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PubMed2003

Evolution of accommodative function and development of ocular movements in children.

The evolution of the accommodative function and development of ocular movement are evaluated in a non-clinical paediatric population (1056 subjects) aged 6-12 years, providing means for each age in the optometric tests that evaluate the accommodative amplitude, accommodative facility, accommodative response (lag), and saccadic movements. A comparison of these values between ages (anova) established three distinct trends in the behaviour of these parameters. The accommodative amplitude, measured by modified dynamic retinoscopy, and the evaluation of the saccadic movements by the development of ocular movements [developmental eye movement (DEM)] test showed continuous change with age. The values for monocular and binocular accommodative facility, measured by +/-2.00 D flippers, indicated the need to divide the population into two age groups (6-7 and 8-12 years). Finally, the means of accommodative response, measured by monocular estimation model (MEM) retinoscopy, and the direct observation of saccadic movement revealed no significant differences between ages, establishing a single mean reference value for the age group studied.

Accommodation, Ocular↗
PubMed1985

Accommodation demand and deprivation in kitten ocular development.

The effects of accommodation demand and deprivation on the development of ocular optics was investigated in four groups of kittens (total n = 29). Group 1 consisted of five normal kittens; group 2 (nine kittens) had monocular radial keratotomy to induce relative hypermetropia and more accommodation demand as well as to impart interocular refractive differences (anisometropia); group 3 (eight kittens) received daily monocular atropine; and group 4 (seven kittens) had binocular radial keratotomy combined with daily monocular atropine. Regular examination provided documentation of ocular development from the first through the sixth months of life. Subsequently, the focal lengths of the crystalline lenses were determined in vitro. An apparent tendency for kitten eye pairs to grow toward isometropia, even when anisometropia had been induced early in life, was seen in those eyes in which the accommodative mechanism had been left intact (groups 1 and 2), but without accommodation anisometropia resulted (groups 3 and 4). There was relatively more elongation of the globe (3.08 +/- 0.22%) as well as shorter than normal focal lengths of the crystalline lens (-4.91 +/- 1.62% anterior, -2.78 +/- 1.54% posterior) in the eyes of the second group, and the eye pairs regained isometropia. In those eyes of the third and fourth groups that received atropine daily, there was relatively less elongation of the globe (-3.09 +/- 0.59% and -3.22 +/- 0.67%, respectively) and shorter crystalline lens focal lengths (-3.50 +/- 1.18% and -4.62 +/- 1.07% anterior, -2.64 +/- 1.02% and -1.59 +/- 0.62% posterior, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Accommodation, Ocular↗