The effect of refractive error on the accommodative response gradient: a summary and update

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
M Millodot

Abstract

To give a summary of the original paper 'The effect of refractive error on the accommodative response gradient' published in 1986 and to present a brief overview of the most salient, subsequent findings which have appeared since then. Intensive and prolonged near work as a precursor to myopia has been substantiated since the original paper and is thought to contribute to the remarkable increase in the prevalence of myopia in the world which has occurred in the last 30 years, consistent with the emergence of compulsory education, computers and urbanisation. Increased accommodation has not been found to be essential in the development of myopia, but inaccurate accommodation during near work in the form of accommodative lag with its consequent hyperopic defocus has been confirmed as an association with myopia, although it is not clear whether that association is causal or merely a consequence of myopia. The premise of the original paper that near work engenders lower accommodation in myopes compared to emmetropes and hyperopes has been corroborated over the years, particularly in progressing myopes as distinct from stable adult myopes. Inaccurate accommodation resulting in accommodative lag has been amply confirmed in subsequent s...Continue Reading

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Citations

Mar 23, 2017·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Carles OteroJaume Pujol
Jun 24, 2017·Bulletin of Mathematical Biology·Karen M HampsonEdward A H Mallen
Dec 24, 2018·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Martin Ming-Leung MaXiang Chen
Jul 26, 2019·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Raimundo JiménezJesús Vera
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Dec 20, 2019·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Nicola S Logan, James S Wolffsohn
May 6, 2020·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Beatriz RedondoRaimundo Jiménez

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