[Indicators of computer accommodography as predictors of the development of myopic refraction]

The diagnostic potential of computer accommodography remains insufficiently studied. At the same time, accommodative and refractive disorders are extremely common today among the youth.

This study investigated objective accommodative parameters using computer accommodography in samples of individuals aged 17-19 and 20-23 years with and without a diagnosis of myopia.

This cross-sectional study was conducted on a random sample of young working-age individuals (aged 17-19 and 20-23 years) residing in Arkhangelsk. The sample included 210 individuals (420 eyes). All participants underwent a standard ophthalmological examination with diagnosis established in accordance with ICD-10, as well as an assessment of accommodative function using objective computer accommodography with subsequent analysis of accommodograms.

The main accommodogram indicators in individuals without ophthalmic pathology and with a normal accommodative response were calculated for the 17-19 and 20-23 age groups. Data were obtained on the ranges of accommodography indicators in individuals without ophthalmic pathology in the combined 17-23-year age group. Statistically significant differences were identified in the accommodative response stability coefficient (σARS) in individuals without ophthalmic pathology but at risk of developing computer vision syndrome.

Thus, in order to standardize accommodogram results in individuals without ophthalmic pathology and with a normal accommodative response, it is recommended to consider the combined age group of 17-23 years. At the same time, the σARS parameter may be recommended for identifying individuals without ophthalmic pathology but with predictors of myopia development.