TV trainer
A TV trainer is a sheet of plastic, one side all red and the other all green, that usually attaches to a television with two suction cups.1 The patient wears red/green glasses, so each eye sees through only the matching half of the sheet, and the device aims to decrease the intensity and frequency of suppression.1 If the right eye suppresses, the picture behind the red half of the sheet becomes impossible to see.1
The TV trainer is a passive therapy, because the patient simply watches television and tries to see through both halves of the plastic at once.1 Losing the picture calls attention to the suppression, and the patient works to clear it by blinking, by converging or diverging, or by moving closer to or farther from the television.1 The same arrangement, with one color filter over the screen and the opposite color before the nonamblyopic eye, also appears in amblyopia therapy for very young children.2
More detail
TV trainers also come in Polaroid material, but a child who tilts the head toward either shoulder can see the whole screen through a Polaroid trainer even while suppressing.1 That drawback matters because the device is often used with young patients.1
Working distance, lenses and prism change the difficulty. A patient with divergence excess suppresses more at distance, so therapy starts at a short working distance and moves back as the patient succeeds.1 Binocular minus lenses make fusion easier for an exophoric patient and harder for an esophoric one, and plus lenses add little because the trainer is generally used at 5 ft or more.1 A base-in and base-out prism flipper turns the session into fusional facility therapy, with the trainer serving as the suppression control.1
Sources (5)
- Scheiman and Wick, Clinical Management of Binocular Vision, ch. 6
- Duckman, Visual Development, Diagnosis, and Treatment of the Pediatric Patient, ch. 23
- Noorden, G.K. and Campos, E.C. 2002. Binocular vision and ocular motility: theory and management of strabismus. 6th ed. St. Louis: Mosby.
- Rutstein, R. and Daum, K. 1997. Anomalies of Binocular Vision: Diagnosis & Management. St. Louis: Mosby.
- Scheiman, M. and Wick, B. 2014. Clinical management of binocular vision: heterophoric, accommodative, and eye movement disorders. 4th ed. Philadelphia: Lippincott Williams & Wilkins.
Reviewed October 2026
Related terms
Nearby in the glossary
- torsion
- tranaglyphs
- trochlear nerve
- TV trainer