Publication details
Binocular Refraction in Patients With Age-Related Macular Degeneration
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| Year of publication | 2012 |
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| Description | This report is focused on relation between incidence of the age related macular degeneration (ARMD) and latent strabismus, whose manifestation could be caused by impairment of the fusion ability. Based on this phenomenon, observed on our clients, it should add another point to the discussion, how to help patients with irreversible serious retinal disease to improve their vision possibilities. ARMD is a serious degenerative disease, responsible for a large amount of functional blindness in the western world. Its incidence is related with elongating average age. The retinal center of sharpest vision is being harmed, so as the central visual acuity. The speed of progression doesn’t have be the same on both eyes. The fusion ability is declining (so as we expect its control by central retinal disparity) and the latent strabismus would decompensate. In our clients with ARMD, in which the visual acuity allows to achieve the binocular examination of vision, we found out, that there is an indispensable number of patients with heterophoria in horizontal, as well as in vertical direction. They rate the vision with prismatic correction as more comfortable, clearer and long-term tolerable. The habituation on prismatic correction was spontaneous and non-problematic. Thanks to exact correction of monocular and binocular values of refractive error, we have enabled our clients suffering from ARMD to gain the maximum of their visual possibilities. Improved binocular cooperation enables more effective binocular summation of visual perception, (at least) partly rehabilitates stereoscopic vision and represents a psychical support (like “there is still something that can be done”). |