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Basic binocularity is already developed when the child is from 6 to 12 months old.
The majority of patients remain symptom free and able to maintain binocularity with only a slight face turn.
If we'd put a lens in each eye instead of both in one, the binocularity would be much improved.
Where appropriate, orthoptic exercises can be used to attempt to restore binocularity.
However, in patients with large deviations, the thickness of the prism required may reduce vision so much that binocularity is not achievable.
Nevertheless, these kittens developed normal binocularity.
Where necessary, extra-ocular muscle surgery can be undertaken to improve cosmesis and, on occasion, restore binocularity.
Surgical correction of the hypertropia is desired to achieve binocularity, manage diplopia and/or correct the cosmetic defect.
Eye teaming (binocularity)
On near fixation the affected individual may have only a latent deviation and be able to maintain binocularity or have an esotropia of a smaller size.
This debate relates to the technical anatomical difficulties of operating on the very young versus the possibility of an increased potential for binocularity associated with early surgery.
P.P., but not L.A.H., was able to use an uncrossed pathway on the intact side; this may possibly reflect differences in cortical binocularity between the two infants.
Eyecare professionals (optometrists and ophthalmologists) are trained to determine the specific corrective lenses that will provide the clearest, most comfortable and most efficient vision, avoiding double vision and maximizing binocularity.
The aims of surgery are to place the eye in a more central position and, thus, place the field of binocularity more centrally also, and to overcome or reduce the need for the adoption of an abnormal head posture.
Virtual reality computer games where each eye receives different signals of the virtual world that the player's brain must combine in order to successfully play the game have shown some promise in improving both monocularity in the affected eye as well as binocularity.
Some ophthalmologists favour an early surgical approach as offering the best prospect of binocularity whilst others remain unconvinced that the prospects of achieving this result are good enough to justify the increased complexity and risk associated with operating on those under the age of one year.
Surgical intervention, therefore, has only been recommended where the patient is unable to maintain binocularity, where they are experiencing symptoms, or where they are forced to adopt a cosmetically unsightly or uncomfortable head posture in order to maintain binocularity.