Joss, Joëlle

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Joss
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Joëlle
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Joss, Joëlle

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2022 - 20242
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Thema: asthenopic symptoms ×

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  • Vorschaubild
    Publikation
    Do MCH prisms change asthenopic complaints when reading?
    (DOZ-Verlag, 28.06.2024) Joss, Joëlle; Jainta, Stephanie [in: Optometry & Contact Lenses]
    Purpose. Asthenopic symptoms mostly occur during demanding near-sighted tasks and are related to binocular symptoms (e.g. heterophoria), among others. Correction of symptomatic heterophoria with prismatic glasses is one way to treat the symptoms. This study investigates the effect of wearing a horizontal prismatic correction for 6 months. Material and Methods. A total of 87 subjects were assigned to a heterophoric prism group (N=32), a heterophoric control group (N= 31) or an orthophoric control group (N= 24) according to their MCH heterophoria. In the heterophoric prism group, the subjects were prescribed glasses with a prismatic correction for 6 months according to their distance correction; in contrast, the subjects in the heterophoric control group had to wear glasses without prismatic correction for the same period. The effect of the prisms on complaints due to asthenopic symptoms was investigated by comparing the total sum obtained in the CISS questionnaire at the beginning of the study and after 6 months (before and after wearing glasses) for the 3 groups. Results. A (long-term) prism effect was not apparent in the CISS total score. In both the heterophoric prism group and in the heterophoric control group, the CISS total score increased slightly and non-significantly after 6 months. When considering the heterophoric subjects with an increased CISS score at baseline, a nevertheless slight but non-significant decrease of symptoms was observed. All changes were observed in both the heterophoric prism group and the heterophoric control group. An additional analysis using binocular profiles showed a reduction in symptoms by numbers and specifically for subjects with reduced vergence facility. Conclusion. Wearing an individual, horizontal prismatic correction had no effect on the overall CISS-score for our test subjects. Further methods that allow a systematic recording of symptoms and optometric parameters are probably necessary to observe an effect. These could be binocular profiles that classify individuals according to their binocular parameters.
    01A - Beitrag in wissenschaftlicher Zeitschrift
  • Vorschaubild
    Publikation
    Relating asthenopic symptoms to optometric measures and parameters of binocular vision
    (08/2022) Joss, Joëlle; Jainta, Stephanie
    Asthenopic symptoms are related to heterophoria and problems of binocular vision. In a recent paper, we showed that vergence drift and fixation durations are related to symptoms (CISS-questionnaire), but optometric measures such as heterophoria, vergence or accommodative facility, AC/A-ratio or NPC did not significantly add to the explained variance of asthenopia. We re-analysed our data, in which binocular eye movements were recorded (EyeLink II) for 64 participants, and linear regression analyses related all parameters of binocular coordination (objective heterophoria, vergence drift, saccade disconjugacy, fixation disparity and fixation duration), and the above-mentioned optometric tests to 4 symptoms factors (eye comfort, reading process, image quality and fatigue), which we identified by a factor analysis of the CISS-questionnaire. Objective heterophoria and fixation duration predicted 20% of the variance in symptoms concerning the reading process (factor 2). Furthermore, fixation duration seems to be slightly, but not significantly, related to symptoms addressing fatigue (factor 4), whereas optometric tests are not significantly related to any asthenopia factor. Overall, objective measures during reading relate to asthenopic symptoms, however the lack of asthenopic symptoms prediction by daily optometric parameters is still unexplained. Therefore, further research is needed to find out suited optometric parameters to infer asthenopic symptoms.
    06 - Präsentation