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Published in: Japanese Journal of Ophthalmology 4/2016

01-07-2016 | Clinical Investigation

Relationship between reading performance and saccadic disconjugacy in patients with convergence insufficiency type intermittent exotropia

Authors: Masakazu Hirota, Hiroyuki Kanda, Takao Endo, Tibor Karl Lohmann, Tomomitsu Miyoshi, Takeshi Morimoto, Takashi Fujikado

Published in: Japanese Journal of Ophthalmology | Issue 4/2016

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Abstract

Purpose

To determine the relationship between re-reading the same line and saccadic disconjugacy in patients with convergence insufficiency-type intermittent exotropia [CI-type X(T)].

Methods

Eight patients with CI-type X(T) and ten healthy orthophoric individuals were studied. Video-oculography was used to assess the eye movements during the reading of a Japanese novel displayed on a 23-in. liquid crystal monitor placed 60 cm from the eyes. The sentences were displayed horizontally and read from left to right. The number of unintentional re-readings of the same line was counted, and the disconjugacy at the median of the saccade between the end of a line and the next line was determined.

Results

The number of re-readings of the same line in patients with CI-type X(T) was 4.9 ± 2.3 times which was significantly higher than that in the controls at 0.2 ± 0.4 times (P < 0.001). The saccadic disconjugacy was significantly larger in patients with CI-type X(T) at −1.70° ± 0.72° than that in the controls at −0.40°± 0.30° (P < 0.001). The number of re-readings of the same line was significantly and positively correlated with the saccadic disconjugacy (R = 0.84, R 2 = 0.71, P < 0.01).

Conclusions

The results of our study indicate that saccadic disconjugacy is associated with re-reading the same line in patients with CI-type X(T).
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Literature
1.
2.
go back to reference Matsuo T, Matsuo C. The prevalence of strabismus and amblyopia in Japanese elementary school children. Ophthalmic Epidemiol. 2005;12:31–6.CrossRefPubMed Matsuo T, Matsuo C. The prevalence of strabismus and amblyopia in Japanese elementary school children. Ophthalmic Epidemiol. 2005;12:31–6.CrossRefPubMed
4.
go back to reference Burian HM. Exodeviations—their classification, diagnosis, and treatment. Am J Ophthalmol. 1966;62:1161–6.CrossRefPubMed Burian HM. Exodeviations—their classification, diagnosis, and treatment. Am J Ophthalmol. 1966;62:1161–6.CrossRefPubMed
5.
go back to reference Wang FM, Chryssanthou G. Monocular eye closure in intermittent exotropia. Arch Ophthalmol. 1988;106:941–2.CrossRefPubMed Wang FM, Chryssanthou G. Monocular eye closure in intermittent exotropia. Arch Ophthalmol. 1988;106:941–2.CrossRefPubMed
7.
go back to reference Cooper J, Duckman R. Convergence insufficiency: incidence, diagnosis, and treatment. J Am Optom Assoc. 1978;49:673–80.PubMed Cooper J, Duckman R. Convergence insufficiency: incidence, diagnosis, and treatment. J Am Optom Assoc. 1978;49:673–80.PubMed
8.
go back to reference Cooper J, Jamal N. Convergence insufficiency—a major review. Optometry. 2012;83:137–58.PubMed Cooper J, Jamal N. Convergence insufficiency—a major review. Optometry. 2012;83:137–58.PubMed
9.
go back to reference Westman M, Liinamaa MJ. Relief of asthenopic symptoms with orthoptic exercises in convergence insufficiency is achieved in both adults and children. J Optom. 2012;5:62–7.CrossRefPubMedCentral Westman M, Liinamaa MJ. Relief of asthenopic symptoms with orthoptic exercises in convergence insufficiency is achieved in both adults and children. J Optom. 2012;5:62–7.CrossRefPubMedCentral
10.
go back to reference Clark TY, Clark RA. Convergence insufficiency symptom survey scores for reading versus other near visual activities in school-age children. Am J Ophthalmol. 2015;160:905.e2–912.e2. Clark TY, Clark RA. Convergence insufficiency symptom survey scores for reading versus other near visual activities in school-age children. Am J Ophthalmol. 2015;160:905.e2–912.e2.
11.
go back to reference Saunte JP, Christensen T. Improvement in reading symptoms following botulinum toxin A injection for convergence insufficiency type intermittent exotropia. Acta Ophthalmol. 2015;93:e391–2.CrossRefPubMed Saunte JP, Christensen T. Improvement in reading symptoms following botulinum toxin A injection for convergence insufficiency type intermittent exotropia. Acta Ophthalmol. 2015;93:e391–2.CrossRefPubMed
12.
go back to reference Saunte JP, Holmes JM. Sustained improvement of reading symptoms following botulinum toxin A injection for convergence insufficiency. Strabismus. 2014;22:95–9.CrossRefPubMedPubMedCentral Saunte JP, Holmes JM. Sustained improvement of reading symptoms following botulinum toxin A injection for convergence insufficiency. Strabismus. 2014;22:95–9.CrossRefPubMedPubMedCentral
13.
go back to reference Borsting EJ, Rouse MW, Mitchell GL, Scheiman M, Cotter SA, Cooper J, et al. Validity and reliability of the revised convergence insufficiency symptom survey in children aged 9 to 18 years. Optom Vis Sci. 2003;80:832–8.CrossRefPubMed Borsting EJ, Rouse MW, Mitchell GL, Scheiman M, Cotter SA, Cooper J, et al. Validity and reliability of the revised convergence insufficiency symptom survey in children aged 9 to 18 years. Optom Vis Sci. 2003;80:832–8.CrossRefPubMed
14.
go back to reference Dusek W, Pierscionek BK, McClelland JF. A survey of visual function in an Austrian population of school-age children with reading and writing difficulties. BMC Ophthalmol. 2010;10:16.CrossRefPubMedPubMedCentral Dusek W, Pierscionek BK, McClelland JF. A survey of visual function in an Austrian population of school-age children with reading and writing difficulties. BMC Ophthalmol. 2010;10:16.CrossRefPubMedPubMedCentral
15.
go back to reference Scheiman M, Cotter S, Rouse M, Mitchell GL, Kulo M, Cooper J, et al. Randomised clinical trial of the effectiveness of base-in prism reading glasses versus placebo reading glasses for symptomatic convergence insufficiency in children. Br J Ophthalmol. 2005;89:1318–23.CrossRefPubMedPubMedCentral Scheiman M, Cotter S, Rouse M, Mitchell GL, Kulo M, Cooper J, et al. Randomised clinical trial of the effectiveness of base-in prism reading glasses versus placebo reading glasses for symptomatic convergence insufficiency in children. Br J Ophthalmol. 2005;89:1318–23.CrossRefPubMedPubMedCentral
16.
go back to reference Elliott DB, TrukoloIlic M, Strong JG, Pace R, Plotkin A, Bevers P. Demographic characteristics of the vision-disabled elderly. Investig Ophthalmol Vis Sci. 1997;38:2566–75. Elliott DB, TrukoloIlic M, Strong JG, Pace R, Plotkin A, Bevers P. Demographic characteristics of the vision-disabled elderly. Investig Ophthalmol Vis Sci. 1997;38:2566–75.
17.
go back to reference Lightstone A, Evans BJ. A new protocol for the optometric management of patients with reading difficulties. Ophthalmic Physiol Opt. 1995;15:507–12.CrossRefPubMed Lightstone A, Evans BJ. A new protocol for the optometric management of patients with reading difficulties. Ophthalmic Physiol Opt. 1995;15:507–12.CrossRefPubMed
18.
go back to reference Ribeiro GD, Zum Bach AG, Faria CM, Anastasia S, de Almeida HC. Quality of life of patients with strabismus. Arq Bras Oftalmol. 2014;77:110–3. Ribeiro GD, Zum Bach AG, Faria CM, Anastasia S, de Almeida HC. Quality of life of patients with strabismus. Arq Bras Oftalmol. 2014;77:110–3.
19.
go back to reference Coubard OA. Saccade and vergence eye movements: a review of motor and premotor commands. Eur J Neurosci. 2013;38:3384–97.CrossRefPubMed Coubard OA. Saccade and vergence eye movements: a review of motor and premotor commands. Eur J Neurosci. 2013;38:3384–97.CrossRefPubMed
20.
go back to reference Bucci MP, Kapoula Z. Binocular coordination of saccades in 7-year-old children in single word reading and target fixation. Vis Res. 2006;46:457–66.CrossRefPubMed Bucci MP, Kapoula Z. Binocular coordination of saccades in 7-year-old children in single word reading and target fixation. Vis Res. 2006;46:457–66.CrossRefPubMed
21.
go back to reference Lions C, Bui-Quoc E, Seassau M, Bucci MP. Binocular coordination of saccades during reading in strabismic children. Investig Ophthalmol Vis Sci. 2013;54:620–8.CrossRef Lions C, Bui-Quoc E, Seassau M, Bucci MP. Binocular coordination of saccades during reading in strabismic children. Investig Ophthalmol Vis Sci. 2013;54:620–8.CrossRef
22.
go back to reference Dusek WA, Pierscionek BK, McClelland JF. An evaluation of clinical treatment of convergence insufficiency for children with reading difficulties. BMC Ophthalmol. 2011;11:21.CrossRefPubMedPubMedCentral Dusek WA, Pierscionek BK, McClelland JF. An evaluation of clinical treatment of convergence insufficiency for children with reading difficulties. BMC Ophthalmol. 2011;11:21.CrossRefPubMedPubMedCentral
23.
go back to reference Convergence Insufficiency Treatment Trial Study G. The convergence insufficiency treatment trial: design, methods, and baseline data. Ophthalmic Epidemiol. 2008;15:24–36.CrossRef Convergence Insufficiency Treatment Trial Study G. The convergence insufficiency treatment trial: design, methods, and baseline data. Ophthalmic Epidemiol. 2008;15:24–36.CrossRef
24.
go back to reference Cooper J, Feldman J. Reduction of symptoms in binocular anomalies using computerized home therapy-HTS (TM). Optometry. 2009;80:481–6.CrossRefPubMed Cooper J, Feldman J. Reduction of symptoms in binocular anomalies using computerized home therapy-HTS (TM). Optometry. 2009;80:481–6.CrossRefPubMed
25.
go back to reference Liebermann L, Hatt SR, Leske DA, Holmes JM. Improvement in specific function-related quality-of-life concerns after strabismus surgery in nondiplopic adults. J AAPOS. 2014;18:105–9.CrossRefPubMedPubMedCentral Liebermann L, Hatt SR, Leske DA, Holmes JM. Improvement in specific function-related quality-of-life concerns after strabismus surgery in nondiplopic adults. J AAPOS. 2014;18:105–9.CrossRefPubMedPubMedCentral
Metadata
Title
Relationship between reading performance and saccadic disconjugacy in patients with convergence insufficiency type intermittent exotropia
Authors
Masakazu Hirota
Hiroyuki Kanda
Takao Endo
Tibor Karl Lohmann
Tomomitsu Miyoshi
Takeshi Morimoto
Takashi Fujikado
Publication date
01-07-2016
Publisher
Springer Japan
Published in
Japanese Journal of Ophthalmology / Issue 4/2016
Print ISSN: 0021-5155
Electronic ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-016-0444-2

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