Accommodative insufficiency

Am J Optom Physiol Opt. 1983 May;60(5):352-9. doi: 10.1097/00006324-198305000-00002.


A retrospective review of the records of 96 patients with accommodative insufficiency has been completed. In addition to the major sign of reduced accommodative amplitude for their ages, I often found a reduction in the facility of accommodation, a smaller lag of accommodation, a tendency toward convergence insufficiency, slightly reduced fusional vergence and stereopsis, and a reduced nearpoint of convergence. Suppression was not generally found. The results of orthoptic exercises and/or a plus lens addition at near were examined. Most patients (90%) obtained some relief with treatment. About 53% had their objective and subjective problems totally solved during an average treatment period of 3.7 weeks. I determined the characteristics of the patients before and after treatment. The current state of the treatment of accommodative insufficiency is discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accommodation, Ocular*
  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Eyeglasses*
  • Female
  • Humans
  • Male
  • Orthoptics*
  • Retrospective Studies
  • Vision Disorders / therapy*