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Binocular visual field in strabismus.

J A Pratt-Johnson, A L MacDonald

    Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
    |January 1, 1976
    PubMed
    Summary
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    Patients with manifest strabismus experience significant visual field suppression. However, most can still correctly identify and locate objects in their non-suppressed peripheral vision.

    Area of Science:

    • Ophthalmology
    • Neuroscience
    • Visual Science

    Background:

    • Strabismus, a condition of eye misalignment, can significantly impact visual perception.
    • Understanding the extent of visual field deficits in strabismus is crucial for patient management.

    Purpose of the Study:

    • To analyze the binocular visual field characteristics in patients diagnosed with manifest strabismus.
    • To identify patterns of visual field suppression and preserved visual function in these patients.

    Main Methods:

    • Utilized a complex visual environment and polaroid dissociation for binocular visual field analysis.
    • Assessed 100 patients presenting with various forms of manifest strabismus.

    Main Results:

    • All patients exhibited suppression in significant portions of their visual field, both nasally and temporally to fixation.

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  • A substantial majority (89%) demonstrated accurate localization and identification capabilities within non-suppressed peripheral visual areas.
  • The functional visual field was preserved approximately 45 prism diopters peripherally to the fixation point.
  • Conclusions:

    • Manifest strabismus is consistently associated with widespread visual field suppression.
    • Despite suppression, patients retain functional visual abilities in specific peripheral zones, aiding in environmental interaction.