title: Accommodative dysfunction.
abstract: A retrospective review of the records of 114 subjects with accommodative dysfunction has been completed. Most subjects (N = 96) were found to have accommodative insufficiency. Lesser numbers of subjects were categorized in the class of infacility of accommodation (N = 14), spasm of accommodation (N = 3) and fatigue of accommodation (N = 1). A majority of the subjects presented with complaints of blur, headaches and/or asthenopia while attempting nearwork. Most subjects presented with reduced abilities in one or more of the following areas: accommodative amplitude and facility, fusional vergences, near point of convergence and stereo acuities. The clinical characteristics of the group as a whole and the major subgroups have been examined both before and after treatment of the condition with orthoptic exercises and/or plus lenses at the nearpoint. The result of the treatment indicates that although most subjects (96%) experienced some relief with treatment only about half (53%) had their problems totally solved. The importance of these findings is briefly discussed.
mesh_terms: D000065:Accommodation, Ocular; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005139:Eyeglasses; D005260:Female; D006801:Humans; D008297:Male; D009988:Orthoptics / Q000379:methods; D011305:Presbyopia / Q000503:physiopathology; D011379:Prognosis; D012030:Refractive Errors / Q000503:physiopathology* / Q000628:therapy; D012189:Retrospective Studies; D014787:Vision Tests