Fusional vergence

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Fusional vergence is the movement of both eyes that enables the fusion of monocular images producing binocular vision. It is especially important when a person has heterophoria. Premotor cells for fusional vergence are located in the mesencephalon near the oculomotor nucleus.

Human eye mammalian eye; part of the visual organ of the human body, and move using a system of six muscles

The human eye is an organ which reacts to light and pressure. As a sense organ, the mammalian eye allows vision. Human eyes help to provide a three dimensional, moving image, normally coloured in daylight. Rod and cone cells in the retina allow conscious light perception and vision including color differentiation and the perception of depth. The human eye can differentiate between about 10 million colors and is possibly capable of detecting a single photon.

Monocular

A monocular is a modified refracting telescope used to magnify the images of distant objects by passing light through a series of lenses and usually prisms, the application of prisms resulting in a lightweight, compact telescope. Volume and weight are less than half those of binoculars of similar optical properties, making a monocular easy to carry, and also proportionally less expensive. Monoculars produce 2-dimensional images, while binoculars add perception of depth, assuming one has normal binocular vision.

Binocular vision type of vision in which an animal having two eyes is able to perceive a single three-dimensional image of its surroundings

In biology, binocular vision is a type of vision in which an animal having two eyes is able to perceive a single three-dimensional image of its surroundings. Neurological researcher Manfred Fahle has stated six specific advantages of having two eyes rather than just one:

  1. It gives a creature a spare eye in case one is damaged.
  2. It gives a wider field of view. For example, humans have a maximum horizontal field of view of approximately 190 degrees with two eyes, approximately 120 degrees of which makes up the binocular field of view flanked by two uniocular fields of approximately 40 degrees.
  3. It can give stereopsis in which binocular disparity provided by the two eyes' different positions on the head gives precise depth perception. This also allows a creature to break the camouflage of another creature.
  4. It allows the angles of the eyes' lines of sight, relative to each other (vergence), and those lines relative to a particular object to be determined from the images in the two eyes. These properties are necessary for the third advantage.
  5. It allows a creature to see more of, or all of, an object behind an obstacle. This advantage was pointed out by Leonardo da Vinci, who noted that a vertical column closer to the eyes than an object at which a creature is looking might block some of the object from the left eye but that part of the object might be visible to the right eye.
  6. It gives binocular summation in which the ability to detect faint objects is enhanced.

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Vergence

A vergence is the simultaneous movement of both eyes in opposite directions to obtain or maintain single binocular vision.

Convergence insufficiency or convergence disorder is a sensory and neuromuscular anomaly of the binocular vision system, characterized by a reduced ability of the eyes to turn towards each other, or sustain convergence.

Heterophoria is an eye condition in which the directions that the eyes are pointing at rest position, when not performing binocular fusion, are not the same as each other, or, "not straight". This condition can be esophoria, where the eyes tend to cross inward in the absence of fusion; exophoria, in which they diverge; or hyperphoria, in which one eye points up or down relative to the other. Phorias are known as 'latent squint' because the tendency of the eyes to deviate is kept latent by fusion. A person with two normal eyes has single vision (usually) because of the combined use of the sensory and motor systems. The motor system acts to point both eyes at the target of interest; any offset is detected visually. Heterophoria only occurs during dissociation of the left eye and right eye, when fusion of the eyes is absent. If you cover one eye you remove the sensory information about the eye's position in the orbit. Without this, there is no stimulus to binocular fusion, and the eye will move to a position of "rest". The difference between this position, and where it would be were the eye uncovered, is the heterophoria. The opposite of heterophoria, where the eyes are straight when relaxed and not fusing, is called orthophoria.

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Prism fusion range

The prism fusion range (PFR) or fusional vergence amplitude is a clinical eye test performed by orthoptists, optometrists, and ophthalmologists to assess motor fusion, specifically the extent to which a patient can maintain binocular single vision (BSV) in the presence of increasing vergence demands. Motor fusion is largely accounted to amplitudes of fusional vergences and relative fusional vergences. Fusional vergence is the maximum vergence movement enabling BSV and the limit is at the point of diplopia. Relative fusional vergence is the maximum vergence movement enabling a patient to see a comfortable clear image and the limit is represented by the first point of blur. These motor fusion functions should fall within average values so that BSV can be comfortably achieved. Excessive stress on the vergence system or inability to converge or diverge adequately can lead to asthenopic symptoms, which generally result from decompensation of latent deviations (heterophoria) or loss of control of ocular misalignments. Motor anomalies can be managed in various ways, however, in order to commence treatment, motor fusion testing such as the PFR is required.

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