1. Frequencies and patterns of symptoms in Chinese adults with accommodative and binocular dysfunctions.
- Author
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Wu, Ye, Xiong, Ling, Wang, Yuxia, Chen, Qian, Li, Fei, Zhang, Wenqiu, and Liu, Longqian
- Subjects
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PEARSON correlation (Statistics) , *MANN Whitney U Test , *PROPENSITY score matching , *BINOCULAR vision - Abstract
Purpose: Recent studies have found that children with convergence insufficiency experience higher frequencies of performance-related symptoms (e.g., losing concentration), but data on performance-related symptoms among adults with accommodative dysfunctions (ADs) and/or binocular dysfunctions (BDs) are lacking, which might cause misdiagnosis, diagnostic confusion, or exacerbation of attention deficits. We aimed to describe frequencies and symptom patterns in adults with ADs and/or BDs who were treated at optometric clinics and explore any correlations between visual symptoms and clinical findings. Methods: This cross-sectional study divided 235 participants (age: 23.7 ± 2.9 years) into three groups: ADs, BDs, and normal binocular vision (NBV) groups. Convergence Insufficiency Symptom Survey (CISS), refractive examinations, and binocular tests were administered to all participants. After 1-to-1 propensity score matching, outcomes were assessed using Mann‒Whitney U test and Pearson's correlation analysis among three groups. Results: In this sample, the number (frequency) of individuals with ADs and/or BDs was 117 (49.8%). ADs and BDs groups experienced significantly more performance-related symptoms (feeling sleepy, losing concentration, trouble remembering, reading slowly, losing place, and having to re-read; all P < 0.05) than the NBV group. Significant correlations were observed between performance-related symptoms and clinical findings, including accommodative amplitude (r = − 0.294), accommodative facility (r = − 0.452), near phoria (r = − 0.261), near point of convergence (r = 0.482), and positive fusional vergence (r = − 0.331) (all P < 0.001). Conclusion: ADs and/or BDs are commonly present in adults treated at optometric clinics, and adults diagnosed with ADs and/or BDs exhibit more performance-related symptoms than participants with NBV. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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