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KMID : 1011420100150020169
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Journal of Korean Ophthalmic Optics Society
2010 Volume.15 No. 2 p.169 ~ p.174
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One Year Follow-up for Successfully Treated Children with Accommodative Dysfunction
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Shin Hoy-Sun
Youk Do-Jin
Sung Duk-Yong
Park Sang-Chul
Lee Sun-Haeng
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Abstract
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Purpose: The purpose of this study is to evaluate the long-term stability of the improved symptoms and accommodative functions after completion of accommodative therapy.
Methods: Seven children (mean age±SD: 12±1.41 years) who were successfully treated with a vision therapy program for either accommodative insufficiency or infacility were followed for 1 year. The visual symptoms of the subjects were measured by the College of Optometrists in Vision Development Quality of Life (COVD-QOL) checklist, and this was followed by measurement of the monocular and binocular accommodative facility with ±2.00 D flipper lens.
Results: The mean visual symptoms at the 1 year follow-up examination (15.14±8.59) showed a small increase, but there was no significant difference (p=0.446) from post-therapy (11.86±7.22). There was small regression in the monocular (left eye, 13.86±3.93 cpm) and binocular (11.14±3.13 cpm) accommodative facility at the 1 year follow-up examination, but there were no significant different from the monocular (15.86±4.14 cpm, p=0.147) and binocular (13.21±3.76 cpm, p=0.066) accommodative facility measurements at post-therapy. Also, every subject met the normative values of 7 cpm for monocular accommodative facility and 5 cpm for binocular accommodative facility in the long-term.
Conclusions: There was long-term maintenance of the improved visual symptoms and accommodative functions, and so it is clear that the positive therapeutic effects persist with accommodative therapy.
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KEYWORD
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Accommodative dysfunction, Accommodative facility, Accommodative infacility, Accommodative insufficiency, Vision therapy, Visual symptom
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