Association between Ocular Dominance and Spherical/Astigmatic Anisometropia, Age, and Sex: Analysis of 10,264 Myopic Individuals

Linke, Stephan J.; Baviera, Julio; Munzer, Gur; Steinberg, Johannes; Richard, Gisbert; Katz, Toam

doi:10.1167/iovs.11-8131

Cited by 48 publications

(47 citation statements)

References 30 publications

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“…In contrast to our results in myopic refractive surgery candidates, 18 with a higher rate of right eye dominance in males (70%) than females (65%), we did not find a statistically significant difference in right eye dominance between males (60.2%) and females (57.1%) (P ¼ 0.28) in hyperopic subjects. The strengths of our study include a large sample size, the homogeneity of the method of refraction (subjective and cycloplegic refraction were available), and a strict exclusion of ocular pathologies and amblyopia as a result of a detailed ophthalmological examination of the subjects.…”

Section: Figurecontrasting

confidence: 99%

“…The prevalence of the nondominant eye being more hyperopic and more astigmatic increased with increasing anisometropia, again paralleling our observations in myopic refractive surgery candidates for whom the prevalence of the nondominant eye being more myopic and more astigmatic increased with increasing anisometropia. 18 In summary, nondominant eyes showed a symmetrical Vshaped pattern with a higher refractive (SE and astigmatism) error compared to dominant eyes when diverging from zero to both the myopic and hyperopic direction. A logistic regression model was applied to identify the relationship between eye dominance and the covariates SE and astigmatism in both the myopic and hyperopic refraction groups.…”

Section: Figurementioning

confidence: 81%

“…The dominant eye was entered into the model as the reference category. Our previously analyzed myopic subjects (n ¼ 10,264) 18 were compared to the hyperopic refraction group. Analyzing the myopic subjects within a forward stepwise model, we were able to detect a stronger effect of astigmatism in discriminating between the dominant and nondominant eye ( …”

Section: Logistic Regression Model For Myopia and Hyperopiamentioning

confidence: 99%

“…17 In contrast to previous reports, our recent study on 10,264 subjects reveals that the nondominant eye exhibits a greater myopic and astigmatic refractive error than the dominant eye in anisometropic myopic refractive surgery candidates. 18 To the best of our knowledge, no study exists analyzing the association between ocular dominance and refractive state, age, and sex in hyperopic subjects. Therefore, the present study was initiated to explore whether nondominant eyes in anisometropic hyperopic subjects are more ametropic, paralleling and confirming the results in myopic individuals.…”

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Association between Ocular Dominance and Spherical/Astigmatic Anisometropia, Age, and Sex: Analysis of 1274 Hyperopic Individuals

Linke

Baviera²,

Richard

et al. 2012

Invest. Ophthalmol. Vis. Sci.

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PURPOSE. To determine the association between ocular dominance and spherical/astigmatic anisometropia, age, and sex in hyperopic subjects.METHODS. The medical records of 1274 hyperopic refractive surgery candidates were filtered. Ocular dominance was assessed with the hole-in-the-card test. Refractive error (manifest and cycloplegic) was measured in each subject and correlated to ocular dominance. Only subjects with corrected distance visual acuity of >20/22 in each eye were enrolled, to exclude amblyopia. Associations between ocular dominance and refractive state were analyzed by means of t-test, v 2 test, Spearman correlation, and multivariate logistic regression analysis.RESULTS. Right and left eye ocular dominance was noted in 57.4 and 40.5% of the individuals. Nondominant eyes were more hyperopic (2.6 6 1.27 diopters [D] vs. 2.35 6 1.16 D; P < 0.001) and more astigmatic (À1.3 6 1.3 D vs. À1.2 6 1.2 D; P ¼ 0.003) compared to dominant eyes. For spherical equivalent (SE) anisometropia of >2.5 D (n ¼ 21), the nondominant eye was more hyperopic in 95.2% (SE 4.7 6 1.4 D) compared to 4.8% (1.8 6 0.94 D; P < 0.001) for the dominant eye being more hyperopic. For astigmatic anisometropia of >2.5 D (n ¼ 27), the nondominant eye was more astigmatic in 89% (mean astigmatism À3.8 6 1.1 D) compared to 11.1% (À1.4 6 1.4 D; P < 0.001) for the dominant eye being more astigmatic.CONCLUSIONS. The present study is the first to show that the nondominant eye has a greater degree of hyperopia and astigmatism than the dominant eye in hyperopic subjects. The prevalence of the nondominant eye being more hyperopic and more astigmatic increases with increasing anisometropia. (Invest Ophthalmol Vis Sci. 2012;53:5362-5369) DOI: 10.1167/iovs.11-8781 F unctional lateralization occurs in the paired organs of the body, such as hands, legs, eyes, and cerebral hemispheres; but the exact mechanisms resulting in lateralization as well as the strength and quality of lateralization remain obscure.In 1903, Rosenbach claimed that most people have a dominant eye, even though each of their two eyes in isolation may provide equal vision and, in unequal vision, the dominant eye is not always the eye with better visual acuity. In general, ocular dominance is defined as the tendency to prefer visual input from one eye over the other 2,3 and may be further characterized as a status whereby one of the eyes commonly dominates or leads the other eye, both in fixation and attention and in perceptive function. 4 Eye dominance, which is commonly determined with the hole-in-the-card test, provides the foundation for a range of clinical decisions, including contact lens wear, 5,6 cataract surgery, 7,8 and monovision presbyopic treatment, 9-11 and is thought to be important in the control of reading. 12The role of ocular dominance in surgically induced monovision can be assessed by looking at success rates and patient satisfaction after monovision refractive surgery. [13][14][15] This clinical practice is based on the assumption that it will be easier to suppress b...

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Section: Figurecontrasting

confidence: 99%

Section: Figurementioning

confidence: 81%

Section: Logistic Regression Model For Myopia and Hyperopiamentioning

confidence: 99%

mentioning

confidence: 99%

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Association between Ocular Dominance and Spherical/Astigmatic Anisometropia, Age, and Sex: Analysis of 1274 Hyperopic Individuals

Linke

Baviera²,

Richard

et al. 2012

Invest. Ophthalmol. Vis. Sci.

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“…38 The significantly higher incidence in right eyes compared with the left eyes is peculiar, and although it is reported in previous studies 16,20 and some speculations have been given to the observation, 27 no good explanation is found in the literature for this phenomenon. The right eye is more frequently the dominating eye 39,40 but there is no consensus in the literature whether there is a difference in axial length and/or refraction between the eyes, that could explain the incidence.…”

Section: Risk Factorsmentioning

confidence: 99%

A Nationwide Study on the Incidence of Rhegmatogenous Retinal Detachment in Denmark, With Emphasis on the Risk of the Fellow Eye

Hajari

Bjerrum

Christensen

et al. 2014

Retina

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Contralateral Eye-to-Eye Comparison of Wavefront-Guided and Wavefront-Optimized Photorefractive Keratectomy

Manche

2015

JAMA Ophthalmol

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IMPORTANCE Wavefront-guided (WFG) and wavefront-optimized (WFO) platforms for refractive surgery are designed for improved visual outcomes. It is unclear which treatment profile is superior for patients undergoing photorefractive keratectomy (PRK). OBJECTIVE To compare the safety, efficacy, predictability, stability, and higher-order aberrations in eyes undergoing WFG and WFO PRK. DESIGN, SETTING, AND PARTICIPANTS A prospective, randomized, fellow-eye-controlled clinical trial was conducted at the Byers Eye Institute at Stanford with enrollment between April 2009 and March 2011; 1 year of follow-up was included. Of 90 patients screened, 71 patients (142 eyes) with less than 12.00 diopters (D) of spherical myopia and less than 3.00 D of astigmatism were enrolled consecutively. INTERVENTIONS One eye was randomized to undergo WFG PRK treatment (Visx CustomVue Star S4 IR excimer laser system; Abbott Medical Optics), and the fellow eye received WFO PRK treatment (WaveLight Allegretto Wave Eye-Q 400 Hz excimer laser system; Alcon Surgical). MAIN OUTCOMES AND MEASURES Data on the manifest refraction, uncorrected visual acuity, best-corrected visual acuity, 5% and 25% contrast best-corrected visual acuity, and higher-order aberrations were collected preoperatively and at the 1-, 3-, 6-, and 12-month follow-up visits. RESULTS Eyes undergoing both treatments had improved best-corrected visual acuity

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Association between Ocular Dominance and Spherical/Astigmatic Anisometropia, Age, and Sex: Analysis of 10,264 Myopic Individuals

Abstract: In contrast to previous reports, this study, including myopic refractive surgery candidates, revealed that the nondominant eye was more myopic for SE anisometropia >2.5 and more astigmatic for cylindrical anisometropia >0.5 D.

Cited by 48 publications

References 30 publications

Association between Ocular Dominance and Spherical/Astigmatic Anisometropia, Age, and Sex: Analysis of 1274 Hyperopic Individuals

Association between Ocular Dominance and Spherical/Astigmatic Anisometropia, Age, and Sex: Analysis of 1274 Hyperopic Individuals

A Nationwide Study on the Incidence of Rhegmatogenous Retinal Detachment in Denmark, With Emphasis on the Risk of the Fellow Eye

Contralateral Eye-to-Eye Comparison of Wavefront-Guided and Wavefront-Optimized Photorefractive Keratectomy

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