One Year Follow-up for Successfully Treated Children with Accommodative Dysfunction

Purpose: The purpose of this study is to evaluate the long-term stability of the improved symptoms and accommodative functions after completion of accommodative therapy. Methods: Seven children (mean ageSD: years) who were successfully treated with a vision therapy program for either accommodative insufficiency or infacility were followed for 1 year. The visual symptoms of the subjects were measured by the College of Optometrists in Vision Development Quality of Life (COVD-QOL) checklist, and this was followed by measurement of the monocular and binocular accommodative facility with D flipper lens. Results: The mean visual symptoms at the 1 year follow-up examination () showed a small increase, but there was no significant difference (p=0.446) from post-therapy (). There was small regression in the monocular (left eye, ) and binocular () accommodative facility at the 1 year follow-up examination, but there were no significant different from the monocular (, p=0.147) and binocular (, p=0.066) accommodative facility measurements at post-therapy. Also, every subject met the normative values of cpm for monocular accommodative facility and cpm for binocular accommodative facility in the long-term. Conclusions: There was long-term maintenance of the improved visual symptoms and accommodative functions, and so it is clear that the positive therapeutic effects persist with accommodative therapy.