The effect of low hypermetropia correction and office-based orthoptic training on binocular vision parameters in children with convergence insufficiency

To determine the effect of low hypermetropia correction and orthoptic exercises on binocular visual function in children with symptomatic convergence insufficiency. This was a prospective, randomized intervention with a 3-month follow-up. Consecutive pediatric patients with convergence insufficiency...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of AAPOS Jg. 29; H. 1; S. 104115
Hauptverfasser: Rosa, Agnieszka, Rosa, Piotr, Kochana, Malgorzata, Ordon, Agata Joanna, Loba, Piotr
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Elsevier Inc 01.02.2025
Schlagworte:
Accommodation, Ocular - physiology
Adolescent
Child
Child, Preschool
Convergence, Ocular - physiology
Eyeglasses
Female
Follow-Up Studies
Humans
Male
Ocular Motility Disorders - physiopathology
Ocular Motility Disorders - therapy
Ophthalmology
Orthoptics - methods
Prospective Studies
Treatment Outcome
Vision, Binocular - physiology
Visual Acuity - physiology
ISSN:1091-8531, 1528-3933, 1528-3933
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:To determine the effect of low hypermetropia correction and orthoptic exercises on binocular visual function in children with symptomatic convergence insufficiency. This was a prospective, randomized intervention with a 3-month follow-up. Consecutive pediatric patients with convergence insufficiency and hypermetropia who met inclusion criteria were randomly assigned to one of three treatment groups: spectacle correction and orthoptic training (group 1), spectacle correction alone (group 2) and orthoptic training alone (group 3). The correction of hypermetropia ranged from +0.50 D to +2.25 D. All patients underwent an orthoptic examination, and the severity of functional symptoms was assessed. A total of 55 patients (28 females, 27 males) were included. There were no treatment-related changes in visual acuity or angle of phoria. Statistically significant reductions in the near point of convergence occurred in group 1 (−5.5 ± 6.8 cm [P = 0.001]) and in group 2 (−5.1 ± 4.8 cm [P = 0.001]). Fusional convergence for distance improved in groups 1 (P = 0.003), 2 (P = 0.018) and 3 (P = 0.006) but for near only in group 2 (P = 0.004). The largest improvement in the mean accommodative facility occurred in group 1 (P = 0.001). A significant decrease in the severity of functional symptoms was noted in all groups (P < 0.001 in groups 1 and 2 and P = 0.006 in group 3). In our study cohort, correction of low hypermetropia positively influenced binocular vision parameters in patients with convergence insufficiency, suggesting that low hypermetropia correction should be considered for patients who undergo orthoptic training for convergence insufficiency.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
ISSN:1091-8531
1528-3933
1528-3933
DOI:10.1016/j.jaapos.2025.104115