Publications by authors named "A L TOOLE"

Purpose: To report the change in the magnitude of near exodeviation in children with symptomatic convergence insufficiency successfully treated with office-based vergence/accommodative therapy in the Convergence Insufficiency Treatment Trial-Attention and Reading Trial.

Methods: A total of 131 children 9-14 years of age with symptomatic convergence insufficiency classified as successfully treated with office-based vergence/accommodative therapy at the 16-week outcome visit were included. Masked examiners measured the near ocular deviation by the prism and alternate cover test at baseline, primary outcome and 1-year post-treatment.

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Article Synopsis
  • Convergence insufficiency (CI) is when your eyes don't work together well when looking at things close up, making reading difficult.
  • Researchers looked at how CI affects a part of the brain called the arcuate fasciculus, which helps with reading.
  • They found that people with CI had smaller and different structures in this brain area compared to those with normal vision, suggesting that CI might change the brain over time due to reading problems.
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Article Synopsis
  • The study aimed to assess QuickSee's effectiveness in identifying children aged 4-12 at risk for major vision issues such as refractive error, amblyopia, and strabismus.* -
  • QuickSee demonstrated high accuracy with an AUC of ≥0.92 for refractive errors, achieving sensitivity and specificity rates of 84.2% and 87.3% for detecting any refractive error, and 81.1% and 87.9% for any significant vision condition.* -
  • Results indicated that adding unaided near visual acuity did not significantly enhance QuickSee's ability to detect hyperopia, and the overall testability of QuickSee was 94.3% in the evaluated population.*
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Purpose: Recent evidence suggests that the ciliary muscle apical fibres are most responsive to accommodative load; however, the structure of the ciliary muscle in individuals with accommodative insufficiency is unknown. This study examined ciliary muscle structure in individuals with accommodative insufficiency (AI). We also determined the response of the ciliary muscle to accommodative/vergence therapy and increasing accommodative demands to investigate the muscle's responsiveness to workload.

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