Efficacy of anti-suppression therapy in improving binocular vision in children with small-angle Esotropia
J. optom. (Internet)
; 17(3): [100490], jul.-sept2024. ilus, graf, tab
Artigo
em Inglês
| IBECS
| ID: ibc-231868
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Purpose:
To evaluate the efficacy of anti-suppression exercises in children with small-angle esotropia in achieving binocular vision.Methods:
A retrospective review of patients aged 38 years who underwent anti-suppression exercises for either monocular or alternate suppression between January 2016 and December 2021 was conducted. Patients with esotropia less than 15 prism diopters (PD) and visual acuity ≥ 6/12 were included. Patients with previous intra-ocular surgery or less than three-month follow-up were excluded. Success was defined as the development of binocular single vision (BSV) for distance, near, or both (measured clinically with either the 4 prism base out test or Worth four dot test) and maintained at two consecutive visits. Qualified success was defined as the presence of diplopia response for both distance and near. Additionally, improvement in near stereo acuity was measured using the Stereo Fly test.Results:
Eighteen patients with a mean age of 5.4 ± 1.38 years (range 38 years) at the time of initiation of exercises were included in the study. The male female ratio was 108. The mean best corrected visual acuity was 0.18 LogMAR unit(s) and the mean spherical equivalent was +3.8 ± 0.14 diopters (D). The etiology of the esotropia was fully accommodative refractive esotropia (8), microtropia (1), postoperative infantile esotropia (4), partially accommodative esotropia (1), and post-operative partially accommodative esotropia (4). Patients received either office-based, home-based, or both modes of treatment for an average duration of 4.8 months (range 38). After therapy, BSV was achieved for either distance or near in 66.6 % of patients (95 % CI = 40.0393.31 %). Binocular single vision for both distance and near was seen in 50 % of children. Qualified success was observed in 38.46% of patients. Persistence of suppression was observed in one patient (5.5 %)... (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Terapêutica
/
Visão Binocular
/
Acuidade Visual
/
Supressão
/
Esotropia
Limite:
Criança
/
Humanos
Idioma:
Inglês
Revista:
J. optom. (Internet)
Ano de publicação:
2024
Tipo de documento:
Artigo
Instituição/País de afiliação:
Dr. Shroff's Charity Eye Hospital/India