How is functional vision loss diagnosed?

Diagnosis. The diagnosis of functional visual loss requires positive findings and cannot be a diagnosis of exclusion The key to diagnosing NOVL is to first complete a full, dilated eye examination to rule out organic causes of visual loss such as refractive error, dry eye, cataract, uveitis, maculopathy, etc.

What are the differential diagnosis of myopia?

Associated Disease Changes to the cornea secondary to keratoconus, congenital glaucoma, and contact lens-induced corneal warpage can also cause myopia. Myopia can also be the result of increased axial length secondary to retinopathy of prematurity, posterior staphyloma, scleral buckle surgery and congenital glaucoma.

How do you test for malingering?

Prism base out test: Ask the patient to look at a light source then a prism of 10PD is placed before the alleged blind eye with its base outward. If the eye moves inward (to eliminate diplopia) malingering is proved.

What is spherical and cylindrical in eyesight?

That means the spherical power describes the most divergent meridian and the cylindrical component describes the most convergent. In the minus cylinder notation, the cylinder power is a number of diopters more divergent than the sphere component.

What is a functional vision test?

A Functional Vision Assessment is an evaluation of an individual’s visual strengths and limitations as they relate to the ability to interact with the visual environment – how they use their vision to function.

Is Cataract a refractive error?

As previously reported,1–5 nuclear cataract can cause significant myopic refractive error shifts. This is probably caused by symmetrical refractive index changes within the nucleus of the lens, causing negative spherical aberration and a myopic shift.

Is astigmatism a visual impairment?

Astigmatism: A common form of visual impairment in which part of an image is blurred due to an irregularity in the dome-shaped curvature of the front surface of the eye, the cornea. With astigmatism, light rays entering the eye are not uniformly focused on the retina. The result is blurred vision at all distances.

What is Hoover’s test?

Hoover’s sign was described by Dr. Charles Franklin Hoover more than 100 years back to differentiate between the organic and functional weakness of pyramidal origin. This test is usually performed in the lower limbs and is valuable when on bedside one is not sure about the nature of hemiparesis.

How do you identify cylindrical lenses?

Spherical Lens Identification & Marking 1. Straight edge test: – Place the lens on straight surface. – If lens is plano- • Equal amount of light escapes beneath the edges – If lens is cylindrical – • Unequal light escape from the lens edge.

What is axis and Cylinder in eyesight?

The number marked ‘axis’ describes the orientation of astigmatism. It will be a number between 1 and 180. The number under ‘cylinder’ provides the lens power needed to correct the astigmatism.