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Normative study of accommodative facility in elementary schoolchildren.

M Scheiman1, H Herzberg, K Frantz

  • 1Pennsylvania College of Optometry, Philadelphia.

American Journal of Optometry and Physiological Optics
|February 1, 1988
PubMed
Summary
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New research provides crucial accommodative facility norms for children. Current clinical practices rely on adult data, but this study establishes age-appropriate values for better pediatric vision assessments.

Area of Science:

  • Pediatric Optometry
  • Ocular Motility and Binocular Vision

Background:

  • Accommodative facility testing is essential for evaluating accommodation in children.
  • Existing normative data for accommodative facility are derived from adult populations, potentially leading to inaccurate assessments in pediatric cases.

Purpose of the Study:

  • To establish published normative data for accommodative facility in elementary schoolchildren.
  • To provide a clinical guide for evaluating accommodative facility in young children.

Main Methods:

  • Screened 542 elementary schoolchildren.
  • Included participants meeting specific criteria in accommodative facility assessment.
  • Utilized a novel target and instructional set designed for subjective testing challenges in young children.

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Main Results:

  • Established new mean accommodative facility values for both monocular and binocular function in children.
  • Observed lower mean accommodative facility values compared to previously reported adult data.

Conclusions:

  • The study provides the first published normative data for accommodative facility in young children.
  • These findings offer a more accurate clinical guide for assessing pediatric accommodative function.