VS 117: OCULOMOTOR FUNCTIONS AND NEUROLOGY
Spring, 2001

 

Instructor: Dr. Clifton Schor
512 Minor Hall West, 642-1130
Office hours: TBA.
http://schorlab.berkeley.edu
schor@socrates.berkeley.edu

GSI's:

Leslie Shupenko
407 Minor Hall, 643-0507
Office hours: TBA.
shupenko@uclink4.berkeley.edu

Chris Cantor
360 Minor Hall West, 643-2083
Office hours: TBA.
cantor@atlas.cz

Lecture: TuTh 10:00-11:30 am, 489 Minor East
Labs: Friday: 8-10am 395 Minor East beginning January 19 (sect. 101), 10am-12pm (sect.102),12-2pm (sect. 103)

COURSE GOALS:
Introduce the role of eye movements in optometric primary care.
Binocular eye coordination and interactions with accommodation.
Oculomotor manifestations of CNS disorders.

REQUIREMENTS:
one midterm exam (February 8)
one non-comprehensive final exam (March 8)
2 quizzes (one every other week, beginning the second week- Jan 25)
three lab reports (each due one week after the lab)

GRADING:
The final grade will be approximately 2/5 of the midterm exam, 2/5 of the final exam, and 1/5 of the quizzes. One short 10 min quiz every other week.

Lab reports must be completed to pass the course and they are evaluated pass/not-pass. If a lab is evaluated as not-pass, it must be rewritten. Lab material will be included on the exams.

REQUIRED READING:
VS117 Reader: available in hard copy and also access on the following website http://schorlab.berkeley.edu click on courses,
click on 117 class page, name: VS117, password: Hering,1 Website contains handouts, finals, midterms, coop notes, quizzes and reader.

SUGGESTED READING:
Adler's Physiology of the Eye, 9th edition and new preprinted version on Class Page website.
Leigh and Zee, Neurology of Eye Movements.
Borish, Clinical Refraction
Carpenter, RHS. Movement of the Eyes.
Carpenter, RHS, Ed. Eye Movements: Volume 8 in Vision and Vision Dysfunction.
Davson, The Eye, Vol 3
Grisham D. Management of nystagmus in young children
in Problems in Optometry Vol 2, Number 3, September 1990.
Eds Scheiman and London, Lippincott p 496-527
Ogle, Martens, and Dyer, Binocular Oculomotor Imbalance.
Rosenbloom and Morgan, Principals and practice of pediatric optometry.
Schor and Ciuffreda, Eds. Binocular Vision: Basic and Clinical Aspects.
Ciuffreda and Tannen, Eye Movement Basics for the Clinician, Mosby, 1995

Computer Programs: The CNS in Action - The oculomotor System & The Vestibular System

LABS:
I. Binocular accommodation: consensual and aniso accommodation
II. Monocular accommodation stimulus response function
III. Accommodative convergence
IV. Monocular accommodation stimulus response function
V. Accommodative convergence
VII. Fixation Disparity

CLASS COOPS
Type coops in Word and store them on the library computer (Big Mac 3) which is the second from the right in the student computer room. The storage folder is VS117 coops located under the apple menu items. These coops will be published on the class website. You can access the website from http://schorlab.berkeley.edu.

SCHEDULE OF LECTURES AND LABS:
Jan 16 Lecture 1
    Chapter 16 Accommodation and Presbyopia
Jan 18 Lecture 2
    Chapter 17 and 18 Maddox components and accuracy of accommodation
   Friday Lab exercise #1 Accommodative response function (Lab IV in Reader)
Jan 23 Lecture 3

    Chapter 19 Vergence Eye Movements
Jan 25 Lecture 4, Quiz
    Chapter 20 Accommodative vergence cross-links
    Friday Lab exercise #2 Maddox components of accom (Lab V in Reader)
Jan 30 Lecture 5
    Chapter 21Fixation disparity
Feb 1 Lecture 6
    Chapter 22 Graphical Analysis
    Friday Lab exercise #3 Fixation Disparity (Lab VII in Reader)
Feb 6 Lecture 7
    Chapter 1 & 2 and New Adler's Physiol Chapter on Website
    Laws regulating oculomotor control
    Three Functional Classes of Eye movements
    Binocular constraints on eye position
    Feedback and feedforward control
    Hierarchy of Oculomotor control
Feb 8 Midterm (material covered over first 6 lectures)
Feb 13 Lecture 8

    Chapter 5 and 7 Final common Pathway
    orbital mechanics (muscle geometry and description of eye position)
    cranial nerves (III, IV & VI)
    Motor neuron response (recruitment and firing rate)
Feb 15 Lecture 9
    Chapter 8 and 9 Pre-motor nuclei
    MLF and premotor neurons
Feb 20 Lecture 10
    Chapter 5 and 9 Muscle palsies (strabismus) and gaze palsies
Feb 22 Lecture 11
    Chapter 13 Gaze stabilization reflexes OKN, VOR
    Chapter 14 Saccadic gaze shifts and disorders
Feb 27 Lecture 12 Quiz
    Chapter12 and 15 Foveal Fixation and Pursuits
Mar 1 Lecture 13

    Chapter 11Nystagmus- normal and anomalous
Mar 6 Review
Mar 8 Final Examination