Treating Myopia with Acoustic Biofeedback

Rupolo, Giampietro; Angi, M; Sabbadin, Elisabetta; Caucci, Sabina; Pilotto, Elisabetta; Racano, Elisabetta; C, de Bertolini

doi:10.1097/00006842-199705000-00014

Cited by 9 publications

(5 citation statements)

References 10 publications

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“…Rupolo et al evaluated in a non-randomized prospective study including 33 female students the efficacy of visual training through the use of an acoustic biofeedback technique. After 12 months, no significant differences were shown between the treated and the control groups [70]. Analogously, previous non-randomized clinical studies reported no efficacy of this treatment modality [71,72,73].…”

Section: Treatmentsmentioning

confidence: 76%

Prevention of Progression in Myopia: A Systematic Review

et al. 2018

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The prevalence of myopia has increased worldwide in recent decades and now is endemic over the entire industrial world. This increase is mainly caused by changes in lifestyle and behavior. In particular, the amount of outdoor activities and near work would display an important role in the pathogenesis of the disease. Several strategies have been reported as effective. Spectacles and contact lenses have shown only slight results in the prevention of myopia and similarly ortokerathology should not be considered as a first-line strategy, given the high risk of infectious keratitis and the relatively low compliance for the patients. Thus, to date, atropine ophthalmic drops seem to be the most effective treatment for slowing the progression of myopia, although the exact mechanism of the effect of treatment is still uncertain. In particular, low-dose atropine (0.01%) was proven to be an effective and safe treatment in the long term due to the lowest rebound effect with negligible side effects.

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Section: Treatmentsmentioning

confidence: 76%

Prevention of Progression in Myopia: A Systematic Review

et al. 2018

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“… 28 Symptom severity and emotional distress due to vision loss were related with self-reported disability in persons with low vision. 30 Psychological distress and depression were also common in patients with refractive error, 31 myopia, 32 , 33 and amblyopia. 34 Biofeedback-visual training in myopic patients was found to improve the psychological mental state and subjective vision abilities, but not visual acuity as determined by objective computer tests.…”

Section: Introductionmentioning

confidence: 99%

“… 34 Biofeedback-visual training in myopic patients was found to improve the psychological mental state and subjective vision abilities, but not visual acuity as determined by objective computer tests. 32 , 33 Reimer et al reported clinically relevant distress measured with the SCL-90-R in every second patient before plaque radio-therapy. 35 Vision- and health-related QoL were impaired in these patients and further reduced after radiotherapy.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress is associated with vision-related but not with generic quality of life in patients with visual field defects after cerebral lesions

et al. 2012

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Considerably diminished quality of life (QoL) is observed in patients with visual field defects after lesions affecting the visual pathway. But little is known to what extent vision-and health-related QoL impairments are associated with psychological distress. In 24 patients with chronic visual field defects (mean age=56.17±12.36) the National Eye Institute-visual functioning questionnaire (NEI-VFQ) for vision-related QoL, the Short Form Health Survey-36 (SF-36) for generic QoL and the revised Symptom-Checklist (SCL-90-R) were administered. Cases with clinically relevant SCL-90-R symptoms were defined. Demographic, QoL and visual field parameters were correlated with SCL-90-R scales. About 40% of the investigated patients met the criteria for the definition of psychiatric caseness. 8/12 NEI-VFQ scales correlated significantly with SCL-90-R phobic anxiety (r-range −0.41 to −0.64, P<0.05), 5/12 NEI-VFQ scales correlated with SCL-90-R interpersonal sensitivity (−0.43 to −0.50), and 3/12 with SCL-90-R depression (−0.51 to −0.57) and obsessive-compulsiveness (−0.41 to −0.43). In contrast, only 1/8 SF-36 scales correlated significantly with SCL-90-R depression, phobic anxiety and interpersonal sensitivity (−0.41 to −0.54). No substantial correlations were observed between visual field parameters and SCL-90-R scales. Significant correlations of SCL-90-R with NEI-VFQ but not with SF-36 suggest that self-rated psychological distress is the result of diminished vision-related QoL as a consequence of visual field loss. The extent of visual field loss itself did not influence the rating of psychological distress directly, since SCL-90-R symptoms were only reported when diminished vision-related QoL was present. Patients with reduced vision-related QoL due to persisting visual field defects should therefore be offered additional neuropsychological rehabilitation and supportive psychotherapeutic interventions even years after the lesion.

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“…Additionally a number of studies have shown that the incidence of neuropsychiatric conditions is high in visually impaired patients with age-related macular degeneration (AMD) (Brody et al, 2001; Mathew et al, 2011), diabetic retinopathy (Cox et al, 1998; Robertson et al, 2006; Hahm et al, 2008; Trento et al, 2013), refractive error (Owsley et al, 2007), myopia (Angi et al, 1996; Rupolo et al, 1997), and amblyopia (Koklanis et al, 2006). The presence of visual field defects is a risk factor for mental distress, especially for depressive symptoms (Zhang et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Remaining Visual Field and Preserved Subjective Visual Functioning Prevent Mental Distress in Patients with Visual Field Defects

Gall¹,

Brösel²,

Sabel³

2013

Front. Hum. Neurosci.

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Background: Patients with visual field defects after visual pathway lesion may experience reduced vision-related quality of life (vrQoL). It has not been clarified how vrQoL impairments contribute to vision-related mental distress.Methods: One hundred and eight subjects with visual field defects caused by optic neuropathies (age M = 57.6; SD = 13.7 years) answered the National Eye Institute Visual-Functioning Questionnaire 39 (NEI-VFQ) for vrQoL and the SF-12 Short Form Health Survey for health-related quality of life. A 10 item composite of NEI-VFQ “visual functioning” and 5 items of “mental-health symptoms due to vision problems” were subjected to Rasch analysis. The test battery comprised static and High Resolution Perimetry (HRP). Regression and path analysis were used to investigate associations between QoL, mental distress, and perimetry results.Results: A higher level of “visual functioning” was associated with monocular impairment and a larger remaining visual field compared to binocular impairment. Subjective “visual functioning” but not visual field parameters predicted “mental-health symptoms due to vision problems” which was the only variable associated with the SF-12 mental component score. The SF-12 physical component score was less strongly associated with “mental-health symptoms due to vision problems.” Here, reaction time in HRP and mean threshold in perimetry were additional significant variables. Path analysis revealed a significant path from remaining visual field via visual functioning on mental health.Conclusion: Subjective consequences of visual impairments in everyday life impact mental health rather than “objective” visual function loss as measured by perimetry. Since a higher extent of vrQoL was related to lower levels of mental distress, the maintenance of vrQoL could reduce and prevent mental distress due to vision problems. Patients with persisting visual field defects may benefit from neuropsychological rehabilitation and supportive therapies.

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Treating Myopia with Acoustic Biofeedback

Cited by 9 publications

References 10 publications

Prevention of Progression in Myopia: A Systematic Review

Prevention of Progression in Myopia: A Systematic Review

Psychological distress is associated with vision-related but not with generic quality of life in patients with visual field defects after cerebral lesions

Remaining Visual Field and Preserved Subjective Visual Functioning Prevent Mental Distress in Patients with Visual Field Defects

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