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Binocular Vision
Optometry 215
40
Other
Graduate
09/28/2007

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Term
What is the process by which two images, one from each eye, give rise to a unified percept of one single object?
Definition
Binocular fusion
Term
Which degree of fusion according to Worth is the simultaneous percept of each eyes image?
Definition
First degree fusion
Term
Which degree of fusion according to Worth represents the combination or flat fusion of the two images into a single percept?
Definition
Second degree fusion
Term
Which degree of fusion includes deriving a three dimensional depth perception, or steropsis?
Definition
Third Degree fusion
Term
Why is Worth's classification system not truly hierarchial?
Definition
It is now known that it is not always necessary to possess flat fusion or 2nd degree stereopsis in order to appreciate stereoscopic depth perception.
Term
What is the vergence eye movement reflex that brings similar contours into alignment?
Definition
Motor fusion

p. 46 text
Term
What is the neurophysiological and psychological process by which the visual cortex combines the
superimposed views obtained independently by the two eyes into one unified percept of visual space?
Definition
Sensory fusion. It is a perceptual phenomena.

see p. 46 text
Term
What are two potential results of the visual system being unable to fuse images?
Definition
1. Anomalous correspondence
2. Suppression
Term
If a strabismic patient suppresses what type of fusion is inadequate?
Definition
Both motor fusion and sensory fusion are inadequate
Term
If a strabismic patient exhibits anomalous correspondence, what type of fusion is inadequate?
Definition
Motor fusion is inadequate but sensory fusion is present
Term
What are two potential mechanisms by which sensory fusion could be accomplished?
Definition
Alteration and suppression
Term
What are three reasons the alternate or suppression theory does not hold true?
Definition
1. Insufficient time to switch between eyes and maintain stereopsis
2. We can experience steropsis in less time than it takes to switch attention.
3. Regardless of which eye is stimulated reaction time is the same.
4. No apparent motion
Term
Name two instances when the fusion theory does not hold true?
Definition
1. A very different image is presented to one eye than is presented to the other.
2. some images are fused even though they are not on corresponding points in each eye
Term
What is it called when a patient is presented with images on corresponding retinal points, but makes eye movements so that the images are no longer on retinal points and thus discourages sensory fusion?
Definition
horror-fusionalis
Term
Why don't we normally experience diplopia for stimuli in the rest of the visual field?
Definition
We learn to ignore diplopia by attending to objects that lie on the horopter.
Term
Based on the nonius lines, how do we know that Panum's fusional area exists?
Definition
The nonius lines (presented monocularly) can be seen nonaligned one on top the other, while the binocularly presented target that encompasses the nonius lines is still seen as single.
Term
What is fixation disparity?
Definition
A small binocular misaglignment between the two eyes in which fusion and single vision are achievable.
Term
What are the twelve factors that influence Panum's fusional area?
Definition
CLIT SAT (EST)2

1. contrast-no effect
2. luminance-change in luminance 3 log units above threshold has little effect
3. interocular inequality-Panum's fusional area decreases with increasing interocular inequality
4. target orientation-hard to quantify
5. eccentricty
6. spatial frequency
7. the influence of other objects in close proximity-like the crowding effect, closer objects reduce Panum's fusion area size
8. Exposure duration-Panum's fusional area increases with exposure time
9. Spatiotemporal frequency-larger Panum's fusional area with low spatiotemporal frequency
10. Temporal frequency
11. Small angle strabismus
12. Anomalous retinal correspondence
Term
How big is Panum's fusional area at the fovea?
Definition
5 to 20 minutes of arc
Term
What is the size of Panum's fusional area past five degrees from the fovea?
Definition
6.5% of the angle of eccentricity
Term
Why do you start using a target that stimulates the peripheral retina when you are training a patient to fixate?
Definition
Panum's fusional area is bigger in the periphery and peripherally viewed objects are easier to fuse.
Term
What does increased temporal frequency do to the fusion limits of a low spatial frequency object?
Definition
decreases them
Term
What does increased temporal frequency do to the fusion limits of a high spatial frequency target?
Definition
nothing, small ones are reduced like big ones are
Term
What kind of target would you start a patient off with in vision therapy?
Definition
1. low spatial frequency (big)
2. Low temporal frequency (slow)
3. In the periphery
Term
How big does a fixation disparity need to be to indicate a binocular vision problem?
Definition
larger than a few minutes of arc
Term
Which type of disparity is difficult for someone with an esofixation disparity to handle?
Definition
Uncrossed fixation disparity
Term
What are the six tests to measure fixation disparity?
Definition
BAM BWD

1. Mallet box-oldest
2. Bernell Test Lantern-Distance and Near
3. AO Vectographic Slide-distance only
4. Borish Card-Near only
5. Wesson Card-Near only
6. Disparometer-Near only
Term
Which is the more reliable indicator of the amount of successful prescription, associated phoria or dissociated phoria?
Definition
associated phoria even though it's usually smaller
Term
What is the x intercept in a fixation disparity curve?
Definition
The associated phoria
Term
What is the y intercept of the fixation disparity curve?
Definition
The fixation disparity without added prism.
Term
What would be a good starting point for prescribing prism to patients?
Definition
1/2 the associated phoria (x intercept)
Term
Which fusional phase does a vertical phoria lack?
Definition
Fast fusional phase
Term
What about a patients lifestyle would increase the slope of the forced vergence fixational disparity curve, the associated phoria, and fixational disparity?
Definition
Sustained nearpoint tasks
Term
What type of strabismus is usally present in children?
Definition
Esophoria, while adult onset is more often exophoria
Term
What is anomalous retinal correspondence?
Definition
Stimuli presented to each fovea are perceived in a distinctly different location.
Term
What do you call a precise shifting in corresponding points that matches the angle of strabismus?
Definition
Harmonious anomalous correspondence
Term
When is harmonious retinal correspondence most likely to be observed?
Definition
Under conditions that are not grossly unusual, e.g. without red/green filters or other optical instruments
Term
Name two tests to subjectively measure strabismus and HARC.
Definition
1. Maddox rod
2. Hess Lancaster Test
Term
If the patient has a red light and tries to line it up with the examiners green light while seeing red out of his right eye and green out of his left eye, where will the light be if he has right esotropia?
Definition
From the patient's perspective, to the left of the red light.
Term
What is the Hering Bielschowsky test used to detect and how?
Definition
Hering Bielschowsky detects anomalous retinal correspondence by bleaching a line on each fovea, one horizontal, one vertical. If the patient ARC, the lines will not be superimposed into a cross.
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