{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T14:18:25Z","timestamp":1767795505529,"version":"3.49.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the long\u2010term stability of clinical measures of convergence (near point of convergence [NPC] and positive fusional vergence [PFV]) in participants enrolled in the Convergence Insufficiency Treatment Trial\u2010Attention and Reading Trial (CITT\u2010ART) who received 16\u2009weeks of office\u2010based vergence\/accommodative therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 310 children, 9\u201314\u2009years old, with symptomatic convergence insufficiency were enrolled in CITT\u2010ART. Some 270 completed both their 16\u2010week primary outcome visit followed by a 1\u2010year follow\u2010up visit. Of those 270, 181 (67%) were randomised to the vergence\/accommodative therapy. Of the 181 in the vergence\/accommodative group, 121 (67%) reported not receiving any additional treatment after the 16\u2010week primary outcome visit. The mean change in NPC, PFV and percentages of children classified by the predetermined success criteria of convergence (normal NPC [&lt;6\u2009cm] and\/or improved by \u22654\u2009cm; normal PFV [passing Sheard's criterion and base\u2010out break &gt;15\u0394] and\/or improved by \u226510\u0394) were compared at the 16\u2010week primary outcome visit and 1\u2009year later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 121 who returned for their 1\u2010year follow\u2010up visit, there was no significant change in mean adjusted NPC (reduction of \u22120.2\u2009cm; 95% CI: \u22121.0 to 0.5\u2009cm) at 1\u2009year. There was a statistically significant decrease in mean\u2010adjusted PFV (\u22124.7\u2206; 95% CI: \u22126.5 to \u22122.8\u0394) at 1\u2009year. There were similar percentages of participants classified as \u2018normal\u2019 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.30), \u2018normal and\/or improved\u2019 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.50) and \u2018normal and improved\u2019 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.14) based on NPC and PFV at the 1\u2010year visit compared with the 16\u2010week primary outcome visit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The improvements in NPC and PFV following 16\u2009weeks of vergence\/accommodative therapy (with no reported additional treatment thereafter) in children with symptomatic convergence insufficiency persisted 1\u2010year post\u2010treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.13378","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T11:29:11Z","timestamp":1723634951000},"page":"1346-1353","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["One\u2010year follow\u2010up of clinical convergence measures in children enrolled in the Convergence Insufficiency Treatment Trial\u2014Attention and Reading Trial"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5085-343X","authenticated-orcid":false,"given":"Ann M.","family":"Morrison","sequence":"first","affiliation":[{"name":"The Ohio State University College of Optometry  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0486-6998","authenticated-orcid":false,"given":"Marjean T.","family":"Kulp","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Optometry  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8402-0521","authenticated-orcid":false,"given":"Susan A.","family":"Cotter","sequence":"additional","affiliation":[{"name":"Southern California College of Optometry at Marshall B. Ketchum University  Fullerton California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9274-5696","authenticated-orcid":false,"given":"Mitchell M.","family":"Scheiman","sequence":"additional","affiliation":[{"name":"Salus University Pennsylvania College of Optometry  Elkins Park Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4683-2796","authenticated-orcid":false,"given":"Erin C.","family":"Jenewein","sequence":"additional","affiliation":[{"name":"Salus University Pennsylvania College of Optometry  Elkins Park Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tawna L.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Spencer Center for Vision Research Byers Eye Institute at Stanford University  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. Lynn","family":"Mitchell","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Optometry  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0886-0692","authenticated-orcid":false,"given":"L. Eugene","family":"Arnold","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Medicine  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dashaini","family":"Retnasothi","sequence":"additional","affiliation":[{"name":"Southern California College of Optometry at Marshall B. Ketchum University  Fullerton California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette","family":"Bade","sequence":"additional","affiliation":[{"name":"Nova Southeastern University  Fort Lauderdale Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hertle","sequence":"additional","affiliation":[{"name":"Akron Children's Hospital  Akron Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Borsting","sequence":"additional","affiliation":[{"name":"Southern California College of Optometry at Marshall B. Ketchum University  Fullerton California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the Convergence Insufficiency Treatment Trial\u2014Attention and Reading (CITT\u2010ART) Investigator Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006768"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.126.10.1336"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0000000000001443"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/0065955X.1982.11982554"},{"key":"e_1_2_11_6_1","first-page":"491","article-title":"Effectiveness of visual therapy for convergence insufficiencies for an adult population","volume":"55","author":"Cohen AH","year":"1984","journal-title":"J Am Optom Assoc"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006324-197704000-00009"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-1313.2011.00821.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0b013e3181b6210f"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0000000000001442"},{"key":"e_1_2_11_11_1","first-page":"214","article-title":"Convergence Insufficiency Treatment Trial\u2014Attention and Reading Trial (CITT\u2010ART): design and methods","volume":"1","author":"Scheiman M","year":"2015","journal-title":"Vis Dev Rehabil"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.123.1.14"}],"container-title":["Ophthalmic and Physiological Optics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/opo.13378","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T11:24:00Z","timestamp":1767785040000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/opo.13378"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,14]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/opo.13378"],"URL":"https:\/\/doi.org\/10.1111\/opo.13378","archive":["Portico"],"relation":{},"ISSN":["0275-5408","1475-1313"],"issn-type":[{"value":"0275-5408","type":"print"},{"value":"1475-1313","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,14]]},"assertion":[{"value":"2024-05-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}