以办公室为基础的收敛治疗与家庭治疗联合治疗埃及儿童收敛不足。

IF 0.4 Q4 OPHTHALMOLOGY

Open Ophthalmology Journal Pub Date : 2018-02-28 eCollection Date: 2018-01-01 DOI:10.2174/1874364101812010012

Tarek Nehad, Tamer Salem, Mohamed Nagy Elmohamady

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引用次数: 10

摘要

背景:会聚功能不全(CI)是一种常见的双目视力障碍，其特征是近处远处多见外斜视，近会聚点(NPC)下降，近处正会聚(PFV)下降。这种疾病通常伴有几种可能影响患者生活质量的症状。因此，CI的诊断和治疗是一个至关重要的问题。目的:比较办公室视力治疗(OBVT)和OBVT联合家庭治疗系统(HTS)治疗CI患者的疗效。方法:纳入102例患者，年龄7 ~ 13岁。所有患者均采用Sheard标准进行收敛功能不全症状调查(CISS)评分、近收敛点(NPC)估计和近正融合收敛(PFV)确定。患者被随机分为两组:第一组:接受基于办公室的视力治疗(OBVT)，第二组:接受OBVT并使用家庭治疗系统(HTS)进行家庭强化。治疗第12周结束时;结果确定为成功(CISS评分15Δ)、改善(CISS评分改善>4 cm, PFV >15Δ或增加> 10Δ)、反应不足(NPC评分改善4 cm, PFV >15Δ或增加> 10Δ)和无反应。结果:治疗第12周时，48例(47.1%)患者应用治疗策略成功，30例(29.4%)患者症状改善，13例(12.7%)患者症状改善不足，11例(10.8%)患者无反应。II组患者预后改善的频率(86%)明显高于I组(69.2%)。结论:经12周治疗后，采用HTS家庭辅助OBVT治疗会敛功能不全患儿成功率高，且优于单纯OBVT治疗。

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Combined Office-based Vergence Therapy and Home Therapy System for Convergence Insufficiency in Egyptian Children.

Background: Convergence Insufficiency (CI) is a common binocular vision disorder characterized by exophoria more at near than at far, a receded Near Point of Convergence (NPC), and decreased Positive Fusional Vergence (PFV) at near. This disorder is often associated with several symptoms that may disturb the person's quality of life. Therefore, diagnosis and treatment of CI is a vital issue.

Objectives: To compare therapeutic yield of Office Based Vision Therapy (OBVT) and combined OBVT with Home Therapy System (HTS) in patients with CI.

Methods: The study included 102 patients with age range of 7-13 years. All patients underwent Convergence Insufficiency Symptom Survey (CISS) scoring, estimation of Near Point of Convergence (NPC) and determination of Positive Fusional Vergence at near (PFV) using Sheard's criterion. Patients were randomly allocated in two groups: Group I: received Office-based Vision Therapy (OBVT) and Group II: received OBVT with home reinforcement using the Home Therapy System (HTS). At the end of 12^th week of therapy; outcome was determined as Successful (all the following: CISS score of <16, NPC <6 cm and PFV >15Δ), Improved (CISS score of <16 or a 10 points-decrease and one of the following: NPC <6cm or improved by >4 cm, PFV >15Δ or increased by > 10Δ), Insufficient response (NPC <6cm or improved by >4 cm, PFV >15Δ or increased by > 10Δ) and non-responders.

Results: At the end of the 12^th week of therapy, the applied therapeutic polices were successful in 48 patients (47.1%), the symptoms were improved in 30 patients (29.4%), improvement was insufficient in 13 patients (12.7%) and 11 patients (10.8%) were considered as non-responders. There was significantly higher frequency of patients with improved outcome in group II (86%) compared to group I (69.2%).

Conclusion: OBVT with home supplement using HTS provided a high success rate, and it seems to be superior to OBVT alone in treatment of children with convergence insufficiency after 12-week course of therapy.

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来源期刊

Open Ophthalmology Journal OPHTHALMOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

期刊介绍： The Open Ophthalmology Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited single topic issues in all important areas of experimental and clinical research in ophthalmology, including use of ophthalmological therapies, devices and surgical techniques. The Open Ophthalmology Journal, a peer-reviewed journal, is an important and reliable source of current information on developments in the field. The emphasis will be on publishing quality papers rapidly and making them freely available to researchers worldwide.