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The quest for the human ocular accommodation mechanism.

Paulus T V M de Jong1,2,3

  • 1Department of Retinal Signal Processing, The Netherlands Institute for Neuroscience, KNAW, Amsterdam, The Netherlands.

Acta Ophthalmologica
|July 27, 2019
PubMed
Summary

The human eye

Keywords:
animal ocular accommodationciliary bodyciliary ligamentciliary musclehuman ocular accommodationophthalmic history

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Area of Science:

  • Ophthalmology and Vision Science
  • The study of the human eye's focusing mechanism, known as accommodation, falls within ophthalmology and vision science.

Background:

  • The phenomenon of accommodation, the eye's ability to change focus, has been recognized since ancient Greece.
  • Hypotheses regarding the mechanisms of accommodation evolved over two millennia, with significant advancements in understanding ophthalmic optics during the 17th century.

Observation:

  • Early researchers like Scheiner and Descartes proposed that accommodation involved changes in the lens, an idea initially met with skepticism.
  • Evidence accumulated throughout the 19th century from studying various animal eyes, leading to the discovery of ciliary body muscle fibers and their role in accommodation.

Findings:

  • By 1850, definitive proof emerged that accommodation is achieved through alterations in the anterior lens curvature.
  • Despite this, debates persisted for fifty years regarding the precise lens changes and the exact mechanism of accommodation.

Implications:

  • The historical difficulty in understanding accommodation highlights the importance of species-specific research.
  • It was only in the late 20th century that the complexity of animal accommodation mechanisms was fully appreciated, clarifying why direct extrapolation to human eyes was misleading.