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Accommodative insufficiency (AI) involves the inability of the eye to focus properly on an object. Accommodation is the adjustment of the curvature of the lens to focus on objects near and far. In this condition, amplitude of accommodation of a person is lesser compared to physiological limits for his age. [ 1 ]
A spasm of accommodation (also known as a ciliary spasm, an accommodation, or accommodative spasm) is a condition in which the ciliary muscle of the eye remains in a constant state of contraction. Normal accommodation allows the eye to "accommodate" for near-vision. However, in a state of perpetual contraction, the ciliary muscle cannot relax ...
The following symptoms may be seen in patients with pseudomyopia Blurring of distance vision: Intermittent blurring of distant vision after prolonged near work is the main symptom of pseudomyopia. Asthenopia; Headache; Eyestrain; Photophobia [1] Esotropia: Acute onset esotropia may occur in accommodative spasm, which is the common cause of ...
Accommodative infacility also known as accommodative inertia [1] is the inability to change the accommodation of the eye with enough speed and accuracy to achieve normal function. This can result in visual fatigue , headaches , and difficulty reading . [ 2 ]
Accommodative insufficiency is the condition where amplitude of accommodation of a person is lesser compared to physiological limits for their age. [50] Premature sclerosis of lens or ciliary muscle weaknesses due to systemic or local cases may cause accommodative insufficiency. [ 50 ]
The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. They may include, but are not limited to, diplopia (double vision), asthenopia (eye strain), transient blurred vision, difficulty sustaining near-visual function, abnormal fatigue, headache, and abnormal postural adaptation, among others.
Accommodative excess may occur secondary to convergence insufficiency also. In convergence insufficiency near point of convergence will recede, and positive fusional vergence (PFV) will reduce. So, the patient uses excessive accommodation to stimulate accommodative convergence to overcome reduced PFV.
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.