Orthoptics and Work PlacementLaajuus (10 cr)

Objective

Knowledge base
Students are able to
• describe the characteristics of binocular vision disorders in cases of abnormal retinal correspondence or suppression
• evaluate if orthoptic treatment is suitable for the patient
• evaluate the meaning of AC/A-ratio in corrections as prism and spherical power control the accommodative vergence
• describe the features of anisometropia and justify the treatment options

Clinical/practical base
Students are able to
• make binocular vision examination with various methods
• plan and implement an orthoptic treatment

After work placement (5 ECTS) students are able to the student is able to plan and make objective and subjective refraction and asses near addition. They are able to evaluate binocular vision. They are able to properly record patient data. They are able to justify and recommend different vision solutions for the needs of the customer. They are able to communicate with the client about vision, vision problems and vision corrections.

Clinical exam:
Students are able to
• make retinoscopy exam, interpret and explain the results
• measure IOP (non- contact), interpret and explain the results
• to take an accurate history from patients with a range of optometric conditions
• obtain and interpret information on significant symptoms and patient’s concerns
• obtain and interpret information on relevant family history
• to refract patients by appropriate objective and subjective means
• to make appropriate prescribing and management decisions based on the refractive and oculomotor status
• assess pupil reactions
• communicate in a respectful tone and manner and respecting the relevant ethical and cultural rules
• listen actively and to communicate effectively
• listen and ask questions to understand the patient’s concerns and viewpoints
• communicate in a timely manner
• be aware of and responsive to verbal and non-verbal communication
• recognise and adjust to cultural differences
• use effective cross-cultural communication skills if appropriate

Content

Vision therapy/Orthoptic treatment:
definition, target group, routine orthoptic eye examination including appropriate anamnesis
Abnormal retinal correspondence (ARC) - definition, theory, examination, epidemiology, classification, treatment
Suppression – definition, examination, depth, extent and treatment
Prisma adaptation
Examination techniques: Bagolin lens, jump vergence, vergence facility, binocular refraction method with fogging, H-test and light pen: assess binocular vision field extent
Grafical analysis: Donders
Anisometropia and aniseikonia
o epidemiology, classification, symptoms, etiology, treatment, problems with correction
Orthoptic training
- theory, sensory and motor activation
- physiological diplopia; meaning as a part of binocular vision and suppressio control
-spasm control
-training for accommodation: far-near jump, Brock string, push-up, flipper
-training for insufficient convergence and divergence; anti suppression treatment, Brock string, stereogram cards, two pencil
Vision Therapy: plan and management process: theory, model/stucture of the treatment process, symptoms and identification, management plan, exercises (independent and office), patient advising, control visits including control visit and further management plan.

Qualifications

Binocular Vision

Assessment criteria, satisfactory (1)

The student is able to:
- display learning in professional knowledge and core content in the field
- search information from a variety of sources
- work in various duties in a variety of operating environments
- show that he has achieved the targets for core competence
- display learning in the key safety practices in the field
- act according to ethical principles
- to contribute his learning for the benefit of a group or project

Assessment criteria, good (3)

The student is able to:
- use concepts and knowledge in his field systematically
- find information and assess and use information sources with a critical eye
- apply professional information in professional assignments
- apply professional expertise in various work assignments
- act independently and responsibly in professional contexts
- plan operations with safety in mind
- act according to professional ethics
- act purposefully in working groups and projects

Assessment criteria, excellent (5)

The student is able to:
- use concepts and knowledge in his field professionally
- argue the use of his sources - argue a course of action on the basis of research information or findings
- operate in a range of duties and work situations, also in international contexts
- to act in a way that is customeroriented and displays entrepreneurial spirit
- to act responsibly, taking safety issues into consideration
- argue his choices on the basis of professional ethics
- organise and manage the operation of a group and project

Assessment criteria, approved/failed

The student is able to:
- display learning in professional knowledge and core content in the field
- search information from a variety of sources
- work in various duties in a variety of operating environments
- show that he has achieved the targets for core competence
- display learning in the key safety practices in the field
- act according to ethical principles
- to contribute his learning for the benefit of a group or project