CONCOMITANT STRABISMUS AND VISUAL DEVELOPMENT

SHE Level 4
SCQF Credit Points 10.00
ECTS Credit Points 5.00
Module Code MHB523851
Module Leader Claudine Wallace
School School of Health and Life Sciences
Subject Vision Sciences
Trimester
  • A (September start)

Pre-Requisite Knowledge

SCQF Level 7 Module in Ophthalmic Anatomy & Physiology A; SCQF Level 7 Module in Ophthalmic Anatomy & Physiology B; SCQF Level 7 Module in Refraction and Binocular Vision 1; SCQF Level 8 Module in Refraction and Binocular Vision 2; SCQF Level 9 Module in Incomitant Strabismus

Summary of Content

This module aims to extend student's knowledge of binocular vision anomalies and visual development

Syllabus

Introduction to the course, its objectives, clinical arrangements, book lists, reference list. Classification of BV anomalies. Concomitant squint, primary and secondary angles. Clinical investigation and assessment of binocular function.#Diagnosis and Management of Heterotropia/Heterophoria: Esotropia/Esophoria, Exotropia/Exophoria: Hypertropia/Hyperphoria: Hypertropia/Hypophoria: Cyclophoria: aetiology. Effect of refractive error/spectacle correction in binocular vision anomalies. Sensory adaptations to strabismus. confusion, diplopia, Suppression - types, methods of assessment. Abnormal Retinal Correspondence - Investigation, Management. Theories of ARC. Microtropia. Postnatal development of vision. The consequences of visual deprivation and the classification of amblyopia. Clinical invesigation and assessment of vision in children. Management of amblyopia. Eccentric Fixation - Investigation, Management. Theories of eccentric fixation. Functional visual deficits in amblyopia.

Learning Outcomes

On successful completion of this module students should be able to:-1. Demonstrate a knowledge and practical understanding of the principles involved in the development of visual function.2. Describe and classify concomitant binocular vision anomalies.3. Describe and critically evaluate methods of assessing binocular vision anomalies.4. Provide a structured treatment plan incorporating and ongoing evaluation of progress.5. Relate and integrate visual processing of sensory adaptations to motor deviations.6. Apply knowledge of theory and practice related to epidemiology, pathology and treatment pertaining to progressive visual developmental anomalies.7. Critically assess available optometric, medical and therapeutic strategies within an informed, flexible and innovative approach to meet the specific needs of patients having binocular vision problems.8. Apply and in-depth knowledge of the flucuating nature of progressive and regressive binocular vision anomalies to the planning and delivery of appropriate treatment and support packages for sufferers.9. Maintain and extend knowledge of advances in research in this cognate area.10. Develop a catalytic function in relation to research into and development of innovative treatment modalities.

Teaching / Learning Strategy

This module will consist of lectures and case scenarios. Practical aspects of clinical evaluation in the investigation and management of binocular vision anomalies are covered within clinical teaching and clinical placement. The teaching and learning strategy will be to encourage students to synthesize and develop the basic theoretical basis for the management of binocular vision anomalies in such a way as to allow them to apply the knowledge, in a clinical environment, to a variety of patent types. Students will be encouraged to develop their problem solving strategies and techniques to a level, which will allow than to adopt a structured reflective approach to the clinical environment.

Indicative Reading

Required Ansons and Davies; Diagnosis and Management of Ocular Motility Disorders Evans B J W Pickwell's Binocular Anomalies, Diagnosis and Vision Therapy (2002) Daw N W Visual Development (second edition Plenum Press (2006) Background Barnard S and Edgar D Paediatric Eye Care Blackwell (1996) Grifin J R and Grisham J D binocular Anomalies, Diagnosis and Vision Therapy (2002) Leat S J et al Assessing Children's Vision Buterworth (2004) Von Noorden G K Binocular Vision & Ocular Motility 6/e Mosby (2002) buterworth (2004) Harvey W and Gilmartin B Paediatric Optometry Buterworth (2004)

Transferrable Skills

Social, verbal and non-verbal communication skills and interview techniques. Advanced level clinical interactive communication development with patients of all ages. High order transferable skills in information transfer, liaison, debate, analysis, evaluation and clinical decision making. Critical interpretation of clinical significance of symptomatology, Clinical evaluation of data leading to diagnostic, management and referral criteria.

Module Structure

Activity Total Hours
Assessment (FT) 4.00
Lectures (FT) 18.00
Independent Learning (FT) 78.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 01 n/a 30.00 35% Class Test
Exam (Exams Office) 2.00 70.00 35% unseen written paper