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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

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
slide12
What is new to the stroke
  • What is old disease (old VA VF)
  • Glaucoma
  • Cataract
  • Macular degeneration
  • River blindness
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
slide30
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 palsy PPRF
  • Skew deviation
  • INO MLF
  • Gaze Palsy
  • One and a half (INO + Horiz GP)
  • Parinauds Dorsal 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
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