Nexus of ocular motility and dry eye

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dc.contributor.authorGorimanipalli, Bhavyaen_US
dc.contributor.authorMuthu, Sumithaen_US
dc.contributor.authorShetty, Rohiten_US
dc.contributor.authorRanade, Reshma Raghunathen_US
dc.contributor.authorKhamar, Poojaen_US
dc.date.accessioned2023-08-25T06:36:43Z
dc.date.available2023-08-25T06:36:43Z
dc.date.issued2023-04
dc.description.abstractPurpose: To evaluate the effectiveness of vision therapy (VT) in patients with chronic presumed refractory dry eye disease (DED) and concurrent nonstrabismic binocular vision anomalies (NSBVAs). To propose an algorithmic approach to manage patients with refractory DED. Methods: Thirty?two patients with chronic (>1 year) presumed refractory DED and NSBVA were prospectively evaluated. The baseline dry eye evaluation and comprehensive orthoptic evaluation were done. VT was administered by a trained orthoptist for 2 weeks. The binocular vision (BV) parameters and percentage subjective improvement were assessed after the VT. Results: On evaluation, 12 patients (37.5%) had both DED and NSBVA, and 20 patients (62.5%) had only NSBVA. Twenty?nine patients (90.62%) showed significant improvement in BV parameters following VT. Binocular near point of accommodation (median, range) improved from 17 (8–40) to 12 (5–26) mm (P value < 0.0001), and near point of convergence (median, range) improved from 6 (3–33) to 6 (5– 14) (P value 0.004) with VT. Thirty?one patients (96.87%) reported symptomatic improvement after VT, and 62.5% of these showed more than 50% improvement in symptoms. Conclusion: The present study confirms the beneficial role of VT in the treatment of patients with DED with concurrent NSBVA. It is essential to diagnose and treat NSBVA in patients with DED to ensure complete relief of symptoms and patient satisfaction. As there is a significant overlap between symptoms of dry eye disease and that of NSBVA, a complete orthoptic evaluation is recommended in all patients presenting with refractory dry eye disease related symptomsen_US
dc.identifier.affiliationsDepartment of Cornea and Refractive Surgery, Narayana Nethralaya, Bengaluru, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatric Ophthalmology and Strabismus, Narayana Nethralaya, Bengaluru, Indiaen_US
dc.identifier.affiliationsDepartment of Cataract and Refractive Surgery, Narayana Nethralaya, Bengaluru, Indiaen_US
dc.identifier.citationGorimanipalli Bhavya, Muthu Sumitha, Shetty Rohit, Ranade Reshma Raghunath, Khamar Pooja. Nexus of ocular motility and dry eye. Indian Journal of Ophthalmology. 2023 Apr; 71(4): 1546-1550en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224964
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber4en_US
dc.relation.volume71en_US
dc.source.urihttps://doi.org/10.4103/IJO.IJO_3364_22en_US
dc.subjectBinocular vision anomaliesen_US
dc.subjectdry eye diseaseen_US
dc.subjectrefractory dry eyeen_US
dc.subjectvision therapyen_US
dc.titleNexus of ocular motility and dry eyeen_US
dc.typeJournal Articleen_US
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