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The Normal Accommodative Convergence/Accommodation (AC/A) Ratio.
1a Orthoptics and Vision Science , University of Liverpool , Brownlow Hill , United Kingdom.
Journal of Binocular Vision and Ocular Motility
|October 26, 2018
Summary
The Accommodative Convergence (PD)/Accommodation ratio (AC/A) was measured in visually normal individuals. Clinical methods yielded significantly different AC/A ratios, suggesting methods are not interchangeable.
Area of Science:
- Ophthalmology
- Optometry
- Vision Science
Background:
- The Accommodative Convergence (PD)/Accommodation ratio (AC/A) is a critical clinical measure.
- Standardized AC/A ratio values are widely accepted in clinical practice.
Purpose of the Study:
- To measure the AC/A ratio in a cohort of visually normal participants.
- To compare AC/A ratios obtained using common clinical methods.
Main Methods:
- Fifty visually normal subjects participated in the study.
- AC/A ratios were measured using four methods: distance gradient (DG), near gradient (NG), synoptophore gradient (SG), and heterophoria (H).
Main Results:
- Median AC/A ratios varied significantly across methods: NG (2.0), DG (1.0), SG (1.0), and H (5.0).
- Statistically significant differences were found between most method pairs (p < 0.05), except DG vs. SG.
- Lens power toleration and latent deviation influenced AC/A ratios in specific methods.
Conclusions:
- AC/A ratios in this cohort were lower than historical norms for gradient methods.
- Different clinical methods yield non-interchangeable AC/A values.
- A universal normal range for AC/A ratios should not be applied across all measurement techniques.
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