Vision therapy for intermittent exotropia: A case series
J. optom. (Internet)
; 14(3): 247-253, July - September 2021. tab, graf
Artigo
em Inglês
| IBECS
| ID: ibc-209002
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Introduction:
We evaluated the effectiveness of office-based vergence/accommodative therapy with home reinforcement for intermittent exotropia in a private practice environment.Methods:
This was a retrospective chart review study. Patients who received office-based vision therapy for intermittent exotropia in a private optometric clinic were reviewed. Patients with intermittent exotropia treated with and without strabismus surgery were both included. The pre-therapy baseline data were compared to the re-evaluation data obtained at the last therapy session. All patients received office-based vergence/accommodative therapy administered by a trained therapist during a 60 min office visit every one to two weeks, combined with home reinforcement for a minimum of 15 min, five times per week. The primary outcome measure in this study was the change in the Office Control Score from the pre-therapy visit to the post-therapy visit. The hypothesis was that office-based vergence/accommodative therapy would significantly improve the Office Control Score.Results:
Forty patients aged from 5 to 22 years old fulfilled the inclusion criteria. Eight of them were postoperative patients. After treatment, there was a change of −1.1 ± 1.6 (p < 0.001, z = 3.73, effect size 0.42) and −1.1 ± 1.4 (p < 0.001, z = 4.26, effect size 0.48) in distance and near Office Control Score, respectively. In the subgroup analysis, significant improvements in the Office Control Score were observed in both the operated and unoperated intermittent exotropes at distance and near.Conclusion:
This study showed that office-based vergence/accommodative therapy with home reinforcement significantly improved the distance and near control of exodeviation in both operated and unoperated intermittent exotropia patients in a private practice environment. (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Visão Binocular
/
Exotropia
/
Acomodação Ocular
/
Músculos Oculomotores
Limite:
Adolescente
/
Criança
/
Criança, pré-escolar
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
J. optom. (Internet)
Ano de publicação:
2021
Tipo de documento:
Artigo
Instituição/País de afiliação:
Bright Vision Clinic/China
/
Sun Yat-sen University/China