Normal Values Flashcards
Horizontal Phoria - Von Graefe
D and N (vergence)
6M - 0 - 2 exo (out)
40cm 0 - 6 exo (out)
Horizontal Phoria - Howell
D and N (vergence)
3M - ortho (no deviation)
33cm - 1 - 3 exo
AC/A
2 - 4: 1
Vertical phoria (vergence)
ortho
NFR (Base In) 6M
NFR (40cm) (vergence)
x / 5 - 9 / 3 - 5
11 - 15/ 19 - 23 / 10 - 16
PFR (6M)
PFR (40cm) (vergences)
base out - pulls the eyes in
7 - 11 / 15 - 23 / 8 - 12
14 - 20 / 18 - 24 / 7 - 15
VFR (vergence)
3 - 4 / 1.5 - 2
B+ (NRA) - relaxing accommodation
(40cm)
+1.75 - +2.25 D
B- (PRA) - enabling accommodation
(40cm)
-2.00
more than -3.00 think suppression or over minussing
MEM (40cm)
+0.25 - +0.75
FCC (40cm)
Plano - +1.00
Vergence Facility
12 - 18 cpm
BAF
5 - 15 cpm
MAF
6 - 16 cpm
Sheard’s criterion
A phoria will be compensated by FR if the blur point of the opposite FR at least 2x the phoria
Sheard’s Prism Prescribing formula
2/3 Phoria - 1/3 Fusion Reserves = Prism required
Calculated AC/A (formula)
PD (cms) + WD (m) [near phoria - distance phoria]
exo = -
eso = +
What are theses signs of
Near PFR may be low
*Low Accom Amp
BAF fail (trouble with minus)
MAF fail (trouble with minus)
Low PRA/B+
Lag of accommodation
Accommodation Insufficiency
What are theses signs of
Near PFR may be low
BAF fail (trouble with minus)
MAF fail (trouble with minus)
Low PRA/B+
Lead of accommodation
Ill - sustained accommodation
What are these signs of
Near NFR may be low
BAF fail (trouble with plus)
MAF fail (trouble with plus)
Low NRA/B-
Low MEM/FCC
Accommodative Excess
Near NFR/PFR may by low
Fails BAF and MAF - trouble with plus and minus
Low NRA and PRA
Accommodative Infacility
*Exophoria greater at near
low AC/A
Reduced NPC
Low PFR (D and N)
Low vergence facility
Fails BAF (trouble with plus)
Low NRA/B-
lead of accommodation
Convergence insuffiency
Eso greater at near
high AC/A
low NFR
low vergence facility (base in)
Fail BAF (minus)
Low PRA/B+
lag of accommodation
Convergence excess
Low eso or exo
Low NFR/PFR
Low Vergence facility
Fails BAF (+/-)
Low NRA/PRA
Fusional Vergence Dysfunction
Eso at distance
low AC/A
Low PFR at distance
Low Vergence facility (Base In)
Divegence Insufficiency
Exo at distance
high AC/A
low PRF at distance
low NFR at near
Divergence Syndrome