Impact of simulated hyperopia on academic-related performance in children

Narayanasamy, Sumithira, Vincent, Stephen J., Sampson, Geoff P., & Wood, Joanne M. (2015) Impact of simulated hyperopia on academic-related performance in children. Optometry and Vision Science, 92(2), pp. 227-236.

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Purpose: To investigate the impact of simulated hyperopia and sustained near work on children’s ability to perform a range of academic-related tasks.

Methods: Fifteen visually normal children (mean age: 10.9 ± 0.8 years; 10 males and 5 females) were recruited. Performance on a range of standardised academic-related outcome measures was assessed with and without 2.50 D of simulated bilateral hyperopia (administered in a randomised order), before and after 20 minutes of sustained near work, at two separate testing sessions. Academic-related measures included a standardised reading test (the Neale Analysis of Reading Ability), visual information processing tests (Coding and Symbol Search subtests from the Wechsler Intelligence Scale for Children) and a reading-related eye movement test (the Developmental Eye Movement test).

Results: Simulated bilateral hyperopia and sustained near work each independently impaired reading, visual information processing and reading-related eye movement performance (p<0.001). A significant interaction was also demonstrated between these factors (p<0.001), with the greatest decrement in performance observed when simulated hyperopia was combined with sustained near work. This combination resulted in performance reductions of between 5% and 24% across the range of academic-related measures. A significant moderate correlation was also found between the change in horizontal near heterophoria and the change in several of the academic-related outcome measures, following the addition of simulated hyperopia.

Conclusions: A relatively low level of simulated bilateral hyperopia impaired children’s performance on a range of academic–related outcome measures, with sustained near work further exacerbating this effect. Further investigations are required to determine the impact of correcting low levels of hyperopia on academic performance in children.

Impact and interest:

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ID Code: 78842
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: simulated hyperopia, children, academic performance
DOI: 10.1097/OPX.0000000000000467
ISSN: 1538-9235
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Optometry & Vision Science
Copyright Owner: Copyright 2014 American Academy of Optometry
Copyright Statement: This is a non-final version of an article published in final form in (provide complete journal citation).
Deposited On: 20 Nov 2014 23:00
Last Modified: 18 Mar 2016 03:25

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