Email this article The prognostic and diagnostic significance of the objective accommodation response
- Authors: Tarutta E.P1, Tarasova N.A.1
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Affiliations:
- The Helmholtz Moscow Research Institute of Eye Diseases
- Issue: Vol 10, No 1 (2015)
- Pages: 27-29
- Section: Articles
- URL: https://journals.rcsi.science/1993-1859/article/view/37624
- DOI: https://doi.org/10.17816/rpoj37624
- ID: 37624
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Abstract
The objective of the present study was to evaluate the parameters of accommodation and myopia progression rate depending on the objective accommodation response (OAR) in 130 patients (260 eyes) at the age from 6 to 23 (mean 11.26+-0.2) years presenting with myopia of different severity. All the patients were divided into 3 groups. The first group was comprised of 40 patients (80 eyes) having the objective accommodation response of less than -1.5 diopters. The second group consisted of 63 patients (126 eyes) with the objective accommodation response varying from 1.5 to -2.5 diopters. The third group contained 27 patients (54 eyes) having the objective accommodation response above -2.0 diopters. The patients with the objective accommodation response close to the normal value (>2.0 D) experienced the lowest annual myopia progression gradient during the treatment (0.5D per year retrospectively and 0.17 diopters prospectively) in comparison with the patients of groups 2 and 3 (p <0.05). These findings suggest the relationship between the objective accommodation response and progression of myopia. The results of this study give evidence of the prognostic value of the objective accommodation response and the myopia progression rate and suggest the possibility of using this parameter for the characteristic of the clinical course of myopia. Moreover, the correlation between the objective accommodation response and subjective parameters of myopia (reserves and amplitude) was documented
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##article.viewOnOriginalSite##About the authors
E. P Tarutta
The Helmholtz Moscow Research Institute of Eye Diseases105062, Moscow, Russia
Natal’ya Alekseevna Tarasova
The Helmholtz Moscow Research Institute of Eye Diseases
Email: tar221@yandex.ru
105062, Moscow, Russia
References
- Аветисов Э.С. Близорукость. М.: Медицина; 1986.
- Тарутта Е.П. Трехфакторная теория профессора Э.С. Аветисова как главный итог и научная основа исследований в области близорукости. В кн.: Близорукость, нарушения рефракции, аккомодации и глазодвигательного аппарата: Сборник научных трудов. М.; 2001: 83-5.
- Grosvenor T., Goss D.A. Clinical Management of Myopia. London, Bullerworth-Heinemann; 1999.
- Тарутта Е.П., Филинова О.Б., Тарасова Н.А. Новые методы объективной аккомодометрии. Российская педиатрическая офтальмология. 2012; 1: 45-8.
- Mutti D.O., Mitchell G.L., Hayes J.R. et al. Accommodative lag before and after the onset of myopia. Invest. Ophthal. Vis. Sci. 2006; 47 (3): 837-46.
- Gwiazda J., Thorn F., Bauer J. et al. Myopic children show insufficient accommodative response to blur. Invest. Ophthal. Vis. Sci. 1993; 34: 690-4.
- Gwiazda J., Thorn F., Held R., Grice K., Bauer J. Myopic children with esoforia underaccommodate at near. Invest. Ophthal. Vis. Sci. 1996; 37: 687.
- Gwiazda J., Thorn F., Held R. Accommodation, accommodative convergence, and response AC/A ratios before and at the onset of myopia in children. Optom. Vis. Sci. 2005; 82: 273-8.
- Scheiman M., Wick B. Clinical Management of Binocular Vision: Heterophoric, Accommodative, and Eye Movement Disorders. 3rd ed. Philadelphia: Lippincott Williams&Wilkins; 2008.
- Колотов М.Г. Объективный аккомодационный ответ при миопии и возможности его оптимизации: Дисс.. канд. мед. наук. М.; 1999.
- Тарутта Е.П., Филинова О.Б., Кварацхелия Н.Г., Толорая Р.Р. Объективное исследование запасов и устойчивости относительной аккомодации. Российская педиатрическая офтальмология. 2010; 2: 34-6.
- Филинова О.Б. Изучение влияния постоянной слабомиопической дефокусировки изображения на динамику рефракции, бинокулярные функции и рост глаза у детей: Дисс. канд. мед. наук. М.; 2009.
- Онуфрийчук О.Н., Розенблюм Ю.З. и др. О привычном тонусе аккомодации. Офтальмология. 2006; 3(3): 84-7.
- Сергиенко Н.М., Эмилит В.А., Мельник А.И. и др. Влияние бисферопризматических очков на орган зрения при близорукости. Вестник офтальмологии. 1988; 1: 45-7.
