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Asymmetrical accommodation in hyperopic anisometropic amblyopia

BACKGROUND/AIMS: To investigate the presence of asymmetrical accommodation in hyperopic anisometropic amblyopia. METHODS: Accommodation in each eye and binocular vergence were measured simultaneously using a PlusoptiX SO4 photorefractor in 26 children aged 4–8 years with hyperopic anisometropic ambl...

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Detalles Bibliográficos
Autores principales: Toor, Sonia, Horwood, Anna M, Riddell, Patricia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787021/
https://www.ncbi.nlm.nih.gov/pubmed/29051327
http://dx.doi.org/10.1136/bjophthalmol-2017-310282
Descripción
Sumario:BACKGROUND/AIMS: To investigate the presence of asymmetrical accommodation in hyperopic anisometropic amblyopia. METHODS: Accommodation in each eye and binocular vergence were measured simultaneously using a PlusoptiX SO4 photorefractor in 26 children aged 4–8 years with hyperopic anisometropic amblyopia and 13 controls (group age-matched) while they viewed a detailed target moving in depth. RESULTS: Without spectacles, only 5 (19%) anisometropes demonstrated symmetrical accommodation (within the 95% CI of the mean gain of the sound eye of the anisometropic group), whereas 21 (81%) demonstrated asymmetrical accommodation. Of those, 15 (58%) showed aniso-accommodation and 6 (23%) demonstrated ‘anti-accommodation’ (greater accommodation for distance than for near). In those with anti-accommodation, the response gain in the sound eye was (0.93±0.20) while that of the amblyopic eye showed a negative accommodation gain of (−0.44±0.23). Anti-accommodation resolved with spectacles. Vergence gains were typical in those with symmetrical and asymmetrical accommodation. CONCLUSION: The majority of hyperopic anisometropic amblyopes demonstrated non-consensual asymmetrical accommodation. Approximately one in four demonstrated anti-accommodation.