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The effect of positive-lens addition and base-in prism on accommodation accuracy and near horizontal phoria in Chinese myopic children

Cheng, Desmond, Schmid, Katrina, & Woo, George (2008) The effect of positive-lens addition and base-in prism on accommodation accuracy and near horizontal phoria in Chinese myopic children. Ophthalmic and Physiological Optics, 28(3), pp. 225-237.

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Abstract

The effect of positive-lens addition (0, +0.75, +1.50, +2.25, +3.00 D each eye) and base-in prism power (0, 1.5, 3 Δ each eye) on both near focusing errors and latent horizontal deviations was evaluated in 29 Chinese myopic children (age: 10.3 ± 1.9 years, refractive error: −2.73 ± 1.31 D). Accommodation response and phoria were measured by the Shin-Nippon auto-refractor (right eye) and Howell–Dwyer near phoria card at 33 cm with each of the 15 lens/prism combinations in random order. The initial accommodative error was −0.96 ± 0.67 D (lag) and near phoria was −0.8 ± 5.0 Δ (exophoria). The positive-lens addition decreased the accommodative lag but increased the exophoria as the power increased (e.g. up to −9.1 ± 4.1 Δ with +3 D). A 6-Δ base-in prism totally controlled the exophoria induced by a +1.50 D addition (−0.3 ± 4.3 Δ), but the accommodative lag was still considerable (−0.69 ± 0.54 D). In the graphical analysis of the data, a lens addition of +2.25 D combined with a 6-Δ base-in prism minimized both the lag and lens-induced exophoria to −0.33 D and −2.4 Δ respectively (regression analysis). This lens and prism combination decreased the lens-induced exophoria by 4.5 Δ compared with that measured with +2.25 D alone (−2.4 Δ vs −6.9 Δ). The results suggest that incorporating near base-in prism when prescribing bifocal lenses for young progressing myopes with exophoria could reduce the positive lens-induced oculomotor imbalance.

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17 citations in Web of Science®

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ID Code: 18837
Item Type: Journal Article
Additional URLs:
Keywords: Accommodation, Bifocal, Children, Chinese, Myopia, Phoria
DOI: 10.1111/j.1475-1313.2008.00560.x
ISSN: 0275-5408
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300) > Optical Technology (111302)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300) > Vision Science (111303)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Optometry & Vision Science
Current > Schools > School of Public Health & Social Work
Deposited On: 20 Apr 2009 13:07
Last Modified: 29 Feb 2012 23:51

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