The Complexity of Co-existing Functional Vision Loss and Organic Diagnoses.
Background: Parkinson's patients commonly experience a visual midline shift that causes postural and gait changes, increasing the risk of falls. If the optometrist can improve the visual midline shift with the use of yoked prism prescriptions, the risk of falls will decline and ultimately decrease t...
| Publicado en: | Optometry & Visual Performance Vol. 6; no. 2; pp. 107 - 117 |
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| Autores principales: | , , , |
| Formato: | case study diagnostic images tables/charts Journal Article |
| Publicado: |
Optometric Extension Program
Apr2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129365712&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129365712 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Apr2018 vid: 6 iid: 2 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 129365712 129365712 129365712 129365712 ppf: 107 ppct: 10 formats: tig: atl: The Complexity of Co-existing Functional Vision Loss and Organic Diagnoses. aug: au: Ansel, Tobin Nguyen, Tam Shenouda-Awad, Nancy Zerilli-Zavgorodni, Theresa affil: OD, MS, VA Connecticut Healthcare System at West Haven Campus, West Haven, Connecticut sug: subj: Diplopia Diagnosis Diplopia Therapy Parkinson Disease Complications Diplopia Etiology Parkinson Disease Diagnosis Spatial Perception Balance, Postural Walking Lenses Male Middle Age Accidental Falls Prevention and Control Middle Aged: 45-64 years Male ab: Background: Parkinson's patients commonly experience a visual midline shift that causes postural and gait changes, increasing the risk of falls. If the optometrist can improve the visual midline shift with the use of yoked prism prescriptions, the risk of falls will decline and ultimately decrease the overall potential healthcare cost. Case Report: A 77-year-old white male diagnosed with Parkinson's presented for an evaluation. The patient complained of double vision and difficulty judging space perception that was affecting his balance when walking. He was treated with a lens prescription that included a combination of yoked and base-in prisms. Conclusion: After 1 month of wearing the new prism prescription, he no longer experienced double vision and showed improved balance when walking. This case emphasizes the importance of evaluating visual midline shifts and prescribing yoked prisms in this patient population to improve overall balance and to lower the risk of falls. pubtype: Academic Journal doctype: case study diagnostic images tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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