Course: Sound Optometry: Episode 16 - Binocular Vision: Managing convergence anomalies

Section

General

Domains: Clinical practice, Professionalism

No CPD Points

Welcome to Docet’s 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 16: Binocular Vision - Managing convergence anomalies

The podcast begins with a case study of convergence excess, and we hear directly from a young patient about the signs and symptoms that led her to seek help from optometrist Dr Aleks Mankowska at Bradford University. Aleks discusses the interesting features of the case and the reasons for the management approach taken. Michelle Hanratty then discusses the key examination techniques that are useful in the investigation of binocular vision anomalies. The podcast also covers the management of convergence insufficiency, and the tricky subject of prescribing prism and orthoptic exercises is navigated, with Aleks offering some top tips to help with patient compliance.

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: December 2022

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Learning outcomes

Professionalism

s.4 Show care and compassion for your patients

Able to identify and respond appropriately to patients and concerns about their binocular vision anomaly.

Clinical practice

s.5 Keep your knowledge and skills up to date

Recognise the signs and symptoms of convergence excess and insufficiency.

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

Able to conduct a binocular vision assessment to investigate a binocular vision anomaly.
Able to formulate an appropriate treatment plan for a patient with a convergence insufficiency or excess.

Unit 1 - Binocular vision audio track (~28 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
Patient case study – convergence excess anomaly
The presenting signs and symptoms of convergence excess and insufficiency
Binocular vision assessment
Management strategies for convergence excess and insufficiency.

Unit 2 - Required reading (~25 min)

More information

References
URLCollege of Optometrists. Guidance for Professional Practice. Knowledge, skills and performance. Examining and managing patients with an anomaly of binocular vision. [Accessed Jan 2022] URL Opens in a new window.
URLCollege of Optometrists. Guidance for Professional Practice. Knowledge, skills and performance. Examining younger children. [Accessed Jan 2022] URL Opens in a new window.
Elliott D (2013) Clinical Procedures in Primary Eye Care. Elsevier. Chapter 6 – Assessment of Binocular Vision and Accommodation – Barrett BT.
Evans B (2002) Pickwell’s Binocular Vision Anomalies. 4th Edition. Butterworth Heinemann.
Scheiman M, Wick B (2008) Clinical Management of Binocular Vision. 3rd Edition. Lippincott Williams & Wilkins.
Docet would like to thank the following for their contribution to this programme:
Dr Aleksandra Mankowska, optometrist and lecturer in the Bradford School of Optometry and Vision Science (BSOVS)

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