A Randomized Trial of Base-in Prism Reading Glasses Convergence Insufficiency in Children
A Randomized Clinical Trial of the Effectiveness of Base-in Prism Reading Glasses Vs. Placebo Reading Glasses for Symptomatic Convergence Insufficiency in Children
1 other identifier
interventional
72
1 country
10
Brief Summary
This study is designed to compare the use of special prism glasses to placebo treatment for children with symptomatic convergence insufficiency.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started May 2003
Shorter than P25 for phase_3
10 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2003
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2004
CompletedFirst Submitted
Initial submission to the registry
July 3, 2006
CompletedFirst Posted
Study publicly available on registry
July 4, 2006
CompletedJuly 4, 2006
January 1, 2005
July 3, 2006
July 3, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Symptom score on the Convergence Insufficiency Symptom Survey
Secondary Outcomes (2)
Near point of convergence
Positive fusional vergence at near
Interventions
Eligibility Criteria
You may qualify if:
- Age: 9 to \<19 years.
- Best corrected visual acuity of ≥20/25 in each eye at distance and near
- Willingness to wear eyeglasses or contact lenses to correct refractive error, if necessary
- Willingness to wear glasses for reading and other near work
- Exophoria at near at least 4 greater than at far
- Insufficient positive fusional convergence (fails Sheard's criterion)
- Receded near point of convergence of 6 cm break
- Random dot stereopsis appreciation using a 500 seconds of arc target.
- CI Symptom Survey score 16
You may not qualify if:
- Amblyopia (\> 2 line difference in best corrected visual acuity between the two eyes).
- Constant strabismus
- History of strabismus surgery.
- Anisometropia 2D in any meridian between the eyes.
- Prior refractive surgery.
- Vertical heterophoria greater than 1 .
- Systemic diseases known to affect accommodation, vergence and ocular motility such as: multiple sclerosis, Graves thyroid disease, myasthenia gravis, diabetes, Parkinson disease.
- Any ocular or systemic medication known to affect accommodation or vergence (Anti-anxiety agents (Librium or Valium), Anti-arrhythmic agents (Cifenline or Cibenzoline), Anticholinergics (Motion sickness patch (scopolamine), Bladder spasmolytic drugs (Propiverine), Chloroquine, Phenothiazines (Compazine, Mellaril, or Thorazine), Tricyclic antidepressants (Elavil, Nortriptyline, or Tofranil)
- Accommodative amplitude \<5 D in either eye as measured by the Donder's push-up method.
- Manifest or latent nystagmus.
- Developmental disability, mental retardation, attention deficit hyperactivity disorder (ADHD), or learning disability diagnosis in children that in the investigator's discretion would interfere with treatment.
- Household member or sibling already enrolled in the BI-CITT.
- Any eye care professional, ophthalmic technician, ophthalmology or optometry resident or optometry student.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (10)
University of Alabama, Birmingham, College of Optometry
Birmingham, Alabama, 35294, United States
Southern California College of Optometry
Fullerton, California, 92831, United States
NOVA College of Optometry
Fort Lauderdale, Florida, 33328, United States
Bascom Palmer Eye Institute
Miami, Florida, 33136, United States
Indiana University College of Optometry
Bloomington, Indiana, 47405, United States
State University of New York, College of Optometry
New York, New York, 10036, United States
The Ohio State University, Optometry Coordinating Center
Columbus, Ohio, 43210, United States
The Ohio State University
Columbus, Ohio, 43210, United States
Eye Institute, Pennsylvania College of Optometry
Philadelphia, Pennsylvania, 19141, United States
University of Houston, College of Optometry
Houston, Texas, 77204, United States
Related Publications (2)
Scheiman M, Cotter S, Rouse M, Mitchell GL, Kulp M, Cooper J, Borsting E; Convergence Insufficiency Treatment Trial Study Group. Randomised clinical trial of the effectiveness of base-in prism reading glasses versus placebo reading glasses for symptomatic convergence insufficiency in children. Br J Ophthalmol. 2005 Oct;89(10):1318-23. doi: 10.1136/bjo.2005.068197.
PMID: 16170124RESULTScheiman M, Kulp MT, Cotter SA, Lawrenson JG, Wang L, Li T. Interventions for convergence insufficiency: a network meta-analysis. Cochrane Database Syst Rev. 2020 Dec 2;12(12):CD006768. doi: 10.1002/14651858.CD006768.pub3.
PMID: 33263359DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Mitchell Scheiman, OD
Pennsylvania College of Optometry
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
July 3, 2006
First Posted
July 4, 2006
Study Start
May 1, 2003
Study Completion
August 1, 2004
Last Updated
July 4, 2006
Record last verified: 2005-01