter
A phoropter or refractor is an ophthalmic testing device. It is commonly used by eye care professionals during an eye examination, and contains different lenses used for refraction of the eye during sight testing, to measure an individual's refractive error and determine their eyeglass prescription.Dictionary.comDefinition of "phoropter" American Heritage Stedman's Medical Dictionary. Retrieved 10-10-1/ref> It also is used to measure the patients' Heterophoria, phorias and ductions, which are characteristics of binocularity. Typically, the patient sits behind the phoropter, and looks through it at an eye chart placed at optical infinity (20 feet or 6 metres), then at near (16 inches or 40 centimetres) for individuals needing reading glasses. The eye care professional then changes lenses and other settings, while asking the patient for subjective feedback on which settings gave the best vision. The patient's habitual prescription or an automated refractor may be used ...
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Retinoscopy
Retinoscopy (Ret) is a technique to obtain an objective measurement of the refractive error of a patient's eyes. The examiner uses a retinoscope to shine light into the patient's eye and observes the reflection (reflex) off the patient's retina. While moving the streak or spot of light across the pupil the examiner observes the relative movement of the reflex or manually places lenses over the eye (using a trial frame and trial lenses) to "neutralize" the reflex. Static retinoscopy is a type of retinoscopy used in determining a patient's refractive error. It relies on Foucault knife-edge test, which states that the examiner should simulate optical infinity to obtain the correct refractive power. Hence, a power corresponding to the working distance is subtracted from the gross retinoscopy value to give the patient's refractive condition, the working distance lens being one which has a focal length of the examiner's distance from the patient (e.g. +1.50 dioptre lens for a 67 cm wo ...
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Vergence
A vergence is the simultaneous movement of both eyes in opposite directions to obtain or maintain single binocular vision. When a creature with binocular vision looks at an object, the eyes must rotate around a vertical axis so that the projection of the image is in the centre of the retina in both eyes. To look at an object closer by, the eyes rotate towards each other (convergence), while for an object farther away they rotate away from each other (divergence). Exaggerated convergence is called ''cross eyed viewing'' (focusing on the nose for example). When looking into the distance, the eyes diverge until parallel, effectively fixating the same point at infinity (or very far away). Vergence movements are closely connected to accommodation of the eye. Under normal visual conditions, looking at an object at a different distance will automatically cause changes in both vergence and accommodation, sometimes known as the '' accommodation-convergence reflex''. When under non-typi ...
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Version (eye)
Eye movement includes the voluntary or involuntary movement of the eyes. Eye movements are used by a number of organisms (e.g. primates, rodents, flies, birds, fish, cats, crabs, octopus) to fixate, inspect and track visual objects of interests. A special type of eye movement, rapid eye movement, occurs during REM sleep. The eyes are the visual organs of the human body, and move using a system of six muscles. The retina, a specialised type of tissue containing photoreceptors, senses light. These specialised cells convert light into electrochemical signals. These signals travel along the optic nerve fibers to the brain, where they are interpreted as vision in the visual cortex. Primates and many other vertebrates use three types of voluntary eye movement to track objects of interest: smooth pursuit, vergence shifts and saccades. These types of movements appear to be initiated by a small cortical region in the brain's frontal lobe. This is corroborated by removal of the front ...
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Haploscope
A haploscope is an optical device for presenting one image to one eye and another image to the other eye. The word derives from two Greek roots: ''haploieides'', single and ''skopeo'', to view. The word is often used interchangeably with stereoscope, but it is more general than that. A stereoscope is a type of haploscope, but not vice versa. The word has more currency in the medical field than elsewhere, where it refers to instruments designed to test binocular vision. These instruments include Worth's amblyoscope and the synoptophore. Commonly haploscopes employ front-surfaced mirrors placed at different angles close to the eyes to reflect the images into the eyes. Reputedly the largest haploscope, with images of over a meter (in fact, 4 feet) square and a viewing distance for each eye of nearly five meters (16 feet), was constructed by Vaegan in about 1975 to research stereoacuity. The large images allowed very small retinal disparities to be presented. See also * Che ...
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Convergence Insufficiency
Convergence insufficiency is a sensory and neuromuscular anomaly of the binocular vision system, characterized by a reduced ability of the eyes to turn towards each other, or sustain convergence. Symptoms The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. They may include, but are not limited to, diplopia (double vision), asthenopia (eye strain), transient blurred vision, difficulty sustaining near-visual function, abnormal fatigue, headache, and abnormal postural adaptation, among others. In some cases, difficulty with making eye contact have been noted as a complaint amongst those affected. Note that some Internet resources confuse convergence and divergence dysfunction, reversing them. Diagnosis Diagnosis of convergence insufficiency is made by an eye care professional skilled in binocular vision dysfunctions, such as an orthoptist, to rule out any organic disease. Convergence insufficiency is cha ...
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Bates Method
The Bates method is an ineffective and potentially dangerous alternative therapy aimed at improving eyesight. Eye-care physician William Horatio Bates (1860–1931) held the erroneous belief that the extraocular muscles effected changes in focus and that "mental strain" caused abnormal action of these muscles; hence he believed that relieving such "strain" would cure defective vision. In 1952, optometry professor Elwin Marg wrote of Bates, "Most of his claims and almost all of his theories have been considered false by practically all visual scientists." No type of training has been shown to change the refractive power of the eye. Moreover, certain aspects of the Bates method can put its followers at risk: They may damage their eyes through overexposure to sunlight, not wear their corrective lenses while driving, or neglect conventional eye care, possibly allowing serious conditions to develop. Early history In 1891, Bates published an article in the ''New York Medic ...
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Pediatric Ophthalmology
Pediatric ophthalmology is a sub-speciality of ophthalmology concerned with eye diseases, visual development, and vision care in children. Training In the United States, pediatric ophthalmologists are physicians who have completed medical school, a 1-year internship, 3-year residency in ophthalmology, and a 1-year fellowship in pediatric ophthalmology and strabismus. Pediatric ophthalmology fellowships in the United States are accredited by the American Association for Pediatric Ophthalmology and Strabismus. Clinical expertise Pediatric ophthalmologists focus on the development of the visual system and the various diseases that disrupt visual development in children. Pediatric ophthalmologists also have expertise in managing the various ocular diseases that affect children. Pediatric ophthalmologists are qualified to perform complex eye surgery as well as to manage children's eye problems using glasses and medications. Many ophthalmologists and other physicians refer pediatr ...
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