Evidence map›Paper›PMID 31255587›Full record

Trial reportAmerican journal of ophthalmology2019

A Randomized Clinical Trial of Immediate Versus Delayed Glasses for Moderate Hyperopia in Children 3 to 5 Years of Age.

Jonathan M Holmes, Marjean T Kulp, Trevano W Dean, Donny W Suh, Raymond T Kraker, David K Wallace, David B Petersen, Susan A Cotter, Earl R Crouch, Ingryd J Lorenzana and 4 more

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01515475 (Glasses Versus Observation for Moderate Hyperopia in Young Children), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 38% 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.

NCT01515475 nacompletednot on this map

Glasses Versus Observation for Moderate Hyperopia in Young Children (HTS1)

TypeinterventionalSponsorJaeb Center for Health ResearchRan2012 to 2018Enrolled249ConditionsHyperopiaArmsGlasses
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. 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
  3. How Do Most Young Moderate Hyperopes Avoid Strabismus?Investigative ophthalmology & visual science · 2023
    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

14 authors at 9 institutions in 1 country.

Jonathan M HolmesMayo Clinic, Rochester, Minnesota, USA. Electronic address: pedig@jaeb.org.
Marjean T KulpCollege of Optometry, The Ohio State University, Columbus, Ohio, USA.
Trevano W DeanJaeb Center for Health Research, Tampa, Florida, USA.
Donny W SuhUniversity of Nebraska Medical Center, Omaha, Nebraska, USA.
Raymond T KrakerJaeb Center for Health Research, Tampa, Florida, USA.
David K WallaceIndiana University, Indianapolis, Indiana, USA.
David B PetersenRocky Mountain Eye Care Associates, Salt Lake City, Utah, USA.
Susan A CotterSouthern California College of Optometry at Marshall B. Ketchum University, Fullerton, California, USA.
Earl R CrouchVirginia Pediatric Eye Center, Norfolk, Virginia, USA.
Ingryd J LorenzanaAdvanced Vision Center, Schaumburg, Illinois, USA.
Benjamin H TichoTicho Eye Associates, Chicago Ridge, Illinois, USA.
Lisa C VerderberPediatric Eye Associates, Wilmette, Illinois, USA.
Katherine K WeiseUniversity of Alabama School of Optometry, Birmingham, Alabama, USA.
Pediatric Eye Disease Investigator Group
Eye Care Associates · USJaeb Center for Health Research · USIndiana University – Purdue University Indianapolis · USMarshall B. Ketchum University · USMayo Clinic · USSUNY College of Optometry · USUniversity of Alabama · USUniversity of Nebraska Medical Center · USVirginia Eye Consultants · US

Funding

Pediatric Eye Disease Investigator Group Coordinating CenterU10EY011751 · NEI · JAEB CENTER FOR HEALTH RESEARCH, INC. · PI KRAKER, RAYMOND · 1997 to 2018
$75.2M
Pediatric Eye Disease Investigator Group NetworkUG1EY011751 · NEI · JAEB CENTER FOR HEALTH RESEARCH, INC. · PI Raymond Kraker, Stacy Pineles · 2019 to 2026
$53.7M
Pediatric Eye Disease Investigator Group: Chair's OfficeU10EY018810 · NEI · MAYO CLINIC ROCHESTER · PI HOLMES, JONATHAN M · 2009 to 2013
$3.5M
PEDIATRIC EYE DISEASE INVESTIGATOR GROUP: CHAIR'S OFFICEU10EY023198 · NEI · INDIANA UNIVERSITY INDIANAPOLIS · PI WALLACE, DAVID K · 2014 to 2018
$1.4M
NEI NIH HHS U10 EY011751NEI NIH HHS U10 EY018810NEI NIH HHS U10 EY023198NEI NIH HHS UG1 EY011751
6 · The paper itself

Abstract

purposeTo compare visual acuity (VA) and binocularity outcomes in moderately hyperopic children with normal VA and binocularity assigned to glasses versus observation.

designProspective randomized clinical trial (RCT).

methodsOne hundred nineteen 3- to 5-year-old children with hyperopia between +3.00D and +6.00D spherical equivalent were randomly assigned to glasses versus observation (with glasses prescribed if deteriorated for subnormal distance VA or near stereoacuity, or manifest strabismus). Follow-up occurred every 6 months. At 3 years, the treatment strategy was classified as "failed" if any of the following were met, both with and without correction: subnormal distance VA or stereoacuity; manifest strabismus; or strabismus surgery during follow-up.

resultsOf 84 (71%) children who completed the primary outcome examination, failure occurred in five (12%; 95% confidence interval [CI]: 4%-26%) of 41 assigned to glasses and four (9%; 95% CI: 3%-22%) of 43 assigned to observation (difference = 3%; 95% CI: -12%-18%; P = .72). Deterioration prior to 3 years (requiring glasses per protocol) occurred in 29% (95% CI: 19%-43%) assigned to glasses and 27% (95% CI: 17%-42%) assigned to observation.

conclusionsIn an RCT comparing glasses to observation for moderately hyperopic 3- to 5-year-old children with normal VA and binocularity, failure for VA or binocularity was not common. With insufficient enrollment and retention, our study was unable to determine whether immediate glasses prescription reduces failure rate, but low failure rates suggest that immediate glasses prescription for these children may not be needed to prevent failure for VA and/or binocularity.

Indexed as

EyeglassesTime-to-TreatmentChild, PreschoolDepth PerceptionFemaleHumansHyperopiaMaleProspective StudiesStrabismusVision, BinocularVisual Acuity

Identifiers

PMID31255587
PMCPMC6889016
OpenAlexW2954926729

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.