Accommodation and Binocular Vision in Myopia Development and Progression

Logan, Nicola S. and Radhakrishnan, Hema and Cruickshank, Fiona and Allen, Peter M. and Bandela, Praveen K. and Davies, Leon N. and Hasebe, Satoshi and Khanal, Safal and Schmid, Katrina and Vera-Diaz, Fuensanta and Wolffsohn, James S. (2021) Accommodation and Binocular Vision in Myopia Development and Progression. Investigative Ophthalmology & Visual Science, 62. p. 4. ISSN 1552-5783

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Official URL: https://doi.org/10.1167/iovs.62.5.4

Abstract

The role of accommodation in myopia development and progression has been debated for decades. More recently, the understanding of the mechanisms involved in accommodation and the consequent alterations in ocular parameters has expanded. This International Myopia Institute white paper reviews the variations in ocular parameters that occur with accommodation and the mechanisms involved in accommodation and myopia development and progression. Convergence is synergistically linked with accommodation and the impact of this on myopia has also been critiqued. Specific topics reviewed included accommodation and myopia, role of spatial frequency, and contrast of the task of objects in the near environment, color cues to accommodation, lag of accommodation, accommodative-convergence ratio, and near phoria status. Aspects of retinal blur from the lag of accommodation, the impact of spatial frequency at near and a short working distance may all be implicated in myopia development and progression. The response of the ciliary body and its links with changes in the choroid remain to be explored. Further research is critical to understanding the factors underlying accommodative and binocular mechanisms for myopia development and its progression and to guide recommendations for targeted interventions to slow myopia progression.

Item Type: Journal Article
Faculty: Faculty of Science & Engineering
Depositing User: Lisa Blanshard
Date Deposited: 17 Mar 2021 17:00
Last Modified: 11 May 2021 15:46
URI: https://arro.anglia.ac.uk/id/eprint/706416

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