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Accommodative–vergence disorders in a paediatric ophthalmology clinical setting in Argentina

2024-05Journal article Open access
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dc.contributor.authorIurescia, Alejandra
dc.contributor.authorIribarren, Rafael
dc.contributor.authorLança, Carla
dc.contributor.authorGrzybowski, Andrzej
dc.date.accessioned2023-10-09T10:18:31Z
dc.date.available2023-10-09T10:18:31Z
dc.date.issued2024-05
dc.description.abstractPurpose: To determine the frequency of potential non-strabismic accommodative-vergence anomalies (NSAVA) and investigate associations between NSAVA, refractive errors, and age among children attending a paediatric ophthalmology clinic. Methods: This study included children and adolescents aged 5-19 years attending an ophthalmology clinic with at least two follow-up visits. At their first visit, children had a comprehensive ophthalmic examination, including refractive error measurement by cycloplegic autorefraction, and spectacles were prescribed if necessary. At the second visit, children had an examination of best-corrected visual acuity, convergence, and accommodation to identify potential NSAVA. The relationship between age, sex, heterophoria refractive error, and potential NSAVA was assessed by a multivariable logistic regression model. Results: A total of 384 children and adolescents were evaluated. Their mean age was 10.97 ± 3.07 years and 58.9% were females. Forty-two percent of children failed the NSAVA tests and 34.1% had myopia (≤-0.50 D). Children who failed NSAVA tests self-reported a higher proportion of reading problems (73.7%) compared to those who passed the tests (26.3%; p < 0.001). Children with self-reported reading problems were more likely to have accommodative infacility (57.9%) compared with children without (42.1%; p < 0.001). Refractive error and age were not associated with failure in NSAVA tests (p > 0.05). Conclusions: NSAVA was a frequent cause of vision problems found in a sample of children from an ophthalmology paediatric clinic. Thus, further research is necessary to understand the potential of public health policies to prevent, refer, diagnose, and treat those conditions.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationIurescia A, Iribarren R, Lança C, Grzybowski A. Accommodative-vergence disorders in a paediatric ophthalmology clinical setting in Argentina. Acta Ophthalmol. 2024;102(3):e346-51.pt_PT
dc.identifier.doi10.1111/aos.15785pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/16536
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/aos.15785pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectOphthalmologypt_PT
dc.subjectBinocular visionpt_PT
dc.subjectMyopiapt_PT
dc.subjectPrevalencept_PT
dc.subjectReadingpt_PT
dc.subjectArgentinapt_PT
dc.titleAccommodative–vergence disorders in a paediatric ophthalmology clinical setting in Argentinapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagee351pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPagee346pt_PT
oaire.citation.titleActa Ophthalmologicapt_PT
oaire.citation.volume102pt_PT
person.familyNameLança
person.givenNameCarla
person.identifier.ciencia-id601A-6412-BF2F
person.identifier.orcid0000-0001-9918-787X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication0320b455-ee19-4670-8bf2-10dce9de1bec
relation.isAuthorOfPublication.latestForDiscovery0320b455-ee19-4670-8bf2-10dce9de1bec

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