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Erin Rueff, Melissa Bailey; Vision Correction Preference and Refractive Error in Presbyopes and Non-Presbyopes. Invest. Ophthalmol. Vis. Sci. 2017;58(8):3053.
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Presbyopia often results in contact lens discontinuation despite, perhaps, a patient’s desire to maintain habitual contact lens wear. This prospective survey study aimed to determine the vision correction preferences (spectacles versus contact lenses) of non-presbyopes and presbyopes and how refractive error is related to these preferences.
Subjects were recruited from the general public at the Center of Science and Industry (COSI), a science museum in Columbus, Ohio. Adult COSI visitors (ages 18 to 76 years) who reported wearing glasses or contact lenses completed a survey that asked about their opinions and preferences related to refractive correction. After survey completion, subjects removed their habitual refractive correction, and autorefraction was performed on both eyes.
Of the 304 total subjects, 38.2% (116/304) were presbyopic. Most of the sample was female (59.2%, 180/304). Spectacles were the primary vision correction for 78.0% (237/304) of subjects. The proportion of presbyopes was higher (p = 0.006, X2= 7.4) in the spectacle group (42.2%, 100/237) compared to the contact lens wearing group (23.9%, 16/67). For spectacles wearers of all ages who had tried contact lenses, 61.0% (75/123) would prefer to wear contact lenses if good vision and comfort could be achieved, and the percent of subjects reporting this preference was not different for presbyopes versus non-presbyopes (p = 0.2, X2 = 1.6). In the overall sample, contact lens wearers were more myopic (p < 0.001, OR = 0.7) and had less astigmatism (p = 0.04, OR = 1.9) than spectacle wearers. Within the contact lens wearing group, there was no significant difference in refractive error (spherical power p = 0.5, OR = 1.5; astigmatism p = 0.9, OR = 1.5; anisometropia p = 0.5, OR = 0.5) between presbyopes and non-presbyopes. Overall, contact lens wearers were more likely to be female (p = 0.004, X2 = 8.5), but there was no difference in gender in presbyopic and non-presbyopic contact lens wearers (p = 0.5, X2 = 0.5).
For patients who have tried contact lenses, presbyopes would prefer contact lens correction as often as non-presbyopes. When considering vision correction options, eye care practitioners should not allow presbyopic status or gender to influence their decision to trial contact lenses with a patient.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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