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Any misalignment of the visual direction of 2 eye balls is known as squint or crossed eyes or Mella Kannu in Telugu. 

This affect the appearance of the person and also the vision Quality for the patient. There is sometimes loss of vision in squinting eye known as amblyopia or lazy eye. Sometimes there is double vision due to squinting.

Detailed evaluation regarding the childs binocularity, Stereoacuity, Prism Correction, Prism Adaptation,

Ocular Muscle strength, Convergence and Accomodation Amplitude testing will be done. Refraction and Lens Trails also done.

Children as young as 6 months of age can be evaluated for Visual Acuity. There are special charts like Optokinetic Drum, Lea Picture Chart, HOTV charts available for vision assessment. Annual Eye Screening should be mandatory to make early diagnosis of eye problems to prevent irreversible blindness 

Following the National Neonatology Forum (NNF) Guidelines and Standard Practice Pattern set up by 

the Indian ROP Society and International ROP Guidelines: 

• Retinopathy of prematurity (ROP) is emerging as one of the leading causes of

preventable childhood blindness in India. 

• Screening for ROP should be performed in all preterm neonates who are born<34 

weeks’ gestation and/or < 1750 grams birth weight; as well as in babies 34-36 weeks 

gestation or 1750-2000 grams birth weight if they have risk factors for ROP. 

• The first retinal examination should be performed not later than 4 weeks of age or

30 days of life in infants born ≥ 28 weeks of gestational age. Infants born < 28 weeks 

or < 1200 grams birth weight should be screened early, by 2-3 weeks of age, to 

enable early identification of AP-ROP. 

• The retinal findings should be classified and documented based on the International

Classification of Retinopathy of Prematurity guidelines (ICROP). 

• Follow up examinations should be based on the retinal findings and should continue

until complete vascularization or regressing ROP is documented or until treated 

based on the ETROP guidelines. 

This is required in patients complaining or asthenopic symptoms or reading difficulties, frequent headaches or those with squinting or crossed eyes. Among many tests available some of them are: 

Stereoacuity by Titmus Fly Test 

Binocularity Checkup by Worth 4 Dot test for near and distance 

Ocular Dominance 

Accommodation Assessment by Flippers and Rock Card 

Convergence and Divergence evaluation by RAF ruler 

Ocular Motility Assessment 

Strabismus Work Up 

There is more to the eyes than seeing 6/6. Eyes need to be coordinating with each other well and giving signals to the brain. This helps in tracking of objects, coordination of body movements according to the visual signals, 3 D vision, Binocularly equal inputs that help in reading, writing and development.

What does Vision Therapy do?

It helps to make your eyes work together. In patients with reading difficulties, strain, muscle weakness or intermittent strabismus, this exercise will boost the fusion ability of the muscles and brain

What Vision Therapy is available?

Latest equipment like Ocular Flippers, Vision Therapy Dot Cards, Cat Card Fusion Cards, Lifesaver Card, Rock Card, Prism exercises are available at the centre

Who will benefit from the therapy?

It can be a useful tool for helping children and adults alike. Children with learning or reading problems can benefit from the vision boost these exercises provide. Adults can see vision improvement through this therapy as well. It can help curb eye-strain related vision processing problems brought on by working with computers all day. Vision therapy has also been proven to help this with traumatic brain injury, concussions, stroke-related issues, double vision and other issues.

Introducing software-based Vision Therapy called Bynocs. A unique cloud-based binocular vision managements software.

Indications:

1. Convergence insufficiency
2. Computer Vision Syndrome
3. Ocular Fatigue
4. Residual Squints
5. Intermittent Squints
6. Amblyopia or Lazy Eye

What is Bynocs?

It is a play-based software which is easy and interesting for the patient to follow. For the first time, Patient with Amblyopia can look a step beyond and try this vision therapy programme to eliminate suppression in Dense Amblyopia. Works even in Adults with dense amblyopias.

Who will benefit?

Patients with Severe Fatigue and Computer Vision Syndrome with Accommodation and Convergence issues causing double vision or blurring of images can benefit from the vision therapy exercises.

How to do?

It takes approximately 30 to 45 min per session. The number of sessions will be customized according to the clinical condition and severity. Usually, 10 to 15 sessions may be required. The patient will require the first few session in the hospital and may opt for Home Therapy later.

Discuss with your doctor if this is suitable for you.

Vision Stimulation exercises are needed for those with severe Cortical Visual Improvement (CVI). CVI is a visual impairment that is due to brain injury and not due to ocular or physical issues. Any damage due to perinatal hypoxia or hypoglycemia or seizures can cause visual impairment. Vision stimulation in the form of lights, balls, Vision stimulation cards, Vision Boxes is found to stimulate the brain and therefore get the visual attraction of the child. Fixing, Eye contact, Eye Tracking and facial recognition may improve with good vision stimulation exercises.

Depending on the type of insult and the area of the brain involved, the type of vision stimulation exercises will be advised by your doctor.

Progression of Myopia can cause irreversible Retinal thinning and damage. Prevention is better than cure applies aptly to this entity. Myopia Clinic is set up with this preventive modality is mind. Assessment of Lifestyle, diet and Monitoring of refraction and Axial Length is done. Pharmacotherapy is started where appropriate.