Clinical factors associated with moderate hyperopia in preschool children with normal stereopsis and visual acuity

J AAPOS. 2016 Oct;20(5):455-457. doi: 10.1016/j.jaapos.2016.04.012. Epub 2016 Sep 20.


A total of 117 children 3-5 years of age with moderate hyperopia in at least one eye, age-normal unaided visual acuity, age-normal stereoacuity, no significant anisometropia or astigmatism, and no strabismus were enrolled in a 3-year randomized clinical trial to compare visual outcomes and ocular alignment in children assigned to immediate glasses or to observation and glasses if deterioration of visual acuity, stereoacuity, or alignment occurred. Pearson correlation coefficients were calculated to evaluate relationships among baseline characteristics. We found a moderate association between higher amounts of uncorrected hyperopia and greater accommodative lag (n = 57; R = 0.31; 95% CI, 0.05-0.53). Higher amounts of hyperopia were weakly associated with worse uncorrected distance visual acuity (n = 117; R = 0.24; 95% CI, 0.06-0.41), and better stereoacuity was weakly associated with better uncorrected near acuity (n = 99; R = 0.24; 95% CI, 0.04-0.42).

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Accommodation, Ocular / physiology
  • Child, Preschool
  • Depth Perception / physiology*
  • Double-Blind Method
  • Eyeglasses*
  • Female
  • Humans
  • Hyperopia / physiopathology*
  • Hyperopia / therapy*
  • Male
  • Risk Factors
  • Vision, Binocular / physiology
  • Visual Acuity / physiology*