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Original Contribution

Interocular transfer

An assessment of binocularity in strabismus

Max J. Keck, Ph.D. and Ronald L. Price, M.D.
Cleveland Clinic Journal of Medicine December 1986, 53 (4) 325-332;
Max J. Keck
Department of Ophthalmology, The Cleveland Clinic Foundation
Physics Department, John Carroll University, Cleveland
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Ronald L. Price
Department of Ophthalmology, The Cleveland Clinic Foundation
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ABSTRACT

The interocular transfer of the motion aftereffect (MAE) was used to probe for the existence of binocularity in subjects with strabismus. The interocular transfer was measured with coarse and fine gratings subtending 2° and 8° of visual angle. Strabismic subjects were categorized by the extent of their binocular vision, particularly with respect to extrafoveal fusion and retinal correspondence. Subjects classified as having the monofixation syndrome consistently showed a substantial, though less than normal, amount of transfer with the larger 8° gratings. This is consistent with the peripheral binocular cooperation usually found in these subjects, and establishes interocular transfer of the MAE as a suitable test for binocularity in strabismus. The test is especially suitable in patients with suppression in which an existing binocularity may be masked by suppression on clinical testing. The tests were found to be applicable in children as young as eight years. MAE tansfer for large coarse gratings is believed to imply the existence of an early cortical binocularity, which provides the potential for sufficient binocular cooperation to permit stable ocular alignment.

Index term
  • Strabismus
  • Received February 1986.
  • Accepted March 1986.
  • Copyright © 1986 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine
Vol. 53, Issue 4
21 Dec 1986
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Interocular transfer
Max J. Keck, Ronald L. Price
Cleveland Clinic Journal of Medicine Dec 1986, 53 (4) 325-332;

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Interocular transfer
Max J. Keck, Ronald L. Price
Cleveland Clinic Journal of Medicine Dec 1986, 53 (4) 325-332;
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