Criteria for decompensation in binocular vision

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
T C JenkinsA A Yekta

Abstract

Two groups of patients, one under 40 years of age and the other 40 years and over, were divided into subgroups according to whether they had symptoms associated with near vision. A method developed in 'signal detection theory' was used to determine whether a value could be found for heterophoria, or associated heterophoria, which would predict which patients had symptoms due to decompensated heterophoria in normal routine investigation. Receiver operator characteristic curves (ROC curves) were constructed to look for these cut-off values between patients with, and without, symptoms. No value for dissociated heterophoria was found that would discriminate between the symptomatic and asymptomatic patients. It is concluded that heterophoria measurement is not useful as a routine procedure. In the case of associated heterophoria, for the under 40 years age group, patients with a value of 1 prism dioptre or more are more likely to have symptoms than not, and one-third of patients with close work problems have a value of 2 prism dioptres or more. It was rare to find any asymptomatic patient with a value as high as this. In the 40 years and over age group those with an associated heterophoria of 2 prism dioptres or more are more likely...Continue Reading

References

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Citations

Apr 2, 2008·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Joanna M N OttoGuntram Kommerell
Aug 19, 2004·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Deacon E Harle, Bruce J W Evans
Jun 15, 2005·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Bruce J W Evans
Oct 17, 2006·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Claire I O'Leary, Bruce J W Evans
Dec 17, 2008·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Joanna M N OttoGuntram Kommerell
Jul 16, 2010·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Wolfgang JaschinskiWilhelm Bernhard Kloke
Apr 13, 2011·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Mark Rosenfield
May 25, 2007·Strabismus·Wolfgang Jaschinski, Nina Walper
Jul 15, 2015·Strabismus·Guntram KommerellMichael Bach
Apr 26, 2011·Optometry : Journal of the American Optometric Association·Juanita D Collier, Mark Rosenfield
Sep 3, 2003·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Claire I O'Leary, Bruce J W Evans
Oct 17, 2006·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Deacon E Harle, Bruce J W Evans
Aug 22, 2006·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Rajula Karania, Bruce J W Evans
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Oct 3, 2015·PloS One·Volkhard SchrothWolfgang Jaschinski
Mar 27, 2002·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Wolfgang Jaschinski
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Jan 1, 1994·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·B J EvansI L Richards
Jan 22, 2009·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Bruce TeitelbaumJoseph Krall
Jul 14, 2009·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Jeremy B Wilmer, Gregory M Buchanan
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Oct 30, 2020·Journal of Optometry·Robert Yammouni, Bruce J W Evans

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