To Compare the Effectiveness of 3 Different Types of Lens and Lens Coating in Eliminating Symptoms for Children With Prolonged Visual Symptoms Due to a Concussion.
Status: | Recruiting |
---|---|
Conditions: | Neurology |
Therapuetic Areas: | Neurology |
Healthy: | No |
Age Range: | 9 - 17 |
Updated: | 2/22/2019 |
Start Date: | January 26, 2018 |
End Date: | January 2022 |
Contact: | Becky Luu, OD |
Email: | luu.becky@gmail.com |
Phone: | 205-996-2319 |
Spectacles Lens in Concussed Kids
Recent studies have shown children who sustain a concussion are susceptible to having chronic
symptoms (post-concussion syndrome). This chronicity can lead to delays in returning to learn
and returning to play. Blurry vision, double vision, eye strain and eye tracking problems are
some of the reported chronic symptoms that can affect patients' daily activities. Concussion
awareness has increased recently and there is a surge of interest to better understand and
treat the symptoms of post-concussion syndrome. Currently, ocular treatment for patients are
often empirically determined. Common treatments are vision therapy and/or bifocal glasses.
There has yet to be any standardization or prospective studies looking into treatment for
these concussed patients with ocular symptoms and findings. The objective of this protocol is
to compare three different types of glasses (typical prescription glasses for kids, typical
glasses for kids with anti-glare coating, and progressive addition lenses with anti-glare
coating) as treatment options for participants who are still symptomatic four weeks out from
their concussion. The main outcome is the effectiveness of these three different options in
reducing patients' symptoms and improving the participants' visual findings.
symptoms (post-concussion syndrome). This chronicity can lead to delays in returning to learn
and returning to play. Blurry vision, double vision, eye strain and eye tracking problems are
some of the reported chronic symptoms that can affect patients' daily activities. Concussion
awareness has increased recently and there is a surge of interest to better understand and
treat the symptoms of post-concussion syndrome. Currently, ocular treatment for patients are
often empirically determined. Common treatments are vision therapy and/or bifocal glasses.
There has yet to be any standardization or prospective studies looking into treatment for
these concussed patients with ocular symptoms and findings. The objective of this protocol is
to compare three different types of glasses (typical prescription glasses for kids, typical
glasses for kids with anti-glare coating, and progressive addition lenses with anti-glare
coating) as treatment options for participants who are still symptomatic four weeks out from
their concussion. The main outcome is the effectiveness of these three different options in
reducing patients' symptoms and improving the participants' visual findings.
Inclusion Criteria:
- Sustained a concussion > 6 weeks < 16 weeks from date of initial visit
- Criteria for concussion: formally diagnosed by physician
- Minimum best corrected visual acuity: 20/25 in right and left eyes at distance and
20/30 both eyes at near
- Minimum Stereopsis: 500" global
- CISS score > 16
- Refractive error at least + 0.50D sphere or cylinder
- Ability to clear > 0.50 cycles per minute in monocular accommodative flipper of and
binocular accommodative flipper of +/-1.50
Exclusion Criteria:
- Diplopia from nerve palsies
- Retinal pathology
- Previous treatment of any amount of bifocal lenses and base in prism since concussion.
- Vision therapy > 6 weeks since concussion
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