A Comparative Study of Fusional Vergence According to Ocular Dominance in Healthy Subjects (ECAFOSS)
In orthoptics, fusional vergence (FV) measurement is one of the key tests used to assess fusion ability. These amplitudes are generally reduced in individuals with convergence insufficiency. Fusional vergence are quantified by placing a prism bar randomly in front of one eye-first for distance vision and then for near vision. Rehabilitation exercises using the prism bar are also performed in the same manner.
Depending on orthoptic practice, the prism bar is placed in front of the left eye or the right eye, in a dogmatic manner, or in front of the right eye, in a conventional manner, without any study providing any justification. However, some practitioners report interocular differences when measuring fusion amplitudes depending on which eye is prismed, while others do not.
The hypothesis put forward is that, in individuals with an interocular difference in fusional vergence, ocular dominance (sensory and motor) could be the cause of this measurement discrepancy.
The objective is therefore to compare the difference in fusional vergence depending on whether the dominant or non-dominant eye is tested, using a randomized order of eyes and tests.
If this hypothesis is confirmed (greater fusional vergence when tested on the dominant eye), this would: (1) enhance our understanding of fusion mechanisms, (2) provide more targeted insights for the assessment, quantification, and rehabilitation of fusional vergence to improve the effectiveness of orthoptic intervention.
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Descripción detallada
In orthoptics, fusional vergence (FV) measurement is one of the key tests used to assess fusion ability. These amplitudes are generally reduced in individuals with convergence insufficiency. Fusional vergence are quantified by placing a prism bar randomly in front of one eye-first for distance vision and then for near vision. Rehabilitation exercises using the prism bar are also performed in the same manner.
Depending on orthoptic practice, the prism bar is placed in front of the left eye or the right eye, in a dogmatic manner, or in front of the right eye, in a conventional manner, without any study providing any justification. However, some practitioners report interocular differences when measuring fusion amplitudes depending on which eye is prismed, while others do not.
The hypothesis put forward is that, in individuals with an interocular difference in fusional vergence, ocular dominance (sensory and motor) could be the cause of this measurement discrepancy.
The objective is therefore to compare the difference in fusional vergence depending on whether the dominant or non-dominant eye is tested, using a randomized order of eyes and tests.
If this hypothesis is confirmed (greater fusional vergence when tested on the dominant eye), this would: (1) enhance our understanding of fusion mechanisms, (2) provide more targeted insights for the assessment, quantification, and rehabilitation of fusional vergence to improve the effectiveness of orthoptic intervention.
The study consists of one-hour eye examinations of healthy individuals with no visual or oculomotor disorders.
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Maxence Rateaux, PhD
- Número de teléfono: +33 01 44 49 53 62
- Correo electrónico: maxence.rateaux@aphp.fr
Copia de seguridad de contactos de estudio
- Nombre: Hélène Morel
- Número de teléfono: +33 01 44 38 16 53
- Correo electrónico: helene.morel@aphp.fr
Ubicaciones de estudio
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Paris, Francia, 75015
- Reclutamiento
- Hôpital Necker-Enfants Malades
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Contacto:
- Maxence Rateaux, PhD
- Número de teléfono: +33 01 44 49 53 62
- Correo electrónico: maxence.rateaux@aphp.fr
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
Acepta Voluntarios Saludables
Método de muestreo
Población de estudio
Descripción
Inclusion Criteria:
- Adults between the ages of 18 and 35 with no known eye conditions, with or without ametropia. If ametropia is present: it must be corrected
- Subjects with no history of eye surgery, including refractive surgery
- Subjects who have been informed about the study and have freely and knowingly consented to participate in the study and to the collection of data
Exclusion Criteria:
- Subjects with strabismus
- Subjects with visual acuity of less than 20/20; or anisometropia
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
Número de grupos/cohortes
Cohortes e Intervenciones
Grupo / CohorteGrupo / Cohorte |
Intervención / TratamientoIntervención / Tratamiento |
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Healthy individual
Individuals with no visual or oculomotor disorders.
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Measurement of sensorimotor fusional vergence in the right and left eyes, in divergence and convergence, first for distance vision and then for near vision.
A random draw will determine which eye is tested first for distance vision, followed by a second draw for near vision, in order to minimize training bias.
Prior to this, a stereoscopic acuity test will be performed to confirm the presence of binocular vision.
Otros nombres:
Assessment of ocular dominance for:
Otros nombres:
Conducting an orthoptic evaluation to verify that patients meet the study's inclusion criteria:
Otros nombres:
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Amplitude of fusional vergence
Periodo de tiempo: Day 0
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Values of horizontal fusional vergence measured using a horizontal Berens prism bar in divergence and convergence, for distance and near vision, in the right eye and the left eye and reported in prism diopters.
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Day 0
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Laterality ocular dominance
Periodo de tiempo: Day 0
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Assessment of ocular dominance for:
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Day 0
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Lateralization quotient value (LQ)
Periodo de tiempo: Day 0
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Determination of the lateralization quotient value by the mean of previous responses of the ocular dominance tests.
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Day 0
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Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Assessment of the degree of agreement among the various tests for ocular dominance
Periodo de tiempo: Day 0
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Compilation of responses to ocular dominance tests (sensorial and motor dominant eye, target eye and preferred eye) and lateralization quotient.
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Day 0
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Agreeement between the bilateral prismatic test (new test for oculomotor dominance laterality determination and standard ocular dominance tests
Periodo de tiempo: Day 0
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Evaluation of a new test (bilateral prismatic test for oculomotor dominance) and comparison to usually ocular dominance test.
All tests classify the ocular dominance into 3 categories : Left, Right, None.
This part tends to evaluation the efficacity and the utility of a new test for ocular dominance.
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Day 0
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Assessment of the difference in fusional vergence measurements between the right and left eyes and the laterality quotient
Periodo de tiempo: Day 0
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Assessment of the difference in fusional vergence measurements between the right and left eyes and the laterality quotient.
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Day 0
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Correlation between inter-pupillary distance measurements and differences in fusion amplitude measurements between the right and left eyes
Periodo de tiempo: Day 0
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Measurements of interpupillary distance and overall fusion ability, for distance vision and near vision.
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Day 0
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Investigadores
Investigadores
- Investigador principal: Maxence Rateaux, PhD, Assistance Publique - Hôpitaux de Paris
- Director de estudio: Dominique MD, PhD BREMOND-GIGNAC, Assistance Publique - Hôpitaux de Paris
Publicaciones y enlaces útiles
Publicaciones Generales
- Lopes-Ferreira D, Neves H, Queiros A, Faria-Ribeiro M, Peixoto-de-Matos SC, Gonzalez-Meijome JM. Ocular dominance and visual function testing. Biomed Res Int. 2013;2013:238943. doi: 10.1155/2013/238943. Epub 2013 Nov 11.
- Rovira-Gay C, Mestre C, Argiles M, Vinuela-Navarro V, Pujol J. Feasibility of measuring fusional vergence amplitudes objectively. PLoS One. 2023 May 4;18(5):e0284552. doi: 10.1371/journal.pone.0284552. eCollection 2023.
- Rowe FJ. Fusional vergence measures and their significance in clinical assessment. Strabismus. 2010 Jun;18(2):48-57. doi: 10.3109/09273971003758412.
- Bossi M, Hamm LM, Dahlmann-Noor A, Dakin SC. A comparison of tests for quantifying sensory eye dominance. Vision Res. 2018 Dec;153:60-69. doi: 10.1016/j.visres.2018.09.006. Epub 2018 Oct 22.
- Lanca CC, Rowe FJ. Measurement of fusional vergence: a systematic review. Strabismus. 2019 Jun;27(2):88-113. doi: 10.1080/09273972.2019.1583675. Epub 2019 Mar 1.
- Fray KJ. Fusional amplitudes: exploring where fusion falters. Am Orthopt J. 2013;63:41-54. doi: 10.3368/aoj.63.1.41.
- Fray KJ. Fusional Amplitudes: Developing Testing Standards. Strabismus. 2017 Sep;25(3):145-155. doi: 10.1080/09273972.2017.1349814. Epub 2017 Jul 31.
- Ho R, Thompson B, Babu RJ, Dalton K. Sighting ocular dominance magnitude varies with test distance. Clin Exp Optom. 2018 Mar;101(2):276-280. doi: 10.1111/cxo.12627. Epub 2017 Oct 31.
- Kommerell G, Schmitt C, Kromeier M, Bach M. Ocular prevalence versus ocular dominance. Vision Res. 2003 Jun;43(12):1397-403. doi: 10.1016/s0042-6989(03)00121-4.
- Garcia-Perez MA, Peli E. Psychophysical Tests Do Not Identify Ocular Dominance Consistently. Iperception. 2019 Apr 29;10(2):2041669519841397. doi: 10.1177/2041669519841397. eCollection 2019 Mar-Apr.
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
Otros números de identificación del estudio
- APHP251987
- 2025-A02953-46 (Otro identificador: ID RCB number)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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