ClinicalTrials.gg
Status unknownNCT03321838Updated Jun 28, 2018

Office Based Vergence and Accommodative Therapy and Intermittent Exotropia

An interventional study of accommodative/vergence therapy in Intermittent Exotropia, sponsored by Sun Yat-sen University. Status unknown at 1 site in China. Open to participants aged 8 Years to 18 Years. Per ClinicalTrials.gov, last updated 2018-06-28.

Sponsored by Sun Yat-sen University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2018), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
8 Years to 18 Years
Sex
All
01

Study summary

This pilot study is designed specifically to determine the short-term effect of OBVAT on intermittent exotropia in terms of 4 key areas (Standardizing reported outcomes of surgery for intermittent exotropia): control score, alignment, near stereoacuity and quality of life score. Result of this pilot study will be used to determine whether a full-scale RCT should be conducted to evaluate the short and long term effectiveness of OBVAT.

Read the detailed description

All enrolled px received 16-20 sessions of OBVAT, 60 minutes per visit, one time per week; Home reinforcement, 15 minutes each time, five times per week.

  1. Primary outcome measure: A. Change in the office based intermittent exotropia control score
  2. Secondary outcome measures A. Change in Look And Cover, then Ten seconds of Observation Scale for Exotropia (LACTOSE) B. Change in Newcastle Control Score (NCS) C. Change in Chinese intermittent exotropia questionnaire (CIXTQ) D. Change in near stereopsis by Preschool randot near stereoacuity E. Change in size of distant deviation angle by prism alternating cover test F. Change in size of near deviation angle by prism alternating cover test
02

Conditions studied

  • Intermittent Exotropia

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03

In context

Exotropia

58 studies on the registry are indexed under Exotropia; 13 are open to participants now.

This study's planned enrollment of 20 is below the median of 50 across 49 interventional studies indexed under Exotropia.

Browse Exotropia studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,690 studies on the registry; 619 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. 8 to 18 years old
  2. deviation meeting all of the following criteria: A. intermittent or constant exotropia at distance (mean of 3 baseline assessments of distance control> or = Grade 2) B. intermittent exotropia at near (at least 1 of 3 assessments of near control at the baseline visit Grade 2-4) C. distance and near exodeviation both between 15 to 35 prism diopters (PD) measured by prism and alternate cover test (PACT); D. near deviation not exceeding the distance deviation by >10PD by PACT (i.e., convergence insufficiency type IXT excluded)
  3. cycloplegic objective refraction spherical equivalent (SE) refractive error between -6.00 diopters (D)and +1.00 D inclusive in either eye
  4. Patients must be wearing the updated refractive correction (spectacles or contact lenses) for at least 1 week if refractive error (based on cycloplegic refraction performed within 6 months) meets any of the following:

    A. Myopia >-0.50 D spherical equivalent in either eye B. Anisometropia >1.00 D spherical equivalent C. Astigmatism in either eye >1.50 D

  5. Refractive correction must meet the following guidelines:

    A. Anisometropia spherical equivalent must be within 0.25 D of the full anisometropic difference B. Astigmatism cylinder must be within 0.25 D of full correction and axis must be within 5 degree C. For hyperopia and myopia, the spherical component can be reduced by investigator discretion provided reduction is symmetrical and results in residual (i.e., uncorrected) spherical equivalent refractive error that does not exceed +1.50 D spherical equivalent hyperopia or -0.50 D spherical equivalent myopia

  6. Gestational age >34 weeks
  7. Birth weight >1500 g
  8. No previous surgical or nonsurgical treatment for IXT other than single vision refractive correction (e.g. PALs, Bifocals, patching, or deliberate over-minus with spectacles more than 0.50 D)
  9. No vision therapy or orthoptics for any reason within the last year
  10. No prior strabismus surgery or botulinum injection, intraocular surgery, or refractive surgery
  11. No strabismus surgery planned
  12. vision correctable to at least 20/25 or better at distance and near in each eye.
  13. Px needs to have a computer at home which can connect to internet

Exclusion criteria

Exclusion Criteria:

  1. Patient with nystagmus, restrictive or paretic strabismus
  2. Patient with amblyopia, which is defined as >or = 0.2 logarithm of the minimum angle of resolution units of interocular difference and > or = 0.3 logarithm of the minimum angle of resolution units in one eye ( Variability of stereoacuity in intermittent exotropia)
  3. Regular use of any ocular or systemic medications known to affect accommodation or vergence system, such as atropine, pirenzepine, and anti-epileptic medications in recent 3 months;
  4. developmental disability, attention deficit hyperactivity disorder(ADHD), or learning disability diagnosis in children that in the investigator's discretion would interfere with office-based treatment;
  5. Relocation anticipated for 2 years;
  6. Significant ocular or neurologic disorders (e.g. cerebral palsy) other than strabismus
  7. Vertical deviation greater than 1 pd in cover test
  8. Household member already in the study.
  9. Any eye care professional, ophthalmic technician, medical student, or optometry student
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Accommodative/vergence therapy

    Accommodative/vergence therapy (60 minutes per visit, one time per week, 12-14 weeks) and home reinforcement (15 minutes each time, five times per week, 12-14 weeks) will be provided to patients of treatment group. These therapy includes accommodative, vergence and anti-suppression technique. No drug is used during the whole therapy process.

    Behavioral: accommodative/vergence therapy

Interventions

  • Behavioralaccommodative/vergence therapy

    Accommodative/vergence therapy (60 minutes per visit, one time per week, 12-14 weeks) and home reinforcement (15 minutes each time, five times per week, 12-14 weeks) will be provided to patients of treatment group. These therapy includes accommodative, vergence and anti-suppression technique. No drug is used during the whole therapy process.

06

What researchers measure

Primary outcomes

  1. Office based intermittent exotropia control score

    Office based intermittent exotropia control score is an office based score to assess the control of intermittent exotropia. Minimum score is 0 (best score, phoria) and Maximum score is 5(worst score, constant tropia). Change in Office based intermittent exotropia control score after 14 weeks of vision therapy

    Time frame: Baseline visit, 7th visit(7 weeks after BL), 15th visit (15 weeks after BL)

Secondary outcomes

  1. Look And Cover, then Ten seconds of Observation Scale for Exotropia(LACTOSE)

    Look And Cover, then Ten seconds of Observation Scale for Exotropia (LACTOSE) is an office based score to assess the control of intermittent exotropia. Minimum score is 0 (best score, phoria) and Maximum score is 4(worst score, constant tropia). Change in score after 14 weeks of vision therapy.

    Time frame: Baseline visit, 7th visit(7 weeks after BL), 15th visit (15 weeks after BL)

  2. Newcastle Control Score

    Newcastle Control Score is an office based and home based score to assess the control of intermittent exotropia. Minimum score is 0 (best score) and Maximum score is 6(worst score). Change in score after 14 weeks of vision therapy.Change in score after 14 weeks of vision therapy.

    Time frame: Baseline visit, 7th visit(7 weeks after BL), 15th visit (15 weeks after BL)

  3. Chinese intermittent exotropia questionnaire

    Change in Chinese intermittent exotropia questionnaire after 14 weeks of vision therapy.

    Time frame: Baseline visit, 7th visit(7 weeks after BL), 15th visit (15 weeks after BL)

  4. Preschool randot near stereoacuity

    Change in near stereopsis by Preschool randot near stereoacuity after 14 weeks of vision therapy.

    Time frame: Baseline visit, 7th visit(7 weeks after BL), 15th visit (15 weeks after BL)

  5. deviation angle

    Change in size of distant deviation angle by prism alternating cover test after 14 weeks of vision therapy.

    Time frame: Baseline visit, 7th visit(7 weeks after BL), 15th visit (15 weeks after BL)

07

Study locations

1 site
  • Zhongshan Ophthalmic Center
    Guangzhou, Guangdong 510000, China
08

References and documents

Publications

  • Ma MM, Kang Y, Scheiman M, Chen X. Office-based Vergence and Accommodative Therapy for the Treatment of Intermittent Exotropia: A Pilot Study. Optom Vis Sci. 2019 Dec;96(12):925-933. doi: 10.1097/OPX.0000000000001454. PubMed 31834152 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Jan 2018, 2 months.

Of 29 interventional studies with no phase under Exotropia, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 46. This study's 2 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 15, 2017
First posted
Oct 26, 2017
StartActual
Nov 1, 2017
Primary completionActual
Jan 31, 2018
CompletionEst.
Dec 30, 2018
Last update
Jun 28, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 28, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03321838
Responsible party
Xiang Chen (Associate clinical professor, Sun Yat-sen University) — Principal investigator
First posted
Oct 26, 2017
Start date
Nov 1, 2017
Primary completion
Jan 31, 2018
Completion
Dec 30, 2018 (estimated)
Last update
Jun 28, 2018

Study contacts

Chen xiang
study director · associate chief physician

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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