Relationship Between Reading Performance and Saccadic Disconjugacy in Patients with Convergence Insufficiency Type Intermittent Exotropia
Overview
Authors
Affiliations
Purpose: To determine the relationship between re-reading the same line and saccadic disconjugacy in patients with convergence insufficiency-type intermittent exotropia [CI-type X(T)].
Methods: Eight patients with CI-type X(T) and ten healthy orthophoric individuals were studied. Video-oculography was used to assess the eye movements during the reading of a Japanese novel displayed on a 23-in. liquid crystal monitor placed 60 cm from the eyes. The sentences were displayed horizontally and read from left to right. The number of unintentional re-readings of the same line was counted, and the disconjugacy at the median of the saccade between the end of a line and the next line was determined.
Results: The number of re-readings of the same line in patients with CI-type X(T) was 4.9 ± 2.3 times which was significantly higher than that in the controls at 0.2 ± 0.4 times (P < 0.001). The saccadic disconjugacy was significantly larger in patients with CI-type X(T) at -1.70° ± 0.72° than that in the controls at -0.40°± 0.30° (P < 0.001). The number of re-readings of the same line was significantly and positively correlated with the saccadic disconjugacy (R = 0.84, R (2) = 0.71, P < 0.01).
Conclusions: The results of our study indicate that saccadic disconjugacy is associated with re-reading the same line in patients with CI-type X(T).
Self-Reported Findings of the Korean Intermittent Exotropia Multicenter Study Questionnaire.
Yang H, Park S, Lee H, Kim S, Gye H, Kim S Korean J Ophthalmol. 2024; 38(3):194-202.
PMID: 38584440 PMC: 11175978. DOI: 10.3341/kjo.2023.0129.
Reading speed in school-age children with intermittent exotropia.
Fang C, Wu Y, Peng T, Wang C, Lou J, Xu M Sci Rep. 2022; 12(1):9423.
PMID: 35676393 PMC: 9177830. DOI: 10.1038/s41598-022-13293-z.
Kim D, Baek S, Choi H, Choi D, Lee D, Lee S Korean J Ophthalmol. 2021; 35(5):355-359.
PMID: 34237205 PMC: 8521330. DOI: 10.3341/kjo.2021.0097.
Mishra S, Kim Y, Intarasirisawat J, Kwon Y, Lee Y, Mahmood M Sci Adv. 2020; 6(11):eaay1729.
PMID: 32201718 PMC: 7069716. DOI: 10.1126/sciadv.aay1729.
A quantitative analysis method for comitant exotropia using video-oculography with alternate cover.
Park N, Park B, Oh M, Moon S, Kim M BMC Ophthalmol. 2018; 18(1):80.
PMID: 29566654 PMC: 5863817. DOI: 10.1186/s12886-018-0747-9.