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Comparison of Accommodative Response among Emmetropes, Spectacle and Contact Lens Wearer  

Lee, Kyu-Byung (Dep. of Optometry, Daejeon Health Sciences College)
Park, Jeehyun (Dep. of Visual Optics, Shinsung University)
Kim, Hyojin (Dep. of Visual Optics, Baekseok University)
Publication Information
Journal of Korean Ophthalmic Optics Society / v.17, no.4, 2012 , pp. 403-410 More about this Journal
Abstract
Purpose: The purposes of this study are to investigate accommodative response among emmetropes, spectacle wearer and contact lens wearer, and correlation between refractive error and accommodative respons for each group. Methods: The 72 subjects(144 eyes) who do not have any ocular diseases were participate in this study. Subjects were categorized into emmetropes, spectacle wearer and contact lens wearer by refractive error using closed-field auto-refractometer. We measured dominant eye, naked/habitual visual acuity and refractive error of monocular/binocular vision of refractive error for far/near distance with open-field auto-refractometer and calculated accommodative lag. Results: There were no significant difference of accommodative lag between right and left eye dominant and non-dominant eye, monocular and binocular vision, and spectacle lens wearer and contact lens wearer, However the accommodative lag of binocular vision was severe than monocular vision at near. The lag of myopia was larger than emmetropes, and male was larger than female. Significant correlation was found between refractive error and accommodative lag in total subjects and the same result was found in emmetropes and contact lens wearer. However there were no significant correlation in the spectacle wearer. Conclusions: There were significant difference between emmetrops and myopes in terms of accommodative lag, however accommodative lag of spectacle wearer was not different with contact lens wearer in myopes. There were also significant correlation between refractive error and accommodative lag in emmetropes and contact lens wearer, but the accommodative lag of spectacle wearer was not significantly correlated with refractive error.
Keywords
Accommodative response; Accommodative lag; Open-field auto-refractometer; Refractive error;
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1 Gwiazda J, Thorn F, Bauer J, Held R. Myopic children show insufficient accommodative response to blur. Invest Ophthalmol Vis Sci. 1993;34(3):690-694.
2 Schmid KL, Hilmer KS, Lawrence RA, Loh SY, Morrish LJ, Brown B. The effect of common reductions in letter size and contrast on accommodation responses in young adult myopes and emmetropes. Optom Vis Sci. 2005; 82(7): 602-611.   DOI   ScienceOn
3 Buehren T, Collins MJ. Accommodation stimulus-response function and retinal image quality. Vision Res. 2006;46(10): 1633-1645.   DOI   ScienceOn
4 Rosenfield M, Gilmartin B. Disparity-induced accommodation in late-onset myopia. Ophthalmic Physiol Opt. 1988;8(3):353-355.   DOI   ScienceOn
5 Han GA, Hwang JH, Mah KC. Objective measurement of accommodative responses with open-field autorefractor. Korean J Vis Sci. 2009;11(1):35-44.
6 Shim HS, Shim MS, Joo SH. A study of accommodative response on emmetropia. J Korean Oph Opt Soc. 2006; 11(3):187-192.
7 Szklo M, Nieto FJ. Epidemiology: beyond the basics, 2nd Ed. Jones and Bartlett, 2006:164-181.
8 He JC, Burns SA, Marcos S. Monochromatic aberrations in the accommodated human eye. Vision Res. 2000;40(1): 41-48.   DOI   ScienceOn
9 Cheng H, Barnett JK, Vilupuru AS, Marsack JD, Kasthurirangan S, Applegate RA, et al. A population study on changes in wave aberrations with accommodation. J Vis. 2004;4(4):272-280.
10 Gambra E, Sawides L, Dorronsoro C, Marcos S. Accommodative lag and fluctuations when optical aberrations are manipulated. J Vis. 2009;9(6):1-15.   DOI
11 Plainis S, Ginis HS, Pallikaris A. The effect of ocular aberrations on steady-state errors of accommodative response. J Vis. 2005;5(5):466-477.
12 Shin JA, Lee OJ. Relationship between subjective symptoms with near work and binocular function. J Korean Oph Opt Soc. 2007;12(3):125-130.
13 Theodore G. Primary care optometry, 5th Ed. Butterworth- Heinemann, 2006:267-268.
14 Kurtz D, Carlson NB. Clinical procedure for ocular examination, 3rd Ed. McGraw-Hill, 2003:197-201.
15 Manny RE, Chandler DL, Scheiman MM, Gwiazda JE, Cotter SA, Everett DF, et al. Accommodative lag by autorefraction and two dynamic retinoscopy methods. Optom Vis Sci. 2009;86(3):233-243.   DOI   ScienceOn
16 Bae HJ, Yoon MO, Kim HS, Eom JH. The correlation of refractive error and accommodative response. Korean J Vis Sci. 2010;12(2):103-109.
17 Bae SH, Kwak HW. Comparison between accommodative response change on the full vision correction and low vision correction. J Korean Oph Opt Soc. 2012;17(1):75- 81.
18 Kim HK. Comparison of accommodative response between emmetropia and myopia in children and adult. Master Thesis. Eulji University, Daejeon. 2012:5-59.
19 Baarg SB, Jeong YH. The accommodative lag and refractive error in early adults. J Korean Oph Opt Soc. 2012; 17(1):59-65.
20 Mutti DO, Mitchell GL, Hayes JR, Jones LA, Jones LA, Moeschberger ML, et al. Accommodative lag before and after the onset of myopia. Invest Ophthalmol Vis Sci. 2006;47(3):837-846.   DOI   ScienceOn
21 Rabbetts RB. Clinical visual optics. 4th Ed., New York, Butterworth-Heinemann. 2007:148-149.
22 Shim HS, Lee SW, Shim MS, Choi SM, Jang SJ. Accommodative response measurement using both eyes openview autorefractometer. J Korean Oph Opt Soc. 2005; 10(4):323-328.
23 Weizhong L, Zhikuan Y, Wen L, Xiang C, Jian G. A longitudinal study on the relationship between myopia development and near accommodation lag in myopic children. Ophthalmic Physiol Opt. 2008;28(1):57-61.   DOI   ScienceOn
24 Nakatsuka C, Hasebe S, Nonaka F, Ohtsuki H. Accommodative lag under habitual seeing conditions: comparison between myopic and emmetropic children. Jpn J Ohthalmol. 2005;49(3):189-194.   DOI   ScienceOn
25 Rosenfield M, Desai R, Portello JK. Do progressing myopes show reduced accommodative responses?. Optom Vis Sci. 2002;79(4):268-273.   DOI   ScienceOn
26 Seidel D, Gray LS, Heron G. Retinotopic accommodation responses in myopia. Invest Ophthalmol Vis Sci. 2003; 44(3):1035-1041.   DOI   ScienceOn
27 Norton TT. Animal models of myopia: learning how vision controls the size of the eye. ILAR J. 1999;40(2): 59-77.   DOI   ScienceOn