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Heterophoria
Heterophoria is an eye condition in which the directions that the eyes are pointing at rest position, when ''not'' performing binocular fusion, are not the same as each other, or, "not straight". This condition can be esophoria, where the eyes tend to cross inward in the absence of fusion; exophoria, in which they diverge; or hyperphoria, in which one eye points up or down relative to the other. Phorias are known as 'latent squint' because the tendency of the eyes to deviate is kept latent by fusion. A person with two normal eyes has single vision (usually) because of the combined use of the sensory and motor systems. The motor system acts to point both eyes at the target of interest; any offset is detected visually (and the motor system corrects it). Heterophoria only occurs during dissociation of the left eye and right eye, when fusion of the eyes is absent. If you cover one eye (e.g. with your hand) you remove the sensory information about the eye's position in the orbit. Wit ...
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Fixation Disparity
Fixation disparity is a tendency of the eyes to drift in the direction of the heterophoria. While the heterophoria refers to a fusion-free vergence state, the fixation disparity refers to a small misalignment of the visual axes when both eyes are open in an observer with normal fusion and binocular vision. The misalignment may be vertical, horizontal or both. The misalignment (a few minutes of arc) is much smaller than that of strabismus. While strabismus prevents binocular vision, fixation disparity keeps binocular vision, however it may reduce a patient's level of stereopsis. A patient may or may not have fixation disparity and a patient may have a different fixation disparity at distance than near. Observers with a fixation disparity are more likely to report eye strain in demanding visual tasks; therefore, tests of fixation disparity belong to the diagnostic tools used by eye care professionals: remediation includes vision therapy, prism eye glasses, or visual ergonomics at the w ...
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Lancaster Red-green Test
In the fields of optometry and ophthalmology, the Lancaster red-green test is a binocular, dissociative, subjective cover test that measures strabismus in the nine diagnostic positions of gaze. The test is named after Walter Brackett Lancaster, who introduced it in 1939. __TOC__ Test procedure The patient wears red-green glasses, and two lights (one red, one green) are used, so that the patient thus sees each light with a different eye. One light is held by the clinician, the other by the patient. The clinician points the light to a screen, requesting the patient to bring the second light to align on top of it. The patient's eye positions are measured while the patient performs the test. Advantageously, monocular occlusion is applied before the test for at least 30 minutes. This largely eliminates the neurologically learned fusional vergence tone ("vergence adaptation") that is present in patients who are able to achieve fusion in a limited area of gaze, as is often the case for ...
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Esophoria
Esophoria is an eye condition involving inward deviation of the eye, usually due to extra-ocular muscle imbalance. It is a type of heterophoria. Cause Causes include: * Refractive errors * Divergence insufficiency * Convergence excess; this can be due to nerve, muscle, congenital or mechanical anomalies. Unlike esotropia, fusion is possible and therefore diplopia Diplopia is the simultaneous perception of two images of a single object that may be displaced horizontally or vertically in relation to each other. Also called double vision, it is a loss of visual focus under regular conditions, and is often v ... is uncommon. References External links {{Eye pathology Disorders of ocular muscles, binocular movement, accommodation and refraction ...
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Exophoria
Exophoria is a form of heterophoria in which there is a tendency of the eyes to deviate outward. During examination, when the eyes are dissociated, the visual axes will appear to diverge away from one another. The axis deviation in exophoria is usually mild compared with that of exotropia. Cause Exophoria can be caused by several factors, which include: *Refractive errors – distance and near deviation approximately equal. *Divergence excess - exodeviation is more than 15 dioptres greater for distance than near deviation. *Convergence insufficiency – near exodeviation greater than distance deviation. These can be due to nerve, muscle, or congenital problems, or due to mechanical anomalies. Unlike exotropia, fusion is possible in this condition, causing diplopia to be uncommon. Diagnosis Prevalence Exophoria is particularly common in infancy and childhood A child (plural, : children) is a human being between the stages of childbirth, birth and puberty, or between t ...
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Orthophoria
Orthophoria is a condition of binocular fixation in which the lines of vision meet at the object toward which they are directed, and considered as a normal condition of balance of the ocular muscles of the two eyes. The condition opposite of Orthophoria, is called heterophoria Heterophoria is an eye condition in which the directions that the eyes are pointing at rest position, when ''not'' performing binocular fusion, are not the same as each other, or, "not straight". This condition can be esophoria, where the eyes ten .... References Ophthalmology Vision {{eye-disease-stub ...
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Fusional Vergence
Fusional vergence is the movement of both eyes that enables the fusion of monocular images producing binocular vision. It is especially important when a person has heterophoria Heterophoria is an eye condition in which the directions that the eyes are pointing at rest position, when ''not'' performing binocular fusion, are not the same as each other, or, "not straight". This condition can be esophoria, where the eyes ten .... Premotor cells for fusional vergence are located in the mesencephalon near the oculomotor nucleus. References Eye {{eye-stub ...
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Strabismus
Strabismus is a vision disorder in which the eyes do not properly align with each other when looking at an object. The eye that is focused on an object can alternate. The condition may be present occasionally or constantly. If present during a large part of childhood, it may result in amblyopia, or lazy eyes, and loss of depth perception. If onset is during adulthood, it is more likely to result in double vision. Strabismus can occur due to muscle dysfunction, farsightedness, problems in the brain, trauma or infections. Risk factors include premature birth, cerebral palsy and a family history of the condition. Types include esotropia, where the eyes are crossed ("cross eyed"); exotropia, where the eyes diverge ("lazy eyed" or "wall eyed"); and hypertropia or hypotropia where they are vertically misaligned. They can also be classified by whether the problem is present in all directions a person looks (comitant) or varies by direction (incomitant). Diagnosis may be made by obser ...
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Heterotropia
Strabismus is a vision disorder in which the eyes do not properly align with each other when looking at an object. The eye that is focused on an object can alternate. The condition may be present occasionally or constantly. If present during a large part of childhood, it may result in amblyopia, or lazy eyes, and loss of depth perception. If onset is during adulthood, it is more likely to result in double vision. Strabismus can occur due to muscle dysfunction, farsightedness, problems in the brain, trauma or infections. Risk factors include premature birth, cerebral palsy and a family history of the condition. Types include esotropia, where the eyes are crossed ("cross eyed"); exotropia, where the eyes diverge ("lazy eyed" or "wall eyed"); and hypertropia or hypotropia where they are vertically misaligned. They can also be classified by whether the problem is present in all directions a person looks (comitant) or varies by direction (incomitant). Diagnosis may be made by obs ...
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Ernest Maddox
Ernest Edmund Maddox (1863 – 4 November 1933) was a British surgeon and ophthalmologist. He was a specialist in abnormal binocular vision and phorias (heterophoria in particular). He made advances in optical treatments and invented several devices to better investigate eye conditions, including Maddox rod, double prism Maddox, red glass Maddox, Maddox cross and Maddox wing. As a keen amateur astronomer he also invented the starfinder, a device to home in on stars and constellations. Life He was born in Shipton-under-Wychwood, the son of J. F. Maddox. He was educated at Mill Hill School then studied medicine at the University of Edinburgh, graduating with an MB CM in 1882 and gaining his doctorate (MD) in 1889. In 1894 he was elected a fellow of the Royal College of Surgeons of Edinburgh. He worked for a decade in Edinburgh alongside Argyll Robertson pupil, Dr Argyll Robertson. In the 1890s he was living at 7 Manor Place in Edinburgh's West End. His neighbour was the lighthou ...
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Optometry
Optometry is a specialized health care profession that involves examining the eyes and related structures for defects or abnormalities. Optometrists are health care professionals who typically provide comprehensive primary eye care. In the United States and Canada, optometrists are those that hold a Doctor of Optometry degree. They are trained and licensed to practice medicine for eye related conditions, in addition to providing refractive (optical) eye care. In the United Kingdom, optometrists may also practice medicine (and provide refractive care) for eye related conditions. The Doctor of Optometry title can also be used in the UK for those that hold the postgraduate O.D. degree. Within their scope of practice, optometrists are considered physicians and bill medical insurance(s) (example: Medicare) accordingly. Moreover, many participate in academic research for eye related conditions and disease. Optometrists are the only health care professionals with a first professional ...
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Ophthalmology
Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medical degree, a doctor specialising in ophthalmology must pursue additional postgraduate residency training specific to that field. This may include a one-year integrated internship that involves more general medical training in other fields such as internal medicine or general surgery. Following residency, additional specialty training (or fellowship) may be sought in a particular aspect of eye pathology. Ophthalmologists prescribe medications to treat eye diseases, implement laser therapy, and perform surgery when needed. Ophthalmologists provide both primary and specialty eye care - medical and surgical. Most ophthalmologists participate in academic research on eye diseases at some point in their training and many include research as part ...
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Asymptomatic
In medicine, any disease is classified asymptomatic if a patient tests as carrier for a disease or infection but experiences no symptoms. Whenever a medical condition fails to show noticeable symptoms after a diagnosis it might be considered asymptomatic. Infections of this kind are usually called subclinical infections. Diseases such as mental illnesses or psychosomatic conditions are considered subclinical if they present some individual symptoms but not all those normally required for a clinical diagnosis. The term clinically silent is also found. Producing only a few, mild symptoms, disease is paucisymptomatic. Symptoms appearing later, after an asymptomatic incubation period, mean a pre-symptomatic period has existed. Importance Knowing that a condition is asymptomatic is important because: * It may develop symptoms later and only then require treatment. * It may resolve itself or become benign. * It may be contagious, and the contribution of asymptomatic and pre-symptomat ...
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