Home- and Office-Based Vergence and Accommodative Therapies for Treatment of Convergence Insufficiency in Children and Young Adults: A Report by the American Academy of Ophthalmology.
Ophthalmology
; 128(12): 1756-1765, 2021 12.
Article
em En
| MEDLINE
| ID: mdl-34172337
ABSTRACT
PURPOSE:
To review home- and office-based vergence and accommodative therapies for treatment of convergence insufficiency (CI) in children and young adults up to 35 years of age.METHODS:
Literature searches were conducted through October 2020 in the PubMed database for English-language studies. The combined searches yielded 359 abstracts, of which 37 were reviewed in full text. Twelve of these were considered appropriate for inclusion in this assessment and assigned a level of evidence rating by the panel methodologist.RESULTS:
Of the 12 studies included in this assessment, 8 were graded as level I evidence, 2 were graded as level II evidence, and 2 were graded as level III evidence. Two of the level I studies included older teenagers and young adults; the remainder of the studies exclusively evaluated children. Two randomized controlled trials found that office-based vergence and accommodative therapies were effective in improving motor outcomes in children with symptomatic CI. However, the studies reported conflicting results on the efficacy of office-based therapy for treating symptoms of CI. Data were inconclusive regarding the effectiveness of home-based therapies (including pencil push-ups and home computer therapy) compared with home placebo. In young adults, office-based vergence and accommodative therapies were not superior to placebo in relieving symptoms of CI.CONCLUSIONS:
Level I evidence suggests that office-based vergence and accommodative therapies improve motor outcomes in children with symptomatic CI, although data are inconsistent regarding symptomatic relief. Evidence is insufficient to determine whether home-based therapies are effective.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Oftalmologia
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Ortóptica
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Avaliação da Tecnologia Biomédica
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Transtornos da Motilidade Ocular
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Movimentos Oculares
/
Acomodação Ocular
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Health_technology_assessment
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Systematic_reviews
Limite:
Adolescent
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Adult
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Child
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Ophthalmology
Ano de publicação:
2021
Tipo de documento:
Article