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Attention and Visual Motor Integration in Young Children with Uncorrected Hyperopia
Journal article   Open access   Peer reviewed

Attention and Visual Motor Integration in Young Children with Uncorrected Hyperopia

Marjean Taylor Kulp, Elise Ciner, Maureen Maguire, Maxwell Pistilli, T. Rowan Candy, Gui-shuang Ying, Graham Quinn, Lynn Cyert, Bruce Moore and Vision Preschoolers-Hyperopia
Optometry and vision science, v 94(10), pp 965-970
01 Oct 2017
PMID: 28902771
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5656062View
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Abstract

Life Sciences & Biomedicine Science & Technology Ophthalmology
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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Collaboration types
Domestic collaboration
Web of Science research areas
Ophthalmology
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