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2016 ; 11
(3
): e0151094
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Functional Visual Acuity of Early Presbyopia
#MMPMID26959362
Katada Y
; Negishi K
; Watanabe K
; Shigeno Y
; Saiki M
; Torii H
; Kaido M
; Tsubota K
PLoS One
2016[]; 11
(3
): e0151094
PMID26959362
show ga
PURPOSE: To evaluate visual function in patients with early presbyopia using the
functional visual acuity (FVA) test. METHODS: This study included 27 eyes of 27
healthy older volunteers (mean age, 44.1 ± 2.6 years) and 14 eyes of 14 healthy
young volunteers (mean age, 28.4±4.8 years). The distance-corrected visual acuity
(DCVA), distance-corrected near VA (DCNVA), subjective amplitude of accommodation
(AA), and distance and near pupillary diameters were measured. The distance FVA
and distance-corrected near FVA (DCNFVA) were measured using the FVA Measurement
System. The standard Schirmer test and standard tear break-up time measurement
also were performed. RESULTS: The logarithm of the minimum angle of resolution
(logMAR) DCVA was better than 0 in all subjects. The percentages of subjects with
logMAR DCNVA below 0 was significantly lower in the presbyopia group than in the
young group. The DCNFVA in the presbyopia group was significantly (P < 0.001)
poorer than the DCNVA in that group. Significant linear negative correlations
were seen between the DCNVA and AA (r = -0.507, P < 0.001) and the DCNFVA and AA
(r = -0.681, P < 0.001) in the older subjects. Stepwise regression analysis
showed that only the AA was a significant factor predictive of the DCNFVA in the
presbyopia group. Tear function parameters were not adopted in the regression
model. CONCLUSIONS: Measurement of the DCNFVA can detect decreased AA in early
presbyopia better than measurement of the conventional near VA. The DCNFVA is a
good index for early presbyopia.