scholarly journals A Randomized Trial Using Progressive Addition Lenses to Evaluate Theories of Myopia Progression in Children with a High Lag of Accommodation

2012 ◽  
Vol 53 (2) ◽  
pp. 640 ◽  
Author(s):  
David A. Berntsen ◽  
Loraine T. Sinnott ◽  
Donald O. Mutti ◽  
Karla Zadnik
2017 ◽  
Vol 58 (9) ◽  
pp. 3319 ◽  
Author(s):  
Tim Schilling ◽  
Arne Ohlendorf ◽  
Saulius R. Varnas ◽  
Siegfried Wahl

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Martin Ming-Leung Ma ◽  
Mitchell Scheiman ◽  
Cuiyun Su ◽  
Xiang Chen

Introduction. We evaluated the effectiveness of office-based accommodative/vergence therapy (OBAVT) with home reinforcement to improve accommodative function in myopic children with poor accommodative response.Methods. This was a prospective unmasked pilot study. 14 Chinese myopic children aged 8 to 12 years with at least 1 D of lag of accommodation were enrolled. All subjects received 12 weeks of 60-minute office-based accommodative/vergence therapy (OBAVT) with home reinforcement. Primary outcome measure was the change in monocular lag of accommodation from baseline visit to 12-week visit measured by Shinnipon open-field autorefractor. Secondary outcome measures were the changes in accommodative amplitude and monocular accommodative facility.Results. All participants completed the study. The lag of accommodation at baseline visit was 1.29 ± 0.21 D and it was reduced to 0.84 ± 0.19 D at 12-week visit. This difference (−0.46 ± 0.22 D; 95% confidence interval: −0.33 to −0.58 D) is statistically significant (p<0.0001). OBAVT also increased the amplitude and facility by 3.66 ± 3.36 D (p=0.0013; 95% confidence interval: 1.72 to 5.60 D) and 10.9 ± 4.8 cpm (p<0.0001; 95% confidence interval: 8.1 to 13.6 cpm), respectively.Conclusion. Standardized 12 weeks of OBAVT with home reinforcement is able to significantly reduce monocular lag of accommodation and increase monocular accommodative amplitude and facility. A randomized clinical trial designed to investigate the effect of vision therapy on myopia progression is warranted.


2008 ◽  
Vol 49 (11) ◽  
pp. 4702 ◽  
Author(s):  
Jeffrey J. Walline ◽  
Lisa A. Jones ◽  
Loraine Sinnott ◽  
Ruth E. Manny ◽  
Amber Gaume ◽  
...  

2008 ◽  
Vol 49 (7) ◽  
pp. 2781 ◽  
Author(s):  
Satoshi Hasebe ◽  
Hiroshi Ohtsuki ◽  
Takafumi Nonaka ◽  
Chiaki Nakatsuka ◽  
Manabu Miyata ◽  
...  

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