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Binasal occlusion is a method of partial covering (occlusion) of the visual field of the two eyes in which the sector of the visual field that is adjacent to the nose (the nasal visual field) is occluded for each eye. It is a well-known procedure in vision therapy.
A zone of binocular occlusion refers to a zone of the visual field that is not visible to either eye; in particular it may refer to: in ophthalmology, the use of eye patches over both eyes, in ophthalmology and vision therapy, binasal occlusion in which a very large sector is occluded.
Amblyopia will be treated via occlusion treatment (using patching or atropine drops) of the non-squinting eye with the aim of achieving full alternation of fixation. Management thereafter will be surgical. As alternative to surgery, also botulinum toxin therapy has been used in children with infantile esotropia.
Use occlusion to treat any amblyopia present and encourage alternation. Where appropriate, orthoptic exercises (sometimes referred to as vision therapy) can be used to attempt to restore binocularity. Where appropriate, prismatic correction can be used, either temporarily or permanently, to relieve symptoms of double vision.
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Treatment for amblyopia depends on the child’s age, severity of the vision loss and the prescribing doctor’s preference. Treatment options include, vision therapy, total or partial occlusion therapy, prescription eyeglasses or any combination. Common types of occlusion therapy include the use of eye-patches or optical blurring.
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