Fusional Vergence Detected by Prism Bar and Synoptophore in Chinese Childhood Intermittent Exotropia

Purpose. To measure the changes in fusional vergence in Chinese children with intermittent exotropia (IXT) and the association with the control of IXT. Methods. Ninety-two patients with IXT (8–15 years old) were compared with 86 controls. Exodeviation control was evaluated using the Revised Newcastl...

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Main Authors: Tao Fu, Jing Wang, Moran Levin, Qing Su, Dongguo Li, Junfa Li
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/987048
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author Tao Fu
Jing Wang
Moran Levin
Qing Su
Dongguo Li
Junfa Li
author_facet Tao Fu
Jing Wang
Moran Levin
Qing Su
Dongguo Li
Junfa Li
author_sort Tao Fu
collection DOAJ
description Purpose. To measure the changes in fusional vergence in Chinese children with intermittent exotropia (IXT) and the association with the control of IXT. Methods. Ninety-two patients with IXT (8–15 years old) were compared with 86 controls. Exodeviation control was evaluated using the Revised Newcastle Control Score. Angle of deviation was measured using prism and alternate cover testing at distance and near. Fusional vergence was measured using prism bar and synoptophore. This study was registered with ChiCTR-RCC-13003920. Results. Using prism bar, convergence break points were lower whereas divergence break points were higher in children with IXT at distance (P<0.001) and near (P<0.001) compared with controls. There was no significant difference in mean divergence amplitudes between the two groups when testing using a synoptophore (P=0.53). In children with IXT, the distance between recovery point and break point in both convergence (distance: P=0.02; near: P=0.02) and divergence (distance: P<0.001; near: P<0.001) was larger than controls when detected by prism bar and synoptophore (convergence: P=0.005; divergence: P=0.006). Conclusions. Children with IXT have reduced convergence amplitudes as detected by both prism bar and synoptophore.
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institution Kabale University
issn 2090-004X
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publishDate 2015-01-01
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spelling doaj-art-12b8de1c7efc472282d9b156e3622fad2025-02-03T01:10:17ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/987048987048Fusional Vergence Detected by Prism Bar and Synoptophore in Chinese Childhood Intermittent ExotropiaTao Fu0Jing Wang1Moran Levin2Qing Su3Dongguo Li4Junfa Li5Beijing Tongren Eye Centre, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Science Key Lab, Beijing 100069, ChinaBeijing Tongren Eye Centre, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Science Key Lab, Beijing 100069, ChinaDepartment of Ophthalmology, University of Maryland Medical Center, Baltimore, MD 21201-1595, USABeijing Tongren Eye Centre, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Science Key Lab, Beijing 100069, ChinaDepartment of Neurobiology and Beijing Institute for Brain Disorders, Capital Medical University, Beijing 100069, ChinaDepartment of Neurobiology and Beijing Institute for Brain Disorders, Capital Medical University, Beijing 100069, ChinaPurpose. To measure the changes in fusional vergence in Chinese children with intermittent exotropia (IXT) and the association with the control of IXT. Methods. Ninety-two patients with IXT (8–15 years old) were compared with 86 controls. Exodeviation control was evaluated using the Revised Newcastle Control Score. Angle of deviation was measured using prism and alternate cover testing at distance and near. Fusional vergence was measured using prism bar and synoptophore. This study was registered with ChiCTR-RCC-13003920. Results. Using prism bar, convergence break points were lower whereas divergence break points were higher in children with IXT at distance (P<0.001) and near (P<0.001) compared with controls. There was no significant difference in mean divergence amplitudes between the two groups when testing using a synoptophore (P=0.53). In children with IXT, the distance between recovery point and break point in both convergence (distance: P=0.02; near: P=0.02) and divergence (distance: P<0.001; near: P<0.001) was larger than controls when detected by prism bar and synoptophore (convergence: P=0.005; divergence: P=0.006). Conclusions. Children with IXT have reduced convergence amplitudes as detected by both prism bar and synoptophore.http://dx.doi.org/10.1155/2015/987048
spellingShingle Tao Fu
Jing Wang
Moran Levin
Qing Su
Dongguo Li
Junfa Li
Fusional Vergence Detected by Prism Bar and Synoptophore in Chinese Childhood Intermittent Exotropia
Journal of Ophthalmology
title Fusional Vergence Detected by Prism Bar and Synoptophore in Chinese Childhood Intermittent Exotropia
title_full Fusional Vergence Detected by Prism Bar and Synoptophore in Chinese Childhood Intermittent Exotropia
title_fullStr Fusional Vergence Detected by Prism Bar and Synoptophore in Chinese Childhood Intermittent Exotropia
title_full_unstemmed Fusional Vergence Detected by Prism Bar and Synoptophore in Chinese Childhood Intermittent Exotropia
title_short Fusional Vergence Detected by Prism Bar and Synoptophore in Chinese Childhood Intermittent Exotropia
title_sort fusional vergence detected by prism bar and synoptophore in chinese childhood intermittent exotropia
url http://dx.doi.org/10.1155/2015/987048
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