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Journal
2018 | 5 | 3 | 201-205
Article title

Efektywność optometrycznej terapii wzroku w akomodacyjnej ezotropii z wysokim AC/A

Content
Title variants
EN
The efficiency of optometric vision therapy in accommodative esotropia with high AC/A ratio
Languages of publication
PL
Abstracts
EN
Convergence excess esotropia is commonly treated with corrective glasses (plus lenses), which reduces the angle of deviation for a distance, but the near deviation is still observed. Two types of approach are used to manage convergence excess esotropia: bifocals or eye muscles surgery. Nevertheless, both treatments seem to fail to influence the stereovision. The paper describes the case of 10-year-old girl, diagnosed with convergence excess esotropia with high AC/A ratio, who was subjected to the optometric vision therapy and bifocals. As an effect, visual parameters were improved, and majority of visual symptoms decreased. This case indicates that treatment plan for esotropia should include improvement of accommodation, eye movements and inter-ocular suppression, what strongly influence oculo-motor control and stereovision.
PL
Akomodacyjna ezotropia z nadmierną konwergencją jest stanem, w którym korekcja nadwzroczności redukuje kąt zeza do dali, natomiast w bliży oczy pozostają ustawione w zezie zbieżnym. Wśród metod korekcji zeza tego typu można wyróżnić zastosowanie okularów dwuogniskowych oraz zabieg chirurgiczny na mięśniach okoruchowych. Jednak skuteczność obu tych podejść w uzyskaniu widzenia stereoskopowego pozostaje wątpliwa. Niniejsza praca opisuje przypadek 10-letniej pacjentki z akomodacyjną ezotropią z wysokim ułamkiem AC/A, u której zastosowana optometryczna terapia wzroku wspomagana korekcją dwuogniskową znacząco poprawiła funkcję widzenia oraz zredukowała symptomy wzrokowe. Przypadek ten pokazuje, że w postępowaniu ze stanami zezowymi bardzo istotne jest wyprowadzenie zaburzeń akomodacyjnych i okoruchowych oraz tłumienia międzyocznego, co pozwala na uzyskanie lepszej kontroli okulomotorycznej i widzenia stereoskopowego.
Discipline
Publisher

Journal
Year
Volume
5
Issue
3
Pages
201-205
Physical description
Contributors
  • 1. Pracownia Fizyki Widzenia i Optometrii, Wydział Fizyki, Uniwersytet im. Adama Mickiewicza w Poznaniu. 2. Laboratorium Fizyki Widzenia i Neuronauki, Centrum NanoBioMedyczne, Uniwersytet im. Adama Mickiewicza w Poznaniu.
  • 1. Pracownia Fizyki Widzenia i Optometrii, Wydział Fizyki, Uniwersytet im. Adama Mickiewicza w Poznaniu. 2. Laboratorium Fizyki Widzenia i Neuronauki, Centrum NanoBioMedyczne, Uniwersytet im. Adama Mickiewicza w Poznaniu.
References
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Document Type
article
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Identifiers
YADDA identifier
bwmeta1.element.psjd-a49849f7-13c5-43db-a533-6cf28c9a76bb
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