Fixation disparity at different viewing distances and the preferred viewing distance in a laboratory near-vision task

Previous research has shown that subjects with normal binocular vision differ reliably in the extent to which their fixation disparity changes in the exo direction when the viewing distance is shortened from 100 to 20 cm. Since fixation disparity can lead to asthenopic complaints, the present study investigates whether an exo fixation disparity induced by proximity may cause subjects to move to a longer viewing distance during a near-vision task in order to reduce exo fixation disparity. In two optometric sessions, fixation disparity and accommodation were tested at 60, 40, and 30 cm viewing distance. In a further session, subjects were required to begin a one-hour near-vision task at about 40 cm viewing distance, at which the text characters subtended a comfortable visual angle of 21 min arc. Later, the subjects were free to adopt any viewing distance. In the initial phase of the task, subjects moved back from the screen to a greater or lesser extent that was correlated with the amount of proximal exo fixation disparity: the more a subject's fixation disparity changed to exo when the viewing distance had been shortened from 60 to 30 cm the more he or she moved to longer viewing distances in the course of the near-vision task. Further, the more distant the resting position of vergence (dark vergence), the more visual complaints the subjects indicated after the task relative to before.