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Sound OptometrySound Optometry

Sound OptometryDomains: Clinical Practice, Communication

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Welcome to Sound Optometry, a podcast from Docet hosted by Michelle Hanratty, an IP optometrist with over 20 years’ experience in both high street and hospital settings. Each month, through case studies and in-depth conversations, we explore the topics that matter most to you as an optometrist and are relevant to everyday practice. 

Episode 4 - Binocular Vision

In this episode, we hear about a scenario in which a sixth nerve palsy was detected in an urgent remote consultation during the national COVID-19 lockdown of 2020. Michelle Hanratty then explores the methods that optometrists have at their disposal to detect and manage binocular vision problems with Janice McCrudden, a hospital optometrist from the Belfast Health and Social Care Trust. This episode will equip the optometrist in community practice with the essential knowledge to meet the challenge of examining young children and detecting those at risk of developing a binocular vision anomaly. 

Subscribe to the series on your preferred podcast player so you don’t miss an episode. You can access all episodes of Sound Optometry here.

First published: October 2020
Last reviewed: November 2025

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    Communication 

    s.2 Communicate effectively with patients 

    • Able to take a relevant history of a patient presenting with signs of neurological significance. 

    Clinical practice 

    s.5 Keep your knowledge and skills up to date 

    • Knowledge of the hospital methods used to manage children that require treatment beyond refractive. 

    s.7 Conduct appropriate assessments, examinations, treatments and referrals 

    • Able to assess binocular status using objective and subjective means, adapting techniques for different settings and patient co-operation. 
    • Able to recognise and know when to refer patients presenting with a sudden onset, incomitant deviation. 
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      • Audio track

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      • Key Points


        • Case presentation: VIth nerve palsy detected in an urgent remote consultation 
        • Presenting symptoms and signs of binocular vision anomaly in children 
        • Investigations that can be carried out in optometry practices 
        • Management strategies for children at risk of developing abnormal visual function 
        • Binocular vision exercises. 

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