目的:最近的研究发现,收敛功能不足的儿童出现与表现相关的症状的频率更高(例如,失去浓度),但是缺乏有关患有调节功能障碍(AD)和/或双眼功能障碍(BD)的成年人的表现相关症状的数据,这可能会导致误诊,诊断混乱,或注意力缺陷的加剧。我们旨在描述在验光诊所接受治疗的患有AD和/或BD的成年人的频率和症状模式,并探索视觉症状与临床表现之间的任何相关性。
方法:这项横断面研究将235名参与者(年龄:23.7±2.9岁)分为三组:ADs,BD,和正常双眼视觉(NBV)组。融合不足症状调查(CISS),屈光检查,对所有参与者进行双眼测试.在1对1倾向得分匹配后,采用Mann-WhitneyU检验和Pearson相关分析对三组的结局进行评估。
结果:在此示例中,有AD和/或BD的个体数量(频率)为117(49.8%).ADs和BDs组经历了明显更多的表现相关症状(感到困倦,失去浓度,麻烦记住,慢慢读,失去的地方,并且必须重新阅读;所有P<0.05)比NBV组。表现相关症状和临床表现之间存在显著相关性,包括调节幅度(r=-0.294),住宿设施(r=-0.452),在隐斜视附近(r=-0.261),近收敛点(r=0.482),和正融合发散(r=-0.331)(均P<0.001)。
结论:AD和/或BD通常存在于在验光诊所接受治疗的成人中,与NBV参与者相比,被诊断为AD和/或BD的成年人表现出更多的表现相关症状。
OBJECTIVE: 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).
CONCLUSIONS: 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.