Vision of orthoptics
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VISION of ORTHOPTICS PowerPoint PPT Presentation


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VISION of ORTHOPTICS. For the stroke team. Eye Team. Ophthalmologist Orthoptist Optometrist Optician Ophthalmic technician. Small part of the MDT in stroke pathway. AIMS for each stroke patient Vision Acuity / Field Normal eye movements No Diplopia (Double vision -prism, patch etc).

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VISION of ORTHOPTICS

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VISION of ORTHOPTICS

For the stroke team


Eye Team

  • Ophthalmologist

  • Orthoptist

  • Optometrist

  • Optician

  • Ophthalmic technician


Small part of the MDT in stroke pathway

  • AIMS for each stroke patient

  • Vision Acuity / Field

  • Normal eye movements

  • No Diplopia

    • (Double vision -prism, patch etc)


Acuity

Matching, Pictures etc

OPTOMETRIST

POH

Amblyopia Glaucoma macular disease

Colours

Contrast

Fields

Vision


The field of vision can be plotted by:

  • Confrontation

  • Goldmann kinetic (and static) threshold perimetry

  • Humphrey static threshold perimetry computer 30 degrees


Left Eye


InattentionPartial Hemianopia

  • Macular Sparing


Complete Hemianopia(Reading Techniques and positioning)


  • What is new to the stroke

  • What is old disease (old VA VF)

  • Glaucoma

  • Cataract

  • Macular degeneration

  • River blindness


Glaucoma progression


Glaucoma progression


Glaucoma progression


Glaucoma progression


Glaucoma progression


Glaucoma progression


Glaucoma progression


Glaucoma progression


Glaucoma progression


Glaucoma progression


Humphrey Visual FieldsGlaucomaDrivingComputer


DRIVING VF - DVLA

  • VISION

    • Read number plate at 25 yards = 6/10 (BEO)

  • VISUAL FIELD

  • ESTERMAN or opt for Goldmann

  • 120 degrees of visual field

  • No more than 3 missed in central 30 degrees


Orthoptist is a small part of the MDT in stroke pathway

  • AIMS for each patient

  • Vision

  • Eye movements assessed

  • Diplopia Treated (prism, patch etc)

  • Visual field defect mapped

    • Help with rehab etc

    • Driving


Small part of the MDT in stroke pathway

  • AIMS for each patient

  • Vision

  • Eye movements assessed

  • Diplopia Treated


  • IIIn IVn VIn Palsy

  • Vertical gaze Palsy

  • Horizontal gaze palsy

  • Skew deviation

  • INO

  • Gaze Palsy

  • One and a half (INO + Horiz GP)

  • Parinauds

  • Nystagmus


Orthoptists help Diagnostically

  • IIIn IVn VIn Palsy

  • Vertical gaze Palsy riMLF

  • Horizontal gaze palsyPPRF

  • Skew deviation

  • INOMLF

  • Gaze Palsy

  • One and a half (INO + Horiz GP)

  • ParinaudsDorsal Midbrain

  • Nystagmus


Orthoptists help therapeuticallyOcclusion, prisms, exercises AHP, BoTox Surgery

  • IIIn IVn VIn Palsy

  • Vertical gaze Palsy

  • Horizontal gaze palsy

  • Skew deviation

  • INO

  • Gaze Palsy

  • One and a half (INO + Horiz GP)

  • Parinauds

  • Nystagmus


Nystagmus


Horizontal problems

  • VI

  • INO

  • Gaze palsy

    (complete seen as VF defect)


Vertical problem

  • IIIn

  • IVn

  • Skew deviation

  • Gaze palsy


Small part of the MDT in stroke pathway

  • AIMS for each stroke patient

  • Vision Acuity / Field

  • Assess eye movements

  • Treat any Diplopia

    • (Double vision -prism, patch etc)

      Orthoptists should be a small amount of help Diagnostically & Therapeutically for the stroke patients


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