Spinocerebellar Ataxia: The Role of Optometry and Binocular Vision Therapy in Rehabilitation and Improving Quality of life.
Background: Spinocerebellar ataxia (SCA) is a group of progressive, inherited neurodegenerative disorders that impact coordination, balance, and vision. SCA subtypes, especially SCA7, present unique ocular manifestations, such as reduced visual acuity, color vision deficits, retinal degeneration, an...
| Published in: | Optometry & Visual Performance Vol. 14; no. 1; pp. 57 - 62 |
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| Main Authors: | , , , , |
| Format: | case study Journal Article |
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Optometric Extension Program
Mar2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192913585&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192913585 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Mar2026 vid: 14 iid: 1 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 192913585 192913585 192913585 192913585 ppf: 57 ppct: 5 formats: tig: atl: Spinocerebellar Ataxia: The Role of Optometry and Binocular Vision Therapy in Rehabilitation and Improving Quality of life. aug: au: Mishra, Ankita Sharma, Preeti Singh, Prem Kumar Tibrewal, Shailja Ganesh, Suma affil: Dr. Shroff’s Charity Eye Hospital, New Delhi, India. sug: subj: Spinocerebellar Ataxias Rehabilitation Optometry Quality of Life Holistic Care Therapeutic Exercise Individualized Medicine Aged Male Diplopia Etiology Eye Manifestations Visual Acuity Diagnosis, Eye Patient History Taking Hyperthyroidism Patient Compliance Multidisciplinary Care Team Rivastigmine Therapeutic Use Dopamine Agents Therapeutic Use Social Isolation Prevention and Control Functional Status Aged: 65+ years Male ab: Background: Spinocerebellar ataxia (SCA) is a group of progressive, inherited neurodegenerative disorders that impact coordination, balance, and vision. SCA subtypes, especially SCA7, present unique ocular manifestations, such as reduced visual acuity, color vision deficits, retinal degeneration, and oculomotor dysfunction. This multidisciplinary care approach enables patients to live more confidently and independently despite the visual and neurological challenges posed by SCA. Case Report: A 65-year-old male with spinocerebellar ataxia type 3 (SCA3) presented with diplopia, primarily at distance, and limitations in extraocular movements. Clinical evaluation revealed esotropia at distance and intermittent exotropia at near, managed effectively with 3Δ base-out correction and binocular vision therapy including vergence exercises. Despite underlying neurodegenerative pathology and coexisting hyperthyroidism, the patient achieved significant symptomatic relief and visual comfort over two years. Conclusion: This case highlights the role of nonsurgical, tailored optometric intervention in managing complex diplopia cases associated with neurological conditions. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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