Birnbaum M H, Soden R, Cohen A H
Department of Veterans Affairs Medical Center, Northport, New York, USA.
J Am Optom Assoc. 1999 Apr;70(4):225-32.
Although vision therapy has reportedly been very successful in elimination of asthenopic symptoms in adults with convergence insufficiency, controlled studies have not been performed, and a clinical bias exists against prescribing vision therapy for adults with convergence insufficiency.
Sixty adult males over the age of 40 years (median age, 65 years) with convergence insufficiency were divided into three treatment groups: office-based vision therapy with supplementary home therapy, home therapy only, and a control group.
Vision therapy was successful in 61.9% of patients who received in-office plus home therapy, in 30% of patients who received home therapy only, and in 10.5% of the control group. The success rate for patients who received active in-office vision therapy supplemented with home procedures was significantly greater than that for controls. Home therapy alone was less successful than in-office therapy. The success rate obtained with home therapy alone was not significantly greater than that demonstrated by controls.
Vision therapy is effective in eliminating asthenopia and improving convergence function in adult patients. In-office therapy combined with home therapy tends to produce better results than does home therapy alone.
尽管据报道视觉疗法在消除患有集合不足的成年人的视疲劳症状方面非常成功，但尚未进行对照研究，并且在为患有集合不足的成年人开视觉疗法处方时存在临床偏见。
60名年龄超过40岁（中位年龄65岁）的患有集合不足的成年男性被分为三个治疗组：基于办公室的视觉疗法加家庭辅助疗法、仅家庭疗法以及一个对照组。
在接受办公室加家庭疗法的患者中，61.9%取得成功；仅接受家庭疗法的患者中，30%取得成功；对照组中，10.5%取得成功。接受积极的办公室视觉疗法并辅以家庭程序的患者的成功率显著高于对照组。单独的家庭疗法不如办公室疗法成功。单独家庭疗法获得的成功率并不显著高于对照组。
视觉疗法在消除成年患者的视疲劳和改善集合功能方面是有效的。办公室疗法与家庭疗法相结合往往比单独的家庭疗法产生更好的效果。
