Associations Between Hyperopia and Other Vision and Refractive Error Characteristics
1040-5488/14/9104-0383/0 VOL. 91, NO. 4, PP. 383Y389 OPTOMETRY AND VISION SCIENCE Copyright * 2014 American Academy of Optometry ORIGINAL ARTICLE Associations between Hyperopia and Other Vision and Refractive Error Characteristics Marjean Taylor Kulp*, Gui-shuang Ying†, Jiayan Huang‡, Maureen Maguire†, Graham Quinn§, Elise B. Ciner||, Lynn A. Cyert**, Deborah A. Orel-Bixler††, and Bruce D. Moore||, for the VIP Study Group ABSTRACT Purpose. To investigate the association of hyperopia greater than +3.25 diopters (D) with amblyopia, strabismus, aniso- metropia, astigmatism, and reduced stereoacuity in preschoolers. Methods. Three- to five-year-old Head Start preschoolers (N = 4040) underwent vision examination including monocular visual acuity (VA), cover testing, and cycloplegic refraction during the Vision in Preschoolers Study. Visualacuity was tested with habitual correction and was retested with full cycloplegic correction when VAwas reduced below age norms in the presence of significant refractive error. Stereoacuity testing (Stereo Smile II) was performed on 2898 children during study years 2 and 3. Hyperopia was classified into three levels of severity (based on the most positive meridian on cycloplegic refraction): group 1: greater than or equal to +5.00 D, group 2: greater than +3.25 D to less than +5.00 D with interocular difference in spherical equivalent greater than or equal to 0.50 D, and group 3: greater than +3.25 D to less than +5.00 D with interocular difference in spherical equivalent less than 0.50 D. ‘‘Without’’ hyperopia was defined as refractive error of +3.25 D or less in the most positive meridian in both eyes.
[Show full text]