眼科国际新进展.ppt

Visual sensory system Visual system Ocular motor system Areas to be covered 1. Normal oculomotor responses A. Introduce some basic concepts/phenomena B. Methodology/equipment C. Binocular control of oculomotor responses 2. Abnormal oculomotor responses/oculomotor disorders A. types of oculomotor disorders B. Nystagmus syndromes: Infantile nystagmus syndrome Fusion maldevelopment nystagmus syndrome Acquired nystagmus spasmus nutans syndrome 3. Strabismus Discussion on some hot issues Slow Eye Movement Keeps Moving Object on Fovea Stimulus Motion of image across fovea Proprioceptive Asymmetrical Resp Combination of Fast Phase: Saccade Slow Phase: Pursuit Holds images of the world steady during sustained movement Asymmetrical OKN Slow eye movement Holds images of the world steady during brief movement and rotations Stimulus Semicircular Canals Fast Eye Movements Brings Object of Interest onto Fovea Voluntary “Look Over Here” Involuntary Response to Stimulus Peripheral Visual Auditory Disconjugate slow eye movments Moves the eyes in opposite directions so that images of a single object are placed on the fovea Strabismus Saccadic Oscillations Types of Oculomotor Disorders Infantile Nystagmus Syndrome (INS) Fusion Maldevelopment Nystagmus Syndrome (FMNS) Spasmus Nutans Syndrome Acquired Nystagmus Saccadic Intrusions and Oscillations Strabismus OPERATION 1 INDUCED CONVERGENCE (ARTIFICIAL DIVERGENCE) OPERATION 2 HORIZONTAL NULL POSITION OPERATION 3 CYCLOVERTICAL VERTICAL - MULITPLANAR NULL OPERATION 4 HEAD POSITION WITH STRABISMUS OPERATION 5 4 MUSCLE TENOTOMY c REATTACHMENT OR RECESSION Beneficial Effects of EOM Surgery Central Visual Acuity Head Posture Null Zone Position and Width Foveation Waveform Type APAN Cycle Gaze Dependent Visual Acuity Visual Recognition Time Visual “Well Being” Afferent System (From Dell’Osso) DJRA DJREF DJRL Diagnosis of ocular motor disorders (From Dell’Osso) DJRA DJREF DJRL Diagn