Treatment of accommodative and nonstrabismic binocular dysfunctions: a systematic review

Optometry : Journal of the American Optometric Association
Pilar Cacho MartínezMaría Teresa Ruiz-Cantero

Abstract

The aim of this study was to analyze the scientific evidence available on the nonsurgical treatment of accommodative and nonstrabismic binocular dysfunctions, identifying the types of treatment used and their efficacy. A systematic review of reports published from 1986 to 2007 was completed using several health science databases: FRANCIS, Medline, Cinahl, and PsycINFO. Those papers that analyzed the treatment of accommodative and nonstrabismic binocular anomalies were included. Of the 565 articles identified, 16 met the inclusion criteria. Only 3 were clinical trials. All analyzed treatment of convergence insufficiency. Results of clinical trials support the conclusion that vision therapy improves symptoms and signs for convergence insufficiency. Further, the evidence indicates that pencil push-up treatment is not as effective as vision therapy and that prism glasses are no more effective than placebo glasses. For the other nonstrabismic binocular conditions and accommodative disorders, there is a lack of published randomized, clinical trials that support the evidence for the efficacy of each treatment. Scientific evidence exists for the efficacy of vision therapy for convergence insufficiency. Insufficient scientific evidence ...Continue Reading

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Citations

Nov 30, 2012·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Tara L AlvarezA M Barrett
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