neuroimaging-2018-posters-abstracts

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conferenceseries

.com

Volume 3

October 03-04, 2018 Osaka, Japan

Pediatric Neurology and Medicine

World Congress on

linical

, P

ediatric

and

euro

phthalmology

Neuro Ophthalmology 2018

October 03-04, 2018

J Pediatr Neurol Med 2018, Volume 3

DOI: 10.4172/2472-100X-C1-003

Treatments for Irlen Syndrome: A case report

Hsieh Hsi-Pao

National Taiwan Normal University, Taiwan

Introduction & Aim:

Irlen Syndrome is not an optical or visual acuity problem, but is a perceptual processing dysfunction that

might lead to reading difficulties, poor handwriting, poor depth perception light sensitivity, academic underachievement or even

headaches, migraines and fatigue. This case report aimed to prescribe progressive optometric treatments for a clinical case of Irlen

Syndrome. Resulting improvement in reading efficiency for this instance was also presented.

CaseReport:

Diego, a ten-year-old student, was noticed exotropiawhenwatching TVat five of age. However, Diego did not express

any visual discomfort until he was a fourth grade as his reading requirement increased. He experienced reading difficulties and was

then referred to dyslexia identification. Except refractive errors, the optometrist indicated that Diego had EOM, accommodation

problem, combining with Intermittent Alt-XT at D and N; the experienced optometrist prescribed eye frame, filter, single aperture

rule vision therapy and typescope or ruler for Diego. The first step was to prescribe refractive correction and prisms (OD: -1.75DS,

0.5∆ BI; OS: -2.00DS, 0.5∆ BI). The second step was to apply a filter intervention (orange) and followed with single aperture

rule vision therapy for 30 minutes every day. Finally, a typescope or ruler was employed for reading. Diego mentioned that the

phenomena of word floating and partial disappearance of words were ameliorated. Also, his EOM check results showed significant

improvements in eye jitter and overshoot. Consequently, his attentiveness and reading efficiency increased due to alleviation of

eye fatigue.

Discussion:

Refractive correction and prism addition could apply better convergence and fixation. Once treated with the

appropriate refractive correction, prism and Irlen filter glasses, Diego gained several positive treatment effects including

enhancement in optical focus, lessening in photophobia and eye fatigue, decrease in skipping words or missing lines and

improvement in reading perseverance and efficiency. These observed effects were encouraging and indicated that the treatments

employed for the current case could be applicable for future large-scale clinical studies. Meanwhile, the same treatment mode

as in Diego’s instance is recommended for ADD or ADHD cases in improving their attentiveness and reading ability as well as

moderating their dependence on medicines.