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Comparison of the Amplitude of Accommodation Measured Using Push-up, Minus Lens-to-Blur Methods and Hofstetter's Equations in Saudi University Students

Received: 3 February 2022    Accepted: 24 February 2022    Published: 4 March 2022
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Abstract

Background: Commonly, two clinical techniques are used to measure the amplitude of accommodation: push-up and minus lens-to-blur approaches. However, there is no consensus on the accurate technique for assessing the accommodative amplitude in the clinical eye examination. Aim: This study was to compare push-up and minus lens-to-blur methods and Hofstetter's equations for assessing the amplitude of accommodation in Saudi university students. Methods: This was a comparative cross-sectional, performed in the department of optometry clinic between February and May 2020. The amplitude of accommodation was assessed on 79 Saudi young students (62 males and 17 females, mean age and standard deviation was 23.50 ± 2.29 years old using the push-up and minus lens-to-blur methods and calculated using Hofstetter's equations. Results: The findings showed that the highest mean of the amplitude of accommodation was found by using the Hofstetter's maximum equation (15.2 ± 0.9D), whereas the minus lens-to-blur technique provided the lowest result (8.6 ± 1.6D). Using the t-test, significant changes were seen between all methods P<0.0001 except the minus lens-to-blur method and Hofstetter's minimum equation P=0.077. Measurements by different methods revealed an opposite association between subjects' age and amplitude of accommodation. Conclusion: Given the significant variance in results obtained between the different techniques for measuring the amplitude of accommodation, caution should be taken once making decisions regarding amplitude accommodation assessment in young subjects with accommodative disorders and binocular vision abnormalities.

Published in International Journal of Ophthalmology & Visual Science (Volume 7, Issue 1)
DOI 10.11648/j.ijovs.20220701.16
Page(s) 33-39
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Amplitude of Accommodation, Minus Lens-to-Blur, Push-up, Hofstetter's Equation, Optometrists, Diopter

References
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    Basal Hamad Altoaimi. (2022). Comparison of the Amplitude of Accommodation Measured Using Push-up, Minus Lens-to-Blur Methods and Hofstetter's Equations in Saudi University Students. International Journal of Ophthalmology & Visual Science, 7(1), 33-39. https://doi.org/10.11648/j.ijovs.20220701.16

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    ACS Style

    Basal Hamad Altoaimi. Comparison of the Amplitude of Accommodation Measured Using Push-up, Minus Lens-to-Blur Methods and Hofstetter's Equations in Saudi University Students. Int. J. Ophthalmol. Vis. Sci. 2022, 7(1), 33-39. doi: 10.11648/j.ijovs.20220701.16

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    AMA Style

    Basal Hamad Altoaimi. Comparison of the Amplitude of Accommodation Measured Using Push-up, Minus Lens-to-Blur Methods and Hofstetter's Equations in Saudi University Students. Int J Ophthalmol Vis Sci. 2022;7(1):33-39. doi: 10.11648/j.ijovs.20220701.16

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  • @article{10.11648/j.ijovs.20220701.16,
      author = {Basal Hamad Altoaimi},
      title = {Comparison of the Amplitude of Accommodation Measured Using Push-up, Minus Lens-to-Blur Methods and Hofstetter's Equations in Saudi University Students},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {7},
      number = {1},
      pages = {33-39},
      doi = {10.11648/j.ijovs.20220701.16},
      url = {https://doi.org/10.11648/j.ijovs.20220701.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20220701.16},
      abstract = {Background: Commonly, two clinical techniques are used to measure the amplitude of accommodation: push-up and minus lens-to-blur approaches. However, there is no consensus on the accurate technique for assessing the accommodative amplitude in the clinical eye examination. Aim: This study was to compare push-up and minus lens-to-blur methods and Hofstetter's equations for assessing the amplitude of accommodation in Saudi university students. Methods: This was a comparative cross-sectional, performed in the department of optometry clinic between February and May 2020. The amplitude of accommodation was assessed on 79 Saudi young students (62 males and 17 females, mean age and standard deviation was 23.50 ± 2.29 years old using the push-up and minus lens-to-blur methods and calculated using Hofstetter's equations. Results: The findings showed that the highest mean of the amplitude of accommodation was found by using the Hofstetter's maximum equation (15.2 ± 0.9D), whereas the minus lens-to-blur technique provided the lowest result (8.6 ± 1.6D). Using the t-test, significant changes were seen between all methods PConclusion: Given the significant variance in results obtained between the different techniques for measuring the amplitude of accommodation, caution should be taken once making decisions regarding amplitude accommodation assessment in young subjects with accommodative disorders and binocular vision abnormalities.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Comparison of the Amplitude of Accommodation Measured Using Push-up, Minus Lens-to-Blur Methods and Hofstetter's Equations in Saudi University Students
    AU  - Basal Hamad Altoaimi
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    N1  - https://doi.org/10.11648/j.ijovs.20220701.16
    DO  - 10.11648/j.ijovs.20220701.16
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
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    EP  - 39
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20220701.16
    AB  - Background: Commonly, two clinical techniques are used to measure the amplitude of accommodation: push-up and minus lens-to-blur approaches. However, there is no consensus on the accurate technique for assessing the accommodative amplitude in the clinical eye examination. Aim: This study was to compare push-up and minus lens-to-blur methods and Hofstetter's equations for assessing the amplitude of accommodation in Saudi university students. Methods: This was a comparative cross-sectional, performed in the department of optometry clinic between February and May 2020. The amplitude of accommodation was assessed on 79 Saudi young students (62 males and 17 females, mean age and standard deviation was 23.50 ± 2.29 years old using the push-up and minus lens-to-blur methods and calculated using Hofstetter's equations. Results: The findings showed that the highest mean of the amplitude of accommodation was found by using the Hofstetter's maximum equation (15.2 ± 0.9D), whereas the minus lens-to-blur technique provided the lowest result (8.6 ± 1.6D). Using the t-test, significant changes were seen between all methods PConclusion: Given the significant variance in results obtained between the different techniques for measuring the amplitude of accommodation, caution should be taken once making decisions regarding amplitude accommodation assessment in young subjects with accommodative disorders and binocular vision abnormalities.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Optometry, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia

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