Fellowship in Binocular Vision & Vision Therapy


Course Title: Residency Fellowship in Binocular Vision & Vision Therapy
Course Co-ordinator: Ms Persia Robert, B. Optom, FBV & VT ( In-charge BV clinic)
Course Instructor: Mrs Revathy R B S Opt. Mphil (Principal- LBLIO)

Course Details :

EligibilityBS /M Phil/ MS / Diploma in Optometry with 5 years experience
No of seats per year3
Duration1 year
CommencementJuly – June & January – December
Course feesRs 60,000
StipendRs 8000 per month
Hostel facilityProvided along with Food only for girls

Scope and Objectives :

The residency course is a 1 year program in Binocular Vision, Vision Therapy and Pediatric Optometry. Initial 6 months is the period of fellowship and the last 6 months is the post fellowship training period. It is designed to provide intensive clinical experience in evaluating patients with Binocular Vision (BV) Anomalies and intervening with advanced Vision Therapy (VT) procedures. The fellowship will help to understand the specialized evaluation protocols and providing vision therapy for patients with visual issues due to ocular muscle problems. The fellowship also trains the candidates to set up a BV & VT clinic in a hospital and Private practice set up.


The objectives of the fellowship include

To learn the Strabismic and Non-strabismic binocular vision anomalies.

To review basic refraction techniques including over fogging procedures.

To learn the basic Binocular Vision (BV) assessments and nuances in diagnosing the BV anomalies

To plan for Vision Therapy protocols for the BV conditions.

To diagnose and manage Pseudomyopia.

To diagnose Computer Vision Syndrome and Management.

To isolate the palsied muscle in Cranial nerve( III,IV &IV)palsies

To learn Diplopia and Hess charting and interpretation of the results.

To measure the diplopia and to prescribe prisms for diplopia

To learn to assess vision, sensory motor tests in children

To learn to rule out Amblyopia and its management.

To learn about Nystagmus and its optometric evaluation and intervention.

To learn tom write case reports for publication in Optometry Journals

Reference Books :

Scheiman M, Wick B. Clinical Management of Binocular Vision – Heterophoric, Accommodative, and eye movement disorders, 2nd edition.

Philadelphia : Lippincott Williams & Wilkins, 2002.

Press L J. Applied Concepts in Vision Therapy. St. Louis: Mosby, 1997.

Course Activity Plan

Module No.Topics to be covered during fellowship
I weekRefraction and Binocular balancing
II weekBinocular Vision Assessment –Theory
III weekBinocular Vision Assessment : Practicals
IV weekNarrowing down to BV Diagnosis
V weekNarrowing down to BV Diagnosis: Case Analysis
VI weekSquint Evaluation ( Theory and Practical)
VII weekSquint – Special cases ( Theory)
VIII weekDiplopia and Hess charting, Double Maddox rod test, Parks three Tests step
IX weekSynoptophore
X weekPrism Prescription
XI weekPediatric Case evaluation
XII weekAmblyopia-Types, Evaluation and Treatment
XIII weekVision Therapy to Vergence anomalies
XIV weekVision Therapy to Accommodative anomalies-Home VT
XV weekNystagmus-Types, Evaluation and Treatment
XVI weekNeuro Optometry and Neuro Optometric Rehabilitation
XVII weekCase Analysis and Discussion
XVIII weekJournal Presentation
XIX weekCase report Writing


The fellow will be assessed on a continuous basis through the submission of case reports, maintenance of Log book and the self discipline followed in the clinics.

Certificate with grades will be issued upon satisfactory performance of the candidate

The fellowship might be extended depending on the performance of the candidate

Assessment will be conducted at the end of every month.

Assessment can be in MCQs, fillings, matching the following or descriptive questions.

Case presentation will also be included in continuous assessments. The final assessment is based on a case presentation made by the fellow, a written exam, viva voce and publication in an optometry journal

50% is considered as pass. Less than 50 % needs to appear for a re exam


Initial 6 months (fellowship period) the fellow has to attend clinics as well as lectures and during Post fellowship training period, they should handle cases independently.

During post fellowship period the fellows will be getting a stipend of Rs. 8000 on each month.

The working hours of the fellows are 9 hours.

Attendance is compulsory. They should report on time. They should sign in the BV department while coming and leaving.

The number of leave is strictly restricted to 12 in number. Any extra number of leave would be strictly extended.

School screening camps are compulsory for all fellows .The report of the camp should be sent to the coordinator.

In order to maintain healthy atmosphere, the fellows are required to wear uniform at clinics.

The fellows are required to maintain a log book .Log book need to be submitted to the coordinator on every Saturdays.

Fellows should submit 1 case report every month to the coordinator.

Fellows will have postings in different centers of Lotus Eye Hospital during Post fellowship training period.

The fellows are expected to maintain utmost discipline in behavior and the patient management at the hospital premises. Discussions in front of patients are prohibited.

The fellows should not leave the Hospital premises during the working hours without getting permission from the coordinator. During the clinical hours, they can use Library facilities only after getting prior permission from the coordinator.

Fellows are encouraged to discuss their concerns with the coordinator at any time.

The patient should be treated with respect and concern should be demonstrated for their problems and needs.

Mobile usage in clinics is strictly prohibited.

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