Accommodative Amplitude
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Accommodative Amplitude
The amplitude of accommodation is the maximum potential increase in optical power that an eye can achieve in adjusting its focus. It refers to a certain range of object distances for which the retinal image is as sharply focussed as possible. Amplitude of accommodation is measured during routine eye-examination. The closest that a normal eye can focus is typically about 10 cm for a child or young adult. Accommodation then decreases gradually with age, effectively finishing just after age fifty. The average amplitude of accommodation, in diopters, for a patient of a given age was estimated by Hofstetter in 1950 to be 18.5 - (0.30 * patient age in years) with the minimum amplitude of accommodation as 15 - (0.25 * age in years), and the maximum as 25 - (0.40 * age in years). However, Hofstetter's work was based on data from two early surveysDonders F. On the anomalies of the accommodation and refraction of the eye. (W. Moore Trans.) UK: The New Sydenham Society, 1864. p 207-20 ...
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Optical Power
In optics, optical power (also referred to as dioptric power, refractive power, focusing power, or convergence power) is the degree to which a lens (optics), lens, mirror, or other optical system converges or diverges light. It is equal to the Multiplicative inverse, reciprocal of the focal length of the device: . High optical power corresponds to short focal length. The SI unit for optical power is the inverse metre (m−1), which is commonly called the dioptre. Converging lenses have positive optical power, while diverging lenses have negative power. When a lens is immersed in a medium (optics), refractive medium, its optical power and focal length change. For two or more thin lenses close together, the optical power of the combined lenses is approximately equal to the sum of the optical powers of each lens: . Similarly, the optical power of a single lens is roughly equal to the sum of the powers of each surface. These approximations are commonly used in optometry. An human ey ...
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Diopters
A dioptre (British spelling) or diopter (American spelling) is a unit of measurement with dimension of reciprocal length, equivalent to one reciprocal metre, 1 dioptre = 1 m−1. It is normally used to express the optical power of a lens or curved mirror, which is a physical quantity equal to the reciprocal of the focal length, expressed in metres. For example, a 3-dioptre lens brings parallel rays of light to focus at metre. A flat window has an optical power of zero dioptres, as it does not cause light to converge or diverge. Dioptres are also sometimes used for other reciprocals of distance, particularly radii of curvature and the vergence of optical beams. The main benefit of using optical power rather than focal length is that the thin lens formula has the object distance, image distance, and focal length all as reciprocals. Additionally, when relatively thin lenses are placed close together their powers approximately add. Thus, a thin 2.0-dioptre lens placed close to a t ...
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Convergence Insufficiency
Convergence insufficiency is a sensory and neuromuscular anomaly of the binocular vision system, characterized by a reduced ability of the eyes to turn towards each other, or sustain convergence. Symptoms The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. They may include, but are not limited to, diplopia (double vision), asthenopia (eye strain), transient blurred vision, difficulty sustaining near-visual function, abnormal fatigue, headache, and abnormal postural adaptation, among others. In some cases, difficulty with making eye contact have been noted as a complaint amongst those affected. Note that some Internet resources confuse convergence and divergence dysfunction, reversing them. Diagnosis Diagnosis of convergence insufficiency is made by an eye care professional skilled in binocular vision dysfunctions, such as an orthoptist, to rule out any organic disease. Convergence insufficiency is chara ...
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Eye Examination
An eye examination is a series of tests performed to assess vision and ability to focus on and discern objects. It also includes other tests and examinations pertaining to the eyes. Eye examinations are primarily performed by an optometrist, ophthalmologist, or an orthoptist. Health care professionals often recommend that all people should have periodic and thorough eye examinations as part of routine primary care, especially since many eye diseases are asymptomatic. Eye examinations may detect potentially treatable blinding eye diseases, ocular manifestations of systemic disease, or signs of tumours or other anomalies of the brain. A full eye examination consists of an external examination, followed by specific tests for visual acuity, pupil function, extraocular muscle motility, visual fields, intraocular pressure and ophthalmoscopy through a dilated pupil. A minimal eye examination consists of tests for visual acuity, pupil function, and extraocular muscle motility, as w ...
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Negative Relative Accommodation
Negative relative accommodation (NRA) was proposed by Joseph Kearney of Oxford University in 1967 as a measure of the maximum ability to relax accommodation while maintaining clear, single binocular vision. This measurement is typically obtained by an orthoptist, ophthalmologist or optometrist during an eye examination using a phoropter. After the patient's distance correction is established, the patient is instructed to view small letters on a card 40 cm from the eyes. The examiner adds lenses in +0.25 increments until the patient first reports that they become blurry. The total value of the lenses added to reach this point is the NRA value. High NRA values (above +2.50) might be evidence to over minus, uncorrected hyperopia or latent hyperopia. See also *Amplitude of accommodation *Convergence insufficiency *Positive relative accommodation Positive relative accommodation (PRA) in biology, is a measure of the maximum ability to stimulate eye accommodation while maintaining clear ...
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Positive Relative Accommodation
Positive relative accommodation (PRA) in biology, is a measure of the maximum ability to stimulate eye accommodation while maintaining clear, single binocular vision. This measurement is typically obtained by an orthoptist, ophthalmologist or optometrist during an eye examination using a phoropter. After the patient's distance correction is established, she or he is instructed to view small letters on a card 40  cm from the eyes. The examiner adds lenses in −0.25 diopter increments until the patient first reports that they become blurry. The total value of the lenses added to reach this point is the PRA value. High PRA values (>= 3.50 diopters) are considered to be diagnostic of disorders involving accommodative excess. Those with accommodative insufficiency typically have PRA values below −1.50 diopters. See also * Accommodation in fish *Adaptation (eye) *Amplitude of accommodation *Convergence insufficiency * Mandelbaum Effect *Negative relative accommodation Negative ...
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Presbyopia
Presbyopia is physiological insufficiency of accommodation associated with the aging of the eye that results in progressively worsening ability to focus clearly on close objects. Also known as age-related farsightedness (or age-related long sight in the UK), it affects many adults over the age of 40. A common sign of presbyopia is difficulty reading small print which results in having to hold reading material farther away. Other symptoms associated can be headaches and eyestrain. Different people will have different degrees of problems. Other types of refractive errors may exist at the same time as presbyopia. This condition is similar to hypermetropia or far-sightedness which starts in childhood and exhibits similar symptoms of blur in the vision for close objects. Presbyopia is a typical part of the aging process. It occurs due to age related changes in the lens (decreased elasticity and increased hardness) and ciliary muscle (decreased strength and ability to move the len ...
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