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Dr. Al Sutton and Models of Vision 艾尔·萨顿博士和视觉模型
Pub Date : 1900-01-01 DOI: 10.31707/vdr2022.8.3.p158
One of the unheralded pioneers inour field was Dr. Albert A. Sutton.Al, as he was affectionatelyknown, was a key contributor tomany of the theories espousedby his contemporaries rangingfrom Dr. A.M. Skeffington to Dr.Robert Kraskin to Dr. GeraldGetman. Equally important, hewas a mentor to many youngeroptometrists in our field. Bestknown for his lectures and writingabout “Building A Visual Space World”, he also helped his colleagues and mentees build and refine their own models of vision. Because he was so humble and unassuming, this personal perspective aims to make his legacy better known to optometrists who may not be acquainted with the significance of his work.
Albert A. Sutton博士是我们这个领域一位不知名的先驱。人们亲切地称他为阿尔,他是他同时代人所支持的许多理论的关键贡献者,从A.M.斯凯芬顿到罗伯特·克拉斯金医生再到杰拉特曼医生。同样重要的是,他是我们这个领域许多年轻验光师的导师。他以“构建视觉空间世界”的讲座和著作而闻名,他还帮助他的同事和学员建立和完善他们自己的视觉模型。因为他是如此的谦逊和谦逊,这个个人的观点旨在使他的遗产更好地了解那些可能不了解他的工作的重要性的验光师。
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引用次数: 0
Neural Vision Perceptual Learning as an Effective Treatment of Amblyopia 神经视觉知觉学习是治疗弱视的有效方法
Pub Date : 1900-01-01 DOI: 10.31707/vdr2022.8.4.p260
Perceptual based vision training program improves visual acuity in adult amblyopic individuals beyond occlusion.
基于知觉的视觉训练方案可提高成人弱视患者的视力。
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引用次数: 0
Neuro-Optometric Treatment of Wall-eyed Bilateral Internuclear Ophthalmoplegia (WEBINO) 双侧侧壁核间性眼麻痹的神经验光治疗
Pub Date : 1900-01-01 DOI: 10.31707/vdr2023.9.1.p41
BackgroundWall-eyed Bilateral Internuclear Ophthalmoplegia (WEBINO) is an ocular motility disorder characterized by bilateral exotropia in primary gaze, bilateral internuclear ophthalmoplegia with defective adduction of both eyes and nystagmus of the contralateral eye on abduction. Convergence is impaired because the lesion is in the midbrain. The etiology of WEBINO includes demyelination, stroke, and tumors, but midbrain infarction is the most common.1 Although extraocular muscle surgery and botulinum toxin injections are typically used for management2 of WEBINO, neuro-optometric rehabilitation can be utilized as an effective option to improve vision.Case ReportA 39-year-old Caucasian male with non-traumatic brain injury due to left intraparenchymal hemorrhage from stroke, presented with WEBINO and multiple vision signs and symptoms, including blurred vision, alternating exotropia, diplopia, and strabismus. During the previous 8 months, he participated in physical therapy, occupational therapy, and speech therapy. He had difficulty participating in his therapies due to his vision issues. Single vision distance lenses were prescribed to improve vision clarity and 6 in-office neuro-optometric rehabilitation sessions were administered to improve range of motion of eye movements and to improve vision.ConclusionsNeuro-optometric rehabilitation utilizes a systematic approach to treating patients with binocular vision dysfunction, while integrating cognitive, motor, and sensory skills. Prognosis is optimized with an individualized approach. Top-down processing stimulates the brain in a more direct way to elicit plasticity-mediated motor relearning.3 In this case, extraocular muscle surgery and botulinum toxin injections were not optimal choices and neuro- optometric rehabilitation was utilized to manage WEBINO and improve quality of life.
背景:双侧眼核间性眼球麻痹(WEBINO)是一种眼球运动障碍,其特征是双眼内收缺陷性双侧眼核间性眼球麻痹,以及外展时对侧眼眼球震颤。会聚性受损,因为病变在中脑。WEBINO的病因包括脱髓鞘、中风和肿瘤,但最常见的是中脑梗死虽然眼外肌手术和肉毒杆菌毒素注射通常用于治疗WEBINO,但神经验光康复可以作为改善视力的有效选择。病例报告:一名39岁白人男性,脑卒中左脑实质内出血所致非外伤性脑损伤,表现为WEBINO和多种视力体征和症状,包括视力模糊、交替性外斜视、复视和斜视。在过去的8个月里,他参加了物理治疗、职业治疗和语言治疗。由于视力问题,他很难参与治疗。处方单视力距离镜片以改善视力清晰度,并进行6次办公室神经验光康复治疗,以改善眼球运动范围和视力。结论神经验光康复是一种综合认知、运动和感觉技能的系统治疗双眼视力障碍的方法。采用个体化方法优化预后。自上而下的加工以一种更直接的方式刺激大脑,引发可塑性介导的运动再学习在本病例中,眼外肌手术和肉毒杆菌毒素注射不是最佳选择,并采用神经验光康复来治疗WEBINO并改善生活质量。
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引用次数: 0
Clinical Management of Vertical Hyperphoria and Photophobia Following Mild Traumatic Brain Injury: A Case Study 轻度外伤性脑损伤后垂直性远视及畏光的临床处理:个案研究
Pub Date : 1900-01-01 DOI: 10.31707/vdr2023.9.2.p133
Following a mild TBI, symptoms of diplopia and photosensitivity are common. Findings such as a vertical deviation, may contribute to exasperating symptoms. Treatment of vertical deviations may cause hesitation for the provider as there is not a consensus in relation to prescribing vertical prism amounts. In regards to photosensitivity, fortunately most diminishes in intensity over the first couple of months following injury. Further treatment, including tints and sunglasses, improves patient comfort.
轻度脑外伤后,复视和光敏症状很常见。如垂直偏离,可能会导致令人恼火的症状。垂直偏差的处理可能会引起提供者的犹豫,因为在规定垂直棱镜数量方面没有达成共识。至于光敏性,幸运的是,大多数在受伤后的前几个月减弱。进一步的治疗,包括配色和戴太阳镜,可以改善患者的舒适度。
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引用次数: 0
Pediatric Visual Acuity: A Review and Clinical Strategy 儿童视力:回顾和临床策略
Pub Date : 1900-01-01 DOI: 10.31707/vdr2022.8.3.p197
Measuring and analyzing pediatric visual acuity is specialty level care within the spectrum of pediatric eye and vision care. Vision development, child development in the context of testability, and examiner ability to manage child behavior drive test selection and success in obtaining a valid representation of the child’s true visual acuity. A broad array of tests, test methods, and strategies to obtain valid VA results are required. Analyzing the result of a visual acuity test involves judging its validity and rating it on a developmental scale.
测量和分析儿童视力是儿科眼科和视力护理的专业水平。视力发展、儿童在可测性背景下的发展、以及考官管理儿童行为的能力,驱动着测试的选择,并成功地获得儿童真实视力的有效表征。需要广泛的测试、测试方法和策略来获得有效的VA结果。分析视力测试的结果包括判断其有效性和在发展量表上对其进行评级。
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引用次数: 0
Objective Vision-Based Testing in Mild Traumatic Brain Injury: A Bibliography 目的:轻度外伤性脑损伤的视觉检测
Pub Date : 1900-01-01 DOI: 10.31707/vdr2023.9.2.p127
OD Kenneth J. Ciuffreda, OD Barry Tannen, OD MS Mba Faao Fnap Fcovd Daniella Rutner, BS. Opt Naveen K. Yadav, O. F. F. F. Penelope S. Suter
The area of traumatic brain injury has received considerable attention in the medical and related health care communities over the past three decades. One major focus has been on the constellation of visual deficits and correlated symptoms frequently found in these patients. A subset of intense focus has involved the use of objectively-based vision testing for diagnostic, prognostic, and therapeutic purposes. The assembled bibliography provides a listing of the major published research papers and chapters over the past 30 years involving objective vision testing using an array of instrumentations and protocols. This should help both the clinician and researcher obtain a broad perspective in this important and rapidly evolving area.
在过去的三十年中,创伤性脑损伤领域在医学和相关卫生保健界受到了相当大的关注。一个主要的焦点是在这些患者中经常发现的视觉缺陷和相关症状。集中关注的一个子集涉及使用基于客观的视力测试来诊断、预后和治疗目的。汇编的参考书目提供了过去30年来主要发表的研究论文和章节的列表,涉及使用一系列仪器和协议的客观视觉测试。这将有助于临床医生和研究人员在这一重要而迅速发展的领域获得广阔的视野。
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引用次数: 1
Management of Anisometropic Amblyopia: A Retrospective Study 屈光参差性弱视的治疗:回顾性研究
Pub Date : 1900-01-01 DOI: 10.31707/vdr2023.9.1.p32
The standard treatment of amblyopia involves punitive intervention through patching or pharmacology that inhibits the fellow eye and disrupts binocular vision. With regard to occlusion, the results of this nearly 300-year approach has proven to be improvable given the psychosocial difficulties it presents along with its frequently questionable long-term outcomes. This paper presents the Sanet-Vergara treatment protocol for anisometropic amblyopia that avoids punitive measures and emphasizes full- time wear of the Best Binocular Prescriptive lenses (BBP). A retrospective record review of 28 patients shows the high degree of success obtained with significant improvements in visual acuity of the right eye, F(2,54)=12.57, p<0.001 and left eye, F(2,54)=31.80, p<0.001, bi-ocular visual acuity measured with polarized screen F(2,54)=50.40, p<0.001, and stereoacuity F(2,54)=14.57, p<0.001 The positive outcomes were retained for up to one year after cessation of the treatment protocol.
弱视的标准治疗包括惩罚性干预,通过贴片或药物抑制同伴眼睛和破坏双眼视力。关于闭塞,这种近300年的方法的结果已被证明是可改进的,考虑到它所带来的社会心理困难以及它经常令人质疑的长期结果。本文介绍了Sanet-Vergara治疗参差性弱视的方案,该方案避免了惩罚性措施,并强调全天佩戴最佳双目规范镜片(BBP)。对28例患者的回顾性记录回顾显示,治疗取得了高度成功,右眼视力显著改善,F(2,54)=12.57, p<0.001,左眼视力显著改善,F(2,54)=31.80, p<0.001,偏振屏测量双眼视力F(2,54)=50.40, p<0.001,立体视力F(2,54)=14.57, p<0.001,阳性结果在治疗方案停止后保持了长达一年。
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引用次数: 0
The Effect of the King-Devick Reading Acceleration Program on Gross Motor Performance in Patients with Autism Spectrum Disorder, A Pilot Study King-Devick阅读加速计划对自闭症谱系障碍患者大肌肉运动表现影响的初步研究
Pub Date : 1900-01-01 DOI: 10.31707/vdr2023.9.1.p23
Autism spectrum disorder (ASD) is a neurodevelop- mental disorder estimated to affect one in 44 children in the United States. Many people with ASD have reading comprehension difficulties, sensorimotor abnormalities, and motor function impairments. In this study, the effects of implementing an at-home King-Devick Reading Acceleration Program (K-D RAP) to ASD patients that were undergoing a gross motor development program were evaluated.
自闭症谱系障碍(ASD)是一种神经发育-精神障碍,据估计在美国每44个儿童中就有一个受到影响。许多自闭症患者有阅读理解困难、感觉运动异常和运动功能障碍。在本研究中,对正在进行大肌肉运动发展计划的ASD患者实施家庭King-Devick阅读加速计划(K-D RAP)的效果进行了评估。
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引用次数: 0
A Discussion of Attention Impairments and the Science of Oculomotor Metrics: Concussion and Beyond 关于注意缺陷和动眼力指标科学的讨论:脑震荡及其他
Pub Date : 1900-01-01 DOI: 10.31707/vdr2022.8.4.p223
This is a compilation of questions and answers directed toward neuro optometric practitioners, based in part on Dr. Ghajar’s presentation on “The Eyes Have It: Modern Diagnosis & Treatment of Concussion using Advanced AR/VR platforms” at the 51st Annual Meeting of the College of Optometrists in Vision Development in 2022.
这是针对神经验光师的问答汇编,部分基于Ghajar博士在2022年视力发展学院第51届年会上关于“眼睛拥有它:使用先进的AR/VR平台进行脑震荡的现代诊断和治疗”的演讲。
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引用次数: 0
The Contrast Between Classical and Behavioral Approaches to Vergence Eye Movements: A Personal Perspective 趋同眼动的经典方法与行为方法之比较:个人视角
Pub Date : 1900-01-01 DOI: 10.31707/vdr2022.8.4.p234
Drs. Tara Alvarez and Mitch Schieman pre- sented the latest research in convergence and accommodative therapy and their underlying neurological mechanisms at the 2021 COVD annual meeting. The behavioral model originated by Skeffington as it relates to vergence may seem to be at odds with this type of research, and with the classical model of vision. This perspective aims to inform the synergy between behavioral philosophy and classical analysis of vergence anomalies. Incorporating research into our clinical models and approaches yields further insights that can make significant differences in the lives of our patients.
Drs。Tara Alvarez和Mitch Schieman在2021年COVD年会上介绍了收敛和调节治疗及其潜在神经机制的最新研究。斯凯芬顿提出的行为模型与这种类型的研究,以及经典的视觉模型有关,似乎是不一致的。这一观点的目的是告知行为哲学和经典分析收敛异常之间的协同作用。将研究纳入我们的临床模型和方法中,可以产生进一步的见解,从而对患者的生活产生重大影响。
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Vision Development &amp; Rehabilitation
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