department of optometry college of : hawler medical ... · college of : hawler medical institute...
TRANSCRIPT
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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
▪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
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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
3- white board
4- group discussion
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%
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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
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
23 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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
▪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:
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
17
Associated strabismus,Esodeviations,Exodeviation,Deviations,miscellaneousstrabismus,nystagmus (diagnoses as generally)
4
17
Associated strabismus,Esodeviations,Exodeviation,Deviations,miscellaneousstrabismus,nystagmus (diagnoses as generally)
4
18 latent strabismus clinical features and causes
4
19 latent strabismus types
4
20 latent strabismus management
4
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
21
method of examination for latent strabismus
4
22 instrument used for treatment of latent strabismus(1) 4
23 instrument used for treatment of latent strabismus(1) 4
24
iPseudodeviation(Pseudoesotropia,Pseudoexotropia)
4
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
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
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
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.
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشیهبتیدڵىیاییجۆریومتماورایبڕێويب
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