Case studies of a new approach using partial and selective occlusion for the clinical treatment of diplopia

Politzer, Thomas

doi:10.3233/nre-1996-6307

Cited by 3 publications

(1 citation statement)

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“…Tape is typically placed on the lens of the patient’s glasses over the non-dominant eye, either using a nasal- or spot-taping pattern [ 34 ]. This is preferable to full occlusion because full occlusion increases a patient’s risk of falls by blocking peripheral vision during dynamic tasks, and impairs depth perception, or stereopsis, during daily tasks [ 17 , 35 ]. More recent findings further indicate that full occlusion can increase the risk of new spatial neglect from the Sprague Effect [ 21 ].…”

Section: What Compensatory Methods Can Improve Functional Vision Following Oculomotor Impairment?mentioning

confidence: 99%

Clinical Practice Guidelines for Occupational Therapists in the Evaluation and Treatment of Oculomotor Impairment Following Traumatic Brain Injury

Aravich

Troxell

2021

Curr Phys Med Rehabil Rep

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Purpose of review Currently, a lack of guidelines exists regarding best practices for occupational therapists (OTs) in the treatment and evaluation of oculomotor dysfunction following traumatic brain injury (TBI). Furthermore, individuals with TBI would benefit significantly from collaboration between OTs and optometrists during inpatient rehab. Recent findings Although few articles examine interdisciplinary models of inpatient rehab care that include optometry, a recent pilot study is explored. Emerging evidence from the field of optometry supports the use of restorative approaches for oculomotor impairment in mild TBI; however, cases with moderate to severe TBI are not addressed. Summary We describe an interdisciplinary approach involving collaboration between optometry and occupational therapy, yielding a comprehensive model to effectively evaluate and treat oculomotor impairments in those with TBI and facilitate improved performance in daily activities. We also provide guidelines useful for OTs working in settings where collaboration with optometry is not feasible.

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Section: What Compensatory Methods Can Improve Functional Vision Following Oculomotor Impairment?mentioning

confidence: 99%

Clinical Practice Guidelines for Occupational Therapists in the Evaluation and Treatment of Oculomotor Impairment Following Traumatic Brain Injury

Aravich

Troxell

2021

Curr Phys Med Rehabil Rep

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Grey Filter Contact Lens as Therapeutic Option for Acquired Reduced Binocular Visual Performance

Vliet

Jellema

Nieuwendaal

et al. 2021

British and Irish Orthoptic Journal

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Disturbing binocular problems can be too complex to be treated in such a way that comfortable binocular single vision is restored. The grey filter contact lens could offer a safe and clinically useful way to help these patients. Background:In unilateral acquired reduced visual performance or intractable diplopia the binocular performance often is less than the performance of the better eye, possibly leading to complaints of binocular visual functioning. The hypothesis is to use a grey filter contact lens on the affected eye to obtain more binocular visual comfort. The grey filter changes the binocular central visual image in the brain through delaying the image of the affected eye and has minimal effect on the peripheral vision. The purpose of this study was to evaluate the effect of the grey filter contact lens on the reduction of patients' binocular complaints in daily life. Methods:In 19 consecutive patients with unilateral acquired reduced visual performance or intractable diplopia a grey filter contact lens was fitted. The contact lens was chosen from six available filters with different transmissions, based on patient preference. The chosen filter contact lens was fitted according to the normal practice of contact lens fitting. Results:The results of 18 patients are reported, one patient was lost to follow-up. Twelve patients (67%) reported good results when wearing the grey filter contact lens. Five patients (28%) discontinued wear of the grey filter contact lens because their binocular visual complaints disappeared during filter contact lens wear and remained absent after contact lens wear was terminated. Conclusion:The grey filter contact lens is a clinically useful, safe, and easily reversible treatment option for patients with binocular visual complaints due to an acquired monocular reduction in visual quality.

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Occupational therapists’ perspectives on binocular diplopia in neurorehabilitation: A national survey

Burgess

Jewell

2018

NRE

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Case studies of a new approach using partial and selective occlusion for the clinical treatment of diplopia

Cited by 3 publications

References 0 publications

Clinical Practice Guidelines for Occupational Therapists in the Evaluation and Treatment of Oculomotor Impairment Following Traumatic Brain Injury

Clinical Practice Guidelines for Occupational Therapists in the Evaluation and Treatment of Oculomotor Impairment Following Traumatic Brain Injury

Grey Filter Contact Lens as Therapeutic Option for Acquired Reduced Binocular Visual Performance

Occupational therapists’ perspectives on binocular diplopia in neurorehabilitation: A national survey

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