Treatment of accommodative insufficiency with plus lens reading addition: is +1.00 D better than +2.00 D?
OBJECTIVE
The aim of the present study was to evaluate if +2.00 D lens reading addition has the same effectiveness as +1.00 D reading addition in the treatment of accommodative insufficiency (AI).


METHODS
Initially 22 subjects (mean age 11.8 years, +/-3.54 SD) with AI were included in the study. The treatment was given according to a randomization list; 11 subjects were given +1.00 D reading addition and the other 11 were given +2.00 D reading addition, for 8 weeks of treatment. The Visual Analogue Scale (VAS) was used to evaluate the subjective degree of asthenopia before and after treatment.


RESULTS
The results showed a statistical significant improvement of the accommodative amplitude with +1.00 D reading addition after 8 weeks of treatment. In the +2.00 D reading addition group the improvement of accommodative amplitude was not significant. The reduction in VAS score was significant in both groups.


CONCLUSIONS
The results indicate that +2.00 D reading addition does not exercise the accommodative system in the same amount as +1.00 D reading addition to improve the accommodative amplitude. We therefore recommend that +2.00 D reading addition is not used for treatment of AI.
Wahlberg
Marika
M
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. marika.wahlberg@ste.ki.se
Abdi
Saber
S
Brautaset
Rune
R
D000065:Accommodation, Ocular; D000293:Adolescent; D001248:Asthenopia / Q000175:diagnosis / Q000209:etiology; D002648:Child; D005139:Eyeglasses; D005260:Female; D006801:Humans; D008297:Male; D055095:Optics and Photonics; D010147:Pain Measurement; D011932:Reading; D014786:Vision Disorders / Q000150:complications / Q000503:physiopathology* / Q000534:rehabilitation*