Department of Optometry College of : Hawler Medical ... · College of : Hawler Medical Institute University of Erbil Polytechnic University Subject: Strabismus Course Book – (Year

Ministry of Higher Education and Scientific research

Directorate of Quality Assurance and Accreditation خشیه‌ب‌تی‌دڵىیایی‌جۆری‌و‌متماو‌رای‌ب‌ڕێوي‌ب

Department of Optometry

College of : Hawler Medical Institute

University of Erbil Polytechnic University

Subject: Strabismus

Course Book – (Year -2)

Lecturer's name : D.Morad Amir Ahmad ,PhD

Academic Year: 2019/2020



Course Book

1. Course name D.Morad Amir Ahmad

2. Lecturer in charge M. Nahele +M.Tawga +

3. Department/ College Optometry /Hawler Medical University/E.P.U.

4. Contact e-mail: [email protected]

Tel: (optional): 009647504459667

5. Time (in hours) per week Theory: 2

Practical: 3

6. Office hours Availability of the lecturer to the student during the week

7. Course code

8. Teacher's academic profile Assistant Lecture : 2013-2014

Lecturer 2015-2016

Phd, 17/12/2015

From the first time my working was in EPU.

Head of optometry department from 2016

9. Keywords

10. Course overview:

In this section the lecturer shall write an overview about the subject he/she is giving. The course overview must

cover:

▪The importance of studying the subject:

EOM

Types of strabismus

Charateristics of EOM

Tropia and Phoria

Tests for strabismus diagnosis

Treatments of strabismus

▪ Understanding of the fundamental concepts of the course:

Paralytic and non paralytic strabismus

Types of esodivations

Latent strabismus

Amblyopia

Anisometropia

Nystagmus



▪Principles and theories of the course

- According to the optical and physical characteristics of the making eyeglasses , all principle and theories that need

to learning in the world in the tectbook , we use from them.

▪ A sound knowledge of the major areas of the subject

Vergences

Convergences

Divergences

Evaluations of strabismus

Cover test

Alternative cover test

-

▪Sufficient knowledge and understanding to secure employment

-

All test for strabismus diagnosis

Working with a number tools for test treatment and diagnosis of strabismus

- Working in eye Hospitals

- Working in eye centers

- Working in Schools fo examination of the eye.

11. Course objective:

All types of tools and instrument for test strabismus -

12. Student's obligation

1- All student sould be prepared in all times of hours in the classrom

2- All days, we had a quiz about the before subject in the classroom.

3- All student work for making the one eyeglaases in every week.

4- All student had one raport to the activities in every week

5- For every course they shoud be a seminars for thier course.

Student must have attended to all required core course during academic year. They should take all quizzes and

complete both main exams, assignment of weekly homework. Practically, a weekly experiment must be conducted,

result and question must be discussed in groups, and submit a weekly report about their trail. Course project is final

student paper should handed at final course through this student supposed to have plenty of information on this

course

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13. Forms of teaching

We work for teaching by this methods and tools:

A- Writing on the white board our aims of the day subject and important notice.

B- Explain all subject one by one briefly

C- Using from data show for their notebook and subjects.

D- In the end we had a video to English and explained it to kurdish.

E- We prapared to them a special notbook.

1- power point

2- course book let



3- white board

4- group discussion

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14. Assessment scheme

1. Quiz Every day after final the any subject.

2. Every half course a full examination with all types of questions.

3. Every week the all student should bee prepared a rapport for their week.

4. Every month prepared a special rapport.

5. For example if one course will have 25 mark: 5 mark for Quiz, 5 mark for practical work in the practical time, 5

mark for rapports, 5 marks for examination by data show, 10 mark for theorical parts of our subject.

Student performance First

semester

Second

semeste

r

Final

exam

Total annual

marks

Written theoretical

test

10% 10% 20% 40%

Practical lab. skill 15% 15% 30% 60%

Total marks 25% 25% 50% 100%

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15. Student learning outcome:

Student will expect to know basic Refractive errors-2, and to be able work in proper way. They should

eventually learn Eye examination and circuit basic understanding of theorical and practical making eyeglasses

important even if the designer does not intend to become a proficient optometry. In many real-life optometry

projects, it is often necessary to communicate, and also negotiate, specifications. Therefore, a basic understanding of

devices will allow optometry to evaluate whether.. Outcomes of this course , enable student to learn function of

devices and component that used in common devices, student can also use different measures instrument and

measure parameters, This course assist a student to get a job in medical after graduation . student will learn and

design basic circuit which fit to life applications. Nevertheless, Student would be able to troubleshooting common

fault that occurs in equipment and other devices. They will understand how each parameter works.

After they ( students) finished education they can eye examination to writting spectacles.

16. Course Reading List and References‌:

Course calendar (Theoretical Part):

Week Unit Outline No. of Hours

1 extraocular muscles names 2



2 characteristic of the extraocular muscles 2

3 innervation and function of each extra ocular muscles 2

4 instrumentts used in laboratory and squint department atEbn Al Haithem hospital fifth binocular vision sixth Diplopia

2

5 binocular vision 2

6 Diplopia (diagnoses and management )

7 extra ocular muscles and muscles responsible for moving the eye

2

8 neurological center in brain controlling the extra ocular muscles

2

9 strabismus(1) definition,types 2

10 strabismus(1) definition,types

2

11 strabismus(2) differentiation between squint types

2

12

Paralytic strabismus and its type

2

13 clinical feature of Paralytic strabismus

2

14

method of examination for Paralytic strabismus(Diagnoses)

2

15 management of Paralytic strabismus

2

16

Associated strabismus,Esodeviations,Exodeviation,Deviations,miscellaneousstrabismus,nystagmus (types and definition)

2

17

Associated strabismus,Esodeviations,Exodeviation,Deviations,miscellaneousstrabismus,nystagmus (diagnoses as generally)

2



18 latent strabismus clinical features and causes

2

19 latent strabismus types

2

20 latent strabismus management

2

21

method of examination for latent strabismus

2

22 instrument used for treatment of latent strabismus(1) 2


24

Pseudodeviation(Pseudoesotropia,Pseudoexotropia)

2

25

instrument used for treatment of latent strabismus(2)

2

26

Ambylopia,clinicalfeature,causes,diagnoses,treatment,prognoses

27

Nystagmus definition types

Nystagmuscauses,clinical features Nystagmus method of examinations

2

28

Vergence(convergencity and fusion)definition,causes

2

29

method of examination for Vergence(diagnoses)

2

30 Instruments used for vergence 2



▪Key references:

Strabismus -Duans book

Strabismus Krimsky book of ophthalmology

Ophthalmic Dispensing -2010

Primary care optometry - 2007

Duke Elder Part eyeglasses.

"...Optics Highlights: II. Spectacles". University of Maryland, Department of Electrical & Computer

Engineering.2007

ther course reading list and references:

"The 'Inventor' of Bifocals?". The College of Optometrists.

"Reading Glasses". Over 40. All about vision. Retrieved 2010-06-14.

Meister, Darryl. "Ophthalmic Lens Design". OptiCampus.com. Retrieved November 12, 2008.

▪Useful references:

- Ophthamic Dispensing -2011

▪Magazines and review (internet):

- Journal Of Optometry

17. The Topics: Lecturer's name

In this section the lecturer shall write titles of all topics he/she is going to give

during the term. This also includes a brief description of the objectives of each

topic, date and time of the lecture Each term should include not less than 16

weeks

ex:(2 hrs)

18. Practical Topics (If there is any)

Course calendar (Practical Part):

ex: (3-4

hrs)

ex:

http://www.ece.umd.edu/~taylor/optics2.htm

http://www.college-optometrists.org/en/knowledge-centre/museyeum/online_exhibitions/artgallery/bifocals.cfm

http://www.allaboutvision.com/over40/readers.htm

http://www.opticampus.com/cecourse.php?url=lens_design/&OPTICAMP=f1e4252df70c63961503c46d0c8d8b60#asphericity



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‌

‌

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11 strabismus(2) differentiation between squint types

4

12

Paralytic strabismus and its type

4

13 clinical feature of Paralytic strabismus

4

14

method of examination for Paralytic strabismus(Diagnoses)

4

15 management of Paralytic strabismus

4

16

Associated strabismus,Esodeviations,Exodeviation,Deviations,miscellaneousstrabismus,nystagmus (types and definition)

4

Week Unit Outline No. of Hours

1 extraocular muscles names 4

2 characteristic of the extraocular muscles 4 3 innervation and function of each extra ocular muscles 4

4 instrumentts used in laboratory and squint department atEbn Al Haithem hospital fifth binocular vision sixth Diplopia 4

5 binocular vision 4

6 Diplopia (diagnoses and management )

7 extra ocular muscles and muscles responsible for moving the eye 4

8 neurological center in brain controlling the extra ocular muscles 4

9 strabismus(1) definition,types 4

10 strabismus(1) definition,types

4



17‌


4

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17


4

18 latent strabismus clinical features and causes

4

19 latent strabismus types

4

20 latent strabismus management

4

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‌

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21

method of examination for latent strabismus

4



24

iPseudodeviation(Pseudoesotropia,Pseudoexotropia)

4



Q1/Choose the most appropriate answer in these Multiple Choice Questions? 1-An

exodeviation that is greater at near than at distance is known as:

a- basic exotropiab- divergence excess exotropiac- true divergence excess exotropiad-

simulated divergence excess exotropia e- convergence insufficiency exotropia

2-The most common etiology for constant exotropia is: a- decompensated intermittent

exotropiab- sensory exotropiac- third nerve palsy

d- duanesyndrom type2

e- exotropia associated with craniofacial anomalies3-Clinical features frequently associated

with intermittent exotropia include all of these

except:a-variable angle of deviationb-high accommodative convergence to accommodation

ratio(AC/A) c-reflex closer of one eye in bright lightd-ambylopia

4-Useful treatment for intermittent exotropia include: a- bilateral rectus resectionb- minus

lenses with base in prismc- occlusion therapy

25

of latent strabismus(2)

4

26

Ambylopia,clinicalfeature,causes,diagnoses,treatment,prognoses

)

27

Nystagmus definition types

Nystagmuscauses,clinical features Nystagmus method of examinations

4

28

Vergence(convergencity and fusion)definition,causes

4

29

method of examination for Vergence(diagnoses)

4

30 Instruments used for vergence 4



d-botulin toxin5-The most common cause of third nerve palsy in the pediatric population is:

a- Congenital b- traumaticc- inflammatory d-migrainous e- tumor

6-In adults the most common cause of third nerve palsy is: a- traumaticb- inflammatoryc-

migranous

d-Microvascular

e- tumor7- Which of the following have been established as risk factors for exotropia:

a- White raceb- Maternal cigar rate smoking c- increasing maternal aged- low birth weight

8-Botulinum toxin is effective for which of the following conditions: a- congenital nystagmousb-

acute lateral rectus pulsyc- dissotiated vertical deviation

d- essential blepharospasm and stroke

9-Diplopia is the main symptom and primarily seen in which of these conditios: a-

Intermittentexotropiab- Congenital exotropiac- Deprivation exotropia

d- Pseudoexotropia10-Decrease visual acuity is due to the following except:

a- Traumab- Cataractc- Optic atrophyd- Allergic conjuctivites e- Retinal disease

Practical Exams:

Q1/fill the following with the appropriate answer in the spaces:1-the book charts of

stereoscopic images for near(stereopsis) include: a-.................................................................. b-.................................................................. c-.................................................................. d-..................................................................

2-The Hess chart it is used in ophthalmology department for ......... ....................................................................................... .......................................................................................

3-Ancillary or diagnostic tests for Exodeviations(exotropias) Generally is: a-

............................testb-............................testc-............................ test

Q2/Enumerate the following:

A/Ophthalmological work up (questions) for diagnoses of nystagmus is: -1-2-3

B/For diagnosing congenital Nystagmus(nystagmus at infancy) in history we should ask the

onset of the disease by these questions:-1-2-3-4



C/Enumerate the reasons for assessing the binocular single vision(BSV):

-1

-2

-3

Q1/ 1-All of these are true regarding cover test Except: a-The deviation can be measured using a simultaneous prism cover test to determine the actual deviation when both eyes are uncovered. b-Provides both sensory and motor information's. c-They should be performed for near and distance fixation. d- Measurements of visual acuity (high, low)than standard not affect on results of cover test. e-It has two form monocular with alternative type. 2-Regarding definition of Kirmsky test which of these is true? a-Test used to determine the red reflex in both eyes. b-Test used to determine the corneal reflex in both eyes. c-Test used to determine the visual acuity in both eyes. d-Test used a prism for correction of the degree of deviation. e-Test used a prism bar to correct the position of the corneal light reflex from each eye with degree of deviation. 3-Regarding Hirschberg test all of the statement are true Except? a-it is not dependable test for determining of ocular alignment. b-It performed by near and distance fixation. c-It provides both motor and sensory fixation. d-Large displacement of corneal reflex regard as strabismus. e.Corneal scar may affect the results of the test. 4-Regarding the Bruckner test all of these are true Except: a-The test determines the presence of strabismus in uncooperative child who not tolerate Cover test. b-in the test brightness of red reflex from each eye is compared. c-Red reflex is brighter in strabismic eye. d-used in adults for assessing of esotropia. e-A test light beam is held at one (1) meter distance from patient to see the red reflex. 5-All these is true regarding Forced duction test except: a-Its a test useful in differentiating defective eye disease. b-The test in children should be done under general anesthesia. c- The test in adult should be done under local anesthesia.



d-The test useful for assessing eye movement and eye muscle functions. e-It is first step for diagnoses of strabismus before cover test. 6-In diplopia Test you should ask the patient following question Except: a-In which eye is the image higher? b-Whether vertical separation is wider on head tilt to the left or right? c-Ask the patient to close his eyes! d-Ask the patient to point to the object both real and imaginary e-Whether vertical separation is greater on right or left gaze?

20. Extra notes:

Here the lecturer shall write any note or comment that is not covered in this template and he/she wishes to enrich the

course book with his/her valuable remarks.

21. Peer review ڵ‌‌‌‌‌‌‌‌‌‌‌‌‌‌‌‌‌‌‌‌‌ی‌هاوه‌وه‌پێداچوونه

This course book has to be reviewed and signed by a peer. The peer approves the contents of your course book by

writing few sentences in this section.

(A peer is person who has enough knowledge about the subject you are teaching, he/she has to be a professor,

assistant professor, a lecturer or an expert in the field of your subject).

ود‌‌س‌پ‌‌ک‌کاوی‌کۆرس‌ت‌ڕۆکی‌باب‌یر‌بکرێت‌و‌واوي‌س‌‌وي‌کادیمی‌ڵێکی‌ئ‌ن‌اوي‌الی‌بێت‌ل‌دي‌‌م‌کۆرسبووک‌ئ

بکات.‌ر‌س‌ل‌ک‌و‌واژووی‌ڕۆکی‌کۆرس‌ر‌شیاوی‌واوي‌س‌ک‌بىووسێت‌ل‌ی‌ود‌ووش‌بکات‌و‌ج

‌‌.بێت‌متر‌و‌مامۆستا‌ک‌‌ی‌زاوستی‌ل‌بیت‌پل‌و‌دي‌‌ک‌ر‌کۆرس‌س‌بێت‌ل‌زاویاری‌‌‌ک‌‌ی‌س‌و‌ک‌ڵ‌ئ‌اوي

ئةو كورس بوكةم بيهى و ناوةروكى ئةوةم خويهدووتةوة و زور بة 13/3/9132لة ريكةوتى باشى ديراسةم كرد و زور ثيم باشة

د. ديار ابراهيم

Documents

Department of Optometry College of : Hawler Medical ... · College of : Hawler Medical Institute University of Erbil Polytechnic University Subject: Strabismus Course Book – (Year