Summary

Samenvatting SK1

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Course
SK1

Institution
Hogeschool Utrecht (HU)

Voor het eerste tentamen van orthoptie in jaar 2, heb ik alle lesstof van SK1 samengevat. Diagnoses die worden besproken zijn: concomitante scheelziensvormen en amblyopie. Van verschillende vormen van esotropie en exotropie. Ook heb ik in deze samenvatting gedacht aan de hoorcolleges en zijn d...

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Uploaded on November 8, 2022
Number of pages 51
Written in 2022/2023
Type Summary

distance exotropie
near exotropie
accommodatieve esotropie
amblyopie
erfelijkheid
concomitante scheelziensvormen

Institution
Hogeschool Utrecht (HU)
Education
Orthoptie
Course
SK1

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Samenvatting SK1
2022-2023

Tamara Zantingh
JAAR 2 EERSTE SEMESTER

,Inhoudsopgave
Algemene begrippen: ........................................................................................................................... 3
ARC ........................................................................................................................................................ 5
Excentrische fixatie: ............................................................................................................................. 5
Suppressie: ............................................................................................................................................ 5
Testen:................................................................................................................................................ 6
Concomitant strabismus: ..................................................................................................................... 8
Microtropie: .......................................................................................................................................... 10
Beschrijving: .................................................................................................................................... 10
Kenmerken: ..................................................................................................................................... 10
Therapie: .......................................................................................................................................... 11
Testen bij een microtropie: ............................................................................................................ 11
Amblyopie: ........................................................................................................................................... 12
Verschillende classificaties amblyopie: ....................................................................................... 12
Sensitieve periode bij amblyopie:................................................................................................. 13
Amblyopie behandelingen: ............................................................................................................ 14
Testen bij amblyopie: ..................................................................................................................... 16
Covertest: ..................................................................................................................................... 16
Opmeten van NRL: (suppressiegebied) .................................................................................. 16
Opmeten van ARL: (suppressiegebied) .................................................................................. 17
Subjectieve hoek kruisingsgebied: ........................................................................................... 17
DTO: ..................................................................................................................................................... 18
Esotropie: ............................................................................................................................................. 20
Accommodatieve esotropie: .............................................................................................................. 20
Volledige accommodatieve esotropie:......................................................................................... 21
Kenmerken: ................................................................................................................................. 21
Therapie: ...................................................................................................................................... 21
Accommodatieve esotropie met convergentie excess type hoge AC/A relatie of type hypo
accommodatie: ................................................................................................................................ 21
Kenmerken: ................................................................................................................................. 22
Therapie: ...................................................................................................................................... 22
Partieel accommodatieve esotropie:............................................................................................ 22
Beschrijving: .................................................................................................................................... 22
Kenmerken: ................................................................................................................................. 23
Therapie: ...................................................................................................................................... 23
Niet accommodatieve esotropie: ...................................................................................................... 24

, Niet specifieke esotropie: .............................................................................................................. 24
Beschrijving: ................................................................................................................................ 24
Kenmerken: ................................................................................................................................. 24
Therapie: ...................................................................................................................................... 24
Normosensorische late onset esotropie: ..................................................................................... 25
Beschrijving: ................................................................................................................................ 25
Kenmerken: ................................................................................................................................. 25
Therapie: ...................................................................................................................................... 25
Near esotropie: niet accommodatieve convergentie excess ................................................... 26
Beschrijving: ................................................................................................................................ 26
Kenmerken: ................................................................................................................................. 26
Therapie: ...................................................................................................................................... 26
Distance esotropie: Divergentie zwakte of insufficiëntie .......................................................... 26
Beschrijving: ................................................................................................................................ 26
Kenmerken: ................................................................................................................................. 26
Therapie: ...................................................................................................................................... 26
Cyclische esotropie: ....................................................................................................................... 27
Beschrijving: ................................................................................................................................ 27
Kenmerken: ................................................................................................................................. 27
Therapie: ...................................................................................................................................... 27
Constante / Intermitterende exotropie: ............................................................................................ 28
Beschrijving: .................................................................................................................................... 28
Constante exotropie: ...................................................................................................................... 28
Kenmerken: ................................................................................................................................. 28
Niet specifieke intermitterende exotropie:................................................................................... 29
Beschrijving: ................................................................................................................................ 29
Kenmerken: ................................................................................................................................. 29
Intermitterende distance exotropie: (Divergentie excess) ........................................................ 29
Kenmerken: ................................................................................................................................. 30
Vergentie systeem bij intermitterende exotropie: .................................................................. 31
Intermitterende near exotropie: (convergentie insufficiëntie / zwakte) ................................... 32
Kenmerken: ................................................................................................................................. 32
Intermitterende exotropie en gedecompenseerde exoforie: ................................................ 33
Therapie: .......................................................................................................................................... 34
HC1 Amblyopie en het centrale zenuwstelsel (Marc Veenstra) .................................................. 35
HC2 medisch 'Celdeling en erfelijkheid' (Marc Veenstra) ............................................................ 41

, Algemene begrippen:
Begrip: Kenmerken: Verwacht bij:
NRC (normale retina correspondentie) De beide fovea hebben dezelfde • Intermitterend
lokalisatie richting. strabismus
Nasaal van het ene oog • Verworven strabismus
correspondeert met temporale helft
van het andere oog.
FOD werkt samen met FOS.
De objectieve hoek is gelijk aan de
subjectieve hoek.

ARC (abnormale retina Is een sensorische adaptatie van • Manifest strabismus
correspondentie) corresponderende retina zones. • Microtropie
FOD correspondeert met AOS
(extrafovea zone). Er is een
verschruiving van de lokalisatie van
de retinaelementen.
De objectieve hoek van deviatie is
groter dan de subjectieve hoek.
FOD werkt samen met AOS.
Centraal suppressiescotoom.
(rood)
NRL (Normale reciproke lokalisatie) FOS en AOS vallen in het • Nieuw ontstane
suppressie gebied, dit om diplopie strabismus
te voorkomen. Beide • Grote
retinaelementen hebben nog scheelzienshoeken
steeds dezelfde lokalisatierichting. • Intermitterend
Suppressie op basis van NRL. strabismus.

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