Treatment of symptomatic XXXX with a home-based computer orthoptic exercise program.

@entity1 @entity16479 @entity1166 @entity892 @entity10 @entity1319
PURPOSE: To determine the efficacy of a home-based computer orthoptic program to treat symptomatic @entity1319 . METHODS: A retrospective review of consecutive @entity1 with symptomatic @entity1319 treated with a home-based computer orthoptic program was performed. Symptomatic @entity1319 was defined as: @entity1166 ( @entity1166 ) >6 cm, decreased positive fusional vergence, exophoria at near at least 4(/\) greater than at far, and documented complaints of @entity16479 , @entity892 , or @entity10 with reading or near work. The Computer Orthoptics CVS program was used for this study. Before beginning the computer orthoptic program, @entity1 with an @entity1166 >50 cm were given 4 base-in prisms and push-up exercises ( @entity1166 exercises with an accommodative target) for 2 weeks. RESULTS: A total of 42 @entity1 were included. Mean treatment duration was 12.6 weeks; mean follow-up, 8.5 months. Of the 42 @entity1 , 35 were treated with the home-based computer orthoptic program and push-up exercises; the remaining 7 only used the computer orthoptic program. Because of a remote @entity1166 , 5 @entity1 were given base-in Fresnel prism before starting treatment. Baseline mean @entity1166 was 24.2 cm; posttreatment mean @entity1166 improved to 5.6 cm: 39 @entity1 (92.8%) achieved an @entity1166 of  <=6 cm (p < 0.001). Positive fusional vergence improved in 39 @entity1 (92.8%). Fourteen @entity1 reduced their near exophoria by >= 5(/\). A total of 27 @entity1 (64.2%) reported resolution of symptoms after treatment. CONCLUSIONS: In our study, home-based computer orthoptic exercises reduced symptoms and improved @entity1166 and fusional amplitudes. The computer orthoptic program is an effective option for treating symptomatic @entity1319 .
