Comparison of Three Methods of Measuring CA/C Ratios.

Background: Clinical determination of convergence accommodation to convergence (CA/C) ratios may be useful for analysis of accommodation and vergence disorders, but there are no standard clinical methods of measurement of CA/C ratios. This study compared two potential clinical CA/C measurement metho...

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Publicado en:Optometry & Visual Performance Vol. 3; no. 1; pp. 7 - 16
Autores principales: Goss, David A., Vatnsdal, Peter, Babinsky, Erin, Rowan Candy, T.
Formato: pictorial research tables/charts Journal Article
Publicado: Optometric Extension Program Feb2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2015
      vid: 3
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Comparison of Three Methods of Measuring CA/C Ratios.
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        au:
          Goss, David A.
          Vatnsdal, Peter
          Babinsky, Erin
          Rowan Candy, T.
        affil: Indiana University School of Optometry, Bloomington, Indiana
      sug:
        subj:
          Ocular Physiology Evaluation
          Vision Disorders
          Diagnosis, Eye Methods
          Human
          Male
          Female
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Odds Ratio
          T-Tests
          Analysis of Variance
          Adult
          Lenses
          Ophthalmoscopy
          Adult: 19-44 years
          Male
          Female
      ab: Background: Clinical determination of convergence accommodation to convergence (CA/C) ratios may be useful for analysis of accommodation and vergence disorders, but there are no standard clinical methods of measurement of CA/C ratios. This study compared two potential clinical CA/C measurement methods to a laboratory procedure. Methods: CA/C ratios were measured for 19 young adult subjects using procedures in which accommodation was measured with the binocular cross cylinder (BCC) test, Nott dynamic retinoscopy, and an eccentric photorefractor. Vergence was stimulated with prism, and the resultant change in accommodation was used to calculate CA/C ratios. Results: The mean CA/C ratios were 0.036 D/Δ with BCC and BI prism, -0.004 D/Δ with BCC and BO prism, 0.023 D/Δ with Nott retinoscopy and BI prism, 0.036 D/Δ with Nott retinoscopy and BO prism, and 0.115 D/Δ with eccentric photorefraction and BO prism. The differences between each pair of tests were statistically significant by paired t-test except for the comparison of the BCC BI prism CA/C ratio with the Nott BI prism CA/C ratio. The means and standard deviations of the paired differences were all high relative to the measurements themselves. Conclusion: The CA/C ratios obtained in the present study did not show good agreement with each other. The use of CA/C ratios in clinical analysis would therefore require further evaluation and standardization of measurement methods, establishment of norms, and development of analysis procedures in concert with AC/A ratios and other clinical findings.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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