Visual acuity improvement following fading and feedback training—II. Relationship to changes in refractive error

The present study evaluated the effects of behavioral training on visual acuity and refractive error in myopic adults. Twenty volunteers were matched on the basis of refractive error and one member of each matched pair was randomly assigned to either Fading and Feedback training or a no-treatment control condition. Visual acuity was measured with both recognition and resolution measures. Refractive error was measured subjectively using the LaserSpec optometer, and objectively by two retinoscopic examinations performed by an ophthalmologist with and without cycloplegia. The results indicated significant increases in recognition visual acuity, but not resolution visual acuity for trained subjects compared to the no-treatment controls. Trained subjects did not show improvement in refractive error on any measure, and refractive error changes were not correlated with changes in either measure of visual acuity. These data suggest that the visual acuity improvements typically found with behavioral training are not associated with changes in refractive error.