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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 ]
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 ]
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 ...
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 ]
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.
Symptoms: Near blur, Distance and near blur, Asthenopia [2] Complications: Accommodative dysfunction, binocular dysfunction, amblyopia, strabismus [3] Causes: Axial length of eyeball is too short, lens or cornea is flatter than normal, aphakia [2] Risk factors: Ageing, hereditary [2] Diagnostic method: Eye exam: Differential diagnosis
Presbyopia due to physiological insufficiency of accommodation (accommodation tends to decrease with age) is the main cause of defective near vision in the elderly. [3] Other causes of defective near vision include accommodative insufficiency, paralysis of accommodation etc. [3]
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 ...