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).

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VISION of ORTHOPTICS

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Vision of orthoptics

VISION of ORTHOPTICS

For the stroke team


Eye team

Eye Team

  • Ophthalmologist

  • Orthoptist

  • Optometrist

  • Optician

  • Ophthalmic technician


Small part of the mdt in stroke pathway

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)


Vision

Acuity

Matching, Pictures etc

OPTOMETRIST

POH

Amblyopia Glaucoma macular disease

Colours

Contrast

Fields

Vision


The field of vision can be plotted by

The field of vision can be plotted by:

  • Confrontation

  • Goldmann kinetic (and static) threshold perimetry

  • Humphrey static threshold perimetry computer 30 degrees


Vision of orthoptics

Left Eye


Inattention partial hemianopia

InattentionPartial Hemianopia

  • Macular Sparing


Complete hemianopia reading techniques and positioning

Complete Hemianopia(Reading Techniques and positioning)


Vision of orthoptics

  • What is new to the stroke

  • What is old disease (old VA VF)

  • Glaucoma

  • Cataract

  • Macular degeneration

  • River blindness


Glaucoma progression

Glaucoma progression


Glaucoma progression1

Glaucoma progression


Glaucoma progression2

Glaucoma progression


Glaucoma progression3

Glaucoma progression


Glaucoma progression4

Glaucoma progression


Glaucoma progression5

Glaucoma progression


Glaucoma progression6

Glaucoma progression


Glaucoma progression7

Glaucoma progression


Glaucoma progression8

Glaucoma progression


Glaucoma progression9

Glaucoma progression


Humphrey visual fields glaucoma driving computer

Humphrey Visual FieldsGlaucomaDrivingComputer


Driving vf dvla

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

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 pathway1

Small part of the MDT in stroke pathway

  • AIMS for each patient

  • Vision

  • Eye movements assessed

  • Diplopia Treated


Vision of orthoptics

  • 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

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 therapeutically occlusion prisms exercises ahp botox surgery

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

Nystagmus


Horizontal problems

Horizontal problems

  • VI

  • INO

  • Gaze palsy

    (complete seen as VF defect)


Vertical problem

Vertical problem

  • IIIn

  • IVn

  • Skew deviation

  • Gaze palsy


Small part of the mdt in stroke pathway2

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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