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Light from a single point of a distant object and light from a single point of a near object being brought to a focus. The accommodation reflex (or accommodation-convergence reflex) is a reflex action of the eye, in response to focusing on a near object, then looking at a distant object (and vice versa), comprising coordinated changes in vergence, lens shape (accommodation) and pupil size.
The pupillary reflex results in the pupil constricting (left) and dilating (right) These include the pupillary light reflex and accommodation reflex . Although the pupillary response , in which the pupil dilates or constricts due to light is not usually called a "reflex", it is still usually considered a part of this topic.
There are many types of accommodation anomalies. It can be broadly classified into two, decreased accommodation and increased accommodation. [50] Decreased accommodation may occur due to physiological (presbyopia), pharmacological (cycloplegia) or pathological. [50] Excessive accommodation and spasm of accommodation are types of increased ...
Argyll Robertson pupils (AR pupils) are bilateral small pupils that reduce in size on a near object (i.e., they accommodate), but do not constrict when exposed to bright light (i.e., they do not react). They are a highly specific sign of neurosyphilis; however, Argyll Robertson pupils may also be a sign of diabetic neuropathy.
Pupils equal, round, reactive to light and accommodation PH Pinhole see Pinhole occluder and Visual_acuity#Legal_definitions: PHNI Pinhole No Improvement see Pinhole occluder and Visual_acuity#Legal_definitions: PHVA Pinhole Visual Acuity: PL Perception of light POH / PrOH Previous ocular history PPA Peri-papillary atrophy Pt Patient RAPD
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However, errors in this relationship can cause problems, such as hyperopic individuals having a tendency for crossed eyes because of the over exertion of their accommodation system. Clinically, accommodative convergence is measured as a ratio of convergence, measured in prism diopters, to accommodation, measured in diopters of near demand.
Adie syndrome, also known as Holmes–Adie syndrome, is a neurological disorder characterized by a tonically dilated pupil that reacts slowly to light but shows a more definite response to accommodation (i.e., light-near dissociation). [1] It is frequently seen in females with absent knee or ankle jerks and impaired sweating.