Horizontal Deviations

A large proportion of Esophoric conditions have problems with accommodation as their root cause. Due to the synergistic link between accommodation and convergence excessive accommodation produces excessive convergence and thus esophoria uncorrected hypermetropia  esophoria However, a small proportion of esophoric conditions may be classed non-accommodative; i.e. faulty accommodative-convergence plays no part in the condition.

[object Object],[object Object],[object Object],Cover test: DISTANCE 12  SOP NEAR 5  SOP

Aetiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Investigation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Management

[object Object],[object Object],[object Object],[object Object],Cover test: DISTANCE 3  SOP NEAR 10  SOP

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Aetiology

[object Object],[object Object],[object Object],Aetiology (cont’d)

Investigation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Investigation (cont’d)

Management ,[object Object],[object Object],[object Object],[object Object]

II) REFRACTIVE CORRECTION ,[object Object],[object Object],[object Object],[object Object],Management (cont’d)

[object Object],[object Object],[object Object],[object Object],Management (cont’d)

[object Object],[object Object],Cover test: DISTANCE 13  SOP NEAR 12  SOP

[object Object],[object Object],[object Object]

Anatomical Rest Fusion Free Position Fusion of Distant Object Near Fusion Free Fusion of Near Object Tonus Proximal + Accommodative

1) Convergence Weakness ,[object Object],Cover Test Dist 13  Near 12 

2) Divergence Excess ,[object Object],[object Object]

3) Convergence Insufficiency ,[object Object],[object Object],[object Object]

1) Convergence Weakness Exophoria.

Aetiology ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Aetiology (cont’d)

Investigation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Management ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Management (cont’d)

2) Divergence Excess Exophoria.

Investigation ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Investigation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Management

Horizontal Deviations

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Horizontal Deviations