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Updated: Jan 3, 2026

Simulating the Mechanics of Lens Accommodation via a Manual Lens Stretcher
Published on: February 23, 2018
Optical Coherence Tomography Reveals Sigmoidal Crystalline Lens Changes during Accommodation.
George A Gibson1, Fiona E Cruickshank1, James S Wolffsohn1
1Ophthalmic Research Group, Life and Health Sciences, Aston University, Birmingham B4 7ET, UK.
During accommodation, significant biometric changes occur in the anterior segment, primarily driven by the anterior lens surface initially, then the posterior lens surface, showing a sigmoidal response.
Area of Science:
- Ophthalmology
- Biomedical Optics
- Anatomy
Background:
- Accommodation is a crucial visual process involving dynamic changes in the anterior segment.
- Understanding these biometric shifts is vital for accurate refractive error correction and ophthalmic device design.
Purpose of the Study:
- To quantify anterior segment biometric modifications during accommodation.
- To compare these changes with accommodative demand and response.
- To investigate the role of anterior and posterior lens surfaces in accommodation.
Main Methods:
- AS optical coherence tomography (AS-OCT) captured anterior segment images in 30 adults (18-25 years) under stimulated accommodation (0-4 D).
- Lens thickness (LT), anterior chamber depth (ACD), lens centroid, and anterior segment length (ASL) were measured.
- Accommodative responses were recorded using an autorefractor; data were compared with Dubbelman schematic eye models.
Main Results:
- Significant changes in LT, ACD, lens centroid, and ASL occurred with accommodation (p < 0.01).
- Corneal thickness (CT) showed no significant change (p = 0.81).
- AS-OCT measurements of LT and ASL were higher than Dubbelman model predictions. The posterior lens surface exhibited a sigmoidal response pattern.
Conclusions:
- Accommodation induces significant biometric alterations in the anterior segment, particularly in lens dimensions and anterior chamber depth.
- The anterior lens surface is the primary driver of accommodation up to ~1.5 D response, after which the posterior lens surface contributes significantly.
- The posterior crystalline lens surface demonstrates a sigmoidal response to increasing accommodative effort.
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