Does coexisting accommodative dysfunction impact clinical convergence measures, symptoms and treatment success for symptomatic convergence insufficiency in children?
accommodative facility
accommodative insufficiency
children
convergence insufficiency
ocular accommodation
symptoms
Journal
Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)
ISSN: 1475-1313
Titre abrégé: Ophthalmic Physiol Opt
Pays: England
ID NLM: 8208839
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
revised:
02
10
2021
received:
14
08
2021
accepted:
04
10
2021
pubmed:
4
11
2021
medline:
24
3
2022
entrez:
3
11
2021
Statut:
ppublish
Résumé
To determine whether coexisting accommodative dysfunction in children with symptomatic convergence insufficiency (CI) impacts presenting clinical convergence measures, symptoms and treatment success for CI. Secondary data analyses of monocular accommodative amplitude (AA; push-up method), monocular accommodative facility (AF; ±2.00 D lens flippers) and symptoms (CI Symptom Survey [CISS]) in children with symptomatic CI from the Convergence Insufficiency Treatment Trial (N = 218) and CITT-Attention and Reading Trial (N = 302) were conducted. Decreased AA was defined as more than 2D below the minimum expected amplitude for age (15 - ¼ age); those with AA < 5 D were excluded. Decreased AF was defined as <6 cycles per minute. Mean near point of convergence (NPC), near positive fusional vergence (PFV) and symptoms (CISS) were compared between those with and without accommodative dysfunction using analysis of variance and independent samples t-testing. Logistic regression was used to compare the effect of baseline accommodative function on treatment success [defined using a composite of improvements in: (1) clinical convergence measures and symptoms (NPC, PFV and CISS scores) or (2) solely convergence measures (NPC and PFV)]. Accommodative dysfunction was common in children with symptomatic CI (55% had decreased AA; 34% had decreased AF). NPC was significantly worse in those with decreased AA (mean difference = 6.1 cm; p < 0.001). Mean baseline CISS scores were slightly worse in children with coexisting accommodative dysfunction (decreased AA or AF) (30.2 points) than those with normal accommodation (26.9 points) (mean difference = 3.3 points; p < 0.001). Neither baseline accommodative function (p ≥ 0.12 for all) nor interaction of baseline accommodative function and treatment (p ≥ 0.50) were related to treatment success based on the two composite outcomes. A coexisting accommodative dysfunction in children with symptomatic CI is associated with worse NPC, but it does not impact the severity of symptoms in a clinically meaningful way. Concurrent accommodative dysfunction does not impact treatment response for CI.
Identifiants
pubmed: 34730250
doi: 10.1111/opo.12911
pmc: PMC10544663
mid: NIHMS1931044
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
59-70Subventions
Organisme : NEI NIH HHS
ID : U10 EY022594
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014709
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022592
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022601
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022591
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022596
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014710
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014716
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014659
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014712
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022587
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014676
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014706
Pays : United States
Organisme : NEI NIH HHS
ID : 5U10EY022599
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014713
Pays : United States
Organisme : NEI NIH HHS
ID : 5U10EY022601
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022586
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022599
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014715
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022595
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY022600
Pays : United States
Investigateurs
Jeffrey Cooper
(J)
Erica Schulman
(E)
Kimberly Hamian
(K)
Danielle Iacono
(D)
Steven Larson
(S)
Valerie Leung
(V)
Sara Meeder
(S)
Elaine Ramos
(E)
Steven Ritter
(S)
Audra Steiner
(A)
Alexandria Stormann
(A)
Marilyn Vricella
(M)
Xiaoying Zhu
(X)
Susanna Tamkins
(S)
Naomi Aguilera
(N)
Elliot Brafman
(E)
Hilda Capo
(H)
Kara Cavuoto
(K)
Isaura Crespo
(I)
Monica Dowling
(M)
Kristie Draskovic
(K)
Miriam Farag
(M)
Vicky Fischer
(V)
Sara Grace
(S)
Ailen Gutierrez
(A)
Carolina Manchola-Orozco
(C)
Maria Martinez
(M)
Craig McKeown
(C)
Carla Osigian
(C)
Tuyet-Suong Pham
(TS)
Leslie Small
(L)
Natalie Townsend
(N)
Michael Gallaway
(M)
Mark Boas
(M)
Christine Calvert
(C)
Tara Franz
(T)
Amanda Gerrouge
(A)
Donna Hayden
(D)
Zachary Margolies
(Z)
Shivakhaami Meiyeppen
(S)
Jenny Myung
(J)
Karen Pollack
(K)
Ruth Shoge
(R)
Andrew Tang
(A)
Noah Tannen
(N)
Lynn Trieu
(L)
Luis Trujillo
(L)
Michelle Buckland
(M)
Allison Ellis
(A)
Jennifer Fogt
(J)
Catherine McDaniel
(C)
Taylor McGann
(T)
Shane Mulvihill
(S)
Adam Peiffer
(A)
Gil Pierce
(G)
Julie Preston
(J)
Kathleen Reuter
(K)
Nancy Stevens
(N)
Jake Teeny
(J)
Douglas Widmer
(D)
Aaron Zimmerman
(A)
Carmen Barnhardt
(C)
Raymond Chu
(R)
Kristine Huang
(K)
Susan Parker
(S)
Dashaini Retnasothie
(D)
Judith Wu
(J)
Richard Hertle
(R)
Penny Clark
(P)
Kelly Culp
(K)
Kathy Fraley
(K)
Drusilla Grant
(D)
Nancy Hanna
(N)
Stephanie Knox
(S)
William Lawhon
(W)
Lan Li
(L)
Sarah Mitcheff
(S)
Isabel Ricker
(I)
Tawna Roberts
(T)
Casandra Solis
(C)
Palak Wall
(P)
Samantha Zaczyk
(S)
Kristine Hopkins
(K)
Wendy Marsh-Tootle
(W)
Michelle Bowen
(M)
Terri Call
(T)
Kristy Domnanovich
(K)
Marcela Frazier
(M)
Nicole Guyette
(N)
Oakley Hayes
(O)
John Houser
(J)
Sarah Lee
(S)
Jenifer Montejo
(J)
Tamara Oechslin
(T)
Christian Spain
(C)
Candace Turner
(C)
Katherine Weise
(K)
Rachel Coulter
(R)
Deborah Amster
(D)
Annette Bade
(A)
Surbhi Bansal
(S)
Laura Falco
(L)
Gregory Fecho
(G)
Katherine Green
(K)
Gabriela Irizarry
(G)
Jasleen Jhajj
(J)
Nicole Patterson
(N)
Jacqueline Rodena
(J)
Julie Tyler
(J)
Dana Weiss
(D)
Lauren Zakaib
(L)
Ingryd Lorenzana
(I)
Yesena Meza
(Y)
Ryan Mann
(R)
Mariana Quezada
(M)
Scott Rein
(S)
Indre Rudaitis
(I)
Susan Stepleton
(S)
Beata Wajs
(B)
Maryann Redford
(M)
Richard Hertle
(R)
Maryann Redford
(M)
Carolyn Denton
(C)
Eugene Arnold
(E)
Christopher Chase
(C)
Carolyn Denton
(C)
Sharyl Wee
(S)
Katlynn Dahl-Leonard
(K)
Kenneth Powers
(K)
Amber Alaniz
(A)
Marie Diener-West
(M)
William V Good
(WV)
David Grisham
(D)
Christopher J Kratochvil
(CJ)
Dennis Revicki
(D)
Jeanne Wanzek
(J)
Karen Pollack
(K)
Mustafa Alrahem
(M)
Julianne Dangelo
(J)
Jordan Hegedus
(J)
Ian Jones
(I)
Alexander Junglas
(A)
Jihyun Lee
(J)
Jadin Nettles
(J)
Curtis Mitchell
(C)
Mawada Osman
(M)
Gloria Scott-Tibbs
(G)
Chloe Teasley
(C)
Victor Vang
(V)
Robin Varghese
(R)
Susanna Tamkins
(S)
Hilda Capo
(H)
Mark Dunbar
(M)
Craig McKeown
(C)
Arlanna Moshfeghi
(A)
Kathryn Nelson
(K)
Vicky Fischer
(V)
Adam Perlman
(A)
Ronda Singh
(R)
Eva Olivares
(E)
Ana Rosa
(A)
Nidia Rosado
(N)
Elias Silverman
(E)
Jeffrey Cooper
(J)
Audra Steiner
(A)
Marta Brunelli
(M)
Stacy Friedman
(S)
Steven Ritter
(S)
Lily Zhu
(L)
Lyndon Wong
(L)
Ida Chung
(I)
Kaity Colon
(K)
Kristine Hopkins
(K)
Marcela Frazier
(M)
Janene Sims
(J)
Marsha Swanson
(M)
Katherine Weise
(K)
Adrienne Broadfoot
(A)
Michelle Anderson
(M)
Catherine Baldwin
(C)
Rachel Coulter
(R)
Deborah Amster
(D)
Gregory Fecho
(G)
Tanya Mahaphon
(T)
Jacqueline Rodena
(J)
Mary Bartuccio
(M)
Annette Bade
(A)
Michael Gallaway
(M)
Brandy Scombordi
(B)
Mark Boas
(M)
Tomohiko Yamada
(T)
Ryan Langan
(R)
Ruth Shoge
(R)
Lily Zhu
(L)
Michelle Buckland
(M)
Michael Earley
(M)
Gina Gabriel
(G)
Aaron Zimmerman
(A)
Kathleen Reuter
(K)
Molly Biddle
(M)
Nancy Stevens
(N)
Michael Rouse
(M)
Carmen Barnhardt
(C)
Raymond Chu
(R)
Susan Parker
(S)
Rebecca Bridgeford
(R)
Jamie Morris
(J)
Javier Villalobos
(J)
David Granet
(D)
Lara Hustana
(L)
Shira Robbins
(S)
Erica Castro
(E)
Cintia Gomi
(C)
Brian G Mohney
(BG)
Jonathan Holmes
(J)
Melissa Rice
(M)
Virginia Karlsson
(V)
Becky Nielsen
(B)
Jan Sease
(J)
Tracee Shevlin
(T)
Karen Pollack
(K)
Richard Hertle
(R)
Michael Rouse
(M)
Tracy Kitts
(T)
Melanie Bacher
(M)
Linda Barrett
(L)
Kelly Watson
(K)
Pam Wessel
(P)
Maryann Redford
(M)
Richard Hertle
(R)
Maryann Redford
(M)
Michael Rouse
(M)
Marie Diener-West
(M)
Andrew Costello
(A)
William V Good
(WV)
Ron D Hays
(RD)
Argye Hillis
(A)
Ruth Manny
(R)
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021 The Authors Ophthalmic and Physiological Optics © 2021 The College of Optometrists.
Références
Ophthalmic Physiol Opt. 2004 May;24(3):246-51
pubmed: 15130174
Optom Vis Sci. 2009 May;86(5):420-8
pubmed: 19319008
Am J Optom Physiol Opt. 1987 Jun;64(6):415-20
pubmed: 3307438
Optom Vis Sci. 2007 Aug;84(8):745-51
pubmed: 17700337
J Am Optom Assoc. 1985 Jul;56(7):560-2
pubmed: 4020010
Optom Vis Sci. 2006 May;83(5):281-9
pubmed: 16699440
Cochrane Database Syst Rev. 2020 Dec 2;12:CD006768
pubmed: 33263359
Arch Ophthalmol. 2005 Jan;123(1):14-24
pubmed: 15642806
Trans Am Ophthalmol Soc. 1989;87:158-68; discussion 168-73
pubmed: 2562518
J Ophthalmol. 2016;2016:6963976
pubmed: 27525112
Am J Optom Physiol Opt. 1982 Feb;59(2):116-27
pubmed: 7065104
Optom Vis Sci. 2019 Nov;96(11):825-835
pubmed: 31651593
Vis Dev Rehabil. 2015 Oct;1(3):214-228
pubmed: 26942226
Ophthalmic Physiol Opt. 2021 Jan;41(1):21-32
pubmed: 33119180
Am J Optom Physiol Opt. 1984 Jan;61(1):16-22
pubmed: 6702996
J Am Optom Assoc. 1996 Apr;67(4):193-202
pubmed: 8888829
Optometry. 2003 Jan;74(1):25-34
pubmed: 12539890
Am J Optom Physiol Opt. 1985 Jun;62(6):369-74
pubmed: 4014424
Optom Vis Sci. 2019 Nov;96(11):836-849
pubmed: 31651592
Optom Vis Sci. 1999 Sep;76(9):643-9
pubmed: 10498006
Doc Ophthalmol. 1973 Feb 21;34(1):393-403
pubmed: 4706105
BMC Ophthalmol. 2019 Feb 21;19(1):58
pubmed: 30791877
J Clin Epidemiol. 2005 Dec;58(12):1217-9
pubmed: 16291464
Clin Exp Optom. 2018 Jul;101(4):578-584
pubmed: 29534348
Optom Vis Sci. 2009 Apr;86(4):357-63
pubmed: 19289977
J Optom. 2014 Oct-Dec;7(4):178-92
pubmed: 25323640
Ophthalmic Epidemiol. 2008 Jan-Feb;15(1):24-36
pubmed: 18300086
Optom Vis Sci. 2003 Dec;80(12):832-8
pubmed: 14688547
Graefes Arch Clin Exp Ophthalmol. 1992;230(2):166-70
pubmed: 1577299
Optom Vis Sci. 2011 Nov;88(11):1343-52
pubmed: 21873922
Clin Exp Optom. 2019 Mar;102(2):166-171
pubmed: 30206993
Ophthalmic Physiol Opt. 2006 Mar;26(2):148-55
pubmed: 16460315
Optom Vis Sci. 2006 Nov;83(11):857-8; author reply 858-9
pubmed: 17106414
Doc Ophthalmol. 1983 May 1;55(3):177-98
pubmed: 6884172
Invest Ophthalmol Vis Sci. 1987 Aug;28(8):1250-9
pubmed: 3610543
Optom Vis Sci. 1997 Feb;74(2):111-3
pubmed: 9097328
J Am Optom Assoc. 1984 Jan;55(1):31-7
pubmed: 6699343
Am J Optom Physiol Opt. 1984 Mar;61(3):177-83
pubmed: 6720863
Am J Optom Physiol Opt. 1983 May;60(5):352-9
pubmed: 6881261
Arch Ophthalmol. 2008 Oct;126(10):1336-49
pubmed: 18852411
Ophthalmic Physiol Opt. 2011 Mar;31(2):180-9
pubmed: 21309805