ArticleJournal of cataract and refractive surgery2025
Assessing Ocular Dominance: Rethinking the Current Paradigm.
Article in Journal of cataract and refractive surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The trial behind it
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Who cites it
6 citing papers in PubMed.
- Ocular Dominance is Associated With Interocular Asymmetry in Refractive Error and Axial Length Across Childhood and Early Adulthood.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Article
- Determinants of Pentacam-derived lens density in age-related cataract: the role of ocular dominance and lifestyle factors.BMC ophthalmology · 2026Article
- Does Stimulation of Plantar Mechanoreceptors Alter Visual Spatial Localization?Journal of functional morphology and kinesiology · 2026Article
- The Impact of Simulated Anisometropia and Bilateral Defocus on Reflex Vergence Responses of Children and Adults.Investigative ophthalmology & visual science · 2026Article
- Refining mini-monovision with monofocal plus intraocular lenses.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Visual simulation of intraocular lenses: technologies and applications [Invited].Biomedical optics express · 2025Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeTo assess the concordance of a binary, motor sighting test of ocular dominance with a new sensory test using a simultaneous, binocular, head-mounted visual simulator to both identify and quantify the strength of eye dominance (EDS) at near and far.
setting5 U.S. Private Practices.
designProspective, multicentered, double masked, non-interventional, comparative study.
methodsProspective participants underwent sighting dominance testing using a 'hole-in-the-card' method through their distance refraction. Sensory testing was performed using a wearable, head-mounted, binocular, see-through visual simulator activating an optotunable lens on pupil conjugate plane, set to introduce monocular defocus for masked determination of both ocular preference and eye dominance strength (EDS) at far and at near (correcting the vergence with positive lenses).
resultsOf 326 subjects, strong ocular dominance was found at far and at near in 50% (N=163) and 56% (N=183), respectively, with roughly equal remaining distribution between weak and equidominance. In 41% (N=134), the eye chosen to be the dominant eye with the 'hole-in-the-card' sighting method did not match the results from the sensory dominance test. In addition, in 26% (N=85), the subject changed from right eye dominance with the 'hole-in-the-card' to left eye dominance with the sensory EDS test; and 15% (N=49) changed from left to right.
conclusionsAssignment of ocular dominance with the commonly used 'hole-in-the card' test often does not align with the patient's preferred eye using sensory testing with a visual simulator simulating monovision. Further investigation will determine whether both strength and localization of ocular dominance in planning monovision are important factors in predicting patients' satisfaction and adaptation to monovision.
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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.