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Adult Strabismus and Vision Therapy

Minichello, Michaela A
http://rave.ohiolink.edu/etdc/view?acc_num=osu1429747867

Abstract Details

2015, Master of Science, Ohio State University, Vision Science.
Introduction: Current research suggests that the visual cortex has plasticity that may allow for successful therapy treatment of strabismus and other binocular vision disorders in adults. The purpose of this study was to investigate the predictive factors of success with vision therapy in adults with strabismus. A secondary goal of this research project was to evaluate the changes that occur with orthoptic therapy in adults who underwent therapy for a childhood onset strabismus Methods: A retrospective chart review of 52 subjects with childhood onset strabismus who underwent vision therapy treatment as adults was performed. Subjects were sent a quality of life evaluation (AS-20 questionnaire). Subject data from before and after vision therapy was analyzed for predictive factors of success with vision therapy treatment. Results: Subject ages ranged from 18-74 years old with a mean of 34 years. Vision therapy varied but generally focused on vergence training therapies (brock string, barrel card, vectograms). Neither age, gender, history of surgery, nor suppression were statistically significantly related to success of treatment. Presence of global stereopsis pre-therapy was related to a successful outcome (p=0.008). Direction and laterality of deviation were not significantly related to success, but frequency of deviation at near was related to success (p=0.02) with success being more likely with intermittent deviations. Stereopsis showed significant improvements with therapy (p=0.04). Subjects’ AS-20 questionnaire scores were not significantly different from published normal scores. Conclusion: This study demonstrated that adults with strabismus might benefit from vision therapy. Factors that were statistically significantly related to success included presence of global stereopsis before therapy and intermittent (versus constant) deviations at near.
Marjean Kulp (Advisor)
Gladys Mitchell (Committee Member)
Andrew Toole (Committee Member)
78 p.
Ophthalmology

Recommended Citations

Citations

  • Minichello, M. A. (2015). Adult Strabismus and Vision Therapy [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429747867

    APA Style (7th edition)

  • Minichello, Michaela. Adult Strabismus and Vision Therapy. 2015. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1429747867.

    MLA Style (8th edition)

  • Minichello, Michaela. "Adult Strabismus and Vision Therapy." Master's thesis, Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429747867

    Chicago Manual of Style (17th edition)

osu1429747867
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© 2015, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.