Evidence map›Paper›PMID 27477769›Full record

ArticleAmerican journal of ophthalmology2016

Visual Function of Moderately Hyperopic 4- and 5-Year-Old Children in the Vision in Preschoolers - Hyperopia in Preschoolers Study.

Elise B Ciner, Marjean Taylor Kulp, Maureen G Maguire, Maxwell Pistilli, T Rowan Candy, Bruce Moore, Gui-Shuang Ying, Graham Quinn, Gale Orlansky, Lynn Cyert and 1 more

Open access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in American journal of ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Epidemiology of Refractive Error in Ghana: A Systematic Review and Meta-Analysis.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  3. Attention to text and pictures during storybook reading in preschool children with moderate hyperopia.Optometry and vision science : official publication of the American Academy of Optometry · 2026
    Article
  4. Impact of uncorrected hyperopia on visual function and academic performance in preschool and school-age children.Optometry and vision science : official publication of the American Academy of Optometry · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. How Do Most Young Moderate Hyperopes Avoid Strabismus?Investigative ophthalmology & visual science · 2023
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Journal of ophthalmology · 2019
    Article
  16. Comparison of cycloplegic refraction between Grand Seiko autorefractor and Retinomax autorefractor in the Vision in Preschoolers-Hyperopia in Preschoolers (VIP-HIP) Study.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Elise B CinerPennsylvania College of Optometry at Salus University, Elkins Park, Pennsylvania. Electronic address: Eciner@salus.edu.
Marjean Taylor KulpThe Ohio State University College of Optometry, Columbus, Ohio.
Maureen G MaguireUniversity of Pennsylvania, Center for Preventive Ophthalmology & Biostatistics, Philadelphia, Pennsylvania.
Maxwell PistilliUniversity of Pennsylvania, Center for Preventive Ophthalmology & Biostatistics, Philadelphia, Pennsylvania.
T Rowan CandyIndiana University School of Optometry, Bloomington, Indiana.
Bruce MooreNew England College of Optometry, Boston, Massachusetts.
Gui-Shuang YingUniversity of Pennsylvania, Center for Preventive Ophthalmology & Biostatistics, Philadelphia, Pennsylvania.
Graham QuinnChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Gale OrlanskyPennsylvania College of Optometry at Salus University, Elkins Park, Pennsylvania.
Lynn CyertNortheastern State University College of Optometry, Tahlequah, Oklahoma.
Vision In Preschoolers - Hyperopia In Preschoolers (VIP-HIP) Study Group Writing Committee
University of Pennsylvania · USSalus University · USChildren's Hospital of Philadelphia · USNew England College of Optometry · USThe Ohio State University · USIndiana University Bloomington · USNortheastern State University · US

Funding

Vision In Preschoolers - Hyperopia in Children (VIP-HIP)R01EY021141 · NEI · OHIO STATE UNIVERSITY · PI CINER, ELISE B, KULP, MARJEAN T · 2011 to 2013
$2.6M
NEI NIH HHS R01 EY021141
6 · The paper itself

Abstract

purposeTo compare visual performance between emmetropic and uncorrected moderately hyperopic preschool-age children without strabismus or amblyopia.

designCross-sectional study.

methodssetting: Multicenter, institutional. patient or study population: Children aged 4 or 5 years. intervention or observation procedures: Visual functions were classified as normal or reduced for each child based on the 95% confidence interval for emmetropic individuals. Hyperopic (≥3.0 diopters [D] to ≤6.0 D in the most hyperopic meridian; astigmatism ≤1.50 D; anisometropia ≤1.0 D) and emmetropic status were determined by cycloplegic autorefraction.

main outcome measuresUncorrected monocular distance and binocular near visual acuity (VA); accommodative response; and near random dot stereoacuity.

resultsMean (± standard deviation) logMAR distance visual acuity (VA) among 248 emmetropic children was better than among 244 hyperopic children for the better (0.05 ± 0.10 vs 0.14 ± 0.11, P < .001) and worse eyes (0.10 ± 0.11 vs 0.19 ± 0.10, P < .001). Mean binocular logMAR near VA was better in emmetropic than in hyperopic children (0.13 ± 0.11 vs 0.21 ± 0.11, P < .001). Mean accommodative response for emmetropic children was lower than for hyperopic subjects for both Monocular Estimation Method (1.03 ± 0.51 D vs 2.03 ± 1.03 D, P < .001) and Grand Seiko (0.46 ± 0.45 D vs 0.99 ± 1.0 D, P < .001). Median near stereoacuity was better in emmetropic than in than hyperopic children (40 sec arc vs 120 sec arc, P < .001). The average number of reduced visual functions was lower in emmetropic than in hyperopic children (0.19 vs 1.0, P < .001).

conclusionsVA, accommodative response, and stereoacuity were significantly reduced in moderate uncorrected hyperopic preschool children compared to emmetropic subjects. Those with higher hyperopia (≥4 D to ≤6 D) were at greatest risk, although more than half of children with lower magnitudes (≥3 D to <4 D) demonstrated 1 or more reductions in function.

Indexed as

Accommodation, OcularChild, PreschoolCross-Sectional StudiesEmmetropiaFemaleHumansHyperopiaMaleVision, BinocularVisual Acuity

Identifiers

PMID27477769
PMCPMC5326581
OpenAlexW2495840534

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.