Things to Note Suppression Size Depth Constancy Laterality

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Things to Note • Suppression – Size – Depth – Constancy – Laterality –

Things to Note • Suppression – Size – Depth – Constancy – Laterality – At what viewing distance • Retinal Correspondence – Normal/Anomalous – Depth – Constancy – At what viewing distance

“Sally” • BVA: 20/20 @ D/N O. D. , O. S. , O. U.

“Sally” • BVA: 20/20 @ D/N O. D. , O. S. , O. U. • Bagolini: @40 cm • CT: 25 AET with O. S. fixation 80% 30 AET’ with O. S. fixation 50% • Bagolini w/30 BO: • CT w/+3. 00 add: 20 AET’

BAGOLINI STRIATED LENS EXPECTED RESULTS O. S. LENSES MONOC. PERCEPT BINOC. PERCEPT O. D.

BAGOLINI STRIATED LENS EXPECTED RESULTS O. S. LENSES MONOC. PERCEPT BINOC. PERCEPT O. D.

BAGOLINI STRIATED LENS EXPECTED RESULTS MONOC. PERCEPT NORMAL BINOC. PERCEPT ET BINOC. PERCEPT: UNCROSSED

BAGOLINI STRIATED LENS EXPECTED RESULTS MONOC. PERCEPT NORMAL BINOC. PERCEPT ET BINOC. PERCEPT: UNCROSSED PROJECTION

BAGOLINI STRIATED LENS ET W/ NRC RESULTS ET BINOC. PERCEPT:

BAGOLINI STRIATED LENS ET W/ NRC RESULTS ET BINOC. PERCEPT:

BAGOLINI STRIATED LENS ET W/ ARC RESULTS h. ARC: 30 ET u. ARC: 30

BAGOLINI STRIATED LENS ET W/ ARC RESULTS h. ARC: 30 ET u. ARC: 30 ET NO PRISM 15 BO

“Sally” (Cont. ) “RED LENS OVER O. D. ” • Synoptophore: – w/small 1º

“Sally” (Cont. ) “RED LENS OVER O. D. ” • Synoptophore: – w/small 1º target: H = 20 BO, S = 10 BO no suppression noted – w/small 2º target: H = 28 BO, S = 13 BO suppression O. D. (illum 9 for O. D. ; 7 for O. S. to eliminate suppression) • Worth 4 - dot@ 40 cm – 4 dots; split top spot (r/g) • Worth 4 - dot@ 1 meter – 2 red dots • Worth 4 - dot@ 3 meters – 3 green dots

WORTH 4 -DOT ARC RESULTS

WORTH 4 -DOT ARC RESULTS

WORTH 4 -DOT DIPLOPIA RESULTS FOR ET

WORTH 4 -DOT DIPLOPIA RESULTS FOR ET

“Sally” (Cont. ) “RED LINE REPRESENTS O. D. ” • Hering Bielschowsky After-Image Test:

“Sally” (Cont. ) “RED LINE REPRESENTS O. D. ” • Hering Bielschowsky After-Image Test: – w/ eyes closed: – @ 40 cm: @ 1 meter:

Hering Bielschowsky After. Image Test:

Hering Bielschowsky After. Image Test:

Hering Bielschowsky After. Image Test:

Hering Bielschowsky After. Image Test:

Hering Bielschowsky After. Image Test: NRC

Hering Bielschowsky After. Image Test: NRC

Hering Bielschowsky After. Image Test: ARC p. m Te ARPP POINT R n i

Hering Bielschowsky After. Image Test: ARC p. m Te ARPP POINT R n i t e a

Summary For “Sally” • Suppression – Size: parafoveal – Depth: shallow @ near deep

Summary For “Sally” • Suppression – Size: parafoveal – Depth: shallow @ near deep @ distance – Constancy: intermittent – Laterality: mostly O. D. (more alternating @ near) – At what viewing distance: dist. < near • Retinal Correspondence –Normal: nope! –Anomalous: u. ARC mostly –Depth: very deep –At what viewing distance: ARC at all distances

“Ninyata” • BVA: 20/20 @ D/N O. D. , O. S. , O. U.

“Ninyata” • BVA: 20/20 @ D/N O. D. , O. S. , O. U. • Bagolini: @40 cm • CT: 45 LXT 18 AXT’ with O. D. fixation 80% • Bagolini @2 Meter:

BAGOLINI STRIATED LENS EXPECTED RESULTS MONOC. PERCEPT NORMAL BINOC. PERCEPT XT BINOC. PERCEPT: CROSSED

BAGOLINI STRIATED LENS EXPECTED RESULTS MONOC. PERCEPT NORMAL BINOC. PERCEPT XT BINOC. PERCEPT: CROSSED PROJECTION

BAGOLINI STRIATED LENS XT W/ NRC RESULTS XT BINOC. PERCEPT:

BAGOLINI STRIATED LENS XT W/ NRC RESULTS XT BINOC. PERCEPT:

BAGOLINI STRIATED LENS XT W/ ARC RESULTS h. ARC: 30 XT u. ARC: 30

BAGOLINI STRIATED LENS XT W/ ARC RESULTS h. ARC: 30 XT u. ARC: 30 XT NO PRISM 15 BI

“Ninyata” (Cont. ) “RED LENS OVER O. D. ” • Synoptophore: – w/med 1º

“Ninyata” (Cont. ) “RED LENS OVER O. D. ” • Synoptophore: – w/med 1º target: H = 40 BI, S = 0 signif. suppression O. S. noted – w/large 2º target: H = 18 BI, S = 3 BI suppression O. S. (flicker O. S. to eliminate suppression) • Worth 4 - dot@ 40 cm – 5 dots (2 red lights to right) • Worth 4 - dot@ 1 meter – 2 red dots • Worth 4 - dot@ 3 meters – 2 red dots

WORTH 4 -DOT ARC RESULTS

WORTH 4 -DOT ARC RESULTS

WORTH 4 -DOT SUPPRESSION O. S.

WORTH 4 -DOT SUPPRESSION O. S.

WORTH 4 -DOT DIPLOPIA RESULTS FOR XT

WORTH 4 -DOT DIPLOPIA RESULTS FOR XT

“Ninyata” (Cont. ) “RED LINE REPRESENTS O. D. ” • Hering Bielschowsky After-Image Test:

“Ninyata” (Cont. ) “RED LINE REPRESENTS O. D. ” • Hering Bielschowsky After-Image Test: – w/ eyes closed: – @ 40 cm: @ 1 meter:

Hering Bielschowsky After. Image Test: NRC

Hering Bielschowsky After. Image Test: NRC

Hering Bielschowsky After. Image Test: ARC a l a s Na ARPP POINT R

Hering Bielschowsky After. Image Test: ARC a l a s Na ARPP POINT R n eti

Summary For “Ninyata” • Suppression – Size: paramacular – Depth: deep @ near very

Summary For “Ninyata” • Suppression – Size: paramacular – Depth: deep @ near very deep @ distance – Constancy: constant (some intermittentcy @ near) – Laterality: O. S. • Retinal Correspondence –Normal: nope! –Anomalous: h. ARC mostly –Depth: deep @ dist; shallow h. ARC or suppression @ near