Cover Test Flashcards
a condition in which binocular fixation is not present under normal seeing conditions
strabismus
a misalignment of the lines of sight as an object of regard that is present only when fusion is disrupted (i.e. one eye is covered)
phoria
test used to determine the presence or absence of a strabismus
UCT (unilateral cover test)
UCT determines what
- presence of absence of strabismus
- direction
- laterality
- frequency
- estimate of magnitude
test used to determine the magnitude of the deviation is called
ACT (alternating cover test)
how do you control accommodation in the UCT
- wear best rx
- threshold target a few lines above VA
- instruct to keep clear
when adding prism in ACT, which direction is the base in comparison to the eye movement seen?
base of prism in direction of eye movement
- horizontal outward deviation
- eye movement inward to regain fixation
exo
- horizontal deviation towards the midline
- eye movement outward
eso
- vertical deviation upward
- eye movement downward
hyper
- vertical deviation downward
- eye movement upward
hypo
normative values for:
-horizontal phorias at far
1 exo +/- 2 pd
1 eso to 3 eso
normative values for:
-horizontal phorias at near
3 exo +/- 3 pd
ortho to 6 exo
normative values for:
-vertical phorias at far or at near
0 +/- 0.5 pd hyper
0.5 right hyper to 0.5 left hyper