Asthenopia in schoolchildren, Orthoptic and Ophthalmological findings and treatment

The aim of this study was to describe the orthoptic and ophthalmological findings in schoolchildren with asthenopia, to correlate them with asthenopic symptoms and to evaluate the effect of treatment. One hundred and twenty schoolchildren, aged 6-16 years, were included in the study. They were all r...

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Bibliographic Details
Published in:Documenta ophthalmologica 2005-09, Vol.111 (2), p.65-72
Main Authors: ABDI, Saber, RYDBERG, Aeneta
Format: Article
Language:English
Subjects:
Accommodation, Ocular - physiology
Adolescent
Asthenopia - diagnosis
Asthenopia - physiopathology
Asthenopia - therapy
Biological and medical sciences
Child
Children
Convergence
Diagnosis, Differential
Eye Movements - physiology
Eyeglasses
Female
Humans
Male
Medical sciences
Oculomotor disorders
Ophthalmology
Refraction, Ocular
Strabismus
Treatment Outcome
Vision disorders
Vision Tests
Visual Acuity
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Summary:The aim of this study was to describe the orthoptic and ophthalmological findings in schoolchildren with asthenopia, to correlate them with asthenopic symptoms and to evaluate the effect of treatment. One hundred and twenty schoolchildren, aged 6-16 years, were included in the study. They were all referred by school nurses, for asthenopic symptoms. An orthoptic and ophthalmological assessment was performed. The main diagnoses were accommodative insufficiency, convergence insufficiency, refractive errors, and latent strabismus. Reading glasses could help 98% of the schoolchildren with reduced accommodation, and 94% of the children with refractive errors and heterophorias were helped with appropriate spherical, cylindrical and prism correction. Convergence exercise reduced the symptoms in all patients with convergence insufficiency. Ninety-three percent of all 120 schoolchildren were symptom free 3-6 month after treatment had started. By an orthoptic and ophthalmological examination abnormalities in schoolchildren with asthenopia related to visual problems can be identified. Most of the children were relieved from their symptoms by giving adequate glasses, convergence exercises and surgery.
ISSN:0012-4486
1573-2622
DOI:10.1007/s10633-005-4722-4