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Binocular Examination in Children

Binocular Examination in Children
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Author(s): Surbhi Bansal (Stanford University, USA), Ruth Y. Shoge (University of California, Berkeley, USA) and Siva Meiyeppen (Pennsylvania College of Optometry, Salus University, USA)
Copyright: 2022
Pages: 45
Source title: The Pediatric Eye Exam Quick Reference Guide: Office and Emergency Room Procedures
Source Author(s)/Editor(s): Lily Zhu-Tam (Citywide Eye Care Optometry, USA) and Ida Chung (College of Optometry, Western University of Health Sciences, USA)
DOI: 10.4018/978-1-7998-8044-8.ch009


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This chapter introduces the reader to tests commonly performed in a binocular vision examination to determine a child's binocular status. The testings introduced in this chapter are all chairside techniques that do not involve a significant amount of extra equipment or time. The binocular examination consists of determining the ocular position and then accommodation, vergence, and ocular motor statuses. The ocular position consists of determining where the eyes point in space and if they are correctly aligned. Evaluation of ocular alignment and the ability to move the eyes with coordination can be determined with various techniques, including Hirschberg, Krimsky, cover test, as well as Modified Thorington, motor testing, and vergence ranges. This chapter will familiarize the clinician with the basics of binocular vision testing and improve the reader's comfort with the various elements of the binocular vision examination.

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