Convergence accommodation in orthoptic practice

Horwood, A. ORCID: https://orcid.org/0000-0003-0886-9686 (2016) Convergence accommodation in orthoptic practice. British & Irish Orthoptic Journal, 13. pp. 2-8. ISSN 1743-9868 doi: 10.22599/bioj.95

Abstract/Summary

Aims. Orthoptists are familiar with AC/A ratios and the concept that accommodation drives convergence, but the reverse relationship, that of the accommodation associated with convergence, is rarely considered. Methods. This article reviews published evidence from our laboratory which has investigated the drives to both vergence and accommodation. All studies involved a method by which accommodation and vergence were measured concurrently and objectively to a range of visual stimuli which manipulate blur, disparity and proximal/looming cues in different combinations. Results Results are summarised for both typical and atypical participants, and over development between birth and adulthood. Conclusions For the majority of typical children and adults, as well as patients with most heterophorias and intermittent exotropia, disparity is the main cue to both vergence and accommodation. Thus the convergence→accommodation relationship is more influential than that of accommodative vergence. Differences in “style” of near cue use may be a more useful way to think about responses to stimuli moving in depth, and their consequences for orthoptic patients, than either AC/A or CA/C ratios. The implications of a strong role for vergence accommodation in orthoptic practice are considered.

Item Type	Article
URI	https://reading-clone.eprints-hosting.org/id/eprint/64832
Identification Number/DOI	10.22599/bioj.95
Refereed	Yes
Divisions	Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology Life Sciences > School of Psychology and Clinical Language Sciences > Development Life Sciences > School of Psychology and Clinical Language Sciences > Perception and Action
Publisher	British & Irish Orthoptic Society
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