Journal article
Attention and Visual Motor Integration in Young Children with Uncorrected Hyperopia
Optometry and vision science, v 94(10), pp 965-970
01 Oct 2017
PMID: 28902771
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
SIGNIFICANCE: Among 4-and 5-year-old children, deficits in measures of attention, visual-motor integration (VMI) and visual perception (VP) are associated with moderate, uncorrected hyperopia (3 to 6 diopters [ D]) accompanied by reduced near visual function (near visual acuity worse than 20/40 or stereoacuity worse than 240 seconds of arc).
PURPOSE: To compare attention, visual motor, and visual perceptual skills in uncorrected hyperopes and emmetropes attending preschool or kindergarten and evaluate their associations with visual function.
METHODS: Participants were 4 and 5 years of age with either hyperopia (>= 3 to <= 6 D, astigmatism <= 1.5 D, anisometropia <= 1 D) or emmetropia (hyperopia <= 1 D; astigmatism, anisometropia, andmyopia each < 1 D), without amblyopia or strabismus. Examiners masked to refractive status administered tests of attention (sustained, receptive, and expressive), VMI, and VP. Binocular visual acuity, stereoacuity, and accommodative accuracy were also assessed at near. Analyses were adjusted for age, sex, race/ethnicity, and parent's/caregiver's education.
RESULTS: Two hundred forty-four hyperopes (mean, +3.8 +/- [ SD] 0.8 D) and 248 emmetropes (+ 0.5 +/- 0.5 D) completed testing. Mean sustained attention score was worse in hyperopes compared with emmetropes (mean difference, -4.1; P < .001 for 3 to 6 D). Mean Receptive Attention score was worse in 4 to 6 D hyperopes compared with emmetropes (by -2.6, P = .01). Hyperopes with reduced near visual acuity (20/40 or worse) had worse scores than emmetropes (-6.4, P < .001 for sustained attention; -3.0, P = .004 for Receptive Attention; -0.7, P = .006 for VMI; -1.3, P = .008 for VP). Hyperopes with stereoacuity of 240 seconds of arc or worse scored significantly worse than emmetropes (-6.7, P < .001 for sustained attention; -3.4, P = .03 for Expressive Attention; -2.2, P = .03 for Receptive Attention; -0.7, P = .01 for VMI; -1.7, P < .001 for VP). Overall, hyperopes with better near visual function generally performed similarly to emmetropes.
CONCLUSIONS: Moderately hyperopic children were found to have deficits in measures of attention. Hyperopic children with reduced near visual function also had lower scores on VMI and VP than emmetropic children. Copyright (C) 2017 American Academy of Optometry
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Details
- Title
- Attention and Visual Motor Integration in Young Children with Uncorrected Hyperopia
- Creators
- Marjean Taylor Kulp - The Ohio State UniversityElise Ciner - Salus UniversityMaureen Maguire - University of PennsylvaniaMaxwell Pistilli - University of PennsylvaniaT. Rowan Candy - Indiana University BloomingtonGui-shuang Ying - Univ Penn, Dept Ophthalmol, Philadelphia, PA USAGraham Quinn - Children's Hospital of PhiladelphiaLynn Cyert - Northeastern State UniversityBruce Moore - New England College of OptometryVision Preschoolers-Hyperopia
- Publication Details
- Optometry and vision science, v 94(10), pp 965-970
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 6
- Grant note
- R01EY021141 / National Eye Institute of the National Institutes of Health, Department of Health and Human Services; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI) R01EY021141; P30EY001583 / NATIONAL EYE INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pennsylvania College of Optometry (PCO)
- Web of Science ID
- WOS:000412165100006
- Scopus ID
- 2-s2.0-85031717370
- Other Identifier
- 991022088941404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Ophthalmology