SKRBEK, Matěj and Svatopluk SYNEK. Binocular Correction in Patients with Central Retinal Impairment. International Journal of Ophthalmology and Clinical Research. Newark: ClinMed International Library, 2016, vol. 3, No 2, p. 1-11. ISSN 2378-346X.
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Basic information
Original name Binocular Correction in Patients with Central Retinal Impairment
Authors SKRBEK, Matěj (203 Czech Republic, guarantor, belonging to the institution) and Svatopluk SYNEK (203 Czech Republic, belonging to the institution).
Edition International Journal of Ophthalmology and Clinical Research, Newark, ClinMed International Library, 2016, 2378-346X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/16:00090661
Organization unit Faculty of Medicine
Keywords in English Binocular vision; Binocular summation; Binocular refraction; Macular diseases; Prismatic correction; Visual acuity
Tags EL OK
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 8/11/2016 11:35.
Abstract
Many of visual functions are usually impaired by serious retinal diseases. With different speed of progression, the point of sharpest vision is being damaged and visual acuity as well as contrast sensitivity and fixation stability declines. Instead of the damaged fovea the new preferred retinal points are arising and taking over its function as the referential position for the whole motoric system. The development of such new points of fixation can evoke condition which is similar to fixation disparity. Of course, binocular vision (e. g. binocular summation of visual acuity) is markedly deteriorated too, together with the diminished central fusion due to inequality of the both, differently affected retinal pictures. It’s obvious that former binocular vision disturbances (e.g. latent strabismus) could now become decompensated. The purpose of this study is to evaluate the efficiency of the binocular prismatic correction in patients with central retinal impairment that allows the restoration of the best possible correspondence of the preserved retinal areas. The results of our study predicate that the non-prismatic correction is less effective than the prismatic binocular correction in patients with central retinal impairment considering the visual acuity gain. Nevertheless, it should not be considered as a rule. Instead of global management of the eyesight correction of patients with macular diseases with either prismatic or non-prismatic glasses, the approach should be individualized. Unambiguously, it would be a mistake to reject the possibility to assess the correction binocularly and apply it particularly in patients with central retinal impairment.
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