The worldwide prevalence of non-strabismic binocular vision anomalies is reportedly high, ranging between 20-30%, especially among the paediatric population. This raises the need to be equipped with the necessary skill and knowledge attributes to be able to detect, diagnose, and manage anomalies in clinics and the community. As primary Eye Care Professionals, Optometrists are often the first point of contact for a patient seeking an opinion about their eye and vision problems. Incorporating basic tests for accommodation and vergence within the primary eye care process would greatly cater to the visual needs of the asthenopic patient. Apart from performing a standard refraction, understanding the fundamental aspects of the ocular accommodation, and evaluation of the same would raise the standards of the clinical care. Through specific and focused testing for binocular vision, you would be able to take better decisions about the refractive correction, and plan further management accordingly.
This session will focus on discussing clinical tests for accommodation, common presentations of accommodation anomalies, approaches to diagnosis and appropriate management strategies. The theoretical framework for diagnosis will be discussed, followed by a clinical presentation. Common clinical presentations including accommodative insufficiency, accommodative spasm, and accommodative infacility will be discussed along with management protocols through optical correction and vision therapy.
At the end of this session, you will gain a clearer perspective about the clinical framework for diagnosing and managing accommodative dysfunctions. You will be able to identify patients with accommodative dysfunctions in clinical practice, and to provide appropriate management enhancing the eye and vision care process.