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Research Article

Using evidence-based psychological approaches to accommodation anomalies

, PhD & , PhD

Figures & data

Figure 1. Simultaneous accommodation and convergence responses to targets between 33c and 200 cm (0.5–3 diopter(d) and meter angle (MA) demand). Solid line: Accommodation in D, dashed line: Convergence in MA. Grey line: Perfect theoretical response. 1A1 and 1A2: Same patient, same naturalistic target 4 minutes apart. 1B1 and 1B2: Same patient before and after orthoptic investigation, demonstration and encouragement. 1C1 and 1C2: Same patient, different targets, excessive but erratic vergence and weak accommodation in C1 and normal vergence and weak accommodation in C2. D: Linked vergence and accommodation spasm for 100 cm target, but not for 33 cm or 200 cm target. E: Unlinked accommodation spasm at 50 cm and 100 cm, but normal vergence.

Figure 1. Simultaneous accommodation and convergence responses to targets between 33c and 200 cm (0.5–3 diopter(d) and meter angle (MA) demand). Solid line: Accommodation in D, dashed line: Convergence in MA. Grey line: Perfect theoretical response. 1A1 and 1A2: Same patient, same naturalistic target 4 minutes apart. 1B1 and 1B2: Same patient before and after orthoptic investigation, demonstration and encouragement. 1C1 and 1C2: Same patient, different targets, excessive but erratic vergence and weak accommodation in C1 and normal vergence and weak accommodation in C2. D: Linked vergence and accommodation spasm for 100 cm target, but not for 33 cm or 200 cm target. E: Unlinked accommodation spasm at 50 cm and 100 cm, but normal vergence.