Accommodative response in children and young adults using dynamic retinoscopy

Ophthalmic Physiol Opt. 1996 Sep;16(5):375-84.

Abstract

Accommodation in children and non-verbal adults can be difficult to assess using standard subjective techniques and hence is often not evaluated. By using a modification of Nott dynamic retinoscopy, rapid objective evaluation of accommodative function is possible. In this study, accommodative response to a range of accommodative demands was measured in 55 normally sighted children and young adults using dynamic retinoscopy. The data were found to fall into four age groupings: 3-10-year-olds' mean accommodation was accurate to within 0.5 D, although 3-5-year-olds over-accommodated slightly, while 6-10-year-olds under-accommodated. Subjects over 10 years of age showed under-accommodation which increased with accommodative demand. These norms are presented for clinical use against which measurements on an individual paediatric or non-verbal patient can be compared. Future studies will determine whether specific patient populations, e.g. patients with cerebral palsy or low vision, demonstrate normal or reduced accommodation.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accommodation, Ocular*
  • Adolescent
  • Adult
  • Analysis of Variance
  • Child
  • Child, Preschool
  • Humans
  • Vision Tests / methods*