Browsing by Author "Sanaa Mamoun Mohamed"

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    Comparison between Daily and Weekly Fusional Convergence Exercises in Young Exophoric Patients
    (2018-11-15) Sanaa Mamoun Mohamed; Madiha Sid Ahmed
    Aim: To compare the effectiveness of daily fusional exercises as intensive therapy and weekly exercises as less intensive therapy for young exophoric patients. Materials and Methods: A longitudinal clinical based study was done at Al-Neelain University Hospital and Makka Eye Hospital (Alkalakla) during the period from March to December 2017. Twenty-nine subjects for the daily group (first group), and 21 subjects for the weekly group (second group) were included. Subjects with near exophoria and had fusional convergence less than 30Δ were selected, their ages ranged from17 to 25 years old, had no systemic or ocular diseases and had vision of 6/6 or better in both eyes and with normal refraction. The collected data included the demographic information, vision which was examined by Snellen's test types (E symbols), refraction using autorefractometer (Auto Ref/Keratometer ARK-1s) and streak retinoscope (Heine Germany), cover test was performed with occluder and prism bar, fusional convergence was measured and exercised by Synoptophore [Clement Clarke-2003]; foveal slides. The exercise was carried between 8 and 12 AM with 10 minutes duration for both groups. Results: positive fusion at baseline was 14.2±4.64 and 17.4±6.41of first and second groups respectively, statistically there was no significant differences between the two groups (P< 0.212). Significant improvement was revealed after the first two sessions for weekly group mean SD (23.9±9.44), (P <0.001), at the 3rd and 4th visits a slight reduction present in this group P value was < 0.002 when compared with the baseline values. The daily sessions group showed significant improvement in the consecutive 4 sessions. mean SD (32.5±14.6), (P <0.001). Conclusions: The two methods showed significant increase in the fusional convergence, therefore either of which could be used for exercise, but the daily method was more effective.