{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:22:58Z","timestamp":1782271378833,"version":"3.54.5"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100013400","name":"American Academy of Optometry Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013400","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006823","name":"Boston Children's Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006823","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Visual function deficits have been reported in adolescents following concussion. We compared vergence and accommodation deficits in paediatric and adolescent patients at a tertiary medical centre in the sub\u2010acute (15\u2009days to 12\u2009weeks) and chronic (12\u2009weeks to 1\u2009year) phases of concussion recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study included patients aged 7 to &lt;18\u2009years seen between 2014 and 2021, who had a binocular vision (BV) examination conducted within 15\u2009days and 1\u2009year of their concussion injury. Included patients had to have 0.10 logMAR monocular best\u2010corrected vision or better in both eyes and be wearing a habitual refractive correction. BV examinations at near included measurements of near point of convergence, convergence and divergence amplitudes, vergence facility, monocular accommodative amplitude and monocular accommodative facility. Vergence and accommodation deficits were diagnosed using established clinical criteria. Group differences were assessed using nonparametric statistics and ANCOVA modelling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 259 patients were included with 111 in the sub\u2010acute phase and 148 in the chronic phase of concussion recovery. There was no significant difference in the rates of vergence deficits between the two phases of concussion recovery (sub\u2010acute\u2009=\u200948.6%; chronic\u2009=\u200949.3%). There was also no significant difference in the rates of accommodation deficits between the two phases of concussion recovery (sub\u2010acute\u2009=\u200982.0%; chronic\u2009=\u200977.0%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients in both the sub\u2010acute and chronic phases of concussion recovery exhibited a high frequency of vergence and accommodation deficits, with no significant differences between groups. Results indicate that patients exhibiting vision deficits in the sub\u2010acute phase may not resolve without intervention, though a prospective, longitudinal study is required to test the hypothesis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.13346","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T04:24:49Z","timestamp":1717993489000},"page":"1091-1099","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Vergence and accommodation deficits in paediatric and adolescent patients during sub\u2010acute and chronic phases of concussion recovery"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2794-4680","authenticated-orcid":false,"given":"Sophia","family":"Marusic","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neerali","family":"Vyas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan N.","family":"Chinn","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Micheli Center for Sports Injury Prevention, Division of Sports Medicine, Department of Orthopedics Boston Children's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tawna\u00a0L.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Spencer Center for Vision Research, Byers Eye Institute Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aparna","family":"Raghuram","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Boston Children's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015\u20104635"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.434"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097470"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0158"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100338"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0000000000000825"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0000000000000223"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.optm.2006.11.011"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0b013e3182772dce"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2021.1959065"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000507"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.visres.2020.09.011"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000891"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004214"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540260310001606692"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.2853"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097699"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.visres.2021.03.002"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2019.04.008"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000439"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050802203353"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-172298"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2016.1195922"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2015.1045029"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006324-199707000-00019"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/13854046.2018.1508616"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.102.5.0856"},{"key":"e_1_2_11_29_1","first-page":"193","article-title":"Prevalence of vision and ocular disease conditions in a clinical pediatric population","volume":"67","author":"Scheiman M","year":"1996","journal-title":"J Am Optom Assoc"}],"container-title":["Ophthalmic and Physiological Optics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/opo.13346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T11:23:54Z","timestamp":1767785034000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/opo.13346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,10]]},"references-count":28,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/opo.13346"],"URL":"https:\/\/doi.org\/10.1111\/opo.13346","archive":["Portico"],"relation":{},"ISSN":["0275-5408","1475-1313"],"issn-type":[{"value":"0275-5408","type":"print"},{"value":"1475-1313","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,10]]},"assertion":[{"value":"2024-03-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}