Adam Hickenbotham|Austin Roorda|Craig Steinmaus|Adrian Glasser
Meta-Analysis of Sex Differences in Presbyopia
Bioengineering Center|American Academy of Optometry|American Academy of Optometry|University of California, Berkeley|University of Houston
purpose uncorrected presbyopia significant cause visual disability globally greater comprehension etiology presbyopia contributing factors among medical vision care providers could lead changes correction methods account sex differences nearvision requirements methods metaanalysis performed using nine crosssectional studies provided sufficient data compare prevalence magnitude presbyopia among men women analysis subdivided measurement methods determine differences presbyopia might exist men women results studies presbyopia including sex contributing factor highly heterogenic p 001 overall found female sex statistically significant predicting earlier onset presbyopia adjusted confidence interval ci using shore method 95 ci 102 145 limited studies measuring accommodative amplitude female sex associated presbyopia fixed effects model 95 ci 049 107 conclusions association female sex presbyopia subjective measurements near spectacle prescriptions add powers indicated measurements accommodative amplitude show weak tendency toward opposite conclusion suggests increased association presbyopia women due physiologic difference accommodation rather due sex differences tasks performed viewing distances agebased correction nomograms presbyopia therefore consider sex differences prescribing add powers near tasks