Comparing methods of determining addition in presbyopes

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dc.contributor.authorAntona Peñalba, Beatriz
dc.contributor.authorBarra Lázaro, Francisco
dc.contributor.authorBarrio De Santos, Ana Rosa
dc.contributor.authorGutiérrez Hernández, Ángel Luis
dc.contributor.authorPiedrahita Alonso, María Elena
dc.contributor.authorMartín Pérez, Yolanda
dc.date.accessioned2023-06-20T11:02:09Z
dc.date.available2023-06-20T11:02:09Z
dc.date.issued2008-05-09
dc.descriptionEs la versión posprint. "This is the peer reviewed version of the following article: "Comparing methods of determining addition in presbyopes", which has been published in final form at [http://dx.doi.org/10.1111/j.1444-0938.2007.00159.x]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving." Artículo en acceso abierto en la web del editor.
dc.description.abstractBackground: The use of plus lenses to compensate for the reduction in the range of accommodation associated with presbyopia, brings the near point of accommodation to a comfortable distance for near visual tasks. Our aim was to compare the tentative near addition determined using the most common procedures with the final addition prescribed in presbyopic patients. Methods: Sixty-nine healthy subjects with a mean age of 51.0 years (range 40 to 60 years) were studied. Tentative near additions were determined using seven different techniques: dynamic retinoscopy, amplitude of accommodation (AA), age-expected addition, binocular fused cross-cylinder with and without myopisation, near duochrome, and balance of negative and positive relative accommodation. The power of the addition was then refined to arrive at the final addition. Results: The mean tentative near additions were higher than the final addition for every procedure except for the fused cross-cylinder without initial myopisation and ageexpected addition methods. These biases were small in clinical terms (less than 0.25 D) with the exception of the AA procedure (0.34 D). The intervals between the 95% limits of agreement differed substantially and were always higher than ±0.50 D. Conclusions: All the techniques used displayed similar behaviour and provided a tentative addition close to the final addition. Due to the wide agreement intervals observed, the likelihood of error is high and supports the idea that any tentative addition has to be adjusted according to the particular needs of each patient. Among the methods examined here, we would recommend the age-expected procedure, as this technique produced results that correlated best with the final addition.
dc.description.departmentDepto. de Optometría y Visión
dc.description.facultyFac. de Óptica y Optometría
dc.description.refereedTRUE
dc.description.sponsorshipUniversidad Complutense de Madrid
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/34126
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dc.identifier.doi10.1111/j.1444-0938.2007.00159.x
dc.identifier.issn0816-4622
dc.identifier.officialurlhttp://dx.doi.org/10.1111/j.1444-0938.2007.00159.x
dc.identifier.relatedurlhttp://onlinelibrary.wiley.com/doi/10.1111/j.1444-0938.2007.00159.x/abstract
dc.identifier.urihttps://hdl.handle.net/20.500.14352/51626
dc.issue.number3
dc.journal.titleClinical and Experimental Optometry
dc.language.isoeng
dc.page.final318
dc.page.initial313
dc.publisherWiley
dc.relation.projectIDCatedra INDO-UCM, grant PR31/05–14067
dc.rights.accessRightsopen access
dc.subject.cdu617.7-001.15
dc.subject.cdu617.753.4
dc.subject.keywordAccommodation
dc.subject.keywordNear Addition
dc.subject.keywordPresbyopia
dc.subject.keywordTentative addition
dc.subject.ucmOptometría
dc.subject.ucmÓptica oftálmica
dc.subject.unesco2209.15 Optometría
dc.titleComparing methods of determining addition in presbyopes
dc.typejournal article
dc.volume.number91
dspace.entity.typePublication
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