Functional analysis of the visual system. Study of the various types of eye movements
Optometric study and evaluation in the presence of strabismus.
Instrumental examinations in the optometric field. Technical knowledge for the optometric examination of the geriatric and visually impaired patient.
Gunter K. Von Noorden “Visione Binoculare e Motilità Oculare” Medical Books – Palermo (E’ scaricabile gratuitamente da Internet la versione inglese “Binocular Vision and Ocular Motility”)
R. Frosini, L. Campa, S. Frosini, R. Caputo “Diagnostica e Terapia dello Strabismo e delle Anomalie Oculomotorie” S.E.E. Firenze
J.Boyd Eskridge, J.F. Amos, J.D. Barlett “Clinical Procedures in Optometry” JB Lippincott Company Philadelfia
G.L. Laffi, L. Scorolli “ Manuale di Perimetria Automatica” Time Science Milano
M.H. Birnbaum “Optometric management of nearpoint vision disorder”
M. Scheiman, B. Wick “Clinical management of binocular vision”
J.R. Griffin, D. Grisham “Binocular anomalies”.
Abati S, Migliori G, Parenti L,Volpe R. La Schiascopia. Fabiano 2003
HensonBD.Optometric instrumentation - 2nd Ed.Oxford:Butterworth-Heinemann, 1996
Benjamin W. J. Borish’s Clinical Refraction. Butterworth Heinemann 2006
Amos JF. Diagnosis and Management in Vision Care. Boston: Butterworth, 1988
Edwards K, Llewellyn R. Optometry. Boston: Butterworth, 1988
Eskridge JB, Amos JF, Bartlett JD (eds). Clinical Procedures in Optometry. Philadelphia: JB Lippincot, 1991
Zadnik K. The ocular examination. Philadelphia: W.B. Saunders Company, 1997.
Zingirian M, Gandolfo E. Ipovisione. Roma : SOI , 2002
Scoroll L, Scalinci S, Meduri R. Low Vision Book. Fabiano ed, 2006
Abati S, Giacomelli G, Volpe R. Argomenti di Ipovisione. Supplemento N°5 Fabiano Ed. 2006
Novakowsky RW. Primary Low Vision care. Appleton & lange, 1994
Lupelli L. Ipovisione I fondamenti e la pratica.Medical Books, 2004
F. Zeri, A. Rossetti, A. Fossetti, A. Calossi; Ottica Visuale; SEU, Roma, 2013
Learning Objectives
Knowledge acquired: Insights into the physiology of binocular vision and ocular motility. Coordinated functionality of the accommodation system and of vergences. Identification of functional anomalies of the accommodation / convergence system. Strabismus in its clinical characteristics and sensory anomalies that can derive from it. Optometric tools. Geriatric Optometry and Low Vision.
Acquired skills: Functional analysis of the visual system. Study of the various types of eye movements
Optometric study and evaluation in the presence of strabismus.
Instrumental examinations in the optometric field. Technical knowledge for the optometric examination of the geriatric and visually impaired patient.
Skills acquired at the end of the course: Management of the subject with visual problems related to functional anomalies of the visual system.
Identification of strabismus and the sensory anomalies it produces. Instrumental surveys and management of optometric data. Optometric management of subjects with visual problems related to age and system diseases
visual.
Prerequisites
Knowledge acquired in the courses of Optometry with Lab I and II
Teaching Methods
Total number of hours of the course: 112
Number of hours related to classroom activities: 64 (lectures and exercises)
Number of hours related to laboratory activities (lessons in the laboratory): 48 (attendance is compulsory, with a maximum of 25% absences)
Further information
Office hours at the end of the lessons
Type of Assessment
Oral and practical exam, lasting 30-40 minutes. The student will be required to present and discuss 4-5 specific topics of the program and the use of the tools used in the laboratory exercises. For the assessment, the student must use an appropriate language demonstrating understanding of the topics covered in the course. More specific questions could be asked during the presentation of the topics to better determine the student's level of understanding.
Course program
Part a: 3 cfu (teacher L. Parenti)
Close-up vision and convergence: tonic, proximal, accommodative and fusional. Definition of the AC / A ratio and influence in close range vision. AC / A ratio measurement techniques: formula method and gradient method. Fusional shame: fusional abilities and reserves. Technique for detecting fusion reserves through the use of prisms: clouding, breaking and recovery points.
Analysis of the accommodative system: Physiology of the accommodative system and comparison between the theories of von Helmholtz and the intermediate point. Techniques for measuring amplitude, lag, relative accommodation, ease and accommodative resistance.
evaluation of the sensory state and stereoscopic perception. Associated phoria and fixation disparity
Physiology of eye movements. Techniques for evaluating eye movements
Strabismus study
Anatomo-functional description of the oculomotor system. Manifest ocular deviations: definition, characteristics, causes and classifications
Study of sensory anomalies: definition and clinical classification of suppression, amblyopia, eccentric fixation and anomalous retinal correspondence
Examination of the cross-eyed subject.
Part b: 6cfu (teacher G. Migliori)
Structure, calibration, correct use, alternative uses and data analysis of: Ophthalmometers, Corneal Topographers, Scheimpflung-cameras, Computerized Autorefractometers, Ocular Aberrometers. Slit Lamp-Biomicroscope. Direct ophthalmoscope in optometry. Geriatric optometry, optometric approach to the visually impaired patient. Clinical tests for AV, CV, SC, mesopic and scotopic vision, glare and recovery time. Refractive examination and reading test. Optical magnifying systems for low vision: optical and functional characteristics, choice, customization and preparation. Low vision electronic systems. Outline of visual rehabilitation of the low vision patient.
Part c: 3 credits (teacher L. Livi) Laboratory exercises of the topics developed in the theoretical lessons