Dynamic retinoscopy: the missing data

Dynamic retinoscopy is a well described but often overlooked technique that allows rapid assessment of accommodative ability. The key to the technique is the neutralization of the retinoscopic reflex that occurs when the patient accommodates on a target adjacent to the retinoscope. This clinical tool can provide critical data that can help solve treatment dilemmas, such as when a child presents with high hyperopia or when a patient presents at any age with possible accommodative insufficiency. In this review, performance of dynamic retinoscopy will be detailed, with the applicability of the technique demonstrated with use of case examples.