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Doctoral Thesis
DOI
Document
Author
Full name
Hélio Paulo Primiano Júnior
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2019
Supervisor
Committee
Alves, Milton Ruiz (President)
Baptista, Gustavo Victor de Paula
Debert, Iara
Zacharias, Leandro Cabral
Title in Portuguese
Tratamento da aniseiconia induzida na correção óptica de anisometropia em crianças
Keywords in Portuguese
Aniseiconia
Anisometropia
Criança
Ensino Fundamental
Estereopsia
Refração ocular
Técnicas de diagnóstico oftalmológico
Abstract in Portuguese
OBJETIVOS: Comparar a aniseiconia e a estereopsia em escolares anisometropes do primeiro ano do ensino fundamental corrigidos com lentes oftálmicas de estoque com curvas-base selecionadas para minimizar a diferença de tamanho interocular das imagens retínicas e com lentes iseicônicas sugeridas pelo software Aniseikonia Inspector 3 e verificar a preferência dos escolares por uma destas formas de correção. MÉTODOS: Dezenove escolares com anisometropia >= 1,5 D em meridianos correspondentes no uso de óculos com lentes oftálmicas de estoque e com lentes iseicônicas foram avaliados para aniseiconia (software niseikonia Inspector 3) e estereopsia (teste Stereo Fly test com símbolos LEA. A preferência por uma das formas de correção foi verificada após 40-50 dias de uso dos óculos. RESULTADOS: As médias e os desvios-padrão das aniseiconias vertical e horizontal no uso de óculos com lentes oftálmicas de estoque e com lentes iseicônicas foram, respectivamente, -1,05% ± 2,20% e -1,37% ± 2,36% (p=0,82739) e -0,895% ± 2,23% e -1,16% ± 2,03% (p=0,77018). Os optotipos que sugerem estereopsia < 100 segundos de arco foram identificados por por 31,6% dos escolares corrigidos com lentes iseicônicas e por 21,1% dos escolares corrigidos com lentes oftálmicas de estoque (p= 0,475). Em relação à preferência, 4/15 (26,7%) escolheram os óculos com lentes iseicônicas, 2/15 (13,3%) escolheram os óculos com lentes oftálmicas de estoque e para 9/15 (60%) a escolha foi indiferente. CONCLUSÃO: A aniseiconia induzida nos escolares anisometropes corrigidos com lentes iseicônicas sugeridas pelo software Aniseikonia Inspector 3 foi similar à obtida na correção com lentes oftálmicas de estoque com curvas-base selecionadas para minimizar a diferença de tamanho interocular das imagens retínicas
Title in English
Treatment of aniseikonia induced by optical correction of anisometropia in children
Keywords in English
Aniseikonia
Anisometropia
Child
Elementary School
Ocular refraction
Ophthalmologic diagnostic techniques
Stereopsis
Abstract in English
OBJECTIVES: To compare the aniseikonia and the stereopsis in children of the first-year of elementary school with anisometropia corrected with stock ophthalmic lenses with base curve selected to minimize the interocular size difference of retinal images and with size lenses suggested by the software Aniseikonia Inspector 3, and to check the preference of them for one of these forms of correction. METHODS: Nineteen school children with anisometropia >= 1.5 D in corresponding meridians, in the use of glasses with stock ophthalmic lenses and with size lenses were evaluated for aniseikonia (software Aniseikonia Inspector 3) and stereopsis (Stereo Fly test with LEA symbols). The preference for one of the forms of correction was verified after 40-50 days of wearing glasses. RESULTS: The mean and standard deviations of the vertical and horizontal aniseikonia in the use of glasses with stock ophthalmic lenses and with size lenses were, respectively,-1.05% ± 2.20% and -1.37% ± 2.36% (p = 0,82739) and -0.895% ± 2.23% and -1.16% ± 2.03% (p = 0,77018). 31.6% of the school children corrected with size lenses and 21.1% of the students corrected with stock ophthalmic lenses identified the optotypes that suggest stereopsis less than 100 seconds of arc (p = 0.475). Regarding the preference, 4/15 (26.7%) of the students chose the glasses with size lenses, 2/15 (13.3%) chose the glasses with stock ophthalmic lenses, and for 9/15 (60%) the choice was indifferent. CONCLUSION: The induced aniseikonia in school children with anisometropia corrected with size lenses suggested by the software Aniseikonia Inspector 3 was similar to that obtained in the correction with stock ophthalmic lenses with base curves selected to minimize the difference of interocular size of retinalimages
 
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Publishing Date
2019-08-12
 
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