Anisometropia prevalence in a highly astigmatic school-aged population

Velma Dobson, Erin M. Harvey, Joseph M. Miller, Candice E. Clifford-Donaldson

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


To describe prevalence of anisometropia, defined in terms of both sphere and cylinder, examined cross-sectionally, in school-aged members of a Native American tribe with a high prevalence of astigmatism. Cycloplegic autorefraction measurements, confirmed by retinoscopy and, when possible, by subjective refraction were obtained from 1041 Tohono O’odham children, 4 to 13 years of age. Astigmatism ≥1.00 diopter (D) was present in one or both eyes of 462 children (44.4%). Anisometropia ≥1.00 D spherical equivalent (SE) was found in 70 children (6.7%), and anisometropia ≥1.00 D cylinder was found in 156 children (15.0%). Prevalence of anisometropia did not vary significantly with age or gender. Overall prevalence of significant anisometropia was 18.1% for a difference between eyes ≥1.00 D SE or cylinder. Vector analysis of between-eye differences showed a prevalence of significant anisometropia of 25.3% for one type of vector notation (difference between eyes ≥1.00 D for M and/or ≥0.50 D for J0 or J45), and 16.2% for a second type of vector notation (between-eye vector dioptric difference ≥1.41). Prevalence of SE anisometropia is similar to that reported for other school-aged populations. However, prevalence of astigmatic anisometropia is higher than that reported for other school-aged populations.

Original languageEnglish (US)
Pages (from-to)E512-E519
JournalOptometry and Vision Science
Issue number7
StatePublished - Jul 2008


  • Anisometropia
  • Astigmatism
  • Children
  • Native American
  • Prevalence

ASJC Scopus subject areas

  • Ophthalmology
  • Optometry


Dive into the research topics of 'Anisometropia prevalence in a highly astigmatic school-aged population'. Together they form a unique fingerprint.

Cite this