Evidence map›Paper›PMID 28902771›Full record

ArticleOptometry and vision science : official publication of the American Academy of Optometry2017

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, Vision in Preschoolers-Hyperopia in Preschoolers Study Group

Erratum issuedOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Optometry and vision science : official publication of the American Academy of Optometry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 22 citations in OpenAlex.

  1. 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
  2. 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
  3. Article
  4. Review
  5. Accommodative response in children with attention deficit hyperactivity disorder (ADHD): the influence of accommodation stimulus and medication.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Marjean Taylor Kulp1The Ohio State University, College of Optometry, Columbus, Ohio 2Salus University, Pennsylvania College of Optometry Elkins Park, Pennsylvania 3Department of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania 4Indiana University School of Optometry, Bloomington, Indiana 5Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 6Northeastern State University College of Optometry, Tahlequah, Oklahoma 7New England College of Optometry, Boston, Massachusetts *Kulp.6@osu.edu.
Elise Ciner
Maureen Maguire
Maxwell Pistilli
T Rowan Candy
Gui-Shuang Ying
Graham Quinn
Lynn Cyert
Bruce Moore
Vision in Preschoolers-Hyperopia in Preschoolers Study Group
University of Pennsylvania · USChildren's Hospital of Philadelphia · USIndiana University Bloomington · USNew England College of Optometry · USNortheastern State University · USSalus University · USThe Ohio State University · US

Funding

Scientific TransparencyP30EY001583 · NEI · UNIVERSITY OF PENNSYLVANIA · PI Qi N Cui · 1985 to 2026
$19.5M
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 P30 EY001583NEI NIH HHS R01 EY021141
6 · The paper itself

Abstract

significanceAmong 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.

methodsParticipants 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, and myopia 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.

resultsTwo 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.

conclusionsModerately 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.

Indexed as

Visual AcuityAccommodation, OcularAttentionChild, PreschoolEye MovementsFemaleHumansHyperopiaMaleVision TestsVisual Perception

Identifiers

PMID28902771
PMCPMC5656062
OpenAlexW2754443214

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.