June 2013
Volume 54, Issue 15
ARVO Annual Meeting Abstract  |   June 2013
Distance Visual Acuity Screening of Preschoolers with Hyperopia
Author Affiliations & Notes
  • Marjean Kulp
    College of Optometry, Ohio State University, Columbus, OH
  • Gui-Shuang Ying
    University of Pennsylvania, Philadelphia, PA
  • Jiayan Huang
    University of Pennsylvania, Philadelphia, PA
  • Maureen Maguire
    University of Pennsylvania, Philadelphia, PA
  • Graham Quinn
    Children’s Hospital of Philadelphia, Philadelphia, PA
  • Elise Ciner
    Pennsylvania College of Optometry, Salus University, Elkins Park, PA
  • Deborah Orel-Bixler
    School of Optometry, University of California, Berkeley, CA
  • Lynn Cyert
    College of Optometry, Northeastern State University, Tahlequah, OK
  • Bruce Moore
    New England College of Optometry, Boston, MA
  • Footnotes
    Commercial Relationships Marjean Kulp, None; Gui-Shuang Ying, None; Jiayan Huang, None; Maureen Maguire, Inspire Pharmaceuticals (F), Amakem (F), IDx LLC (F), Merck (C); Graham Quinn, None; Elise Ciner, None; Deborah Orel-Bixler, None; Lynn Cyert, None; Bruce Moore, EyeNetra Inc. (I)
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 575. doi:
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      Marjean Kulp, Gui-Shuang Ying, Jiayan Huang, Maureen Maguire, Graham Quinn, Elise Ciner, Deborah Orel-Bixler, Lynn Cyert, Bruce Moore, Vision In Preschoolers (VIP) Study Group; Distance Visual Acuity Screening of Preschoolers with Hyperopia. Invest. Ophthalmol. Vis. Sci. 2013;54(15):575.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: Hyperopia has been shown to be associated with an increased risk of amblyopia and strabismus among preschoolers. The purpose of this study is to compare uncorrected distance visual acuity (VA) measured with the VIP Crowded Single LEA Symbols® VA Test at 5 feet (VIP 5ft Lea) in 3- to 5-year-old Head Start children with versus without hyperopia.

Methods: In VIP (Phase II), 1452 preschoolers were screened with the VIP 5ft Lea test by lay screeners. All children underwent comprehensive vision examination including threshold VA using the ATS single-surround HOTV letter protocol, cover testing, and cycloplegic retinoscopy by masked examiners. Hyperopia was defined as >+3.25D in the most positive meridian in one or both eyes. Uncorrected distance VA in the worse eye as measured by the VIP 5 ft Lea was compared for 1) children with hyperopia and those without and 2) children with hyperopia plus other visual conditions (amblyopia, strabismus, astigmatism, and/or anisometropia), those with hyperopia alone, and those without hyperopia.

Results: Uncorrected distance VA measured with the VIP 5ft Lea test was significantly different between children with hyperopia (n=182, median VA 20/50) as compared to those without hyperopia (n= 1270, median VA 20/40)(p<0.0001). Uncorrected distance VA was also significantly different when compared among children with hyperopia plus other visual conditions (n=111, median VA 20/200), those with hyperopia alone (n=71, median VA 20/50), and those without hyperopia (p<0.0001 for comparison among the 3 groups, p=0.02 for comparison between children with hyperopia alone versus no hyperopia).

Conclusions: Uncorrected distance visual acuity, measured with the VIP 5ft Lea test, is significantly lower in children with versus without hyperopia, even when not associated with other visual conditions.

Keywords: 547 hyperopia • 754 visual acuity  

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