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FIXING MY GAZE:

VISION THERAPY FOR

STRABISMUS

Susan R. Barry, Ph.D.

Professor of Biological Sciences

and Neuroscience

Mount Holyoke College

South Hadley, MA. 01075

sbarry@mtholyoke.edu

The straight-ahead direction is not where either eye is pointing.

Copyright by Margaret Nelson.

2/4/2010

Copyright by Margaret Nelson

Images that fall on corresponding retinal points are interpreted as coming from the same place in space.

Copyright by Margaret Nelson.

Diplopia and Visual Confusion.

Figure by Margaret Nelson.

1

2/4/2010

From: http://www.3dgear.com/scsc/movies/audience.jpg

http://www.edcenter.sdsu.edu/cs575viz/viewmaster.gif

From Eye to Brain.

http://www.nmr.mgh.harvard.edu/~rhoge/HST583/doc/VisualCortex.jpg

Esotropia (crossed eyes) is not present at birth.

4, 543 newborn babies examined.

No cases of esotropia found that persisted through infancy.

Nixon RB, Helveston EM, Miller K, Archer SM, Ellis FD. Incidence of strabismus in neonates. American Journal of Ophthalmology 100 (1985): 798–801.

Archer SM, Sondhi N, Helveston EM. Strabismus in infancy. Ophthalmology 96 (1989): 133–37.

http://web.mit.edu/bcs/schillerlab/research/A-Vision/A12-5.htm

Ocular dominance histograms in area V1of normal and strabismic cats.

From: Hubel, 1988, Eye, Brain, and Vision

Did I have a monocular brain?

2

2/4/2010

1.Importance of eye posture in stereoscopic perception.

2.Approach fusion training from the the point where the patient demonstrates an attempt at

normal binocular behavior.

Press LJ, 1997. Applied

Concepts in Vision Therapy.

Polaroid Vectogram: Each eye sees one rope circle (quoit).

SB

Pre (Nov. 20, 2001)

Post (2009)

Vergence range

Not measurable.

Base in/Base out vergence

 

 

 

ranges >30 distance and

 

 

near.

From: http://www.screensavers.com/Home/Nature/Landscapes/Fall+Colors/Autumn+Forest+Path/index.html?SS_ID= 11801_12875_12878_102004

3

2/4/2010

Right Eye

Left Eye

Right Eye

Left Eye

Neuron

Neuron

Neuron

Neuron

VT

(LONG TERM POTENTIATION)

Weakly binocular neuron

Strongly binocular neuron

Princesse Albert de Broglie, née Joséphine-Eléonore-Marie-Pauline de Galard de Brassac de Béarn by

Jean Auguste Dominique Ingres (1780-1867).

Qualitative stereopsis: Even objects located outside Panum's fusional area are seen in stereoscopic depth.

Objects located outside Panum’s fusional area are seen as double.

These two lines bracket

Horopter

Panum’s fusional area.

 

Objects lying within these

 

lines are seen as single.

 

 

 

http://www.kulakane302.com/images/views%20from%20Kulakane/Panoramic%20vie w%20from%20lanai%20-%20full%20resolution.jpg

Motion Parallax

From: Roy J-P, Komatsu H, Wurtz RH, 1992. J. Neurosci. 12: 2478-2492.

From: http://movies.radiofree.com/photos/star_wars_revenge_of_the_sith_10333.jpg

4

2/4/2010

Constraint-induced movement therapy: the transfer package is most important.

http://gardenstatept.com/sitebuildercontent/

sitebuilderpictures/cit.jpg

From: http://spaceinfo.jaxa.jp/db/kaihatu/shuttle/shuttle_g/sts-72-2.jpg

Barn owl.

http://www.memorylossonline.com/glossary/basalforebrain.jpg

http://upload.wikimedia.org/wikipedia/commons/thumb/2/21/Speaker_Icon.svg/500px-Speaker_Icon.svg.png

http://www.taconic.com/user-assets/Images/Producs-Services/white2_rat.jpg

http://www.coloradocollege.edu/IDProg/Neuroscience/Rat%20brain%20images/plate%2045.jpg

5