Reading performance is not affected by a prism induced increase of horizontal and vertical vergence demand

Purpose Dyslexia is the most common developmental reading disorder that affects language skills. Latent strabismus (heterophoria) has been suspected to be causally involved. Even though phoria correction in dyslexic children is commonly applied, the evidence in support of a benefit is poor. In order...

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Main Authors: Muriel eDysli, Nicolas eVogel, Mathias eAbegg
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-06-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00431/full
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author Muriel eDysli
Muriel eDysli
Nicolas eVogel
Mathias eAbegg
author_facet Muriel eDysli
Muriel eDysli
Nicolas eVogel
Mathias eAbegg
author_sort Muriel eDysli
collection DOAJ
description Purpose Dyslexia is the most common developmental reading disorder that affects language skills. Latent strabismus (heterophoria) has been suspected to be causally involved. Even though phoria correction in dyslexic children is commonly applied, the evidence in support of a benefit is poor. In order to provide experimental evidence on this issue, we simulated phoria in healthy readers by modifying the vergence tone required to maintain binocular alignment. MethodsVergence tone was altered with prisms that were placed in front of one eye in 16 healthy subjects to induce exophoria, esophoria, or vertical phoria. Subjects were to read one paragraph for each condition, from which reading speed was determined. Text comprehension was tested with a forced multiple choice test. Eye movements were recorded during reading and subsequently analysed for saccadic amplitudes, saccades per 10 letters, percentage of regressive (backward) saccades, average fixation duration, first fixation duration on a word, and gaze duration.ResultsAcute change of horizontal and vertical vergence tone does neither significantly affect reading performance nor reading associated eye movements. Conclusion Prisms in healthy subjects fail to induce a significant change of reading performance. This finding is not compatible with a role of phoria in dyslexia. Our results contrast the proposal for correcting small angle heterophorias in dyslexic children.
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spelling doaj.art-3f56ea6cf2ed48abb00f5f149d90bd392022-12-21T20:18:55ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612014-06-01810.3389/fnhum.2014.0043190976Reading performance is not affected by a prism induced increase of horizontal and vertical vergence demandMuriel eDysli0Muriel eDysli1Nicolas eVogel2Mathias eAbegg3Inselspital BernUniversity of BernInselspital BernInselspital BernPurpose Dyslexia is the most common developmental reading disorder that affects language skills. Latent strabismus (heterophoria) has been suspected to be causally involved. Even though phoria correction in dyslexic children is commonly applied, the evidence in support of a benefit is poor. In order to provide experimental evidence on this issue, we simulated phoria in healthy readers by modifying the vergence tone required to maintain binocular alignment. MethodsVergence tone was altered with prisms that were placed in front of one eye in 16 healthy subjects to induce exophoria, esophoria, or vertical phoria. Subjects were to read one paragraph for each condition, from which reading speed was determined. Text comprehension was tested with a forced multiple choice test. Eye movements were recorded during reading and subsequently analysed for saccadic amplitudes, saccades per 10 letters, percentage of regressive (backward) saccades, average fixation duration, first fixation duration on a word, and gaze duration.ResultsAcute change of horizontal and vertical vergence tone does neither significantly affect reading performance nor reading associated eye movements. Conclusion Prisms in healthy subjects fail to induce a significant change of reading performance. This finding is not compatible with a role of phoria in dyslexia. Our results contrast the proposal for correcting small angle heterophorias in dyslexic children.http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00431/fullDyslexiaStrabismusreadingvergencephoria
spellingShingle Muriel eDysli
Muriel eDysli
Nicolas eVogel
Mathias eAbegg
Reading performance is not affected by a prism induced increase of horizontal and vertical vergence demand
Frontiers in Human Neuroscience
Dyslexia
Strabismus
reading
vergence
phoria
title Reading performance is not affected by a prism induced increase of horizontal and vertical vergence demand
title_full Reading performance is not affected by a prism induced increase of horizontal and vertical vergence demand
title_fullStr Reading performance is not affected by a prism induced increase of horizontal and vertical vergence demand
title_full_unstemmed Reading performance is not affected by a prism induced increase of horizontal and vertical vergence demand
title_short Reading performance is not affected by a prism induced increase of horizontal and vertical vergence demand
title_sort reading performance is not affected by a prism induced increase of horizontal and vertical vergence demand
topic Dyslexia
Strabismus
reading
vergence
phoria
url http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00431/full
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