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Updated: Jun 12, 2026

Simulating the Mechanics of Lens Accommodation via a Manual Lens Stretcher
Published on: February 23, 2018
Axial length changes during accommodation in myopes and emmetropes.
Scott A Read1, Michael J Collins, Emily C Woodman
1Contact Lens and Visual Optics Laboratory, School of Optometry, Queensland University of Technology, Brisbane, Queensland, Australia. sa.read@qut.edu.au
Eye axial length (AXL) significantly elongates with accommodation, increasing with higher demands. This eye elongation during accommodation shows no significant difference between myopic and emmetropic young adults.
Area of Science:
- Ophthalmology
- Optometry
- Biomedical Optics
Background:
- Accommodation, the eye's ability to change focus, is crucial for clear vision.
- Understanding ocular biometric changes during accommodation is vital for myopia research and management.
Purpose of the Study:
- To investigate how accommodation influences axial length (AXL) and other ocular biometric parameters.
- To compare these accommodative effects in young adult myopic and emmetropic individuals.
Main Methods:
- Ocular biometry was measured in 40 young adults using optical low coherence reflectometry.
- Measurements were taken under three accommodation demands (0 D, 3 D, and 6 D).
- Subjects were classified as emmetropes (n=19) or myopes (n=21).
Main Results:
- Axial length (AXL) significantly increased with accommodation, with greater elongation at higher demands (3 D and 6 D).
- This axial elongation persisted even after correcting for lens thickness changes.
- No significant differences in AXL change magnitude were observed between myopic and emmetropic groups.
Conclusions:
- The eye exhibits significant axial elongation during accommodation, proportional to the accommodative demand.
- Myopic and emmetropic individuals show similar magnitudes of eye elongation in response to accommodation.
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