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Pediatric Vision Care

Pediatric Vision Care. Bill Takeshita, O.D.,F.A.A.O., F.C.O.V.D. Questionnaire. Pre-natal history Peri-natal complications Developmental history Signs and symptoms check list Authorization to release information. Make Your Office Fun. Photograph of the play area in waiting room.

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Pediatric Vision Care

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  1. Pediatric Vision Care Bill Takeshita, O.D.,F.A.A.O., F.C.O.V.D.

  2. Questionnaire • Pre-natal history • Peri-natal complications • Developmental history • Signs and symptoms check list • Authorization to release information

  3. Make Your Office Fun • Photograph of the play area in waiting room

  4. Begin with Something Fun • Photo of child looking at OKN

  5. Eye Movement Testing • Fixation: Ability to keep eyes steady on the target. Nystagmus is the uncontrollable shaking of the eyes. • Versions or pursuits: Ability to follow a moving target (Parietal lobe of brain) • Saccades: Ability to shift the eyes from one target to another, such as when reading. (Front lobe of brain). • Eye-hand coordination testing

  6. Convergence Testing • Convergence is the ability to cross or bring both eyes together when reading. • Poor convergence is a leading cause of the inability to read • Double vision • Headaches • Loss of place when reading

  7. Photograph of left esotropia Photograph of right exotropia Binocular Vision

  8. Pseudo-esotropia • Photo of pseudo esotropia

  9. Depth Perception • Photograph of stereo test

  10. Color Vision • Photo of color vision test

  11. Photo of Humphrey Test of finger confrontation Peripheral Vision Testing

  12. Photo of Teller Photo of Lea Symbol cards Teller Acuity

  13. Lea Symbols • Photograph of lea symbols

  14. Photo of M and S System

  15. Photo of ETDRS Photo of Feinbloom Distance Acuity

  16. Pinhole Test • photograph of pinhole

  17. Refraction • Illustration of perspective with e on macula

  18. Retinoscopy • Spot retinoscope versus streak • Dry and wet retinoscopy • Make spectacles with various powers • 10-foot retinoscopy

  19. Photo of Game Card Photo of continuous text Reading Acuity test

  20. Ocular Examination • Inspect internal structures to determine the most usable regions of the eye to enhance vision • Rule out active eye disease that must be treated medically • Photograph of doctor examining patient with slit lamp

  21. Hand Held Slit Lamp • Photo of Kowa hand held

  22. Developmental Eye Movement Test • Photograph of • Test C

  23. Gardner Test of Visual Perception, Revised Edition TVPS

  24. DTVP-2 • Photograph of DTVP-2

  25. Prescribing Suggestions

  26. Enhanced Vision Acrobat • Photograph of woman putting on make up

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