Curative effect of vision therapy on children with functional visual loss

AIM: To observe the curative effect of vision therapy on children with functional visual loss.<p>METHODS: Totally 22 children with functional vision loss were enrolled in our department between January 2018 and June 2018, including 12 males and 10 females, the mean age 7.5±0.8 years old. All p...

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Main Authors: Fen Du, Jiu-Ju Wu, Xin Xu, Yan Guo, Ying-Ying Yang
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-05-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2019/5/201905043.pdf
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author Fen Du
Jiu-Ju Wu
Xin Xu
Yan Guo
Ying-Ying Yang
author_facet Fen Du
Jiu-Ju Wu
Xin Xu
Yan Guo
Ying-Ying Yang
author_sort Fen Du
collection DOAJ
description AIM: To observe the curative effect of vision therapy on children with functional visual loss.<p>METHODS: Totally 22 children with functional vision loss were enrolled in our department between January 2018 and June 2018, including 12 males and 10 females, the mean age 7.5±0.8 years old. All patients had routine eye examinations, refraction and binocular visual function examinations. Children with or without astigmatism whose diopter spherical mirror was between±1.00D and were accompanied by astigmatism less than ±1.00D participated in personalized vision therapy. Paired <i>t</i> test was used to analyze the binocular visual function before and after vision therapy.<p>RESULTS: The average visual acuity of the 22 children were improved, but the diopters before and after vision therapy were -0.011±0.573D and -0.057 ±0.338D drespectively, without statistical significance(<i>P</i>=0.633). The average of the distant level phoria(DLP)before and after vision therapy were -3<sup>△ </sup>±2.97<sup>△ </sup>and -1.18<sup>△ </sup>±1.6<sup>△</sup>, which was not statistically significant(<i>P</i>=0.089). The near level phoria(NLP)were -6.27<sup>△ </sup>±4.56<sup>△ </sup>and -2.82<sup>△ </sup>±2.56<sup>△</sup>; the near point of convergene(NPC)were 7.73±2.15 and 3.05±0.69cm; the accommodation convergence/accommodation(AC/A)were 2.00±1.55, 3.64±0.5 before and after the training respectively(<i>P</i><0.05); The negative relative accommodation(NRA)and positive relative accommodation(PRA)before vision therapy were 1.61±0.41 and -1.98±0.71D; after training they were 2.09±0.23 and -3.89±0.71D respectively; binocular crossed-cylinder(BCC)was 0.09±0.38D, which improved to 0.39±0.13D after therapy; the average of amplitude of accommodation(AMP)were 9.55±2.54 and 11.55±1.13D; binocular accommodation facility(BAF)were 3.36±2.73 and 9.64±1.5cpm respectively before and after therapy.<p>CONCLUSION:It is necessary to perform binocular visual function examination base on the refractive examination for children with functional vision loss. Visual therapy can improve visual acuity and binocular vision function.
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spelling doaj.art-edea163203a6479ea1d13ca0f7376a112022-12-21T23:33:56ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232019-05-0119588188310.3980/j.issn.1672-5123.2019.5.43Curative effect of vision therapy on children with functional visual lossFen Du0Jiu-Ju Wu1Xin Xu2Yan Guo3Ying-Ying Yang4Department of Ophthalmology, Hunan Children's Hospital, Changsha 410007, Hunan Province, ChinaDepartment of Ophthalmology, Hunan Children's Hospital, Changsha 410007, Hunan Province, ChinaDepartment of Ophthalmology, Hunan Children's Hospital, Changsha 410007, Hunan Province, ChinaDepartment of Ophthalmology, Hunan Children's Hospital, Changsha 410007, Hunan Province, ChinaDepartment of Ophthalmology, Hunan Children's Hospital, Changsha 410007, Hunan Province, ChinaAIM: To observe the curative effect of vision therapy on children with functional visual loss.<p>METHODS: Totally 22 children with functional vision loss were enrolled in our department between January 2018 and June 2018, including 12 males and 10 females, the mean age 7.5±0.8 years old. All patients had routine eye examinations, refraction and binocular visual function examinations. Children with or without astigmatism whose diopter spherical mirror was between±1.00D and were accompanied by astigmatism less than ±1.00D participated in personalized vision therapy. Paired <i>t</i> test was used to analyze the binocular visual function before and after vision therapy.<p>RESULTS: The average visual acuity of the 22 children were improved, but the diopters before and after vision therapy were -0.011±0.573D and -0.057 ±0.338D drespectively, without statistical significance(<i>P</i>=0.633). The average of the distant level phoria(DLP)before and after vision therapy were -3<sup>△ </sup>±2.97<sup>△ </sup>and -1.18<sup>△ </sup>±1.6<sup>△</sup>, which was not statistically significant(<i>P</i>=0.089). The near level phoria(NLP)were -6.27<sup>△ </sup>±4.56<sup>△ </sup>and -2.82<sup>△ </sup>±2.56<sup>△</sup>; the near point of convergene(NPC)were 7.73±2.15 and 3.05±0.69cm; the accommodation convergence/accommodation(AC/A)were 2.00±1.55, 3.64±0.5 before and after the training respectively(<i>P</i><0.05); The negative relative accommodation(NRA)and positive relative accommodation(PRA)before vision therapy were 1.61±0.41 and -1.98±0.71D; after training they were 2.09±0.23 and -3.89±0.71D respectively; binocular crossed-cylinder(BCC)was 0.09±0.38D, which improved to 0.39±0.13D after therapy; the average of amplitude of accommodation(AMP)were 9.55±2.54 and 11.55±1.13D; binocular accommodation facility(BAF)were 3.36±2.73 and 9.64±1.5cpm respectively before and after therapy.<p>CONCLUSION:It is necessary to perform binocular visual function examination base on the refractive examination for children with functional vision loss. Visual therapy can improve visual acuity and binocular vision function.http://ies.ijo.cn/cn_publish/2019/5/201905043.pdfbinocular vision functionchildrenfunctional visual loss
spellingShingle Fen Du
Jiu-Ju Wu
Xin Xu
Yan Guo
Ying-Ying Yang
Curative effect of vision therapy on children with functional visual loss
Guoji Yanke Zazhi
binocular vision function
children
functional visual loss
title Curative effect of vision therapy on children with functional visual loss
title_full Curative effect of vision therapy on children with functional visual loss
title_fullStr Curative effect of vision therapy on children with functional visual loss
title_full_unstemmed Curative effect of vision therapy on children with functional visual loss
title_short Curative effect of vision therapy on children with functional visual loss
title_sort curative effect of vision therapy on children with functional visual loss
topic binocular vision function
children
functional visual loss
url http://ies.ijo.cn/cn_publish/2019/5/201905043.pdf
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AT yanguo curativeeffectofvisiontherapyonchildrenwithfunctionalvisualloss
AT yingyingyang curativeeffectofvisiontherapyonchildrenwithfunctionalvisualloss