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Accommodative and binocular vision disorders associated with video display terminals: diagnosis and management issues.

BACKGROUND: With the rapid computerization of the workplace, school and home office, it is likely that a vast majority of Americans will be using computers for significant amounts of time in the near future. Research has demonstrated a high prevalence of accommodative and binocular vision disorders in symptomatic VDT users, which underscores the importance of the assessment and management of accommodation and binocular vision for patients working with computers. METHODS/RESULTS: This paper presents a simplified approach for the diagnosis and management of accommodative and binocular vision disorders in VDT users. The emphasis is on modifications of the traditional examination routine to make the assessment as sensitive as possible to the vision problems associated with VDT use. CONCLUSIONS: To meet the needs of symptomatic VDT users, optometrists must perform a comprehensive assessment of accommodation and binocular vision. The use of appropriate testing, when combined with attention to the environmental factors associated with VDT use, will enable optometrists to understand the reasons for symptoms and design an effective treatment program.

Accommodation, Ocular↗

[Strabismus and binocular vision disorders in premature infants with retinopathy treated with cryotherapy].

PURPOSE: To assess frequency of refraction errors, abnormal eye position and binocular vision disorders in children with retinopathy treated with cryotherapy. MATERIAL AND METHODS: Subjects of the study were 67 children, aged 2-7, treated with cryotherapy for active phase retinopathy. RESULTS: The largest group consisted of children with good visual acuity (48%). Refraction error was found in 94% of the examined eyes. Hypermetropia was more common (54%) than myopia (40%). Majority of the examined children had squint, and esotropia was much more frequent (52%). The deviation in 37% of children was over 10 degrees. In the group with birth weight under 1000 grams as well as in those with birth weight 1000-1500 grams the squint occurred in 48%, and in children weighing over 1500 grams in 4.0%. Only 54% of the studied children had normal binocular vision. CONCLUSIONS: Retinopathy of prematurity is a risk factor for development of refraction errors, strabismus and amblyopia. In infants with retinopathy of prematurity treated with cryotherapy it is necessary to have vision check-ups during their early childhood years.

Child↗

[Increasing vision disorder].

A 62-year-old patient complained about slowly increasing, intermittent vision disorders. Ophthalmologic investigation revealed choked disks in both eyes. A neurologic investigation performed thereafter disclosed increased cerebrospinal fluid pressure without recognizable cause. Internistic investigation was inconspicious; in particular, there were no indications for a systemic disease. The distinct findings of choked disks on both sides and increased cerebrospinal fluid pressure without detectable organic causes finally lead to the diagnosis of benign intracranial hypertension or pseudotumor cerebri. Not until the nerve sheath of the right optic nerve was split did the visual field defects in the right eye diminish. Splitting of the left optic nerve sheath is planned.

Humans↗

[Vision disorders in children with acquired severe brain damage].

27 children with severe brain injuries were examined by an ophthalmologist and had several paediatric examinations during an eight or ten weeks' course of rehabilitation. With highly reduced levels of consciousness they had hardly any cortical visual function but frequently had brainstem controlled reactions of eyelids, pupils and eyeballs. The development of these reactions was followed up and correlated to the recovering visual functions. Some of the palpebral reflexes seemed to be of prognostic significance to the reappearance of cortical visual functions.

Adolescent↗

[The detection of vision disorders in children].

Using recognized criteria, the author discusses the merit of preschool vision screening programs and presents a number of recommendations for the detection of amblyopia, strabismus, and other visual impairments.

Adolescent↗