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NCT Number: NCT03347734

Investigation of the Effect of Different Eye Exercises on Hypermetropia in School-age Children

Hypermetropia in school-aged children is a pathology which is very common and responds to treatments early. No studies have been found in the literature on the efficancy of the hypermetropia treatments with physiotherapy methods. In our study, it was aimed to investigate the effects of different eye exercises on hypermetropia defects in school age children aged 7-17 years and to determine whether exercise protocols have superiority against each other.

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Key information

Conditions

Hyperopia Eye Diseases Refractive Errors

Age range

7 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istanbul Medipol Universty

Istanbul, Beykoz, Turkey (Türkiye)

About this study

60 volunteer school-aged children (30 girls, 30 boys, between 7-17 years of age) were included in our study. 60 participants were randomly divided into three groups: eye exercises, convergence exercises and oculomotor exercise groups. Home exercise protocols were given to all groups for 2 sessions per day for 6 weeks, and regular phone calls were made once a week. Participants were assessed for their hypermetropic grades by autorefractometry, visual acuity by snellen chart, near and sharp visual acuity by activities of daily vision scale, and the health-related quality of life by pediatric quality of life inventory 4.0 version (PEDSQI 4.0) children report.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Having hypermetropia eye defects
  • Max. having a 1.50 D astigmatism defect
  • Using glasses
  • Having mental capacity in the level to understand and do exercises
  • Not having systemic disease preventing exercise

Exclusion criteria

  • Having undergone eye surgery
  • Having more than 1.50 D astigmatism defect
  • Not using glasses

Treatment and study plan

Eye exercises group

Behavioral
  • 20 times hot water, 20 times cold water washing face in the morning and evening.
  • Palming; 2 hands are rubbed together and warmed up, and the eyes are closed, and 8 digits are drawn with eyes in darkness.
  • 20 blinks
  • Looking at a clock in a circular shape, from 12 to 6, from 6 to 12, from 3 to 9, from 9 to 3, from 2 to 8, from 8 to 2, oblique from 10 to 4, from 4 to 10, and turning the eyes starting from 12 clockwise and counterclockwise. At the end of the exercises, 2-3 minutes of light massage around the eyes and on sunny days, sunbathing was recommended by closing the eyes for 3-5 minutes and swinging to the left and right.

Convergence exercise group

Behavioral
  • Close eyes for 15 s,
  • Focus on a point 1 to 1.5 ft away for 10 s,
  • Close eyes for 5 s,
  • Focus on a point 20 ft away for 10 s,
  • Close eyes for 5 s,
  • Focus on a point 1 to 1.5 ft away for 10 s,
  • Blink for 5 s,
  • Close eyes for 5 s.

Oculomotor Exercise Group (OMEG)

Behavioral
  • The saccadic eye movement exercise included moving the eyes horizontally between two stationary targets while keeping the head still.
  • The smooth pursuit exercise included moving the target horizontally and tracking it with the eyes while keeping the head still.
  • The adaptation X1 exercise included moving the head horizontally while keeping the stationary target in focus.
  • The adaptation X2 exercise included moving the head and target in opposite directions horizontally while tracking the target with the eyes.

Primary outcomes

  1. Visual acuity

    Time frame: 6 week

    Snellen chart was used for visual acuity measurement. Snellen "E" was asked to be registered or registered to the device. In visual acuity measurement, individuals were evaluated with their own glasses.

Secondary outcomes

  1. Hypermetropic grade

    Time frame: 6 week

    The refraction defects were measured by autorefractometry, which is frequently used because it provides fast and reliable results in clinic. In the autorefractometry method, the infrared rays sent to the patient's eye are reflected from the retina back to the device and evaluate the refraction defect of the patient

  2. Near and sharp visual acuity

    Time frame: 6 week

    Subscales of activities of daily vision scale, individuals questioning the near vision and sharp vision scores were used. Individuals question the extent to which they can not perform activities because of the difficulty of seeing them, and the degree of difficulty they experience while doing the activity. Points in different categories are summed and converted to a value between 0-100 by the formula. High score gives good visual acuity.

  3. Health-related quality of life

    Time frame: 6 week

    Participants' health-related quality of life was assessed using the Pediatric Quality of Life Inventory Version 4.0 (PedSQI 4.0) Children Report. Score is calculated in 3 areas as total score of scale (SST), total physical health score (FSTP) and total score of psychosocial health (PSTP) which is calculated by calculating emotional, social and school functioning.

Sponsors and collaborators

Lead sponsor

Medipol University

Other

Registry information

Official study title

Randomized Controlled, Double-Blind Trial of Investigation of the Effect of Different Eye Exercises on Hypermetropia in School-age Children

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Nov 20, 2017
Registry last updated
May 11, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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