July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
Multifaceted assessment of the effect of eye exercises for presbyopic individuals
Author Affiliations & Notes
  • Yukari Tsuneyoshi
    Ophthalmology, Keio university school of medicine, Tokyo, TOKYO, Japan
    Ophthalomolgy, National Hospital Organization Saitama National Hospital, Wako, Saitama, Japan
  • Kazuno Negishi
    Ophthalmology, Keio university school of medicine, Tokyo, TOKYO, Japan
  • Kazuo Tsubota
    Ophthalmology, Keio university school of medicine, Tokyo, TOKYO, Japan
  • Footnotes
    Commercial Relationships   Yukari Tsuneyoshi, None; Kazuno Negishi, None; Kazuo Tsubota, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 3722. doi:https://doi.org/
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      Yukari Tsuneyoshi, Kazuno Negishi, Kazuo Tsubota; Multifaceted assessment of the effect of eye exercises for presbyopic individuals. Invest. Ophthalmol. Vis. Sci. 2019;60(9):3722. doi: https://doi.org/.

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

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Purpose : Despite the lack of sufficient positive and negative evidence, information exists regarding the effectiveness of ocular exercises to treat presbyopia. We performed a prospective interventional clinical study to assess the effect multidirectionally.

Methods : Twenty-three healthy subjects aged 40 to 59 years (mean, 48 ± 5.0 standard deviation) completed three visits every 2 months and performed eye exercises during which they viewed near (30 to 40 cm) and far (>5 meters) points alternately 20 times 4 times daily between the second and third visits. The outcome measures included five grades (0-4) of overall satisfaction regarding near vision, the Near Activity Visual Questionnaire (NAVQ), near point under binocular viewing (NP), near functional visual acuity (FVA), objective accommodative response of right eyes under 30 cm binocular viewing measured using an open-field autorefractor (AR), pupil size of the right eyes (PS), and amount of convergence (CA) under accommodative stimulation of 3 diopters measured using the TriIRIS C9000 (Hamamatsu Photonics K.K., Hamamatsu, Japan). The data were analyzed using Dunnett’s test to compare the first and third visits to the second visit. The data from participants with improvement in the overall satisfaction score (positive group [PG]) and others (negative group [NG]) were compared using the t-test.

Results : The overall satisfaction score was significantly (P=0.017) better after 2 months of exercise (before, 2.74±0.81; after, 2.39±0.72). No improvement was seen in the NAVQ score (P=0.44), NP (P=0.77), near FVA (P=0.78), or AR (P=0.12). The PS became significantly (P=0.04) smaller (before, 4.03±0.84 mm; after, 3.75±0.98 mm) and the CA significantly (P=0.03) larger (before, 0.71 ± 0.25 mm; after, 0.98 ± 0.46 mm). Eight (34.8%) of 23 participants had an improved overall satisfaction score. Comparison of the PG and NG showed that changes in the PS and CA did not differ between the two (P=0.50 and P=0.94, respectively), although the PG subjects were significantly (P=0.04) older than the NG subjects (PG, 51.4±5.4 years; NG, 47.0±4.1 years).

Conclusions : Although the exercises improved miosis and convergence accompanying near vision, the near vision did not improve functionally. However, some participants had improved overall satisfaction with the near vision and they were significantly older than others. The reason should be studied further.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.


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