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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



Inattention partial hemianopia
InattentionPartial Hemianopia

  • Macular Sparing


Complete hemianopia reading techniques and positioning
Complete Hemianopia(Reading Techniques and positioning)













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


  • 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


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