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      Ocular findings from otoneurological examinations in children with and without dyslexia: a systematic review with meta-analysis

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          Highlights

          • Vestibular evaluation of children with dyslexia.

          • Ocular evidence of otoneurology in dyslexia.

          • The measurements of ocular tests in children with dyslexia.

          • Vectoelectro-nystagmography and videonystagmography exams in children with dyslexia.

          Abstract

          Objective

          To investigate ocular movements measures of vectoelectro-nystagmography and video-nystagmography in dyslexic children and compare with measures of typical children.

          Methods

          A systematic review of observational studies comparing the ocular movements differences between dyslexic and typical children with no publication date or language restriction. The literature survey included the bibliographic databases MEDLINE, ScienceDirect, Scopus, Web of Science, SciELO, Lilacs and CENTRAL. Gray literature databases were also searched, including: OpenGrey.eu, DissOnline.de, The New York Academy of Medicine and WorldCat. The meta-analysis was performed using software RevMan 5.3 (Cochran Collaboration).

          Results

          A total of 2375 articles were found of which 113 fell within the inclusion criteria. Among these, 52 were duplicates (found in more than one research source), and 45 articles were selected for reading in full. Thirteen (13) articles were included for analysis and discussion. Meta-analysis showed statistical differences between the two groups for the total number of saccades and duration of fixation.

          Conclusion

          The study revealed that children with dyslexia have longer duration of fixation and fewer saccades during ocular movements on vectoelectro-nystagmography and video-nystagmography when compared to children without dyslexia.

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          Most cited references46

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          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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            Eye movements of dyslexic children when reading in a regular orthography.

            Participants were German dyslexic readers (13-year-olds) who-compared to English dyslexic readers-suffer mainly from slow laborious reading and less from reading errors. The eye movements of eleven dyslexic boys and age-matched controls were recorded during reading of text passages and pseudoword lists. For both text and pseudoword reading, the dyslexic readers exhibited more and much longer fixations, but relatively few regressions. Increased length of words and pseudowords led to a greater increase in number of fixations for dyslexic than normal readers. Comparisons across studies suggest that the present German dyslexic eye movement findings differ from English-based findings by a lower frequency of regressions (presumably due to the higher regularity of German) and from Italian findings by longer fixation duration (presumably due to the greater syllabic complexity of German).
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              Poor binocular coordination of saccades in dyslexic children.

              To examine the quality of binocular coordination of saccades in dyslexic children in single word reading and in a task requiring fixation of single LED. Eighteen children with dyslexia (11.4 +/- 2 years old) and 13 non-dyslexic children of matched age were studied. Horizontal saccades from both eyes were recorded with a photoelectric system (Oculomotor-Bouis). Binocular coordination during and after the saccade in dyslexics is worse than that of non-dyslexic children; the disconjugacy does not depend on the condition. Moreover, dyslexics do not show the stereotyped pattern of disconjugacy (divergence during the saccade and convergence after the saccade). The conjugate post-saccadic drift is larger in dyslexics for both conditions. Poor quality of binocular coordination of saccades and drift of the eyes after the saccade, regardless of the task, indicates an intrinsic ocular motor deficiency. Such a deficiency could be related to immaturity of the normal ocular motor learning mechanisms via which ocular motor coordination and stable fixation are achieved. Learning could be based on the interaction between the saccade and vergence subsystems. The cerebellum, but also cortical areas of the magnocellular stream such as the parietal cortex, could be the sites of ocular motor learning.
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                Author and article information

                Contributors
                Journal
                Braz J Otorhinolaryngol
                Braz J Otorhinolaryngol
                Brazilian Journal of Otorhinolaryngology
                Elsevier
                1808-8694
                1808-8686
                25 November 2021
                Nov-Dec 2022
                25 November 2021
                : 88
                : Suppl 3
                : S192-S201
                Affiliations
                [a ]Universidade Federal de Pernambuco, Departamento de Fonoaudiologia, Recife, PE, Brazil
                [b ]Universidade Federal de Pernambuco (UFPE), Programa de Pós-Graduação em Comunicação Humana em Saúde, Recife, PE, Brazil
                [c ]Universidade Federal de Pernambuco (UFPE), Curso de Fonoaudiologia, Recife, PE, Brazil
                Author notes
                [* ]Corresponding author. ysakaren@ 123456gmail.com
                Article
                S1808-8694(21)00190-7
                10.1016/j.bjorl.2021.10.006
                9760992
                35094959
                b47af8be-e46d-4691-a2a8-4813961fd210
                © 2022 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda.

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 28 March 2021
                : 31 October 2021
                Categories
                Review Article

                dyslexia,disorder of language,video-nystagmography,vectoelectro-nystagmography,eye tests

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