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Suppression of an eye is a subconscious adaptation by a person's brain to eliminate the symptoms of disorders of binocular vision such as strabismus, convergence insufficiency and aniseikonia. The brain can eliminate double vision by ignoring all or part of the image of one of the eyes.
The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. They may include, but are not limited to, diplopia (double vision), asthenopia (eye strain), transient blurred vision, difficulty sustaining near-visual function, abnormal fatigue, headache, and abnormal postural adaptation, among others.
There are two ways to record the PFR results, the first being the fusion range (break without recovery) and the other including break and recovery. Follow the examples below for guidance: Fusion range: PFR cc (6m) 8Δ BI → 20Δ BO; PFR sc (1/3m) 16Δ BI → 45Δ BO c diplopia; Break + recovery: PFR sc (6m) -8/6Δ → +20/15Δ c diplopia
Surgery [ edit ] Multifocal intraocular lens implantation is a new possible treatment involving clear lens extraction and multifocal intraocular lens implantation [ 5 ] but it may not be appropriate for patients who have had resistant spasm of accommodation for a long period of time.
Accommodative insufficiency (AI) involves the inability of the eye to focus properly on an object. Accommodation is the adjustment of the curvature of the lens to focus on objects near and far. In this condition, amplitude of accommodation of a person is lesser compared to physiological limits for his age. [ 1 ]
The Brock string is commonly employed during treatment of convergence insufficiency and other anomalies of binocular vision. It is used to develop skills of convergence as well as to disrupt suppression of one of the eyes. [1] During therapy, the one end of the Brock string is held on the tip of the nose while the other is tied to a fixed point.
Vergence control, and over-convergence associated with the extra accommodation required to overcome a hyperopic refractive error, play a role in the onset of accommodative esotropia. The classical explanation for the onset of accommodative esotropia is a compensation of far-sightedness by means of excessive accommodative convergence.
Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty that focuses on the surgical treatment or rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nervous system, and cerebrovascular system. [1]