Evidence map›Paper›PMID 33753864›Full record

ArticleScientific reports2021

Underlying neurological mechanisms associated with symptomatic convergence insufficiency.

Tara L Alvarez, Mitchell Scheiman, Cristian Morales, Suril Gohel, Ayushi Sangoi, Elio M Santos, Chang Yaramothu, John Vito d'Antonio-Bertagnolli, Xiaobo Li, Bharat B Biswal

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03593031 (Functional Neural Mechanism of Vision Therapy for Patients With Convergence Insufficiency), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03593031 nacompletednot on this map

Functional Neural Mechanism of Vision Therapy for Patients With Convergence Insufficiency

TypeinterventionalSponsorNew Jersey Institute of TechnologyRan2014 to 2020Enrolled100ConditionsConvergence InsufficiencyArmsOffice Based Vergence and Accommodative Therapy
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Binocular Vision Anomalies: An Update on Prevalence, Impact, Technological and Treatment Developments and Current Challenges.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Frequencies and patterns of symptoms in Chinese adults with accommodative and binocular dysfunctions.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Article
  13. Article
  14. [Abnormal spontaneous brain functional activity in adult patients with amblyopia: a resting-state functional magnetic resonance imaging study].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2022
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Tara L AlvarezBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA. tara.l.alvarez@njit.edu.
Mitchell ScheimanPennsylvania College of Optometry, Salus University, Philadelphia, PA, USA.
Cristian MoralesBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA.
Suril GohelDepartment of Health Informatics, Rutgers University School of Health Professions, Newark, NJ, USA.
Ayushi SangoiBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA.
Elio M SantosBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA.
Chang YaramothuBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA.
John Vito d'Antonio-BertagnolliBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA.
Xiaobo LiBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA.
Bharat B BiswalBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA.
New Jersey Institute of Technology · USRutgers, The State University of New Jersey · USSalus University · US

Funding

Functional Mechanisms of Neural Control in Convergence InsufficiencyR01EY023261 · NEI · NEW JERSEY INSTITUTE OF TECHNOLOGY · PI ALVAREZ, TARA LYNN · 2014 to 2025
$4.9M
NEI NIH HHS R01 EY023261
6 · The paper itself

Abstract

Convergence insufficiency (CI) is the most common binocular vision problem, associated with blurred/double vision, headaches, and sore eyes that are exacerbated when doing prolonged near work, such as reading. The Convergence Insufficiency Neuro-mechanism Adult Population Study (NCT03593031) investigates the mechanistic neural differences between 50 binocularly normal controls (BNC) and 50 symptomatic CI participants by examining the fast and slow fusional disparity vergence systems. The fast fusional system is preprogrammed and is assessed with convergence peak velocity. The slow fusional system optimizes vergence effort and is assessed by measuring the phoria adaptation magnitude and rate. For the fast fusional system, significant differences are observed between the BNC and CI groups for convergence peak velocity, final position amplitude, and functional imaging activity within the secondary visual cortex, right cuneus, and oculomotor vermis. For the slow fusional system, the phoria adaptation magnitude and rate, and the medial cuneus functional activity, are significantly different between the groups. Significant correlations are observed between vergence peak velocity and right cuneus functional activity (p = 0.002) and the rate of phoria adaptation and medial cuneus functional activity (p = 0.02). These results map the brain-behavior of vergence. Future therapeutic interventions may consider implementing procedures that increase cuneus activity for this debilitating disorder.

Indexed as

Disease SusceptibilityAdaptation, PhysiologicalAdolescentAdultBrainCerebellumFemaleHumansMaleOcular Motility DisordersOculomotor NerveStrabismusSymptom AssessmentYoung Adult

Identifiers

PMID33753864
PMCPMC7985149
OpenAlexW3137260674

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.