retinal correspondence –normal/anomalous –depth –constancy –at what viewing distance things...
TRANSCRIPT
• Retinal Correspondence– Normal/Anomalous– Depth– Constancy– At what viewing
distance
Things to NoteThings to Note
• Suppression– Size– Depth– Constancy– Laterality – At what viewing
distance
““Sally”Sally”
• BVA: 20/20 @ D/NO.D., O.S., O.U.
• CT:25 AET with O.S. fixation 80%
30 AET’ with O.S. fixation 50%
• CT w/+3.00 add:20 AET’
• Bagolini:@40 cm
• Bagoliniw/30 BO:
BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSEXPECTED RESULTSEXPECTED RESULTS
LENSES
MONOC.PERCEPT
BINOC.PERCEPT
O.S. O.D.
BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSEXPECTED RESULTSEXPECTED RESULTS
MONOC.PERCEPT
NORMAL BINOC.PERCEPT
ET BINOC.PERCEPT:
UNCROSSEDUNCROSSEDPROJECTIONPROJECTION
BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSET W/ NRC RESULTSET W/ NRC RESULTS
ET BINOC.PERCEPT:
BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSET W/ ARC RESULTSET W/ ARC RESULTS
hARC:30 ET
uARC: 30 ET
NO PRISM 15 BO
““Sally” (Cont.)Sally” (Cont.)
• Synoptophore:– w/small 1º target:
H = 20 BO, S = 10 BOno suppression noted
– w/small 2º target: H = 28 BO, S = 13BOsuppression O.D. (illum 9 for O.D.; 7 for O.S. to eliminate suppression)
• Worth 4- dot@ 40cm– 4 dots; split top spot
(r/g)
• Worth 4- dot@ 1 meter– 2 red dots
• Worth 4- dot@ 3 meters– 3 green dots
““RED LENS OVERRED LENS OVER O.D.”O.D.”
WORTH 4-DOTWORTH 4-DOTARC RESULTSARC RESULTS
WORTH 4-DOTWORTH 4-DOTDIPLOPIA RESULTSDIPLOPIA RESULTSFOR ETFOR ET
““Sally” (Cont.)Sally” (Cont.)
• Hering Bielschowsky After-Image Test:
– w/ eyes closed:
– @ 40 cm:
““RED LINE REPRESENTSRED LINE REPRESENTS O.D.”O.D.”
@ 1 meter:
Hering Bielschowsky After-Hering Bielschowsky After-Image Test:Image Test:
Hering Bielschowsky After-Hering Bielschowsky After-Image Test:Image Test:
Hering Bielschowsky After-Hering Bielschowsky After-Image Test: Image Test:
NRCNRC
Hering Bielschowsky After-Hering Bielschowsky After-Image Test: Image Test:
ARCARC
ARPPPOINT
Temp. R
etina
Summary For “Sally”Summary For “Sally”
• Suppression– Size: parafovealparafoveal
– Depth: shallow @ nearshallow @ near deep @ deep @
distancedistance
– Constancy: intermittentintermittent
– Laterality: mostly O.D. mostly O.D. (more alternating @ near) (more alternating @ near)
– At what viewing distance: dist. < neardist. < near
•Retinal Correspondence–Normal: nope!nope!
–Anomalous: uARC mostlyuARC mostly
–Depth: very deepvery deep
–At what viewing distance: ARC at all distancesARC at all distances
““Ninyata”Ninyata”
• BVA: 20/20 @ D/NO.D., O.S., O.U.
• CT:45 LXT 18 AXT’ with
O.D. fixation 80%
• Bagolini:@40 cm
• Bagolini@2 Meter:
BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSEXPECTED RESULTSEXPECTED RESULTS
MONOC.PERCEPT
NORMAL BINOC.PERCEPT
XT BINOC.PERCEPT:
CROSSEDCROSSEDPROJECTIONPROJECTION
BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSXT W/ NRC RESULTSXT W/ NRC RESULTS
XT BINOC.PERCEPT:
BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSXT W/ ARC RESULTSXT W/ ARC RESULTS
hARC:30 XT
uARC: 30 XT
NO PRISM 15 BI
““Ninyata” (Cont.)Ninyata” (Cont.)
• Synoptophore:– w/med 1º target:
H = 40BI, S = 0
signif. suppression O.S. noted
– w/large 2º target: H = 18BI, S = 3 BIsuppression O.S. (flicker O.S. to eliminate suppression)
• Worth 4- dot@ 40cm– 5 dots (2 red lights to
right)
• Worth 4- dot@ 1 meter– 2 red dots
• Worth 4- dot@ 3 meters– 2 red dots
““RED LENS OVERRED LENS OVER O.D.”O.D.”
WORTH 4-DOTWORTH 4-DOTARC RESULTSARC RESULTS
WORTH 4-DOTWORTH 4-DOTSUPPRESSION SUPPRESSION O.S.O.S.
WORTH 4-DOTWORTH 4-DOTDIPLOPIA RESULTSDIPLOPIA RESULTSFOR XTFOR XT
““Ninyata” (Cont.)Ninyata” (Cont.)
• Hering Bielschowsky After-Image Test:
– w/ eyes closed:
– @ 40 cm:
““RED LINE REPRESENTSRED LINE REPRESENTS O.D.”O.D.”
@ 1 meter:
Hering Bielschowsky After-Hering Bielschowsky After-Image Test: Image Test:
NRCNRC
Hering Bielschowsky After-Hering Bielschowsky After-Image Test: Image Test:
ARCARC
ARPPPOINT
Nasal Retin
a
Summary For “Ninyata”Summary For “Ninyata”
• Suppression– Size: paramacularparamacular
– Depth: deep @ neardeep @ near very deep @ very deep @
distancedistance
– Constancy:constant (some constant (some intermittentcy @ near)intermittentcy @ near)
– Laterality: O.S. O.S.
•Retinal Correspondence–Normal: nope!nope!
–Anomalous: hARC mostlyhARC mostly
–Depth: deep @ dist; deep @ dist; shallow hARC or shallow hARC or suppression @ nearsuppression @ near