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Updated: Jul 15, 2026

Simulating the Mechanics of Lens Accommodation via a Manual Lens Stretcher
Published on: February 23, 2018
Amplitude of accommodation and its relation to refractive errors.
Lekha Mary Abraham1, Thomas Kuriakose, Viswanathan Sivanandam
1Department of Ophthalmology, Christian Medical College, Vellore, India.
Myopes aged 35-44 years demonstrated a higher amplitude of accommodation (AA) compared to emmetropes and hypermetropes. This finding is significant for understanding refractive error impacts on visual function during peri-presbyopia.
Area of Science:
- Ophthalmology
- Optometry
- Vision Science
Background:
- Presbyopia affects individuals aged 40 and above, impacting near vision.
- Refractive errors, such as myopia and hyperopia, may influence the aging process of the eye's focusing ability.
Purpose of the Study:
- To investigate the association between amplitude of accommodation and refractive errors in the peri-presbyopic population.
- To compare the amplitude of accommodation across different refractive error groups in individuals aged 35-50.
Main Methods:
- A study involving 316 participants aged 35-50 years with best-corrected visual acuity of 6/6.
- Amplitude of accommodation (AA) was determined by measuring the near point of accommodation (NPA).
- NPA measurements were adjusted using soft contact lenses for participants with significant refractive errors.
Main Results:
- Significant differences in AA were observed between myopes and hypermetropes (P < 0.005) and myopes and emmetropes (P < 0.005) in the 35-39 age group.
- In the 40-44 age group, significant differences in AA were found between emmetropes and hypermetropes (P < 0.0001), emmetropes and myopes (P < 0.01), and hypermetropes and myopes (P < 0.0001).
- No significant differences in AA were noted in participants over 45 years old (P > 0.5).
Conclusions:
- Myopic individuals between 35 and 44 years of age exhibited a greater amplitude of accommodation.
- These findings suggest that refractive error influences accommodative ability during the onset of presbyopia.
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