Vision Therapy – Flashcards
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Pursuit exercises: (3)
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Rotating pegboard Flashlight chase Marsden ball
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Training order of pursuits:
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Fine to gross
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Saccade exercises (9)
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Pencil saccades, corner saccades, space fixator Sequential fixator, MIT saccades, loose prism jumps Hart chart saccades, Michigan/letter tracking, Percon saccades
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Accommodation exercises (9):
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Hart chart push up, Monoc lens clearing, Monoc lens sort, Mental minus Hart chart rock, accomm. rock/flipper Red red rock, Spirangle BAF
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Training order of saccades:
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Gross--->Medium----> Fine
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Training order of Accom. exercises
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Amps---> Facility ---> BiOCULAR-----> BiNocular
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Training order of vergence exercises:
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Gross---> Smooth---> Fusional step----> facility---> Chiastopic/Orthopic
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Vergence exercises (20! but 14 different)
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PPU, Brock string, 3 Dot (Gross) Vectogram, Variable tranaglyph, Wheatstone, computer HTS (Smooth) Vectograms, Non-variable tranaglyph, Aperture rule, Loos prism lollipop/target, computer HTS, Brewster (Fusional step) Vectograms, Variable and Non-variable tranaglyp, Loose prism lollipop/target, Prism flip (Facility) ECC/Lifesaver
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Gross Saccades are trained with:
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(easiest) Pencil sac Corner sac Space fixator
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Medium saccades are trained with:
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Sequential fixator MIT Loos prism jump
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Fine saccades are trained with:
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Hart chart sac Michigan/letter tracking Percon
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Amps of Accom are trained with:
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Hart chart push up Monoc lens CLEARING Monoc lens SORTING Mental minus
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Accomm Facility is trained with
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Hart chart rock Accomm. flipper
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BiOCULAR Accomm is trained with
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Red red rock Spirangle
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Binocular accomm is trained with
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BAF
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Gross vergence Is trained with:
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PPU Brock 3 Dot
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Smooth vergence is trained with:
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Vectograms variable tranaglyph Wheatstone Computer HTS
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Step/fusional vergence is trained with:
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Vectograms Non-variable tranaglyph Aperature rule (SART= conv, DART= div) Loose prism lollipop/target Computer HTS BREWSTER
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Vergence facility is trained with:
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Vectograms Non-variable tranaglyph variable tranaglyph Loose prism lollipop/target Prism flip
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Chiastopic/Orthopic exercises are
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ECC Lifesaver
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____ is one of the best feedbacks a patient can receive to know they are not suppressing
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DIPLOPIA, because now both eyes are seeing, just work on lining /fixing fixation
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SILO indicates the patient is using:
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Vergence plane/cues
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SOLI indicates the patient is using
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Size constancy or the size of objects
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For divergence, _____ is harder (BIM or BOP)
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BIM
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For convergence, ______ is harder (BIM or BOP)
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BOP
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Overarching goals of VT are to:
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Increase accuracy Then speed while eliminating head movement and creating automaticity
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To make it harder for your patient to accommodate, you should:
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Increase lens power Decrease testing distance Decrease font size
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To make it easier (decrease demand) for a patient trying to accommodate, you should:
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Increase testing distance Decrease lens power Increase font size
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What's the formula for TOTAL DEMAND:
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WD + Uncorrected refractive error - Added lenses
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Tests measuring OMD skills:
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Fixation, saccades, pursuits, DEM
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How do you make OMD skills harder?
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Increase speed Change the background/figure ground
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Make OMD easier by:
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Give landmarks Use after image
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Tests measuring Accommodation are:
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MONOCULAR amps MEM MAF BAF/NRA/PRA
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Tests measuring vergence skills:
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NPC CT NFV/PFV Verg. facility
