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Authors
Drew, Stefanie A.; Borsting, Eric; Escobar, Amy E.; Liu, Chunming; Castellanos, Efrain; Chase, Chris

Can Chronic Visual Discomfort Measures Accurately Predict Acute Symptoms?

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Abstract/Introduction

Purpose 

Several surveys exist to determine the severity and frequency of chronic symptoms related to visual discomfort. To our knowledge, there are no studies that investigate the potential of chronic visual discomfort ratings to predict acute discomfort symptoms that are experienced after tests of accommodation and vergence. We examined the ability of two measures of chronic visual discomfort symptoms to predict acute symptoms experienced.

 

Methods 

The Conlon et al. and the convergence insufficiency symptom surveys were administered to 40 participants to assess chronic visual discomfort symptoms. Two measures were used to assess acute symptoms. The first consisted of four Likert-scaled questions relating to comfort level during last test, visual distortions or movement, discomfort caused by overhead lights, and presence of headache symptoms. These questions were asked before and after binocular examination, and the scores were used to generate a postexamination symptom score. The second measure of acute symptoms consisted of participants rating their general discomfort on a four-point Likert scale after each binocular test, and the ratings were summed to produce a General Symptom Score. Participants were then categorized into a high or low Post-exam symptom group and General symptom group. Data were analyzed with a binary logistic regression to determine whether the chronic surveys could predict acute symptom group classification.


Conclusion/Results

Results 

Approximately 75% of predictions were accurate for either chronic symptom survey. Headache, soreness, and eye-related questions were more reliable predictors of symptom acute outcome.

 

Conclusions 

These data suggest that the Conlon and Convergence Insufficiency Symptom Survey (CISS) surveys are good predictors of acute symptoms induced during a binocular examination and validate the use of chronic symptom surveys as screening tools for symptomatic binocular dysfunction. Further investigation is required to determine predictability of accommodative or vergence performance.


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Vision therapy is well worth the response, time and effort. Our Son had a hard time focusing and writing neatly. After vision therapy Seth could complete a task in half the time if previously took. His abilities to focus improved greatly and so did his handwriting.

Also, he was better at listening. As a parent, we wanted learning to be fun for our Son, and vision therapy made this possible.


Amanda T.

Vision Therapy is well worth the expense, time and effort. Our son had a hard time focusing handwriting neatly. After vision therapy Seth could complete a task in half the time it previously took his abilities to focus and improved greatly and so did his handwriting.

Also, he was better at listening. As a parent you wanted learning to be fun for our son and vision therapy made this possible.


Alexa H.

Vision Therapy has given or son the tools he needs to be able to scan and read the written word more effectively and efficiently.

He love working with John and these working sessions give him the motivation to gladly work on his homework assignments.

It amazed us to see the difference in the tracking of his eyes and along a line of it's from the beginning to the end of the treatment.

Dr. McBryar , Kristen and John  are all marvelous and we would recommend them to anyone I only wish that we would have found them sooner!


Charlotte M.

Prior to coming to the institute for vision development my son complained of daily headaches. Therapy has eliminated his headaches completely. I love knowing my son is able to learn pain-free for the rest of his life because of the work that has been done over just a few weeks in this office. He he absolutely loved coming that didn't even feel like going to a doctor or therapy. We are grateful for the relief he was able to find by coming here.

Thank you!


Olivia C.

Seems much less frustrated with life

Reads non-stop and fast

Spelling abilities have been hugely improved

Seems much more confident

Thank You!!!


Kelly O.

When we first came to the practice, my son did not have huge issues, but lots of small ones- trouble with reading, sports (hitting the baseball consistently), coordination, etc- that were not easily detectable,but when put together presented issues. The staff here were all very professional and loving towards him. While I was concerned in the reading, my son was concerned with the athletic side. Seeing improvement night off the bat gave him confidence that i have nor seen in him and made him want to not only Come to therapy, but also made him want to work hard. He has surpassed his grade level and above in reading and hit his first home run this year! Thank you!!!


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