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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.
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 ...
Next, constriction of the pupil occurs. Because the lens cannot refract light rays at the edges well, the image produced by the lens is blurry around the edges so the pupil constricts when one attempts to focus on nearby objects. [citation needed] Lastly, accommodation of the lens occurs. This is an alteration in the curvature of the lens that ...
The size of the pupil, which controls the amount of light entering the eye, is adjusted by the iris' dilator and sphincter muscles. Light energy enters the eye through the cornea, through the pupil and then through the lens. The lens shape is changed for near focus (accommodation) and is controlled by the ciliary muscle.
The ciliary muscle controls accommodation by altering the shape of the lens to be able to see an object from near to far. [2] The pupillary sphincter muscle and pupillary dilator muscle control the iris to adjust the size of the pupil to adjust how much light enters into the eye.
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.
By analogy with a camera, the pupil is equivalent to aperture, whereas the iris is equivalent to the diaphragm. It may be helpful to consider the Pupillary reflex as an 'Iris' reflex, as the iris sphincter and dilator muscles are what can be seen responding to ambient light. [2] Whereas, the pupil is the passive opening formed by the active iris.
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 ...