Course: Sound Optometry: Episode 4

Section

General

Assessment of Visual Function Binocular Vision Ocular Disease

No CPD Points

Welcome to DOCET’s new podcast Sound Optometry, hosted by Michelle Hanratty, an IP optometrist with 20 years’ experience on the high street and in hospital. Each month, with case studies and in-depth conversations, we will be exploring topics that matter the most to you as optometrists and are relevant for everyday practice.

Episode 4 - Binocular Vision

In this episode, we hear about a clinical scenario where a sixth nerve palsy was detected in an urgent remote consultation with an elderly patient. 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 you in 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.

Last published: June 2021

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Learning objectives

6.1.14 Assesses symptoms and signs of neurological significance in an adult.

7.1.3 Assesses children’s visual function using appropriate techniques that are available in a primary care setting.

8.1.1 Assesses binocular status using objective and subjective means, adapting techniques for different settings and patient co-operation.

8.1.5 Manages children at risk of developing an anomaly of binocular vision and understands the hospital methods used to manage those that that require treatment beyond the correction of refractive error.

8.1.7 Manages patients presenting with a sudden onset, sixth nerve related incommitant deviation.

Unit 1 - Binocular vision audio track (~26 min)

Audio track
Please listen to the podcast available here or through your preferred podcast listening app. Select the blue arrow at the bottom of the player to access various podcast apps.
Key Points

Case presentation from a community optometrist Neil Constantine-Smith in which a sixth nerve palsy was detected in an urgent remote consultation.
The presenting symptoms and signs of binocular vision anomaly in children are discussed with Specialist Optometrist Janice McCrudden along with investigations that can be can carried out in optometry practices.
Management strategies for children at risk of developing abnormal visual function.
Binocular vision exercises that can be adopted for use in everyday practice.

Unit 2 - Required reading (~25 min)

More information

References
URLLee J, McIntyre A (1996) Clinical tests for binocular vision. Eye (Lond). 10 ( Pt 2); pp. 282-285 doi:10.1038/eye.1996.59 [Accessed Oct 2020] URL Opens in a new window.
URLLennie P, Van Hemel S (2002) National Research Council (US) Committee on Disability Determination for Individuals with Visual Impairment. Assessment of Vision in Children and Adults. [Accessed Oct 2020] URL Opens in a new window.
DOCET would like to thank the following for their contribution to this programme:

Janice McCrudden, MCOptom, Prof Cert Med Ret. Specialist optometrist, Belfast Health and Social Care Trust

Neil Constantine-Smith, MCOptom, Optometrist Director, Specsavers Lymington

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