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Research Article Open access CC BY 4.0

Clues for the Diagnosis of Accommodative Excess and Its Treatment with a Vision Therapy Protocol

Carmelo Baños, Eneko Zabalo, Irene Sanchez

Ophthalmology Research: An International Journal · pp. 32–42 · Published 21 Sep 2020

10.9734/or/2020/v13i330171

Abstract

Introduction: Accommodative and vergence dysfunctions are the most common vision disorders in the pediatric population with a prevalence of up to 30%, and patients with these dysfunctions usually have symptoms at near distances that could affect academic results. This study is the retrospective assessment of accommodative excess cases and aims to find a pattern in optometric exams to help diagnose accommodative excess without cycloplegic drugs. Furthermore, this study assesses the utility of a vision therapy protocol as accommodative excess treatment. Methodology: A retrospective study was conducted with 24 patients who were diagnosed with accommodative excess and completed all sessions of the vision therapy protocol. The vision therapy protocol was organized into 8-12 sessions. Statistical analysis was performed using SPSS 23.0. Wilcoxon nonparametric paired tests were used to compare the clinical values between visits. Results: In total, 24 patients with accommodative excess were included in the retrospective study. The pairwise comparisons of sphere values obtained with the different refraction methods without cycloplegic drugs found statistically significant differences (P< 0.01). Statistically significant differences (P< 0.01) were shown in the sphere values obtained from subjective refraction, visual acuity tests, near point of convergence and stereopsis between the diagnosis visit and the post-vision therapy protocol visit, with better values post-therapy. Conclusion: Variations in the sphere values could be clues for accommodative excess if a double condition is given, the retinoscopy results are more positive than the subjective refraction findings (>0.60D) and are more positive than the values obtained with an auto refractor (>1.75D).

Accommodative excess vision therapy pseudomyopia spasm of the near reflex accommodative spasm.

References (8)

  1. 1 Digital eye strain: prevalence, measurement and amelioration [DOI]
  2. 2 A Comparison of Autorefraction and Subjective Refraction With and Without Cycloplegia in Primary School Children [DOI]
  3. 3 The scientific basis for and efficacy of optometric vision therapy in nonstrabismic accommodative and vergence disorders.
  4. 4 Treatment of Accommodative Dysfunction in Children: Results from a Randomized Clinical Trial [DOI]
  5. 5 Is there any evidence for the validity of diagnostic criteria used for accommodative and nonstrabismic binocular dysfunctions? [DOI]
  6. 6 Efficacy of vision therapy in children with learning disability and associated binocular vision anomalies [DOI]
  7. 7 Prevalence of general binocular dysfunctions among rural schoolchildren in South Korea [DOI]
  8. 8 Treatment of accommodative and nonstrabismic binocular dysfunctions: A systematic review [DOI]

Cited by 1

Incidence of Accommodative Excess Reported at Binocular Vision Therapy Clinic of a Tertiary Eye Care Centre Among School Children During Pandemic Lockdown

Preeti Sharma · Journal of Optometry and Ophthalmology · 2022

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