Case Series in Optometric Management of Diverse Vertical Deviations.

Background: Vertical deviations present in diverse patient populations with a multitude of puzzling symptoms and complaints. Many patients with vertical deviations have visited numerous doctors looking for an explanation for their symptoms of dizziness, headaches, motion sickness, and double vision....

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Publicado en:Optometry & Visual Performance Vol. 7; no. 2; pp. 84 - 92
Autor principal: McDaniel-Chandler, Darah
Formato: case study tables/charts Journal Article
Publicado: Optometric Extension Program Apr2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2019
      vid: 7
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Case Series in Optometric Management of Diverse Vertical Deviations.
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        au: McDaniel-Chandler, Darah
        affil: Southern College of Optometry Memphis, Tennessee
      sug:
        subj:
          Strabismus Diagnosis
          Strabismus Therapy
          Optometry
          Middle Age
          Female
          Ocular Motility Disorders Symptoms
          Refractive Errors Therapy
          Vision Disorders Therapy
          Visual Perception Physiology
          Middle Aged: 45-64 years
          Female
      ab: Background: Vertical deviations present in diverse patient populations with a multitude of puzzling symptoms and complaints. Many patients with vertical deviations have visited numerous doctors looking for an explanation for their symptoms of dizziness, headaches, motion sickness, and double vision. Vertical deviations may be apparent in the clinical optometric exam sequence, but at other times, additional testing must be performed to uncover a vertical heterophoria, including fixation disparity, vertical vergences, a period of diagnostic occlusion, or Maddox rod. Case Report: Three case reports are reviewed with diverse presentations of vertical deviations. The first case report outlines Patient A, a 51-year-old female who presented with dizziness along with a latent hyperphoria that was not apparent on the initial clinical examination. The second case report outlines Patient B, a 52-year-old female who presented with a longstanding large-angle vertical strabismus with strabismic amblyopia in the right eye. The third case report outlines Patient C, a 61-year-old female who presented with intermittent vertical diplopia following a cerebrovascular accident. The three cases all underwent vision therapy or vision therapy in combination with prismatic correction, and all three cases experienced symptom reduction following treatment with optometric vision rehabilitation. Conclusion: Vision therapy alone, or vision therapy in combination with prism lenses, was an effective treatment option for reducing symptoms in a diverse series of patients with vertical deviations.
      pubtype: Academic Journal
      doctype:
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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