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Visual Psychophysics / Physiological Optics - ARVO

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<strong>ARVO</strong> 2013 Annual Meeting Abstracts by Scientific Section/Group – <strong>Visual</strong> <strong>Psychophysics</strong> / <strong>Physiological</strong> <strong>Optics</strong>417 Accommodation and Presbyopia CorrectionWednesday, May 08, 2013 8:30 AM-10:15 AMExhibit Hall Poster SessionProgram #/Board # Range: 4250-4283/B0287-B0320Organizing Section: <strong>Visual</strong> <strong>Psychophysics</strong> / <strong>Physiological</strong> <strong>Optics</strong>Program Number: 4250 Poster Board Number: B0287Presentation Time: 8:30 AM - 10:15 AMThe Influence of Multifocal Lenses on Fine Motor TasksRupal Lovell-Patel 1, 2 , Matthew A. Timmis 2 , Shahina Pardhan 2 , PaulMcCarthy 1, 2 . 1 Vision and Hearing Sciences, Anglia RuskinUniversity, Cambridge, United Kingdom; 2 Vision and Eye ResearchUnit, Anglia Ruskin University, Cambridge, United Kingdom.Purpose: Literature suggests that multifocal lenses are associatedwith a decreased performance for a variety of tasks includingnegotiating steps, obstacles, driving and reading at certain distances,when compared to single vision lenses. In daily life we regularlyperform other motor tasks, such as reaching and grasping an object.Currently, there is no evidence based data on how multifocal lensesaffect the performance of such fine motor tasks when compared tosingle vision lenses.Methods: 12 presbyopic subjects who were habitual multifocalspectacle wearers took part in the study. Performance was comparedfor multifocal lenses and single vision lenses which were prescribedfollowing a comprehensive vision assessment and an analysis of thedistances at which the tasks were carried out. Subjects had aminimum visual acuity of 0.00 LogMAR. Participants completed 3different fine motor tasks wearing both types of correction; objectwidth estimation, reach-and-grasp and transport-and-placement.Hand and head movements were captured by a 3-D motion capturesystem.Results: Data were analysed using ANOVA. Peak grip aperture wassignificantly larger when grasping the large compared to small object(p < .001). Participants also showed greater error when positioningthe large compared to small object (p < .001). For the reach-andgrasptask: onset time, overall movement time, peak velocity, peakgrip aperture, deceleration time and velocity corrections were notsignificantly affected by spectacle type (p>0.05). Interestingly, headflexion was also not affected by the spectacle type (p > .05). For theobject width estimation task: no significant difference was obtainedin the perceived aperture width between the spectacle types. Fortransport-and-placement: movement time, peak velocity, decelerationtime, velocity corrections, head rotation and error in object placementwere unaffected by spectacle type (p > .05).Conclusions: The type of spectacle lens did not affect the fine motortasks which encompassed a range of visual angles that would lieoutside the multifocal lenses’ intermediate corridor. Datademonstrates that habitual multifocal spectacle wearers can carry outfine motor tasks such as reaching and grasping just as competently asthey can with single-vision lenses.Commercial Relationships: Rupal Lovell-Patel, None; MatthewA. Timmis, None; Shahina Pardhan, None; Paul McCarthy, NoneProgram Number: 4251 Poster Board Number: B0288Presentation Time: 8:30 AM - 10:15 AMAccommodative Lag, Facility and Phoria with Multifocal ContactLensesJiyoon Chung 1 , Ravi C. Bakaraju 1 , Cathleen Fedtke 1 , Jerome Ozkan 1 ,Klaus Ehrmann 1, 2 , Darrin Falk 1 , Arthur Ho 1, 2 , Brien A. Holden 1, 2 .1 Brien Holden Vision Institute, Sydney, NSW, Australia; 2 School ofOptometry and Vision Science, University of New South Wales,Sydney, NSW, Australia.Purpose: To compare the accommodative lag, facility and phoriameasurements of myopic participants fitted with various commercialcontact lens designs.Methods: Forty myopic, non-presbyopic, subjects were randomizedto be fitted bilaterally, with a single vision control lens (Air OptixAqua) and two of four multifocal (MF) lenses (Proclear Distance andNear MF, Air Optix Aqua MF and PureVision MF) on a daily wearbasis. Subjects wore each lens type for a minimum of 8 days over 4scheduled (baseline and 3 follow-up) visits with a 1-week wash-outbetween lens types. Static accommodative responses were assessedwith the EyeMapper at all visits. Five repeats were performed in afogged state (+1D) and at four object vergences from -2 to -5D (1Dsteps). Paraxial curvature matching of the wavefront aberration mapyielded the spherical equivalent. Accommodative facility and phoria(at distance and near) were evaluated using ± 2D flippers and Howellcard, respectively. To reduce the effect of between-visit variability,the data was averaged over the four visits.Results: At +1D fogging, all lens types produced a myopic shift.With the control lens, the accommodative response function wasrelatively linear (slope = 0.82). Three centre-near MFs (Air Optix,PureVision and Proclear Near) all demonstrated accommodative leadat -2D, optimal response at -3D, and lag at -4 and -5D objectvergences. Proclear Distance produced lag over all test vergences. AllMFs produced lower accommodative facility compared to controllens (19.2 cycles / min, p

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