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Visual Consequences of Traumatic Brain Injury

Tools

AB
Trackingthe ability of the eye to move smoothly across a printed page or while following a moving object.
Fixationquickly and accurately locating and inspecting a series of stationary objects, such as words while reading.
Focus Changelooking quickly from far to near and back without blur.
Depth perceptionjudging relative distances of objects - how far or near they are.
Peripheral visionmonitoring and interpreting what is happening in the surrounding field of vision
Binocularityusing both eyes together as a team - smoothly, equally and accurately
Maintaining attentionkeeping focused on a particular activity while interference, such as noise, is present.
Visualizationaccurately picturing images in the "mind's eye," eye retaining and storing them for future recall.
Near vision acuityclearly, seeing, inspecting, identifying and understanding objects viewed within arm's length.
Distance acuityclearly seeing, inspecting, identifying and understanding objects viewed at a distance.
Vision perceptionunderstanding what is seen.
Confrontation Fieldsperformed to detect gross visual field loss
Tangent Screena black felt covered board that measures the central 30 degrees of the visual field.
Modified Thorington Testa subjective method used to evaluate the presence, direction and magnitude of a phoria.
Jump Vergencesassess the dynamics of the fusional vergence system and the ability to respond over a period of time.
Fused Cross Cylinderused to assess the accommodative posture of a patient while viewing a near target under binocular conditions
Farnsworth panel D-15identifies tritan (blue), deutan (green) and protan (red) color anomalies.
GTVT ChartThe purpose of the chart is to decrease ocular suppression and increase binocularity.
Pushup Amplitude of Accommodationis used to subjectively measure the patient’s amplitude of accommodation under monocular conditions.
Minus Lens Amplitude of Accommodationused to subjectively measure the amplitude of accommodation under monocular conditions while avoiding the relative magnification that affects the results of the pushup amplitude of accommodation method.
MEM Retinoscopyused to evaluate the accuracy of the accommodative response, although binocular vision is also assessed
Monocular Accommodative RockThe purpose is to improve the accommodative sufficiency and facility of each eye.
NSUCO Pursuitsused to assess the quality and accuracy of pursuit function.
Developmental Eye Movementis an objective method used to assess fixational and saccade activity during reading and non-reading tasks
Standard Hart Chart SaccadesThe purpose of the chart is to improve visual fixation skills which are most important in reading
Hart Chart QuadThe purpose of the chart is to improve the accuracy of large and small angle saccades.
Near Point of ConvergenceThe purpose is to assess the convergence amplitude.
Anaglyphs and VectogramsThe objectives are the same: to increase the amplitude of negative and positive fusional vergence, to decrease the latency of the fusional vergence response and to increase the velocity of the fusional vergence response
Aperture RuleThe objectives are to increase the amplitude of negative and positive fusional vergences, to decrease the latency of the fusional vergence response and to increase the velocity of the fusional vergence response.
Brock String – PushupThe purpose is to develop the ability of the two eyes to aim at the same point and converge or cross.
Brock String - Pull AwayThe purpose is to develop the ability of the two eyes to aim at the same point and diverge or uncross
Barrel CardThe purpose is to develop the kinesthetic awareness of converging and diverging, develop the ability to voluntarily converge, normalize the near point of convergence and improve convergence recovery ability
Lifesaver Cards - ConvergenceThe purpose is to increase the amplitude and velocity of the fusional vergence response, while decreasing the latency.
Eccentric Circles - ConvergenceThe purpose is to increase the amplitude and velocity of the fusional vergence response, while decreasing the latency.
King-Devick Testused to assess the fixational and saccade activity during reading and non-reading tasks.
Cover Testis an objective method of evaluating the presence, direction and magnitude of a tropia or phoria
Smooth Vergencesis the most common method used for assessing the amplitude of the fusional vergence response for both positive and negative fusional vergence
Step VergencesThe purpose is to evaluate the fusional vergence amplitude outside of the phoropter.
Pseudo-isochromatic PlatesThe purpose is to determine acquired unilateral or bilateral color vision deficits, which occur with optic neuropathies, disorders of the optic chiasm and more infrequently with some occipital disorders
Stereovision Testingis to subjectively evaluate the presence and degree of stereopsis using both global and contour (or local) targets).
Worth Four Dotis a subjective test designed to evaluate the presence and size of the suppression scotoma and is considered to be one of the most accurate methods of evaluating suppression. However, the test is also capable of verifying diplopia
TV TrainerThe purpose is to decrease ocular suppression and improve binocularity.
Accommodative FacilityThe purpose is to evaluate the stamina and dynamics of the accommodative response
Near Far Hart ChartThe purpose is to develop flexibility in the change of focus when looking near to far and far to near
Binocular Accommodative RockThe purpose is to develop the speed and flexibility of accommodation when both eyes are working together.
Fixation StabilityExamination of eye movements involves three distinct steps: assessment of stability of fixation, saccadic function and pursuit function.
NSUCO SaccadesThe purpose is a direct observation method that is used to assess the quality and accuracy of saccadic function
Spoon PursuitsThe purpose is to enhance fixation ability and increase peripheral awareness.
Post-it SaccadesThe purpose is to develop smooth and accurate eye fixations while increasing peripheral awareness.
Michigan TrackingThe task is to find the letters of the alphabet and cross them off (or circle them) in order
McDonald ChartThe purpose is to increase peripheral awareness while concentrating on central vision.
Brock String – Jump DuctionsThe purpose is to develop the ability of the two eyes to aim at the same point and to shift the eyes in a coordinated fashion from one point in space to another point, quickly and easily, without suppressing the information from either of the eyes.
Lifesaver Cards – DivergenceThe purpose is to increase the amplitude and velocity of the fusional vergence response, while decreasing the latency
Eccentric Circles – DivergenceThe purpose is to increase the amplitude and velocity of the fusional vergence response, while decreasing the latency.

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