Vision Therapy Evaluation Testing Flashcards

1
Q

What is the purpose of a VT eval?

A

determine a diagnosis or diagnoses and determine the best treatment approach

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2
Q

What are possible diagnoses?

A

BV dysfunction, accommodative dysfunction, oculomotor dysfunction, visual perceptual dysfunction/visual information processing dysfunction

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3
Q

What are possible treatment approaches?

A

plus lenses, in office VT, home VT, occlusion

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4
Q

T/F evals are preferably done after a comprehensive exam?

A

true, refraction should be assess and patient given time to adapt to new Rx, ocular heath evaluated and treatment initiated/completed

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5
Q

What is important for school aged children in the VT history tab?

A

school name, current grade, and teachers name

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6
Q

What are components of the VT eval?

A

CC, Hx, meds and allergies, mood and orientation, chair skills

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7
Q

Which chair skills should always be performed for billing purposes?

A

VA distance and near, Pupils, EOMs, CVFs

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8
Q

What four main areas are assessed in a VT eval?

A

teaming, tracking, focusing, and visual perception

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9
Q

What is teaming?

A

fusion, binocularity (possible strabismus and amblyopia diagnoses)

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10
Q

What is tracking?

A

oculomotor (saccaddes/pursuits)

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11
Q

What is focusing?

A

accommodation

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12
Q

Which skills are part of visual skills/efficiency?

A

teaming, tracking, focusing

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13
Q

What tests asses teaming?

A

cover test D&N, NPC at least 3 teams, stereopsis (W4D as needed), phorioas D&N, vergence ranges

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14
Q

What tests asses tracking?

A

Maples, KD, DEM, readalyzer/righteye

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15
Q

What tests asses focusing?

A

lag of accommodation (MEM or FCC), accommodative amplitude, accommodative facility +/-2, NRA/PRA

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16
Q

What is COVD QOL?

A

symptom survey with 30 items originally and now 19

17
Q

What score indicates a BV problem on the COVD QOL?

A

> 20

18
Q

What shows improvement on the COVD QOL?

A

when the score drops below 20

19
Q

What is the CISS?

A

symptom survey created for CITT, 15 items

20
Q

What score indicates a BV problem for CISS?

A

> 16 for ages 9-17 and >21 for 18+

21
Q

What shows improvement on the CISS?

A

a change in 10 points is clinically significant, patient can still not be below the score needed but they’ve had a statistically significant improvement