Skip to main content

Advertisement

SpringerLink
Log in

Comparing accommodative function between the dominant and non-dominant eye

  • Miscellaneous
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Background

To compare the accommodative amplitude (AA), facility (AF), and lag between dominant and non-dominant eyes.

Methods

Seventy students [mean (SD) age: 21.2 (1.7) years, range 18–25] from Zahedan University of Medical Sciences were selected. Retinoscopy and subjective refraction was used to determine the refractive error. The hole-in-the card method was used to determine eye dominance. The accommodative amplitude (AA) was measured in the dominant and non-dominant eye using the push-up method, and accommodative facility (AF) using ±2.00 dioptre flipper lenses at 40 cm. Accommodative lag was determined using monocular estimate method (MEM) retinoscopy at 40 cm.

Results

The right eye was dominant in 53 subjects (75.7 %). There was no significant difference in refractive error (sphere, cylinder, and spherical equivalent) between dominant and non-dominant eyes. The mean (SD) for the AA, AF, and lag in dominant eyes was 12.48 (2.56) dioptres, 12.45 (4.83) cycles per minute, and 0.80 (0.27) dioptres respectively. The mean (SD) for the AA, AF, and lag in non-dominant eyes was 12.16 (2.37) dioptres, 12.20 (4.88) cycles per minute, and 0.83 (0.28) dioptres respectively. The mean (SD) difference in AA, AF, and lag between dominant and non dominant eyes was 0.32 (0.75) dioptres (P = 0.001), 0.25 (1.05) cycles per minute (P = 0.04), and −0.02 (0.11) dioptres (P = 0.10) respectively. The AA and AF was statistically better (P < 0.05) in the dominant eye group than in the non-dominant eye group. These data provided little evidence of any difference in the accommodative lag between dominant and non-dominant eyes (P > 0.05).

Conclusion

The right eye was dominant in 76 % of subjects. Superior AA and AF was found in the dominant eye as determined by hole-in-the card method in young healthy adults, although these differences are perhaps not of clinical significance (<0.50 dioptres and <2 cycles per minute).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Chia A, Jaurigue A, Gazzard G, Wang Y, Tan D, Stone RA, Saw SM (2007) Ocular dominance, laterality, and refraction in Singaporean children. Invest Ophthalmol Vis Sci 48(8):3533–3536

    Article  PubMed  Google Scholar 

  2. Li J, Lam CS, Yu M, Hess RF, Chan LY, Maehara G, Woo GC, Thompson B (2010) Quantifying sensory eye dominance in the normal visual system: a new technique and insights into variation across traditional tests. Invest Ophthalmol Vis Sci 51(12):6875–6881

    Article  PubMed  Google Scholar 

  3. Yang E, Blake R, McDonald JE 2nd (2010) A new interocular suppression technique for measuring sensory eye dominance. Invest Ophthalmol Vis Sci 51(1):588–593

    Article  PubMed Central  PubMed  Google Scholar 

  4. Steinman SB, Steinman BA, Garza RP (2000) Foundations of binocular vision: a clinical perspective. McGraw–Hill, New York, pp 24–27,56–57

    Google Scholar 

  5. Griffin J, Grisham D (2002) Binocular anomalies: diagnosis and vision therapy, 4th edn. Butterworth–Heinemann, Boston, pp 42–48

    Google Scholar 

  6. Eser I, Durrie DS, Schwendeman F, Stahl JE (2008) Association between ocular dominance and refraction. J Refract Surg 24(7):685–689

    PubMed  Google Scholar 

  7. Garcia-Gonzalez M, Teus MA, Hernandez-Verdejo JL (2010) Visual outcomes of LASIK-induced monovision in myopic patients with presbyopia. Am J Ophthalmol 150(3):381–386

    Article  PubMed  Google Scholar 

  8. Chen W, Meng Q, Ye H, Liu Y (2011) Reading ability and stereoacuity with combined implantation of refractive and diffractive multifocal intraocular lenses. Acta Ophthalmol 89(4):376–381

    Article  PubMed  Google Scholar 

  9. Benjamin WJ (2006) Borish’s clinical refraction, vol 92, 2nd edn. Butterworth–Heinemann, Boston, p 1040

    Google Scholar 

  10. Hoffman LG, Rouse M (1980) Referral recommendations for binocular function and/or developmental perceptual deficiencies. J Am Optom Assoc 51(2):119–126

    CAS  PubMed  Google Scholar 

  11. Eskridge JB, Amos JF, Bartlett JD (1991) Clinical procedures in optometry. J.B. Lippincott, Philadelphia, pp 687, 691

    Google Scholar 

  12. Scheiman M, Wick B (2008) Clinical management of binocular vision: heterophoric, accommodative and eye movement disorders, 3rd edn. Lippincott Williams & Wilkins, Philadelphia, p 350

    Google Scholar 

  13. Fong DS (1997) Is myopia related to amplitude of accommodation? Am J Ophthalmol 123(3):416–418

    CAS  PubMed  Google Scholar 

  14. Firth AY (1992) Adie syndrome: evidence for refractive error and accommodative asymmetry as the cause of amblyopia. Am J Ophthalmol 128(1):118–119

    Article  Google Scholar 

  15. Handa T, Mukuno K, Uozato H, Niida T, Shoji N, Shimizu K (2004) Effects of dominant and nondominant eyes in binocular rivalry. Optom Vis Sci 81(5):377–383

    Article  PubMed  Google Scholar 

  16. Cho KJ, Kim SY, Yang SW (2009) The refractive errors of dominant and non-dominant eyes. J Korean Ophthalmol Soc 50(2):275–279

    Article  Google Scholar 

  17. Cheng CY, Yen MY, Lin HY, Hsia WW, Hsu WM (2004) Association of ocular dominance and anisometropic myopia. Invest Ophthalmol Vis Sci 45(8):2856–2860

    Article  PubMed  Google Scholar 

  18. Chen J, Wang ZZ, Yu XP, Wang YW (2009) Accommodative function in adolescent hyperopic anisometropes. Chin J Optom Ophthalmol 4(11):254–256

    Google Scholar 

  19. Linke SJ, Baviera J, Munzer G, Steinberg J, Richard G, Katz T (2011) Association between ocular dominance and spherical/astigmatic anisometropia, age, and sex: analysis of 10,264 myopic individuals. Invest Ophthalmol Vis Sci 52(12):9166–9173

    Article  PubMed  Google Scholar 

  20. Linke SJ, Baviera J, Richard G, Katz T (2012) Association between ocular dominance and spherical/astigmatic anisometropia, age and sex: analysis of 1274 hyperopic individuals. Invest Ophthalmol Vis Sci 53(9):5362–5369

    Article  PubMed  Google Scholar 

  21. Koo BS, Cho YA (1996) The relationship of dominant eye, dominant hand, and deviated eye in strabismus. J Korean Ophthalmol Soc 37(8):1277–1282

    Google Scholar 

  22. Domenech B, Mas D, Illueca C (2010) Influence of ocular dominance in the variability of the eye’s anterior segment measurements. Opt Int J Light Electron 121(24):2221–2223

    Article  Google Scholar 

  23. Kawata H, Ohtsuka K (2001) Dynamic asymmetries in convergence eye movements under natural viewing conditions. Jpn J Ophthalmol 45(5):437–444

    Article  CAS  PubMed  Google Scholar 

  24. Adamek B, Karczewicz D (2006) The dependence of the range of fusion on some selected functions of the visual system. Part II: Accommodation and dominance. Klin Oczna 108(4–6):167–169

    PubMed  Google Scholar 

  25. Yang HK, Hwang JM (2011) Decreased accommodative response in the nondominant eye of patients with intermittent exotropia. Am J Ophthalmol 151(1):71–76

    Article  PubMed  Google Scholar 

  26. García A, Cacho P (2002) MEM and Nott dynamic retinoscopy in patients with disorders of vergence and accommodation. Ophthalmic Physiol Opt 22(3):214–220

    Article  PubMed  Google Scholar 

  27. Correction of Myopia Evaluation Trial 2 Study Group for the Pediatric Eye Disease Investigator Group (2009) Accommodative lag by autorefraction and two dynamic retinoscopy methods. Optom Vis Sci 86(3):233–243

    Article  Google Scholar 

  28. Grosvenor T (2007) Primary care optometry, 5th edn. Butterworth–Heinemann, Boston, pp 285–286

    Google Scholar 

  29. McAlinden C, Khadka J, Pesudovs K (2011) Statistical methods for conducting agreement (comparison of clinical tests) and precision (repeatability or reproducibility) studies in optometry and ophthalmology. Ophthalmic Physiol Opt 31(4):330–338

    Article  PubMed  Google Scholar 

  30. Ibi K (1997) Characteristics of dynamic accommodation responses: comparison between the dominant and non-dominant eyes. Ophthalmic Physiol Opt 17:44–54

    Article  CAS  PubMed  Google Scholar 

  31. Mansour AM, Sbeity ZM, Kassak KM (2003) Hand dominance, eye laterality and refraction. Acta Ophthalmol Scand 81(1):82–83

    Article  PubMed  Google Scholar 

  32. Fujimura F, Handa T, Uozato H, Shoji N, Shimizu K (2007) Effects of ocular dominance on accommodation. J Eye 24(1):121–124

    Google Scholar 

Download references

Acknowledgments

The authors would like to thank participants who made this study possible.

Conflict of Interest

No financial interest to any material or method mentioned.

Author information

Authors and Affiliations

  1. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

    Hamed Momeni-Moghaddam

  2. Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia

    Colm McAlinden

  3. Wenzhou Medical College, Wenzhou, Zhejiang, China

    Colm McAlinden

  4. School of Paramedical Sciences, Mashad University of Medical Sciences, Mashhad, Iran

    Abbas Azimi

  5. Zahedan University of Medical Sciences, Zahedan, Iran

    Mina Sobhani

  6. Department of Ophthalmology, Singleton Hospital, Abertawe Bro Morgannwg University Health Board, Sketty Lane, Swansea, UK

    Eirini Skiadaresi

  7. Razmju Moghaddam Central Laboratory, Kafami Str., Zahedan, Sistanobaluchestan, Iran

    Hamed Momeni-Moghaddam

Authors
  1. Hamed Momeni-Moghaddam
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Colm McAlinden
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Abbas Azimi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mina Sobhani
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Eirini Skiadaresi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hamed Momeni-Moghaddam.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Momeni-Moghaddam, H., McAlinden, C., Azimi, A. et al. Comparing accommodative function between the dominant and non-dominant eye. Graefes Arch Clin Exp Ophthalmol 252, 509–514 (2014). https://doi.org/10.1007/s00417-013-2480-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-013-2480-7

Keywords

Search

Navigation