Borish Delayed Method || Modified fogging || Binocular balancing || Prism dissociation technique

Borish delayed refraction test (modified fogging technique) provides alternative method of measuring refractive error, where accommodation is controlled by adding positive lenses in front of the eyes to relax accommodation.
In this technique, first the patient is made to relax their accommodation wearing a plus lens with a magnitude slightly higher than the expected average NRA value (+2.50 DS) for a prolonged duration.
Then vertical prism is used to dissociate the image. This helps examiner to understand the status of accommodation. The eye with residual accommodation will see better than the other eye. The eye with clear vision is fogged further till image of both eyes are nearly equal. This method is known as prism dissociation method of balancing the accommodation.
Once accommodation is balanced the prisms are removed and NRA values are slowly defogged till patient just start seeing 6/6 or 20/20
Note: Do not try to give over minus as patient may feel better with more minus.
This Borish delayed method is alternative test for cycloplegic refraction. It is highly effective in cases of accommodative spasm.
The binocular balancing helps to balance the accommodation between the eyes.
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[@aniketpatole9183]

Hindi me bhi me jyada ache se samaj aya sir.
Thank you very much Hindi me bhi is topic ka video banane ke liye

[@bindukumari364]

Wow thank you sir its very helpful for us🙏

[@priyankabeniwal2496]

Thank you sir for reminding old days... Very nice and informative video.

[@optometryreels]

😊

[@NagendraKumar-eo9py]

Bahut Achha laga

[@mdyusuftamanna7297]

Masha Allah very nice sir

[@safar5]

Thank you so much!

[@devendraoptometrist]

Very informative

[@anilkushwaha-yh7zw]

Very nice

[@Shiva-nr6mm]

Super sir

[@user-tn8ev8xi2o]

Thank u sir . Is prism dissociation also known as vertical dissociation?

[@mdyusuftamanna7297]

Very nice sir
Aap is lecture ko details me upload kar dijye
Details me bata dijye

[@puja....910]

Sir pls
Subjective refraction pr ek video bnaiy wo bhi Hindi me
Bina auto-refractometer use kiye..

[@apurvaverma3983]

Sir plz sabhi vedio hindi me he banaye or forepter ke jo test hote hai unhe ek ek kar ke bata de jaise ducrom dot test etc

[@askarakku660]

We are using red for minus and black for plus

[@shitalshital4497]

Sir is this method is applicable in presbyopic patient

[@devangshukla329]

I m confused , before fogging only prism are removed or any other lense also remove cz prescription and fogging both lenses are placed in trial frame ?? Then how we do fogging

[@bhushanlal3769]

Sir aapka clinic kaha hai

[@roshnisengupta5363]

In NRA we use plus lenses/black ...here it shows use of minus lenses in NRA!

[@optometryreels]

Hi, It’s plus lens.. this trial lens set has red-plus lenses..

[@mdyusuftamanna7297]

Sir plus se kar na hai ya minus se kar na hai

[@optometryreels]

Plus se.. chahe myope ho ya hyperope

[@mdyusuftamanna7297]

@@optometryreels thanks sir

[@govindbhamare2898]

Sir ji voice clear nahi aa rahi hai 😢

[@bhushanlal3769]

Sir clinic kaha hai

[@optometryreels]

Sankara eye hospital, Ludhiana

[@Dr_Nooruz]

Thanks

[@scientificfacts3374]

10:03 10:03

[@mohdjunaidakhtar1500]

Ab apni jo Fogg kiya tha us type near target diya phir distance mai Fogg kise kiya todh confusion ho gaya h

[@optometryreels]

I did NRA, Maine plus power tab tak add kiya jab tak patient clear nhi kar paya.. usse pata chal gaya ki near ka range Kya hai.. so ek tarah se wo fogg ho gaya dur k liye bhi. Usi plus power ko distance k liye use kiya and defog kar diya

[@mohdjunaidakhtar1500]

@@optometryreels thanks you for reply near Mai n6 tak ko hi blure karti h na .
Aacha apni jo Fogg near ki liye kiya usse se hi distance mai padhwaya

[@MAHESHKUMAR-hj4vf]

Be negative power hai sir

[@limitless2026]

Talk in English sir,so everyone will understand

[@jaded6223]

Next video mein sign language bhi use karne boldo sir ko

[@kalyansunadrthakur367]

LEKIN AP MINUS LENS KO PLUS BOL RAHE HO

[@monikapatel5283]

Synaptophore