ArticleOptometry and vision science : official publication of the American Academy of Optometry2017
Objective Assessment of Vergence after Treatment of Concussion-Related CI: A Pilot Study.
Article in Optometry and vision science : official publication of the American Academy of Optometry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Interventions for convergence insufficiency: a network meta-analysis.The Cochrane database of systematic reviews · 2020Pooled it
- CONCUSS randomised clinical trial of vergence/accommodative therapy for concussion-related symptomatic convergence insufficiency.British journal of sports medicine · 2026Trial
- Objective evaluation of fusional vergence after a vision therapy protocol in typical binocular vision.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025Trial
- From convergence insufficiency to functional reorganization: A longitudinal randomized controlled trial of treatment-induced connectivity plasticity.CNS neuroscience & therapeutics · 2024Trial
- Effectiveness of office-based vergence/accommodative therapy with movement for accommodative dysfunction in concussion-related convergence insufficiency: a secondary analysis of the CONCUSS randomised clinical trial.British journal of sports medicine · 2026Article
- A Diagnostic Framework for the Management of Post-Concussion Visually Induced Dizziness: Recognising Postural and Visuoperceptual Subtypes Using an Optokinetic Balance Assessment.Brain sciences · 2026Article
- Analysis of Saccade Characteristics During Fusional Vergence Tests in Normal Binocular Vision Participants.Journal of eye movement research · 2026Article
- Visual Dysfunctions in Mild Traumatic Brain Injury: A Focus on Accommodative System Impairments.Life (Basel, Switzerland) · 2025Review
- Scoping review: Intervention for ocular motor disorders in children and adults with mild traumatic brain injury.Optometry and vision science : official publication of the American Academy of Optometry · 2025Article
- Sensory substitution and augmentation techniques in cerebral visual impairment: a discussion of lived experiences.Frontiers in human neuroscience · 2025Article
- Functional activity changes after vergence and accommodative rehabilitation of concussion-related convergence insufficiency: CONCUSS clinical trial fMRI results.Frontiers in neuroscience · 2025Article
- Convergence insufficiency as a predictor of poor prognosis after acute mild traumatic brain injury.International journal of emergency medicine · 2024Article
- Accommodative and Vergence Responses to a Moving Stimulus in Concussion.Investigative ophthalmology & visual science · 2024Article
- Article
- Rehabilitation interventions for oculomotor deficits in adults with mild traumatic brain injury: a systematic review protocol.BMJ open · 2023Article
- Quantification of Oculomotor Responses and Accommodation through Instrumentation and Analysis Toolboxes.Journal of visualized experiments : JoVE · 2023Article
- Article
- Consensus Statement on Visual Rehabilitation in Mild Traumatic Brain Injury.Neurology. Clinical practice · 2022Article
- Comment on Rauchman et al. Mild-to-Moderate Traumatic Brain Injury: A Review with Focus on the Visual System.Neurology international · 2022Article
- Association between post-concussion symptoms and oculomotor deficits among adolescents.Brain injury · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
purposeTo evaluate changes in objective measures of disparity vergence after office-based vision therapy (OBVT) for concussion-related convergence insufficiency (CI) and determine the feasibility of using this objective assessment as an outcome measure in a clinical trial.
methodsThis was a prospective, observational trial. All participants were treated with weekly OBVT with home reinforcement. Participants included two adolescents and three young adults with concussion-related, symptomatic CI. The primary outcome measure was average peak velocity for 4° symmetrical convergence steps. Other objective outcome measures of disparity vergence included time to peak velocity, latency, accuracy, settling time, and main sequence. We also evaluated saccadic eye movements using the same outcome measures. Changes in clinical measures (near point of convergence, positive fusional vergence at near, Convergence Insufficiency Symptom Survey [CISS] score) were evaluated.
resultsThere were statistically significant and clinically meaningful changes in all clinical measures for convergence. Four of the five subjects met clinical success criteria. For the objective measures, we found a statistically significant increase in peak velocity, response accuracy to 4° symmetrical convergence and divergence step stimuli, and the main sequence ratio for convergence step stimuli. Objective saccadic eye movements (5 and 10°) appeared normal pre-OBVT and did not show any significant change after treatment.
conclusionsThis is the first report of the use of objective measures of disparity vergence as outcome measures for concussion-related convergence insufficiency. These measures provide additional information that is not accessible with clinical tests about underlying physiological mechanisms leading to changes in clinical findings and symptoms. The study results also demonstrate that patients with concussion can tolerate the visual demands (over 200 vergence and versional eye movements) during the 25-minute testing time and suggest that these measures could be used in a large-scale randomized clinical trial of concussion-related CI as outcome measures.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.