retinal correspondence –normal/anomalous –depth –constancy –at what viewing distance things...

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Retinal Correspondence Normal/Anomalous Depth Constancy At what viewing distance Things to Note Things to Note Suppression Size Depth Constancy Laterality At what viewing distance

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Page 1: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

• Retinal Correspondence– Normal/Anomalous– Depth– Constancy– At what viewing

distance

Things to NoteThings to Note

• Suppression– Size– Depth– Constancy– Laterality – At what viewing

distance

Page 2: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

““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:

Page 3: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSEXPECTED RESULTSEXPECTED RESULTS

LENSES

MONOC.PERCEPT

BINOC.PERCEPT

O.S. O.D.

Page 4: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSEXPECTED RESULTSEXPECTED RESULTS

MONOC.PERCEPT

NORMAL BINOC.PERCEPT

ET BINOC.PERCEPT:

UNCROSSEDUNCROSSEDPROJECTIONPROJECTION

Page 5: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSET W/ NRC RESULTSET W/ NRC RESULTS

ET BINOC.PERCEPT:

Page 6: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSET W/ ARC RESULTSET W/ ARC RESULTS

hARC:30 ET

uARC: 30 ET

NO PRISM 15 BO

Page 7: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

““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.”

Page 8: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

WORTH 4-DOTWORTH 4-DOTARC RESULTSARC RESULTS

Page 9: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

WORTH 4-DOTWORTH 4-DOTDIPLOPIA RESULTSDIPLOPIA RESULTSFOR ETFOR ET

Page 10: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

““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:

Page 11: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

Hering Bielschowsky After-Hering Bielschowsky After-Image Test:Image Test:

Page 12: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

Hering Bielschowsky After-Hering Bielschowsky After-Image Test:Image Test:

Page 13: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

Hering Bielschowsky After-Hering Bielschowsky After-Image Test: Image Test:

NRCNRC

Page 14: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

Hering Bielschowsky After-Hering Bielschowsky After-Image Test: Image Test:

ARCARC

ARPPPOINT

Temp. R

etina

Page 15: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

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

Page 16: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

““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:

Page 17: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSEXPECTED RESULTSEXPECTED RESULTS

MONOC.PERCEPT

NORMAL BINOC.PERCEPT

XT BINOC.PERCEPT:

CROSSEDCROSSEDPROJECTIONPROJECTION

Page 18: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSXT W/ NRC RESULTSXT W/ NRC RESULTS

XT BINOC.PERCEPT:

Page 19: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

BAGOLINI STRIATED LENSBAGOLINI STRIATED LENSXT W/ ARC RESULTSXT W/ ARC RESULTS

hARC:30 XT

uARC: 30 XT

NO PRISM 15 BI

Page 20: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

““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.”

Page 21: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

WORTH 4-DOTWORTH 4-DOTARC RESULTSARC RESULTS

Page 22: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

WORTH 4-DOTWORTH 4-DOTSUPPRESSION SUPPRESSION O.S.O.S.

Page 23: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

WORTH 4-DOTWORTH 4-DOTDIPLOPIA RESULTSDIPLOPIA RESULTSFOR XTFOR XT

Page 24: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

““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:

Page 25: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

Hering Bielschowsky After-Hering Bielschowsky After-Image Test: Image Test:

NRCNRC

Page 26: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

Hering Bielschowsky After-Hering Bielschowsky After-Image Test: Image Test:

ARCARC

ARPPPOINT

Nasal Retin

a

Page 27: Retinal Correspondence –Normal/Anomalous –Depth –Constancy –At what viewing distance Things to Note Suppression –Size –Depth –Constancy –Laterality –At

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