Can Binocular Vision Disorders Contribute to Contact Lens Discomfort?

2015 ◽  
Vol 92 (9) ◽  
pp. e214-e221 ◽  
Author(s):  
Erin M. Rueff ◽  
P. Ewen King-Smith ◽  
Melissa D. Bailey
2014 ◽  
Vol 142 (7-8) ◽  
pp. 492-497 ◽  
Author(s):  
Branka Jablan ◽  
Vesna Vucinic ◽  
Branka Eskirovic ◽  
Milorad Ljutica

Binocular vision is characterized by a harmonious relation between sensory and motor systems of both eyes. This relation enables directing visual axes toward the observed object simultaneously, fusing images from two eyes, and the sense of threedimensionality. Motility and binocular vision disorders occur in manifest and latent strabismus. The irregular position of eyes in strabismus is perceived by most people as an esthetic defect. Also, psychosocial consequences and the importance of treating strabismus are very superficially explained in this context. Bearing in mind the results of recent researches, which indicate that individuals of all ages with strabismus face different difficulties in psychosocial functioning, we believe that this issue in our surroundings should be dealt with. Strabismus leads to forming prejudices which usually have a negative impact on socialization and employment opportunities. Timely treatment of strabismus has a positive influence on the functionality of binocular vision, building self-esteem and self-satisfaction, being accepted by typically developing population, the quality and quantity of social interaction. The aim of this paper is to present the relation between strabismus and psychosocial reactions with regard to the available literature.


2020 ◽  
Vol 59 (11) ◽  
pp. 961-969
Author(s):  
Adam J. Peiffer ◽  
James MacDonald ◽  
Drew Duerson ◽  
Gladys Mitchell ◽  
Andrew T. E. Hartwick ◽  
...  

Binocular vision disorders are commonly found postconcussion and associated with high symptom burden. We investigated the relationship between binocular vision symptoms and neurocognitive test performance. Thirty-four adolescents with concussion and 18 without concussion were assessed for cognitive performance using the CogState Brief Battery. Binocular vision disorders were determined using clinical examination and vision symptoms with the Convergence Insufficiency Symptoms Survey (CISS). A cutoff CISS score of 13 had high predictive accuracy for identifying individuals with a binocular vision disorder. CogState scores for processing speed and attention were significantly lower in the concussion group compared with the control group. Within the concussion group, scores for attention, learning, and working memory were significantly lower in those with vision symptoms. The presence of vision symptoms did not significantly affect CogState scores within the control group. The presence of vision symptoms in individuals with concussion is associated with significantly reduced scores on individual components of the CogState.


Author(s):  
Hassan Hashemi ◽  
Payam Nabovati ◽  
Abbas Ali Yekta ◽  
Mohammadreza Agha Mirsalim ◽  
Shokoofeh Rafati ◽  
...  

2021 ◽  
Vol 14 (8) ◽  
pp. 1281-1284
Author(s):  
Monica Chaudhry ◽  
◽  
Indra Prasad Sharma ◽  
Soujanya Mondal ◽  
◽  
...  

AIM: To compare the visual acuity (VA), comfort, and patient preference in a soft toric contact lens (TCL) versus soft spherical contact lens (SCL) in low astigmatic subjects during the contact lens (CL) trial. METHODS: This subject-masked, block randomized, 2×2 crossover study recruited 40 neophyte subjects (80 eyes) aged 18 to 33y with astigmatism in the range of 0.75-1.25 D with or without spherical power from -6.00 D to +6.00 D. The participants were scheduled for two days CL trial and were fitted with the best-fit SCL and TCL. After 4h of wear, they were assessed objectively for high contrast VA and subjective vision, comfort, and preference. RESULTS: The responses of 36 subjects (response rate 90%) with a mean age of 23.02±2.97y (range 18 to 33y) were analyzed. One-line improvement of monocular VA in the logMAR chart was reported to TCL as compared to SCL (-0.044±0.06 vs 0.04±0.03 logMAR, P=0.01) but the binocular vision remained similar (-0.12±0.07 vs -0.14±0.04 logMAR, P=0.38). Subjects felt a noticeable difference in clarity when shifted to TCL as compared to the SCL. The satisfaction with vision (vision quality) was significantly better with TCL (P=0.03). The fatigue with TCL was graded less at 2.5±0.6, compared to SCL at 4.6±1.3 (P=0.04). Thirty-three participants (91.6%) preferred to use contact lens of which 26 participants (79%) preferred TCL. CONCLUSION: The findings suggest that VA and comfort are better with TCL as compared to SCL which is only observed if the patient was offered both offering SCL with spherical equivalent power alone as the first option can mislead the practitioner; TCL trial should be the first choice of the lens in low-to-moderate astigmatism.


2020 ◽  
Vol 79 (1) ◽  
Author(s):  
Charles Darko-Takyi ◽  
Vanessa R. Moodley ◽  
Samuel B. Boadi-Kusi

Background: There was a need to document population-expected normative data for parameters of non-strabismic binocular vision (NSBV) as the analysis and diagnosis of binocular vision disorders required comparison of patient’s clinical signs with expected data in their specific population.Aim: This article sought to review and map population-expected continental normative data for visual function parameters for evaluating the functional non-strabismic accommodative and vergence system, as these systems are very relevant to evaluate the comfort of visual system.Method: Search engines – namely, Google Scholar, Microsoft Academic, Web of Science database and Ovid MEDLINE database – were used to search studies published in English across different continents using keywords such as ‘normative or expected data’ and ‘specific NSBV parameter’. Results were summarised in tables for easy comparison; data were presented based on the geographical location, year of publication, demographics of the population studied and the techniques used for measuring the parameters. A summary of observed challenges with reviewed works and recommendations for the future studies are indicated. The article is delimited to studies published between 1910 and September 2019 only.Results: Most of the studies investigated specific parameters of either accommodation only or vergence only; few recent studies have comprehensively investigated both parameters. Most studies were conducted in North America followed by Asia and Europe, with a few in Africa. No studies were found with Oceania populations. There were discrepancies and differences in methodologies and techniques used by the studies reviewed and normative data varied among different continents and different populations within each continent.Conclusion: As the observed differences in reviewed studies could be attributed to differences in test techniques, the future studies should consider using identical, reliable, repeatable, objective and subjective techniques with good methodological designs to clarify these results. More studies should be conducted in African and Oceania populations.


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