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Binocular Balancing: Presented By: Hina Hafeez TOD (1 Semester)

This document discusses different methods for achieving binocular balancing, which is equalizing the accommodative effort of both eyes so that the retinal image is simultaneously in focus. Improper binocular balance can lead to asthenopia. Common methods described include fogging, duochrome testing with fogging, prism dissociation, Turville's infinity balance technique, and using Polaroid filters. Each method involves presenting different images to each eye and adjusting lenses until the patient perceives a single clear image with both eyes.

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Xid Khan
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239 views

Binocular Balancing: Presented By: Hina Hafeez TOD (1 Semester)

This document discusses different methods for achieving binocular balancing, which is equalizing the accommodative effort of both eyes so that the retinal image is simultaneously in focus. Improper binocular balance can lead to asthenopia. Common methods described include fogging, duochrome testing with fogging, prism dissociation, Turville's infinity balance technique, and using Polaroid filters. Each method involves presenting different images to each eye and adjusting lenses until the patient perceives a single clear image with both eyes.

Uploaded by

Xid Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Presented by:

Hina Hafeez
TOD(1st semester)

BINOCULAR BALANCING
 Process sometimes known as “ equalizing the
accommodative effort or equalizing the
vision”
 This allows both eyes to have the retinal
image simultaneously in focus.
 Improper balance often lead to asthenopia
because of unstable accomodation.
Principle of Binocular
Refraction
 By some means each eye views its respective
target, yet both eyes remain open. The right
eye views only right portion target, left eye
only left portion
Methods for Binocular
balance
 Commonly used methods are
 Fogging method
 Duochrome test with fogging
 Prism dissociation method
 Turville infinity balance technique
 Polariod filters
Fogging Method

 With best accepted lenses in trail frame


 Both eyes are fogged with +2.00DS reducing
the vision to 6/60-6/36.
 Then -0.25DS lens is placed in front of one
eye
 Alternate cover test
 Ask the patient which image is clearer than
other
 Patient identified lens with -0.25DS then
eyes are balanced
 Patient does not identified lens with -0.25DS
then eyes are not balanced (add or subtract in
0.25 steps), until balance is achieved.
Duochrome test with fogging

 Best correction in trail frame


 One eye is fogged with +1.00DS
 Other eye is adjusted to give equally red or
green preference as appropriate by
refractionist.
Prism dissociation Method

 Best correction in trail frame


 Both eyes are fogged with +1.00DS
 Vertical prism of 4 or 5 prism diopter placed in
front of one eye
 6/12 line is projected
 Patient will able to see the same line with
both eyes simultaneously
 Then +0.25DS is placed on the other eye
 If eyes are balanced the patient will report
that the image corresponding to the eye
having additional +0.25DS will be more
blurred
 Having established the balance Then prism is
removed
 Then fog is gradually reduced binocularly
until maximum vision is reached
Turville infinity balance
technique
 Set of letters is seen with septum in the
middle which masks some letters from each
eye
 If all letter are seen clearly and equally this
implies binocular balance
Apparatus consisted of:

 reversed acuity chart containing two


vertical columns of letters or test
characters
 Mirror divided into equal sections by an
opaque vertical septum having a width of
approximately 3 cm
 Acuity chart located superiorly on the wall
behind the patient
Polaroid Filters

 Set of letters visible to one eye and the other


set through other eye also help in binocular
balance

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