Documenta Ophthalmologica

, Volume 55, Issue 3, pp 177–198 | Cite as

Accommodative dysfunction

  • K. M. Daum
Article

Abstract

A retrospective review of the records of 114 subjects with accommodative dysfunction has been completed. Most subjects (N = 96) were found to have accommodative insufficiency. Lesser numbers of subjects were categorized in the class of infacility of accommodation (N = 14), spasm of accommodation (N = 3) and fatigue of accommodation (N = 1). A majority of the subjects presented with complaints of blur, headaches and/or asthenopia while attempting nearwork. Most subjects presented with reduced abilities in one or more of the following areas: accommodative amplitude and facility, fusional vergences, near point of convergence and stereo acuities. The clinical characteristics of the group as a whole and the major subgroups have been examined both before and after treatment of the condition with orthoptic exercises and/or plus lenses at the nearpoint. The result of the treatment indicates that although most subjects (96%) experienced some relief with treatment only about half (53%) had their problems totally solved. The importance of these findings is briefly discussed.

Key words

accommodation accommodative dysfunction accomodative insufficiency premature presbyopia infacility of accommodation tonic accommodation blur headaches asthenopia orthoptics 

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Copyright information

© Dr W. Junk Publishers 1983

Authors and Affiliations

  • K. M. Daum
    • 1
  1. 1.College of Optometry, The Ohio State UniversityColumbusUSA

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