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PEDIG: Immediate vs delayed glasses for moderate hyperopia in 1-2 year olds

June 1, 2019

Clinical trial

A Randomized Clinical Trial of Immediate versus Delayed Glasses for Moderate Hyperopia in 1- and 2-Year-Olds.

Kulp MT, Holmes JM, Dean TW, Suh DW, Kraker RT, Wallace DK, Petersen DB, Cotter SA, Manny RE, Superstein R, Roberts TL, Avallone JM, Fishman DR, Erzurum SA, Leske DA, Christoff A.

Ophthalmology. 2019 Jun;126(6):876-887.
Full text | Metrics.

Main finding: There was possibly a small to moderate benefit or no benefit of immediate prescription vs observation; results were inconclusive.

 

  • Purpose: To compare immediate glasses prescription vs observation for managing moderate hyperopia.
  • Type: Randomized controlled Trial
  • Condition: Hyperopia

Participants: Children aged 1 to 2 years old
-moderate hyperopia (+3.0 to +6.0 in at least one eye)

 

  • n=130 patients

 

Intervention:

 

Group 1: Glasses (1.0D less than full cycloplegic hyperopia)
Group 2: Observation (glasses prescribed if reduced VA, reduced stereoacuity or manifest strabismus)

Failure criteriae:

-distance VA or stereoacuity below age norms
-manifest strabismus observed
-strabismus surgery performed.

 

Failure occurred in 21% of the glasses group and 34% of the observation group.

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Updated on March 7th, 2022

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