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GLOSSARY

while they maintain fusion. When the eyes move inwards (converge) with base-out prisms, typically the object appears to become smaller and closer. Conversely, when the eyes move outwards (diverge) with base-in prisms the object may appear larger and further away. Note: the acronym refers to the movement of the eyes, not the prism base direction.

Single mirror haploscope An adjustable stereoscope used for the measurement and treatment of binocular vision anomalies.

Skew deviation A usually transient hypertropia in which the eyes move in opposite directions equally: one eye is elevated and the other depressed; an acquired hypertropia, often fairly comitant; often due to a brain stem or cerebellar lesion.

SOLI Acronym for Small Out, Large In (cf. SILO). It refers to the perception that a few people experience when horizontal prisms are introduced while they maintain fusion. When the eyes move outwards (diverge) with base-in prisms, sometimes the object appears to become smaller. Conversely, when the eyes move inwards (converge) with baseout prisms the object may appear larger. Note: the acronym refers to the movement of the eyes, not the prism base direction.

Square wave jerks A relatively common phenomenon in which a small horizontal saccade takes the eye off the fixation point and is quickly corrected by a second saccade.

Squint Synonym of strabismus. The term ‘squint’ is deprecated because it is often used by patients to describe signs other than strabismus.

Stanworth synoptiscope A modification of a synoptophore that allows objects to be viewed in free space. It represents an attempt, only partially successful, to give the synoptophore a less artificial viewing environment.

Stereoacuity (stereo.) A measure of stereopsis. The method of measurement influences the result obtained.

Stereogram Two separate images of an object (e.g. letters, photographs, drawings or pseudo-random dots) with parallax differences between them which, when fused, give a stereoscopic percept. The targets can be fused in a stereoscope or, using overor underconvergence, in free space.

Stereopsis Depth perception due to retinal disparity, i.e. arising from binocular vision.

Stereoscope An instrument (type of haploscope) that allows targets to be presented independently to the two eyes.

Strabismus (strab.) A condition where the visual axes are misaligned by a deviation that is too great for sensory fusion within Panum’s fusional areas. Types of strabismus are exotropia, esotropia, hypertropia and hypotropia. Synonyms of strabismus include heterotropia, turning eye, squint and cast. The last two terms have other meanings and are

382 deprecated.

GLOSSARY

Strabismus fixus A congenital condition in which the affected eye is ‘anchored’ in a position because of fibrous tightening of an extraocular

muscle.

 

Subjective angle of deviation The angle between the two visually per-

 

ceived directions in strabismus (angle of diplopia), when measured

 

subjectively. Conventionally, it has been measured using artificial

 

instruments, such as the synoptophore, but if a strabismic patient does

 

not have complete suppression of one eye’s binocular field and does

 

not experience diplopia and confusion then the subjective angle of

 

deviation in everyday life must be zero.

 

Superior oblique myokymia An episodic small-amplitude nystagmoid

 

intorsion and depression of one eye, accompanied by visual shimmer

 

and oscillopsia. The condition was originally called ‘unilateral rotary

 

nystagmus’.

 

Superior oblique tendon sheath syndrome A congenital condition

 

caused by a fibrous unyielding superior oblique muscle, resulting in the

 

appearance of a paralysis of the inferior oblique muscle. Synonym:

 

Brown’s syndrome.

 

Suppression (supp.) A binocular condition in which the image of an

 

object formed upon the retina is not perceived but is mentally ignored or

 

neglected either partially or completely because of an incongruous image

 

in the other eye. Suppression is one mechanism of avoiding diplopia in

 

strabismus. Physiological suppression occurs in normal binocular single

 

vision (e.g. to avoid physiological diplopia) and pathological suppression

 

occurs in binocular vision anomalies (e.g. strabismus). Suppression can

 

be further classified into facultative, which ceases when the fixating or

 

dominant eye is occluded, and obligatory, which is operative under all

 

conditions.

 

Suspension An archaic term used to describe minor degrees of central

 

suppression, occurring mainly during binocular vision. Now referred to

 

as foveal suppression.

 

Sustained visual system See parvocellular visual system.

 

Swann’s syndrome An esotropia where the angle of deviation is such

 

that the retinal image of the object of regard in the deviated eye falls on

 

the optic disc (blind spot). Synonyms: blind spot syndrome, blind spot

 

mechanism.

 

Synergist Muscles are said to be synergists if they normally act together.

 

When a muscle contracts then its synergists contract at the same time.

 

cf. antagonist.

 

Synoptophore An instrument that is used to investigate binocular vision.

 

A large range of different targets can be used in each eye individually, or

 

similar targets to investigate sensory fusion. The target for each eye can

 

be moved independently to investigate motor fusion. The main disad-

 

vantage of the instrument is that the eyes behave differently when placed

383

in such an artificial visual environment. Synonym: major amblyoscope.

GLOSSARY

Tangent scale A simple scale calibrated to read prism dioptres. It is sometimes used at 6 or 3 m in the Maddox rod test. A spotlight is at the centre of a horizontal and vertical scale and the patient reports the number on the appropriate scale through which the streak from the rod passes.

Tenoplication The surgical procedure of tucking a muscle tendon in

 

 

 

order to shorten it.

 

 

 

Tenotomy The operation of cutting a muscle tendon.

 

 

 

Three-step test A method of diagnosing incomitant deviations of cyclover-

 

 

 

tical muscles. The best known is Parks’ three-step test; another is Scobee’s

 

 

 

three-step test.

 

 

 

Torsion A rotatory movement of an eye about its anterior–posterior axis.

 

 

 

Torticollis Head tilting usually accompanied by a rotation of the neck.

 

 

 

Ordinarily, torticollis is caused by congenital unilateral contracture of the

 

 

 

sternomastoid muscle in the neck. However, ‘ocular torticollis’ can also

 

 

 

occur as a result of an ocular condition (e.g. incomitancy, nystagmus).

 

 

 

Total angle of strabismus The angle of strabismus measured after the

 

 

 

patient’s habitual viewing conditions are degraded, e.g. by prolonged or

 

 

 

repeated occlusion. This is larger than the habitual angle of strabismus.

 

 

 

Tranaglyph See anaglyph.

 

 

 

Transient visual system See magnocellular visual system.

 

 

 

Triplopia Appreciation of three images of a single object.

 

 

 

True space See free space.

 

 

 

Typoscope A reading shield made of black material in which there is a

 

 

 

rectangular aperture allowing one or more lines of print to be seen.

 

 

 

Unharmonious anomalous retinal correspondence (UARC) See retinal

 

 

 

correspondence.

 

 

 

V pattern A binocular vision anomaly characterized by, relatively speak-

 

 

 

ing, excessive convergence on downward gaze and/or excessive diver-

 

 

 

gence on upward gaze. Synonym: V-syndrome.

 

 

 

Vectogram A polarized stereogram consisting of two cross-polarized

 

 

 

images.

 

 

 

Vergence eye movements Eye movements in which the eyes move

 

 

 

in opposite directions. The movements are sometimes described as

 

 

 

disjunctive.

 

 

 

Vergence facility (Verg. Fac.) The ability of the eyes to rapidly change

 

 

 

their vergence.

 

 

 

Vergence reserves See fusional reserves.

 

 

 

Version eye movements Conjugate movement of both eyes in the same

 

 

 

direction.

 

 

 

Vision screeners Instruments designed to screen for visual defects.

 

384

 

Usually these are used by personnel who are not professionally trained

 

 

in vision care.

GLOSSARY

Vision and visual acuity Classically, vision (V ) is used to refer to unaided (without glasses) Snellen (letter chart) acuity, and visual acuity (VA) refers to acuity with optimum correction. These parameters are usually represented as a fraction; the decimal equivalent of this relates to the normal of 1.0. e.g. 6/6 20/20 1.0 (decimal), 6/12 0.5 (person only able to resolve at 50% of normal), 6/3 2.0 (person able to resolve detail half the size of that resolved by a hypothetical ‘average’ person). The numerator of the fraction refers to the distance at which the test is carried out (usually 6 m in the UK or 20 ft in the USA).

Vision training Training methods aimed at improving visual function. Vision training is sometimes used as an extension of orthoptic techniques to try and enhance visual perception and ocular motor performance in those who would, by conventional criteria, be considered to already have normal or supranormal visual function. Synonym: vision therapy.

Visual axis The line joining the object of regard to the foveola.

Visual conversion reaction Reduced visual function of subconscious psychogenic origin.

Visuscope An ophthalmoscope specially modified for the measurement of eccentric fixation.

Yoked prisms Identical prisms placed before each eye in the same base direction (e.g. base-up both eyes, base-down both eyes, base-out one eye and base-in for the other eye).

385

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