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Abnormal visual accommodation

MedGen UID:
900341
•Concept ID:
C4280760
•
Pathologic Function
HPO: HP:0030800

Definition

An anomaly in the process of visual accommodation, which is the process of adjustment of the eye to enable sharp vision of objects at different distances. Accommodation is mediated by contraction of the ciliary muscles, which alter the convexity of the lens and, consequently, its refractive power. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAbnormal visual accommodation

Professional guidelines

PubMed

Guideline development for the evaluation of visual impairment in Korea.
Chin HS, Park SH, Park IK, Kwon JW, Lee SJ; Steering Committee of Korean Guides for Impairment Rating in Korean Academy of Medical Sciences
J Korean Med Sci 2009 May;24 Suppl 2(Suppl 2):S252-7. Epub 2009 May 31 doi: 10.3346/jkms.2009.24.S2.S252. PMID: 19503681Free PMC Article
Bifocals and Down's syndrome: correction or treatment?
Al-Bagdady M, Stewart RE, Watts P, Murphy PJ, Woodhouse JM
Ophthalmic Physiol Opt 2009 Jul;29(4):416-21. Epub 2009 May 11 doi: 10.1111/j.1475-1313.2009.00646.x. PMID: 19470088
Asthenopia in schoolchildren, orthoptic and ophthalmological findings and treatment.
Abdi S, Rydberg A
Doc Ophthalmol 2005 Sep;111(2):65-72. Epub 2006 Feb 28 doi: 10.1007/s10633-005-4722-4. PMID: 16514487

Recent clinical studies

Etiology

Retrospective Analysis of Vision Rehabilitation for Veterans With Traumatic Brain Injury-Related Vision Dysfunction.
Winkler SL, Finch D, Llanos I, Delikat J, Marszalek J, Rice C, Rakoczy C, Wang X, Pollard K, Cockerham GC
Mil Med 2023 Aug 29;188(9-10):e2982-e2986. doi: 10.1093/milmed/usad120. PMID: 37186008
Ocular morbidity in Marfan syndrome: a nationwide epidemiological study.
Kjeldsen S, Andersen N, Groth K, Larsen D, Hjortdal J, Berglund A, Gravholt C, Stochholm K
Br J Ophthalmol 2023 Aug;107(8):1051-1055. Epub 2022 Mar 22 doi: 10.1136/bjophthalmol-2021-320871. PMID: 35318224
Prevalence of Coronary Artery Disease and Coronary Microvascular Dysfunction in Patients With Heart Failure With Preserved Ejection Fraction.
Rush CJ, Berry C, Oldroyd KG, Rocchiccioli JP, Lindsay MM, Touyz RM, Murphy CL, Ford TJ, Sidik N, McEntegart MB, Lang NN, Jhund PS, Campbell RT, McMurray JJV, Petrie MC
JAMA Cardiol 2021 Oct 1;6(10):1130-1143. doi: 10.1001/jamacardio.2021.1825. PMID: 34160566Free PMC Article
Amplitude of Accommodation in Patients with Multiple Sclerosis.
Küçük B, Hamamcı M, Aslan Bayhan S, Bayhan HA, Inan LE
Curr Eye Res 2019 Nov;44(11):1271-1277. Epub 2019 Jun 20 doi: 10.1080/02713683.2019.1629596. PMID: 31172825
Ocular adverse effects of common psychotropic agents: a review.
Richa S, Yazbek JC
CNS Drugs 2010 Jun;24(6):501-26. doi: 10.2165/11533180-000000000-00000. PMID: 20443647

Diagnosis

Visual effects of concussion: A review.
Fraser CL, Mobbs R
Clin Exp Ophthalmol 2022 Jan;50(1):104-109. Epub 2021 Aug 30 doi: 10.1111/ceo.13987. PMID: 34418260
Prevalence of Coronary Artery Disease and Coronary Microvascular Dysfunction in Patients With Heart Failure With Preserved Ejection Fraction.
Rush CJ, Berry C, Oldroyd KG, Rocchiccioli JP, Lindsay MM, Touyz RM, Murphy CL, Ford TJ, Sidik N, McEntegart MB, Lang NN, Jhund PS, Campbell RT, McMurray JJV, Petrie MC
JAMA Cardiol 2021 Oct 1;6(10):1130-1143. doi: 10.1001/jamacardio.2021.1825. PMID: 34160566Free PMC Article
Visual complications in diabetes mellitus: beyond retinopathy.
Khan A, Petropoulos IN, Ponirakis G, Malik RA
Diabet Med 2017 Apr;34(4):478-484. Epub 2016 Dec 20 doi: 10.1111/dme.13296. PMID: 27917530
Vision Testing in the Evaluation of Concussion.
Pillai C, Gittinger JW Jr
Semin Ophthalmol 2017;32(1):144-152. Epub 2016 Nov 2 doi: 10.1080/08820538.2016.1228412. PMID: 27805468
Dynamic retinoscopy.
Guyton DL, O'Connor GM
Curr Opin Ophthalmol 1991 Feb;2(1):78-80. doi: 10.1097/00055735-199102000-00012. PMID: 10149292

Therapy

Negative Fusional Vergence Is Abnormal in Children with Symptomatic Convergence Insufficiency.
Scheiman MM, Alvarez TL, Cotter SA, Kulp MT, Sinnott LT, Plaumann MD, Jhajj J; Convergence Insufficiency Treatment Trial Investigator Group
Optom Vis Sci 2021 Jan 1;98(1):32-40. doi: 10.1097/OPX.0000000000001626. PMID: 33394929Free PMC Article
Methodologic considerations for studies of chronic nausea and vomiting in adults and children.
Hasler WL, Li BU, Koch KL, Parkman HP, Kovacic K, McCallum RW
Auton Neurosci 2017 Jan;202:28-39. Epub 2016 Aug 3 doi: 10.1016/j.autneu.2016.08.001. PMID: 27539628
Drug-induced myopia, hyperopia and accommodation disorders.
Prescrire Int 2010 Jun;19(107):116-9. PMID: 20738037
Ocular adverse effects of common psychotropic agents: a review.
Richa S, Yazbek JC
CNS Drugs 2010 Jun;24(6):501-26. doi: 10.2165/11533180-000000000-00000. PMID: 20443647
Developing visual systems and exposure to virtual reality and stereo displays: some concerns and speculations about the demands on accommodation and vergence.
Rushton SK, Riddell PM
Appl Ergon 1999 Feb;30(1):69-78. doi: 10.1016/s0003-6870(98)00044-1. PMID: 10098818

Prognosis

Prevalence of Coronary Artery Disease and Coronary Microvascular Dysfunction in Patients With Heart Failure With Preserved Ejection Fraction.
Rush CJ, Berry C, Oldroyd KG, Rocchiccioli JP, Lindsay MM, Touyz RM, Murphy CL, Ford TJ, Sidik N, McEntegart MB, Lang NN, Jhund PS, Campbell RT, McMurray JJV, Petrie MC
JAMA Cardiol 2021 Oct 1;6(10):1130-1143. doi: 10.1001/jamacardio.2021.1825. PMID: 34160566Free PMC Article
Amplitude of Accommodation in Patients with Multiple Sclerosis.
Küçük B, Hamamcı M, Aslan Bayhan S, Bayhan HA, Inan LE
Curr Eye Res 2019 Nov;44(11):1271-1277. Epub 2019 Jun 20 doi: 10.1080/02713683.2019.1629596. PMID: 31172825
Neuro-ophthalmologic disorders following concussion.
Debacker J, Ventura R, Galetta SL, Balcer LJ, Rucker JC
Handb Clin Neurol 2018;158:145-152. doi: 10.1016/B978-0-444-63954-7.00015-X. PMID: 30482342
Refractive error, binocular vision and accommodation of children with Down syndrome.
Watt T, Robertson K, Jacobs RJ
Clin Exp Optom 2015 Jan;98(1):3-11. Epub 2014 Nov 13 doi: 10.1111/cxo.12232. PMID: 25395109
A dynamic model of cross-coupling between accommodation and convergence: simulations of step and frequency responses.
Schor CM
Optom Vis Sci 1992 Apr;69(4):258-69. doi: 10.1097/00006324-199204000-00002. PMID: 1565425

Clinical prediction guides

Influence of concussion history and age of first concussion on visio-vestibular function.
Roby PR, Metzger KB, Storey EP, Master CL, Arbogast KB
J Sci Med Sport 2022 Sep;25(9):715-719. Epub 2022 Jun 21 doi: 10.1016/j.jsams.2022.06.006. PMID: 35821211Free PMC Article
Are near visual signs and symptoms in multiple sclerosis compatible with convergence insufficiency?
Gil-Casas A, Piñero DP, Molina-Martin A
Clin Exp Optom 2022 Aug;105(6):631-636. Epub 2021 Aug 18 doi: 10.1080/08164622.2021.1961566. PMID: 34406109
Eye Tracking as a Biomarker for Concussion in Children.
Bin Zahid A, Hubbard ME, Lockyer J, Podolak O, Dammavalam VM, Grady M, Nance M, Scheiman M, Samadani U, Master CL
Clin J Sport Med 2020 Sep;30(5):433-443. doi: 10.1097/JSM.0000000000000639. PMID: 30095503
Amplitude of Accommodation in Patients with Multiple Sclerosis.
Küçük B, Hamamcı M, Aslan Bayhan S, Bayhan HA, Inan LE
Curr Eye Res 2019 Nov;44(11):1271-1277. Epub 2019 Jun 20 doi: 10.1080/02713683.2019.1629596. PMID: 31172825
A dynamic model of cross-coupling between accommodation and convergence: simulations of step and frequency responses.
Schor CM
Optom Vis Sci 1992 Apr;69(4):258-69. doi: 10.1097/00006324-199204000-00002. PMID: 1565425

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