Effect of Supplementary Lenses on logMAR Visual Acuity.

Background: While previous studies have examined the effect of supplementary plus lenses on visual resolution, albeit sometimes using sub-optimal techniques, the effect of overminusing an accommodating patient (adding additional minus lens power) is less clear. This study assessed distance logMAR vi...

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Publicado en:Optometry & Visual Performance Vol. 4; no. 5; pp. 280 - 285
Autores principales: Rosenfield, Mark, Portello, Joan K., Pereira, Stephen
Formato: research tables/charts Journal Article
Publicado: Optometric Extension Program Nov2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2016
      vid: 4
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Effect of Supplementary Lenses on logMAR Visual Acuity.
      aug:
        au:
          Rosenfield, Mark
          Portello, Joan K.
          Pereira, Stephen
        affil: SUNY College of Optometry, New York, New York
      sug:
        subj:
          Visual Acuity
          Ocular Physiology Physiology
          Lenses
          Study Methods
          Step
          Power
          Analysis of Variance
          Effect Size
          Post Hoc Analysis
          Regression
          Sensitivity and Specificity
          Scales
      ab: Background: While previous studies have examined the effect of supplementary plus lenses on visual resolution, albeit sometimes using sub-optimal techniques, the effect of overminusing an accommodating patient (adding additional minus lens power) is less clear. This study assessed distance logMAR visual acuity (VA) through plus and minus lenses added to the optimal refractive correction. Methods: The study was performed on 20 subjects. After determining the distance refractive correction, supplementary spherical lenses ranging from +1.00 to -1.00D (in 0.12D steps) were introduced in random order, and logMAR resolution VA was measured through these lenses using Landolt C optotypes at a viewing distance of 4m. Results: As expected, +1.00 and +0.75D lenses produced a significant reduction in VA. However, no significant change was observed for lenses ranging from +0.50 to -1.00D. The mean VA for this range of lenses was -0.14 logMAR (SD=0.10). Within the range from plano to +1.00D, a significant positive linear correlation was observed between VA and supplementary lens power, described by the function logMAR VA = 0.36F - 0.19 (where F = lens power). Conclusion: In accommodating individuals, the effect of supplementary lens power between +1.00 and -1.00D is predictable. Plus lenses produce a linear increase in logMAR VA, with 1D of defocus producing a loss of approximately 3 lines of logMAR acuity, while no significant change in VA was found when minus lenses were added. Previous findings on the effect of fogging lenses as a check for induced hyperopia may have over-estimated the expected reduction in VA.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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