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Accommodation, Convergence, and Stereopsis in Dyslexic Schoolchildren
Monireh Feizabadi1, Ebrahim Jafarzadehpur2, Majid Akrami3
1Department of Optometry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Middle East African Journal of Ophthalmology
|June 15, 2018
Summary
Dyslexic children show reduced near point of accommodation (NPA) in both eyes and binocularly compared to their peers. Optometrists should assess NPA in children with dyslexia.
Area of Science:
- Ophthalmology
- Developmental Psychology
- Pediatrics
Background:
- Limited research exists on visual skills in dyslexic students, especially in Iran.
- Previous studies suggest a link between reading difficulties and binocular vision issues.
Purpose of the Study:
- To investigate and compare binocular visual functions in dyslexic children versus a control group.
- To assess near point of accommodation (NPA), near point of convergence (NPC), and stereoacuity.
Main Methods:
- A case-control study involving 27 dyslexic children and 40 controls (ages 7-13).
- Measurements included subjective push-up for NPA, standard push-up for NPC, and Titmus stereotypes for stereoacuity.
- Study conducted in Tehran, Iran.
Main Results:
- Dyslexic children exhibited significantly reduced monocular NPA (right eye P=0.003, left eye P=0.003) and binocular NPA (P=0.049).
- No significant differences were found in near point of convergence (NPC) (P=0.33) or stereoacuity (P=0.785) between groups.
Conclusions:
- Reduced monocular and binocular near point of accommodation is evident in dyslexic children.
- NPA assessment is recommended for children diagnosed with dyslexia by optometric clinicians.
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