A comparison of the conventional and modified push-up methods of measuring the near point of accommodation

Aim: To compare the subjective near point of accommodation measurement with the RAF rule using the conventional (clear to blur) and modified (blur to clear) push-up methods. Methods: Both methods of testing the near point of accommodation were carried out uniocularly and binocularly in 32 visually n...

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Main Authors: Hareerm Esmail, Gemma Arblaster
Format: Article
Language:English
Published: White Rose University Press 2016-08-01
Series:British and Irish Orthoptic Journal
Subjects:
Online Access:https://www.bioj-online.com/articles/100
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author Hareerm Esmail
Gemma Arblaster
author_facet Hareerm Esmail
Gemma Arblaster
author_sort Hareerm Esmail
collection DOAJ
description Aim: To compare the subjective near point of accommodation measurement with the RAF rule using the conventional (clear to blur) and modified (blur to clear) push-up methods. Methods: Both methods of testing the near point of accommodation were carried out uniocularly and binocularly in 32 visually normal participants (mean age: 20.08) with a range of visual experience. Results: The modified push-up method (blur to clear) gave a near point of accommodation further away from the subject. A difference of 0.51 cm in the right eye, 0.61 cm in the left eye and 1.05 cm binocularly was found between the two methods which was statistically significant ( p < 0.05). No difference was found between naı¨ve and expert groups ( p < 0.05). However, most participants reported that the end point was easier to judge with the modified method. Conclusion: Despite being significantly different statistically, the difference between the two methods measuring the near point of accommodation with the RAF rule was small. The findings support the use of the modified method of measuring the near point of accommodation with the RAF rule, rather than the conventional method.
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spelling doaj.art-d0928010e7834668ac20f5d7fd1854bd2022-12-22T00:02:07ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902016-08-0113353910.22599/bioj.10099A comparison of the conventional and modified push-up methods of measuring the near point of accommodationHareerm Esmail0Gemma Arblaster1Academic Unit of Ophthalmology and Orthoptics, University of Sheffield, SheffieldAcademic Unit of Ophthalmology and Orthoptics, University of Sheffield, SheffieldAim: To compare the subjective near point of accommodation measurement with the RAF rule using the conventional (clear to blur) and modified (blur to clear) push-up methods. Methods: Both methods of testing the near point of accommodation were carried out uniocularly and binocularly in 32 visually normal participants (mean age: 20.08) with a range of visual experience. Results: The modified push-up method (blur to clear) gave a near point of accommodation further away from the subject. A difference of 0.51 cm in the right eye, 0.61 cm in the left eye and 1.05 cm binocularly was found between the two methods which was statistically significant ( p < 0.05). No difference was found between naı¨ve and expert groups ( p < 0.05). However, most participants reported that the end point was easier to judge with the modified method. Conclusion: Despite being significantly different statistically, the difference between the two methods measuring the near point of accommodation with the RAF rule was small. The findings support the use of the modified method of measuring the near point of accommodation with the RAF rule, rather than the conventional method.https://www.bioj-online.com/articles/100AccommodationBlur to clearClear to blurConventional push-up method, Modified push-up methodNear point of accommodationRAF rule
spellingShingle Hareerm Esmail
Gemma Arblaster
A comparison of the conventional and modified push-up methods of measuring the near point of accommodation
British and Irish Orthoptic Journal
Accommodation
Blur to clear
Clear to blur
Conventional push-up method, Modified push-up method
Near point of accommodation
RAF rule
title A comparison of the conventional and modified push-up methods of measuring the near point of accommodation
title_full A comparison of the conventional and modified push-up methods of measuring the near point of accommodation
title_fullStr A comparison of the conventional and modified push-up methods of measuring the near point of accommodation
title_full_unstemmed A comparison of the conventional and modified push-up methods of measuring the near point of accommodation
title_short A comparison of the conventional and modified push-up methods of measuring the near point of accommodation
title_sort comparison of the conventional and modified push up methods of measuring the near point of accommodation
topic Accommodation
Blur to clear
Clear to blur
Conventional push-up method, Modified push-up method
Near point of accommodation
RAF rule
url https://www.bioj-online.com/articles/100
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