[The influence of ocular dominance on monovision--the interaction between binocular visual functions and the state of dominant eye's correction].

Nippon Ganka Gakkai Zasshi

Department of Rehabilitation, Orthoptics and Visual Science Course, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan.

Published: June 2007

Purpose: To examine the interaction between binocular visual functions and the correction of the dominant eye, i.e., for far vs. near vision in monovision.

Subjects And Methods: Ten healthy subjects without any ophthalmological disease were examined. After cycloplegia, the eyes of the subjects were corrected by soft contact lenses (difference in lens power between the lenses: 2.5 D) with an artificial pupil(diameter: 3.0 mm). Visual acuity at various distances, contrast sensitivity, and near stereoacuity were measured while the dominant eye determined by the hole-in-card test (sighting dominance) was corrected for far and near vision.

Results: Binocular visual acuity was better than 1.0(20/20) at all distances. When the dominant eye was corrected for distance, the binocular visual acuity at 0.7 m was better than the monocular visual acuity; contrast sensitivity was better within the spatial frequency range of 0.5-4.0 cycles per degree, and near stereoacuity by Titmus stereo tests improved.

Conclusion: These results suggest that dominant eyes should be corrected for far vision for better binocular summation at middle distances, and near stereoacuity.

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