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KMID : 1011420090140030075
Journal of Korean Ophthalmic Optics Society
2009 Volume.14 No. 3 p.75 ~ p.81
The Effectiveness of Vision Therapy for Symptomatic Accommodative Infacility in Children
Shin Hoy-Sun

Abstract
Purpose: The purpose of this controlled study was to determine the effectiveness of vision therapy for accommo- dative infacility in children.

Methods: 10 children 9 to 13 years of age with symptomatic accommodative infacility were divided into a treatment group (n=6) and a contol group (n=4). The treatment group received 12 weeks of vision therapy while the control group received nothing.

Results: The visual symptom assessed by COVD-QOL score for the treatment group showed both statistically and clinically significant reduction from 27.50?.68 to 12.00?.24 (p<0.01). Also, there were statistically and clinically significant improvement in the clinical measures of monocular accommodative facility of right eye (from 0.67?.03 cpm to 15.42?.85 cpm; p<0.001) and binocular accommodative facility (from 0.33?.82 cpm to 13.92?.58 cpm; p<0.001). In contrast, there were no significant improvement in symptoms and in the clinical measures of monocular and binocular accommodative facility for the control group (p>0.05).

Conclusion: Vision therapy is an effective mode of treatment in eliminating symptoms and improving accommodative facility in children with accommodative infacility.
KEYWORD
Accommodative infacility, binocular accommodative facility, COVD-QOL questionnaire, monocular accommodative facility, symptoms, vision therapy
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