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Cover Tests Explained | Squint Simplified for Medical Students 

Eye Care With Dr. Babita
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This is a detailed lecture on how to perform Cover - Uncover and Alternate cover test during squint examination. We start with an introduction to tropias & phorias, followed by a detailed discussion on how to perform these tests with the help of appropriate clinical examples. We also discuss how to grade the fixation behaviour of the eye. In the end, we have a short discussion on Dissociated Vertical Deviation & Latent nystagmus.
---- Chapters-----------
0.00 - Intro
0.09 - Heterotropia vs Heterophoria
1.45 - Preparation for cover tests
3.31 - Cover Test
8.13 - Pseudostrabismus
11.05 - prerequisites for cover tests
15.40 - Uncover Test
18.52 - Grading of fixation behaviour
21.32 - Incomitant Squint
23.48 - Alternate cover test
27.25 - DVD & Latent nystagmus
#squint #ophthalmology #covertest

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9 янв 2022

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Комментарии : 114   
@user-kilrilirrlri
@user-kilrilirrlri Год назад
0:00Intro 0:09Heterotropia vs Heterophoria 1:45Preparation for cover tests 3:31Cover-Uncover Test -Step1 Cover test 8:13Pseudostrabismus 11:05prerequisites to avoid False negative 15:40Step2 Uncover Test 18:52Grading of fixation behaviour 21:32Incomitant Squint 23:48Alternate cover test 27:25DVD & Latent nystagmus
@user-kilrilirrlri
@user-kilrilirrlri Год назад
*Preparation for cover tests:* 1.Fixation target 2.Occluder 3. Best refractive correction 4.Head posture 5.Done in all 9 diagnostic gaze positions *False negatives of cover-uncover test:* 1.pseudosquint 2.poor vision in fixating eye less than 6/60 3.eccentric fixation (check using visuoscope or fixation star mode of direct ophthalmoscope) 4.Gross restriction of extraocular movmts
@TarisaiNBunda
@TarisaiNBunda Год назад
This is the most comprehensive video I’ve seen on Squint assessment! Thank you for sharing! Watching from Zambia 🇿🇲
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Thanks for watching.. I'm glad you liked it! 🙏❤️
@hazelpetrick8340
@hazelpetrick8340 6 месяцев назад
Best video ever on strabismus. so easy to follow along with ur teaching. you are a very good teacher, hats off to you!! please continue to uploaddd more
@Aditya_Prabhune
@Aditya_Prabhune Год назад
This was absolutely amazing. I don't think I have gotten such knowledge even in Prepladder subscription. Thank you!
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
😊 Thank you! I'm glad the content is being appreciated by its target audience.
@HindiOphthalmology
@HindiOphthalmology Год назад
From an article on measuring deviation in a group of patients: The grading system used in this study was originally proposed by Zipf and further developed by Wright et al.3 Fixation prefer- ence was classified into 5 categories: (0) no fixation - will not hold fixation with the nonpreferred eye after the oc- cluder is removed from the preferred eye with immediate fixation to the preferred eye; (1) holds with difficulty - fixates with the nonpreferred eye momentarily but loses fixation instantly; (2) holds fixation briefly - holds 2 to 3 seconds with the nonpreferred eye when the cover is re- moved from the sound eye; (3) holds well - holds fixation almost all throughout a blink time before refixation to the dominant eye; and (4) freely alternates fixation with no preferred fixation with either eye.
@vijayalakshmikv5916
@vijayalakshmikv5916 9 месяцев назад
in the books its given do alternate cover test after cover and uncover test , and alternate cover test is to detect total deviation - doesn't distinguish between phoria and tropia..
@ahmedfaahim3787
@ahmedfaahim3787 Год назад
This is an amazing and comprehensive video ever seen in my life. Thanks for your hard work.
@meopai3
@meopai3 Год назад
Brilliant, My understanding of the eye exam has improved 10 fold. Thank you
@shizamushtaq2718
@shizamushtaq2718 Год назад
So easy, elaborated and clinically helpful!
@zamuelito8266
@zamuelito8266 Год назад
The best video about eterotrophia on the internet. Thank you
@hannahray6120
@hannahray6120 2 года назад
Excellent way of explaining… really worth the time. U just gained a subscriber ma’am… thanks so much..
@miyarqureshi399
@miyarqureshi399 Год назад
A very easy way of explaining the basic of squint.excellent
@aandbproductions999
@aandbproductions999 Год назад
Perfect Video on Cover and Un-cover Test!!!
@tzvirubin9708
@tzvirubin9708 Год назад
i would love an intermittent tropia video! thank you!
@omeshnichat8120
@omeshnichat8120 6 месяцев назад
What an explanation ma'am. Thank you !!
@IamIndian585
@IamIndian585 23 дня назад
One of the best and detailed video based on squint, thank you ma'am. For sharing this valuable information.❤
@thogaiezhili9935
@thogaiezhili9935 2 года назад
You teached really awesome and very clearly
@joshjunnoju7626
@joshjunnoju7626 Год назад
Very useful video with simple explanation.i understand very well.keep such videos in future also
@devthakkar6536
@devthakkar6536 Месяц назад
Best video on the topic ever. Thank you,🙌🙌🙏🏼
@shreyaagrawal4590
@shreyaagrawal4590 Год назад
Amazing,y explained one of the most confusion topic well done
@swethav.6057
@swethav.6057 9 дней назад
Most amazing clister clear video. 🎉😊
@anjalimiglani506
@anjalimiglani506 11 месяцев назад
Absolutely amazing🎉
@karemoptom
@karemoptom Год назад
Easy understanding video, thanks a lots mam😊🙏
@saipriyaneelam4843
@saipriyaneelam4843 Год назад
Great explanation, easy to understand thank you mam ❤
@aryanpandey2576
@aryanpandey2576 2 года назад
That's impressive keep making more videos ma'am tysm I was struggling reading Parsons alot
@eyecarewithdrbabita
@eyecarewithdrbabita 2 года назад
You're welcome 😊
@dionmoris4916
@dionmoris4916 9 месяцев назад
Best video on squint! Please talk about everything contact lens.
@fatimazahrachammout3642
@fatimazahrachammout3642 Год назад
Thank you very much ! Very helpful vidéo !
@peaceful865
@peaceful865 2 года назад
Ty so much. Its litl more clear now. Squint 🙄 time was long bt worth taking to clear tht concept.
@shahabe1349
@shahabe1349 2 года назад
Thank you, awesome!
@ZahidKhan-df6sx
@ZahidKhan-df6sx 2 года назад
Thank you so much ❤️ very will explaining
@thewarrior9508
@thewarrior9508 7 месяцев назад
Thankew for this lecture ma'am,it really helped me understanding these topics , Stay Blessed
@cf9496
@cf9496 3 месяца назад
Thanks for the amazing video! Please make a video on intermittent Exotropia!
@saigagankamarushi1684
@saigagankamarushi1684 Месяц назад
Very Good Explanation
@hellassynke3279
@hellassynke3279 4 месяца назад
Brilliant video
@JN-kk4nk
@JN-kk4nk 8 месяцев назад
great video thank you !
@neenuskitchenhub1508
@neenuskitchenhub1508 2 месяца назад
Really helpful video❤
@sagardeepdatta8330
@sagardeepdatta8330 7 месяцев назад
Maam, ist time such a nice video on cover and uncover tesr
@user-mh1wu9ku4g
@user-mh1wu9ku4g Год назад
great explanation👍
@shizamushtaq2718
@shizamushtaq2718 Год назад
Best video ever!
@stephenenajite1504
@stephenenajite1504 5 месяцев назад
Thank you sooooo much❤
@anu3286
@anu3286 2 года назад
Very very wonderful lecture ma'am..I have never seen like this explanation before...thank u so much ma'am..plss make more videos on squint
@eyecarewithdrbabita
@eyecarewithdrbabita 2 года назад
Thanks for watching and supporting this channel. I will post more videos 💕
@ashashyam4757
@ashashyam4757 4 месяца назад
Thank you so much maam such a good class❤
@Wordlesspine
@Wordlesspine 2 года назад
Nice examination video... Can u make a video regarding checking ECCENTRIC FIXATION and ABNORMAL RETINAL CORRESPONDENCE.
@m.saeedopridai9990
@m.saeedopridai9990 Год назад
Thank you so much ma'am
@opthamgeetha1179
@opthamgeetha1179 2 года назад
Super mam .....explanation
@zarifanurinnisa4780
@zarifanurinnisa4780 10 месяцев назад
Love your videos
@fancyworld2077
@fancyworld2077 Год назад
i switched from prepladder to you channel, thank you mam for this much help
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Glad I could help!
@DTA007
@DTA007 3 дня назад
Excellent 👍 Dr Babita can you please do it in a different type of squint patient so it will be much clearer, and we can learn the procedure of examination as well.
@wongleongyang4637
@wongleongyang4637 Год назад
I LIKE THIS VIDEO , AWESOME ! I HOPE GOT MORE VIDEO FOR THIS ~~~
@afreenshaikh384
@afreenshaikh384 Год назад
Wonderful
@trendheart2165
@trendheart2165 9 месяцев назад
Thank you 😊 make more videos
@rakeshbali7209
@rakeshbali7209 Год назад
Good... Very good..... We wants more video from Dr. Babita chanel.... On different topics
@vickyyadav1331
@vickyyadav1331 Год назад
Osm lecture mam
@theoptometrist265
@theoptometrist265 Год назад
Thank youiui❤❤❤❤
@AbdulAhad-di2ec
@AbdulAhad-di2ec Месяц назад
one question---at 22;44 , if there 6th cranial palsy on the left side and the eye is already deviated nasally, when you do the cover test and occlude the right eye, which muscle pulls the left eye to midline ?
@anupamgoswami4934
@anupamgoswami4934 2 года назад
awesome teaching
@eyecarewithdrbabita
@eyecarewithdrbabita 2 года назад
Thank you!
@hamzamasood5628
@hamzamasood5628 Год назад
Maam how to check whether eye having eccentric fixation or Abnormal retinal correspondence ARC through worth 4 . Test? And for palsy and contracture?
@drsurendranayak2461
@drsurendranayak2461 Год назад
nice presentation madam
@NIRMALKUMAR-nn4tq
@NIRMALKUMAR-nn4tq Год назад
Thank you mam
@kirubelgetahun2739
@kirubelgetahun2739 Год назад
Thank you
@HMS20th
@HMS20th 4 месяца назад
22:40 The secondary deviation can only be assessed when the fixation behavior is grade 0, right ?
@ikelivictoria2379
@ikelivictoria2379 3 месяца назад
Pls how do you determine when a patient is using eccentric fixation and is also having gross restrictions of eom?
@memoonasaeed4408
@memoonasaeed4408 9 месяцев назад
Mam agr pt ko left eye mai exotropia h and on alternate cover test agar both eyes out to in arai h and right eye up to down then kia ye alternate exotropia h with left dominance and right eye mai hyperphoria hga ya hypertropia????
@memoonasaeed4408
@memoonasaeed4408 9 месяцев назад
Hi can this be done without translucent occluder?
@chitradalokesh
@chitradalokesh 5 месяцев назад
Please make a video for removing of squint in exercise type of way
@abidkhan3391
@abidkhan3391 Год назад
Just wow.
@edgardocordova1064
@edgardocordova1064 2 года назад
GREAT
@meenasalve6265
@meenasalve6265 2 года назад
Plzzz make video on krimsky corneal reflex test
@damodarpudasaini3685
@damodarpudasaini3685 Год назад
Why do we need fixation target for near and distant ?
@lakshmipriyakarthi7265
@lakshmipriyakarthi7265 2 года назад
Wonderful lecture yet again Dr Babita. Can you please make a video on refractive errors and also another video on intermittent squints also?
@eyecarewithdrbabita
@eyecarewithdrbabita 2 года назад
Thank you Lakshmi! I have a few videos on squint basics lined up next, for undergraduate students. Once I'm done with that, I'll cover IXT 👍
@lakshmipriyakarthi7265
@lakshmipriyakarthi7265 Год назад
@@eyecarewithdrbabita Still waiting for your videos on intermittent squints and refractive errors! thanks!
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
I wholeheartedly apologize, Lakshmi! I have been super busy lately.. Will see what I can do
@ammarbhatti7641
@ammarbhatti7641 Год назад
Mam how to treat Alternate exotropia about 15 degree kindly suggest best way of treatment.
@ZahidKhan-df6sx
@ZahidKhan-df6sx 2 года назад
Please one video of Acc and non Acc Esotropia
@rajakumarim970
@rajakumarim970 Год назад
Kindly do a video on intermittent oesotropia
@belsondebbarma6532
@belsondebbarma6532 Год назад
I appreciate your video.... I would like to add one point as per the latest literature whn we perform HBT.... 1 mm of deviation is equal to 11.8 degree.
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Thank you for your input!
@HMS20th
@HMS20th 4 месяца назад
How to exclude eccentric fixation?
@sufiyan941
@sufiyan941 6 месяцев назад
Best
@anilloat1580
@anilloat1580 Год назад
Hi Mam, Your videos are very helpful I need advice on my son's eyes ...he is going to be 2 year by this Nov... Need urgent help 🙏 Can you suggest if we can connect online? Also I am based in Hyd Me and my Wife will be highly thankful to you for same
@Medicoboi
@Medicoboi Год назад
Madam, do both normal and squint eye try to fixate in alternate cover testing and we can say which eye has squint only after repeated alternate cover testing when squint becomes manifested?
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
In alternate squint with equal dominance, both eyes will have central, steady and maintained fixation. If one eye is dominant, the other eye will not be able to maintain fixation. Although in many cases, both eyes have equal dominance yet one eye has a greater tendency to deviate. In such cases, I personally rely on patient history and my own observation.
@maxpayne8953
@maxpayne8953 2 года назад
On 14:25 , you say that one of the pre requisites for performing cover uncover test is "central fixation in both eyes" .. so how can we determine this before doing the cover uncover test if the eye is centrally fixating or not ? Any test for this ?
@eyecarewithdrbabita
@eyecarewithdrbabita 2 года назад
Hi.. Fixation can be checked with the help of visuoscope/fixation star mode of direct ophthalmoscope
@maxpayne8953
@maxpayne8953 2 года назад
@@eyecarewithdrbabita can u make a video or share one regarding the fixation star mode of ophthalmoscope?
@kummarivenkatsh9607
@kummarivenkatsh9607 2 года назад
Iam completed optometry Which course best madam
@eberechidi9071
@eberechidi9071 Год назад
Thank you once again for yet another well detailed tutorial. But please how do we correct abnormal posture(if present) before continuing with the cover test, considering that the patient has become accustomed to the position, and will always maintain such position even unconsciously?
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Thanks for your comment. We need to manually correct the head posture before performing cover test and keep it corrected till we are done with our examination.
@eberechidi9071
@eberechidi9071 Год назад
@@eyecarewithdrbabita Ok, thanks for that. Which means we have to continuously adjust the head position all through the test
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Instead of continously adjusting it, I usually ask someone (a helper or patient's attendant) to maintain patient's head in the corrected position till I'm done with my examination.
@eberechidi9071
@eberechidi9071 Год назад
@@eyecarewithdrbabita Ok, that sounds better
@sandeepmaheshwari5286
@sandeepmaheshwari5286 Год назад
19:04 or before : does Alternating squint appear as Latent squint ?
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Intermittent Exotropia with poor control may present as Latent squint
@sandeepmaheshwari5286
@sandeepmaheshwari5286 Год назад
22:36 1)you said that left eye moves out to take fixation but how is it going to fixing becoz fixing done with the help of left lateral rectus but it is paralyzed in this case then how can left eye moves out ?
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Thanks for your comment. You're right. In palsy (total paralysis), the eye cannot move to take fixation. The word paresis should have been used there. However, irrespective of whether it's case of palsy/paresis, one would find secondary deviation>primary deviation.
@sandeepmaheshwari5286
@sandeepmaheshwari5286 Год назад
@@eyecarewithdrbabita not fully satisfied but ok 👍
@bijaysah8951
@bijaysah8951 Год назад
Want video on Intermittent Exotropia
@yoyo-zq6yi
@yoyo-zq6yi 22 дня назад
❤❤❤
@optitechnoopticianskurunegala
Dear Doctor , well explained... simply confusing but re watching it will be ok. Are you Orthoptist Doctor? Where do you practice ???
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Thank you! 🙏❤️ I'm an ophthalmic surgeon practising in India
@optitechnoopticianskurunegala
@@eyecarewithdrbabita 😍
@sandeepmaheshwari5286
@sandeepmaheshwari5286 Год назад
How fixation works ? means how eye come to centre by its own ?
@eyecarewithdrbabita
@eyecarewithdrbabita Год назад
Eye will come to centre to take fixation if the eye has central (foveal) fixation.
@sandeepmaheshwari5286
@sandeepmaheshwari5286 Год назад
@@eyecarewithdrbabita Got it !
@lichh64
@lichh64 5 месяцев назад
Tysm🫶
@ebabekele3222
@ebabekele3222 Месяц назад
very helpful video
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