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Ocular Dominance within Binocular Vision

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A naturally occurring version of monovision might temporarily appear in patients affected by physiological age-related lens opacities (cataracts). The visual deterioration usually occurs in both eyes, but often to differing degrees and progresses at different rates, eventually requiring first then frequently second eye surgery with artificial lens implantation to restore reasonable visual acuity. However, it has been reported (Talbot & Perkins, 1998) that following the improvement in binocular function after second eye treatment the laterality of OD may change.

It has also been recorded (Waheed & Laidlaw, 2003) that the debilitating effects of monocular injury or pathology may more markedly impair mobility or quality of life if it is the performance of the hitherto sighting dominant eye that is primarily compromised. However, again, the possibility of sighting dominance switching in patients with unilaterally acquired macular disease cannot be discounted (Akaza et al., 2007).

Conclusion

It might be that a conclusion drawn by Warren & Clark (1938: p. 302) seventy years ago remains pertinent today: “eye dominance as a single unitary factor does not exist”.

Perhaps OD is no more than a “demonstrable habit” (Miles, 1930) in binocular vision, adopted when viewing circumstances demand that only one eye can conveniently be used (Porac & Coren, 1976). Since classical times the paradoxical question of why, under binocular conditions, unilateral sighting might be considered an advantage compared to the continued use of two eyes has continued to be asked (Wade, 1998). Allied to this, what could be the oculo-visual purpose or benefit to the individual of a dominant eye whose laterality can apparently be modified by test conditions (Carey, 2001), by vision training (Berner & Berner, 1953), and by attentional factors (Ooi & He, 1999)?

While the functional basis of OD remains uncertain in a species with a highly evolved binocular visual system, its demonstrable existence in the majority of normally sighted individuals has been linked to a number of perceptual and clinical phenomena. Unfortunately, the years of burgeoning knowledge have perhaps tended to obscure rather than clarify many issues surrounding OD and its relation to oculo-visual performance. What can be stated is that OD must be recognised as a dynamic concept, fluid and deformable in the context of specific viewing conditions and with regard to the methods used to identify it.

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