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Clinical and laboratory investigations of the relationship of accommodation and convergence function with refractive error

A literature review

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Abstract

Studies of the relationship of clinical and laboratory measures of accommodation and convergence function with refractive error are reviewed. There are inconsistencies in results from study to study presumably due, in part, to methodological differences. However, some basic trends can be outlined. In studies in young adults, accommodation in darkness (dark focus), optical reflex accommodation, and proximally induced accommodation are less in myopes than in emmetropes and hyperopes. It also appears that nearpoint esophoria is associated with higher rates of myopia progression in children. Implications for myopia etiology are discussed.

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Authors and Affiliations

  1. School of Optometry, Indiana University, 47405, Bloomington, Indiana, USA

    David A. Goss

  2. School of Optometry, University of Missouri-St. Louis, St. Louis, Missouri, USA

    Huifang Zhai

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  1. David A. Goss
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  2. Huifang Zhai
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Goss, D.A., Zhai, H. Clinical and laboratory investigations of the relationship of accommodation and convergence function with refractive error. Doc Ophthalmol 86, 349–380 (1994). https://doi.org/10.1007/BF01204595

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