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Unable to recruit - multiple reasons.- inclusion/exclusion criteria too strict was th emain reason.
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| Name | Class |
|---|---|
| Essilor International | INDUSTRY |
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The purpose of this study is to demonstrate whether, in patients diagnosed with Vertical Heterophoria, the symptoms of dizziness, headache and / or anxiety are reduced or eliminated when a kind of correction called vertical prism is added to the patient's normal eye glass prescription.
The experiment will involve giving the patient two pairs of glasses (one pair containing the baseline prescription with vertical prism (Standard Treatment Glasses) and the other pair containing the baseline prescription but without vertical prism (Placebo Glasses)) to demonstrate which pair of glasses is most effective in reducing the symptoms of dizziness, headache and / or anxiety in these patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard (Treatment) | Active Comparator |
| |
| Placebo (control) | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lenses containing prismatic correction | Device | The patient will receive lenses containing prismatic correction for heterophoria, as well as correction for hyperopia, myopia and astigmatism as indicated during initial examination. |
| Measure | Description | Time Frame |
|---|---|---|
| Evidence of change / improvement of symptoms of headache, dizziness and anxiety as demonstrated by validated, self-administered survey tools for these symptoms | Survey tools administered at baseline, 5-7 days after wearing the first pair of glasses, 5-7 days after wearing the second pair of glasses, and when treatment is completed |
| Measure | Description | Time Frame |
|---|---|---|
| Evidence that a new survey tool developed by the authors to assess changes / improvement in dizziness, headache and anxiety associated with Vertical Heterophoria correlates to validated, self-administered survey tools for these same symptoms | New survey tool to be administered at baseline, 5-7 days after wearing the first pair of glasses, 5-7 days after wearing the second pair of glasses, and when treatment is completed |
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Inclusion Criteria:
First time appointment for a patient at designated optometry office for treatment of symptoms associated with Vertical Heterophoria
Must have symptoms of dizziness or headache or both:
Duration of symptoms greater than 4 months
Evaluated for these symptoms previously by at least 1 other doctor (General Practice, Family Practice, Internal Medicine, Neurology, ENT, Emergency Medicine, Pediatrics, PM&R, Ophthalmology).
Age >14
The patient (or their representative) must be able and willing to fill out extra paperwork
All Patients to be seen by same Optometrist for all visits
Must be willing to wear glasses.
The patient (or their representative) must be able to sign informed consent
Must have a driver for Follow Up visits where Control and Treatment Glasses are dispensed, and when Washout period is initiated
Must have a driver for Follow Up visits where Control and Treatment Glasses are dispensed, and when Washout period is initiated
Must have previous negative Neuroimaging (HCT or MRI) that was ordered to assess for headache and / or dizziness
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark S Rosner, MD | Vision Specialists of Birmingham | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vision Specialists of Birmingham | Birmingham | Michigan | 48009 | United States |
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| Lenses not containing prismatic correction | Device | The patient will receive lenses containing correction for hyperopia, myopia and astigmatism as indicated during initial examination. The patient will not receive prismatic correction in these lenses. |
|
| ID | Term |
|---|---|
| D006261 | Headache |
| D004244 | Dizziness |
| D001008 | Anxiety Disorders |
| D019547 | Neck Pain |
| D007859 | Learning Disabilities |
| D001248 | Asthenopia |
| D009041 | Motion Sickness |
| D051346 | Mobility Limitation |
| D004172 | Diplopia |
| D020795 | Photophobia |
| D000379 | Agoraphobia |
| D016584 | Panic Disorder |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012678 | Sensation Disorders |
| D001523 | Mental Disorders |
| D003147 | Communication Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |
| D065886 | Neurodevelopmental Disorders |
| D005128 | Eye Diseases |
| D014786 | Vision Disorders |
| D010698 | Phobic Disorders |
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