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The effect of refractive error on the accommodative response gradient.

N A McBrien, M Millodot

    Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
    |January 1, 1986
    PubMed
    Summary
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    Hyperopes and emmetropes show greater accommodative responses than myopes. A strong correlation exists between accommodative response gradient and refractive error, suggesting differences in ciliary muscle innervation.

    Area of Science:

    • Ophthalmology and Vision Science
    • Physiological Optics

    Background:

    • Understanding the accommodative system is crucial for comprehending visual function and refractive error development.
    • Previous research suggests variations in accommodation across different refractive groups, but the precise nature and extent of these differences require further elucidation.

    Purpose of the Study:

    • To quantitatively compare the accommodative responses of individuals with early-onset myopia, late-onset myopia, emmetropia, and hyperopia.
    • To investigate the relationship between refractive error and the accommodative response gradient.
    • To explore the potential role of dual innervation to the ciliary muscle in observed accommodative differences.

    Main Methods:

    • Objective measurement of accommodative responses using an infra-red autorefractor.

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  • Testing across a range of 5 dioptres to assess accommodation at various distances.
  • Comparison of accommodative data among four distinct refractive groups: early-onset myopes, late-onset myopes, emmetropes, and hyperopes.
  • Main Results:

    • Significant differences in accommodative responses were observed between the refractive groups.
    • Hyperopes demonstrated the greatest accommodation for near targets, followed by emmetropes, then early-onset myopes, and finally late-onset myopes.
    • A strong positive correlation was found between the accommodative response gradient and the degree of refractive error.

    Conclusions:

    • The findings indicate that hyperopic individuals and emmetropes exhibit higher accommodative responses compared to myopic individuals.
    • The strong correlation suggests that refractive error influences the accommodative system's response to visual stimuli.
    • These results support the hypothesis of differential dual innervation to the ciliary muscle contributing to variations in accommodation across refractive states.