Study of Oculomotor Dysfunction Leading to Children Vertigo (VERVE)
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Purpose
The eye movements of vergence allow binocular vision whatever the viewing distance or the body movements are and the perception of depth. Vergence dysfunction can lead to erroneous visual sensation of movements. In our daily life using screens (computer, game boys..) is increasing and this approach heavily the ocular vergence and can lead to symptoms if oculomotor and accommodative systems are dysfunctioning (Ped. Neurology 2000). Not knowing this pathology lead to inappropriate and expensive prescription CT scan or NMR. To evaluate the vergence performances just evaluation in static condition is currently available in ophthalmology departments. The CNRS laboratory (IRIS, FRE 3154) adapted a technic of eye movement recording to study ocular vergence in dynamic condition.
| Condition | Intervention |
|---|---|
|
Vertigo Headache Anomaly of Vergence System Accommodation Disorders Orthoptic Rehabilitation |
Procedure: orthoptic rehabilitation Other: Orthoptic diagnostic |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | Evaluation and Medical Care of Oculomotor Dysfunction Leading to Vertigo in Children |
- oculomotor complete evaluation (static and dynamic and accommodation), posturography test and a visual dynamic acuity test [ Time Frame: t=0, t=3months, t=6months ] [ Designated as safety issue: No ]
- free of symptoms [ Time Frame: t=3months, t=6months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 225 |
| Study Start Date: | September 2010 |
| Estimated Study Completion Date: | July 2014 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Patients
Children with vertigo-headache and vergence disorders
|
Procedure: orthoptic rehabilitation
Orthoptic rehabilitation: 12 sessions (2 sessions per week) At the end of a series of 12 sessions of orthoptic, the child will be examined and will again perform an static and dynamic oculomotor evaluation and control of postural balance.
Other Name: orthoptic rehabilitation
|
|
No Intervention: Control
Healthy controls
|
Other: Orthoptic diagnostic
postural, oculomotor and orthoptics tests
Other Name: Orthoptic diagnostic
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 6 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Children with disorders of vergence:
- 6 to 17 years old
- Patient receiving a social security scheme
- Presenting vergence problems (diagnosed by standard methods : prism bar using the proximal point of convergence and phoria) and suffering from vertigo and/or headache
- Presenting anormal refraction
- Free from any type vestibular pathology, ENT or neurological
- Free from strabismus
- Child and holders of parental authority have signed a consent
Healthy Children :
- 6 to 17 years old
- Free from any type of vestibular pathology, ENT or neurological
- Free from any type of neuron-ophthalmic/orthoptic pathology
- Child and holders of parental authority have signed a consent
Exclusion Criteria:
- Patient with a disease which (from the assessment of the investigator) could disrupt the monitoring or be disrupted by the participation in the study,
Contacts and Locations| Contact: Sylvette R WIENER, M.D., PhD | +33 1 40 03 24 79 | sylvette.wiener@rdb.aphp.fr |
| Contact: Marylène LABEGUERIE | +33 1 40 03 47 38 | marylene.labeguerie@rdb.aphp.fr |
| France | |
| ORL Service - Robert Debre Hospital | Recruiting |
| Paris, France, 75019 | |
| Contact: Sylvette WIENER, M.D., PhD +33 1 40 03 24 79 sylvette.wiener@rdb.aphp.fr | |
| Contact: Marylène LABEGUERIE +33 1 40 03 47 38 marylene.labeguerie@rdb.aphp.fr | |
| Principal Investigator: Sylvette WIENER, M.D., PhD | |
| Principal Investigator: | Sylvette R WIENER, M.D., PhD | Assistance Publique - Hôpitaux de Paris |
| Study Director: | Thierry VAN DEN ABBEELE, M.D., PhD | Assistance Publique - Hôpitaux de Paris |
More Information
No publications provided
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT01153789 History of Changes |
| Other Study ID Numbers: | P081114 |
| Study First Received: | June 29, 2010 |
| Last Updated: | March 16, 2012 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Vergence-accommodation evaluation Vergence and postural control Dynamic visual acuity |
Additional relevant MeSH terms:
|
Vertigo Dizziness Headache Presbyopia Ophthalmoplegia Spasm Pain Neurologic Manifestations Nervous System Diseases Signs and Symptoms Vestibular Diseases |
Labyrinth Diseases Ear Diseases Otorhinolaryngologic Diseases Sensation Disorders Refractive Errors Eye Diseases Ocular Motility Disorders Cranial Nerve Diseases Paralysis Neuromuscular Manifestations |
ClinicalTrials.gov processed this record on May 21, 2013