Evidence map›Paper›PMID 33895648›Full record

ArticleVision research2021

Disparity vergence differences between typically occurring and concussion-related convergence insufficiency pediatric patients.

Tara L Alvarez, Chang Yaramothu, Mitchell Scheiman, Arlene Goodman, Susan A Cotter, Kristine Huang, Angela M Chen, Matthew Grady, Anne E Mozel, Olivia E Podolak and 2 more

Abstract read
In one paragraph

Article in Vision research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Accommodative and Vergence Responses to a Moving Stimulus in Concussion.Investigative ophthalmology & visual science · 2024
    Article
  4. Article
  5. Review
  6. Article
  7. 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

12 authors.

Tara L AlvarezBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA. Electronic address: tara.l.alvarez@njit.edu.
Chang YaramothuBiomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA; School of Applied Engineering and Technology, New Jersey Institute of Technology, Newark, NJ, USA. Electronic address: chang.yaramothu@njit.edu.
Mitchell ScheimanPennsylvania College of Optometry, Salus University, Philadelphia, PA, USA. Electronic address: mscheiman@salus.edu.
Arlene GoodmanSaint Peter's Sports Medicine Institute, Saint Peter's University Hospital, Somerset, NJ, USA. Electronic address: agoodman@saintpetersuh.com.
Susan A CotterThe Southern California College of Optometry, Marshall B Ketchum University, Fullerton, CA, USA. Electronic address: scotter@ketchum.edu.
Kristine HuangThe Southern California College of Optometry, Marshall B Ketchum University, Fullerton, CA, USA. Electronic address: khuang@ketchum.edu.
Angela M ChenThe Southern California College of Optometry, Marshall B Ketchum University, Fullerton, CA, USA. Electronic address: angelachen@ketchum.edu.
Matthew GradySports Medicine and Performance Center, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. Electronic address: gradym@chop.edu.
Anne E MozelCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, PA, USA. Electronic address: mozela@chop.edu.
Olivia E PodolakCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, PA, USA. Electronic address: podolako@chop.edu.
Chris G KouturesActiveKidMD, Anaheim Hills, CA, USA. Electronic address: chris@dockoutures.com.
Christina L MasterSports Medicine and Performance Center, The Children's Hospital of Philadelphia, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. Electronic address: masterc@chop.edu.

Funding

Functional Mechanisms of Neural Control in Convergence InsufficiencyR01EY023261 · NEI · NEW JERSEY INSTITUTE OF TECHNOLOGY · PI ALVAREZ, TARA LYNN · 2014 to 2025
$4.9M
Objective Translational Multi-domain Early Concussion AssessmentR01NS097549 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI ARBOGAST, KRISTY, MARGULIES, SUSAN SHEPS · 2017 to 2021
$4.5M
NEI NIH HHS R01 EY023261NINDS NIH HHS R01 NS097549
6 · The paper itself

Abstract

This study sought to test the hypothesis that significant differences would be observed in clinical measures, symptoms, and objective assessments of vergence eye movements between children with typically developing convergence insufficiency (TYP-CI) and children with persistent post-concussion symptoms with convergence insufficiency (PPCS-CI). Data from age-matched binocularly normal controls (BNC) were used for comparison. Data from three groups of children 11 to 17 years of age are presented: BNC (N = 11), TYP-CI (N = 10), and PPCS-CI (N = 15). Clinical measures of vergence, accommodation, and symptom severity were collected. Symmetrical 4° disparity vergence eye movements were quantified with an eye tracker integrated into a head-mounted display (Oculus DK2). Peak velocity and final response amplitude of convergence and divergence eye movement responses were assessed. The mean near point of convergence (break) was more receded (worse), the amplitude of accommodation more deficient, and convergent and divergent peak velocities slower in the PPCS-CI group compared with the TYP-CI and BNC groups. These results suggest that PPCS-CI may be a different clinical entity than TYP-CI. Hence, more research is warranted to determine whether the therapeutic interventions that are effective for TYP-CI can also be used for PPCS-CI populations.

Indexed as

Convergence, OcularOcular Motility DisordersAccommodation, OcularChildEyeHumansVision, BinocularVision DisparityAmplitude of accommodationConvergenceConvergence insufficiencyEye movementsNear point of convergencePersistence post-concussion symptomsVergence

Identifiers

PMID33895648
PMCPMC8205951

What OpenQuestion holds

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Registered trials

None linked

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.