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SPERIAN TRAINING PRESENTATION

Vision ScreenerPROFESSIONAL Slide Information

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SPERIAN TRAINING PRESENTATION

Basic Testing Information: Each model contains 8 test slides. Tests are administered at Far, Near and Intermediate distances. For ease in administration, follow test sequence under each category. If you wish to skip a test, continue with the next test in the sequence.

Titmus Vision Screener PROFESSIONAL

Slide 1SA-APS-1

Allen Picture Test

Slide 2SAS-2 Acuity

Right & Left Eye

Slide 3SPS-3

Heterophorias

Slide 4SCD-1

Color Percetion

Slide 5SA-BRL-4

Visual Acuity

Slide 6SLP-1

Lateral Phoria

Slide 7SVP-1 Vertical

Phoria

Slide 8SA-BRL-2A

Visual Acuity

Slide & Testing FunctionCLICK ON SLIDE IMAGE TO LEARN HOW TO DO THE TEST.

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SPERIAN TRAINING PRESENTATION

Allen Picture TestTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

This is the Allen Picture Test. It test visual acuity (sharpness of the eye) and binocularity (both eyes working together). Test is administered at FAR for both eyes (binocularity), Right and Left Eye (acuity). Can test as young as 3 ½ years.

Review pictures of Jeep, Telephone, Birthday Cake and Horseman with children before testing for better communication.

Binocularity: On top line, what objects do you see? Acuity: What objects do you see on line….?

Age tested

Slide – SA-APS-1

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Acuity Right

Eye

Acuity Left Eye

Binocularity (20/100) Jeep, Telephone, Cake, and Horseman

Binocularity:PASS - All Images SeenFAIL - Two Images Seen

Acuity, Right or Left Eye:PASS - 20/30 & 20/40FAIL - 20/50

Binocularity: Test both eyes together (do not occlude)Acuity, Right Eye: Occlude Left EyeAcuity, Left Eye: Occlude Right Eye

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Allen Picture Test Slide – SA-APS-1

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Acuity, Both EyesTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

Tests visual acuity (sharpness of the eye.) Right and Left Eye images are different. Administer test at FAR and using PLUS Lenses. Refer to page 4 for Plus Lens Test.

Ask the child to read the Pilot Line, starting with the big “E” at the Left. The pilot line is an indication of the visual acuity of the child, confirm this by asking the child to read the corresponding visual acuity line. Describe the “E” as “table with legs”, if needed and have child indicate direction of “legs”.

Which direction is the “E” (are the table legs) pointing? Top, Bottom, Left or Right? When using Plus Lens, ask child to read 20/20 Line.

For Blue, Red, Yellow & Green Lines, PASS – Ability to identify 4 out of 6 “E”’s on each line. With Plus Lens, FAIL if child can read 20/20 Line.

Age tested

Slide – SAS-2

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LeftEye

RightEye

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Acuity, Both Eyes Slide – SAS-2

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Muscle BalanceTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

This is a Muscle Balance Test to test Vertical and lateral Phoria in children. For children that fail this test, it helps identify if there is a possibility of amblyopia (lazy eye) or strabismus (squint eyes). Test is administered first at far and then at near.

Occlude Left Eye and tell the child that you will throw a red ball and it should land in a “sandbox”.Then open the Left Eye and ask the question. Encourage a quick response because the “ball” will tend to “move” after a few seconds. If necessary, repeat the test.

Is the red ball in Box A, Box B or the ground?

NEAR: Ball in Box A or Box B is Pass, anywhere else is FAIL.

Age tested

Slide – SPS-3

BACK TO MAIN

Box A, Box B or the ground.

FAR: Ball in Box A is PASS, anywhere else is FAIL

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Muscle Balance Slide – SPS-3

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Color PerceptionTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

Test red/green color perception. Test uses accurately reproduced IshiharaPseudo-Isochromatic plates does not classify type or degree of severity.

Individuals with 20/50 or less in both eyes may FAIL this test due to low acuity rather than deficiency. NOTE: To avoid memorization of numbers in circles, ask subject to respond randomly. (example, circle E, B, D, etc.)

What numbers do you see in circles A, B, C, etc.?

A total of 8 numerals should be seen: 1 2 5 2 6 6 1 6 – “nothing” or “no number” in circle F is a correct response.

Age tested

Slide – SCD-1

12 5 26 6 16

A B C D E F

Normal: Correct reading of ALL 8 numerlasMild Deficiency: Correct reading of at least 5 numerlasFAIL: Inability to read at least 5 numerlas

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BACK TO MAIN

Color Perception Slide – SCD-1

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Acuity, Both, Right & Left EyeTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

This test checks for visual acuity of Both Eyes, Right Eye and Left Eye using the same slide.

Start with the line the subject can see most clearly. Acuity levels may be different for each eye. You may use a different BRL test (like SA-BRL-2A) for NEAR to avoid memorization. Some individuals may have irregularities due to binocular vision problems: Right/Left column appears blurry, suppression of Right or Left Eye symbols, disappearance of symbols in left or right column, failure to fuse Right and Left Eye columns into three columns.

Do you see three columns of letters? Read line from left to right. Direction for each line:Both Eyes Test: Read the letters in the middle columnRight Eye Test: Read the letters in the right columnLeft Eye Test: Read the letters in the left column

For each column of letters:Lines 1 & 2 – All letters must be read correctlyLines 3 to 7 – Allow to miss any one letter in a column

Age tested

Slide – SA-BRL-4

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BACK TO MAIN

Acuity, Both, Right & Left Eye Slide – SA-BRL-4

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Lateral PhoriaTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

This is a Muscle Balance Test to define a value for the balance of the eyes in the horizontal direction.

Occasionally, the subject may be confused. When this happens, momentarily occlude the Left Eye, which sees the red line. Ask the subject to respond immediately when the red line reappears. (Where do you first see the red line?) Remove occlusion. This is a binocular test. It should not be given to an individual with vision in only one eye.

Do you see an arrow? The arrow points to which musical note?

Age tested

Slide – SLP-1

Based on job standard selected.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

7 6 5 4 3 2 1 0 1 2 3 4 5 6 7

Laterall Phoria KeyNotes on slide

Prism Values Prism DioptersLEFT

Hyperphoria ORTHO

Prism DioptersRIGHT

Hyperphoria

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Lateral Phoria Slide – SLP-1

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Vertical PhoriaTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

This is a muscle Balance Test to define a value for the balance of the eyes in Vertical direction.

Occasionally, the subject may be confused. When this happens, momentarily occlude the Left Eye, which sees the red line. Ask the subject to respond immediately when the red line reappears. (Where do you first see the red line?) Remove occlusion. This is a binocular test. It should not be given to an individual with vision in only one eye.

Do you see a red broken line: Through the round part of which musical note does the line pass

Age tested

Slide – SVP-1

Based on job standard selected.

1 2 3 4 5 6 7

1 ½ 1 ½ 0 ½ 1 1 ½

Vertical Phoria keyNotes on slide

Prism Values

Prism DioptersLEFT

Hyperphoria ORTHO

Prism DioptersRIGHT

Hyperphoria

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BACK TO MAIN

Vertical Phoria Slide – SVP-1

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SPERIAN TRAINING PRESENTATION

Acuity, Both, Right & Left EyeTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

This test checks for visual acuity of Both Eyes, Right Eye and Left Eye using the same slide.

For each column of letters:Lines 1: All letters must be read correctlyLines 2-6: Allowed to miss any one letter in a column

Age tested

Slide – SA-BRL-2A

BACK TO MAIN

Do you see three columns of letters? Read line from left to right. Direction for each line:Both Eyes Test: Read the letters in the middle columnRight Eye Test: Read the letters in the right columnLeft Eye Test: Read the letters in the left column

Start with the line the subject can see most clearly. Acuity levels may be different for each eye. You may use a different BRL test (like SA-BRL-4) for NEAR to avoid memorization. Some individuals may have irregularities due to binocular vision problems: Right/Left column appears blurry, suppression of Right or Left Eye symbols, disappearance of symbols in left or right column, failure to fuse Right and Left Eye columns into three columns.

BACK TO MAIN

Acuity, Both, Right & Left Eye Slide – SA-BRL-2A

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Binocular VisionTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

Test vision with Both Eyes working together

The 2 white cubes should fuse together for a subject with good binocular vision. The functioning eye can be determined by asking the subject to identify the colors.

How many cubes do you see? What are the colors of the cubes?

Age tested

Slide – SF-1

Three: PASS Four, then Three: PASSFour: FAIL, NO FUSIONTwo: FAIL VISION IN ONLY ONE EYE

Three, Red / White / Blue

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BACK TO MAIN

Binocular Vision Slide – SF-1

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SPERIAN TRAINING PRESENTATION

Color PerceptionTesting distance

TESTING FUNCTION

TIPS

PATIENT QUESTION

PATIENT ANSWER

PASS/FAIL CRITERIA

Test color perception. Test uses photographically reproduced TITMUS Pseudo-Isochromatic blocks.

Block No. 1 is introductory. For children, it is assumed that they are familiar tihe the “E” and know how to respond, Individuals with low visual acuity (20/70 or less) in both eyes may FAIL this test, due to low acuity rather than faulty color perception. This screening test checks for a problem in recognizing colors but does not classify type or degree of severity.

In the boxes, which direction is the “E” (table legs) pointing? Top, Bottom, Left or Right? With preschool/primary grade children follow sequence as – Blocks 1,4,5,6,7,8 and then Blocks 2,3 since these are the most difficult.

Age tested

Slide – SPCD - 1

BACK TO MAIN

Unconditional PASS: Correct reading of all blocksConditional PASS: Correct reading of at least 5 blocks.FAIL: Inability to read at least 5 blocks

Children who have a Conditional PASS in the second or lower grades may PASS when tested again in the higher grades

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Color Perception Slide – SPCD - 1

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FAR – Testing Distance 20 ft

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NEAR – Testing Distance 14”

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INTERMEDIATE – Testing Distance 19” – 40”

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Peripheral Vision Lights

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Slide Position

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TITMUS V4 TITMUS V2