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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

Sources of reduced visual acuity and spectacle treatment options for individuals with Down syndrome: Review of current literature.
Anderson HA
Ophthalmic Physiol Opt 2024 Nov;44(7):1326-1345. Epub 2024 Aug 2 doi: 10.1111/opo.13372. PMID: 39092592
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

Recent clinical studies

Etiology

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
Lateral rectus sag and recurrent esotropia in children.
Clark RA, Choy AE, Demer JL
J AAPOS 2019 Apr;23(2):81.e1-81.e5. Epub 2019 Feb 21 doi: 10.1016/j.jaapos.2018.12.005. PMID: 30797977Free PMC Article
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
Whiplash and its effect on the visual system.
Burke JP, Orton HP, West J, Strachan IM, Hockey MS, Ferguson DG
Graefes Arch Clin Exp Ophthalmol 1992;230(4):335-9. doi: 10.1007/BF00165941. PMID: 1505764
Accommodative convergence in hypermetropia.
von Noorden GK, Avilla CW
Am J Ophthalmol 1990 Sep 15;110(3):287-92. doi: 10.1016/s0002-9394(14)76346-9. PMID: 2396654

Diagnosis

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
Refractive abnormalities in childhood.
Greenwald MJ
Pediatr Clin North Am 2003 Feb;50(1):197-212. doi: 10.1016/s0031-3955(02)00105-0. PMID: 12713113
Dynamic retinoscopy.
Guyton DL, O'Connor GM
Curr Opin Ophthalmol 1991 Feb;2(1):78-80. doi: 10.1097/00055735-199102000-00012. PMID: 10149292
Strabismus in childhood.
Elston JS, Lee JP
Br J Hosp Med 1985 Jul;34(1):8, 10 ,12. PMID: 4016415
Acute autonomic neuropathy.
Thomashefsky AJ, Horwitz SJ, Feingold MH
Neurology 1972 Mar;22(3):251-5. doi: 10.1212/wnl.22.3.251. PMID: 5062259

Therapy

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
Accommodative convergence in hypermetropia.
von Noorden GK, Avilla CW
Am J Ophthalmol 1990 Sep 15;110(3):287-92. doi: 10.1016/s0002-9394(14)76346-9. PMID: 2396654
Acute autonomic neuropathy.
Thomashefsky AJ, Horwitz SJ, Feingold MH
Neurology 1972 Mar;22(3):251-5. doi: 10.1212/wnl.22.3.251. PMID: 5062259
Subacute dysautonomia with incomplete recovery.
Andersen O, Lindberg J, Modigh K, Reske-Nielsen E
Acta Neurol Scand 1972;48(4):510-9. doi: 10.1111/j.1600-0404.1972.tb07570.x. PMID: 4561250

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
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
Consecutive accommodative esotropia.
Raab EL
J Pediatr Ophthalmol Strabismus 1985 Mar-Apr;22(2):58-9. doi: 10.3928/0191-3913-19850301-06. PMID: 3989640

Clinical prediction guides

High AC/A Ratio Esotropia: Do We Really Need to Be Using Bifocals?
Olitsky SE
Am Orthopt J 2016 Jan;66(1):5-9. doi: 10.3368/aoj.66.1.5. PMID: 27799577
Heart defects and ocular anomalies in children with Down's syndrome.
Bromham NR, Woodhouse JM, Cregg M, Webb E, Fraser WI
Br J Ophthalmol 2002 Dec;86(12):1367-8. doi: 10.1136/bjo.86.12.1367. PMID: 12446367Free PMC Article
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
Spasm of the near reflex associated with organic disease.
Dagi LR, Chrousos GA, Cogan DC
Am J Ophthalmol 1987 Apr 15;103(4):582-5. doi: 10.1016/s0002-9394(14)74283-7. PMID: 3565518
Consecutive accommodative esotropia.
Raab EL
J Pediatr Ophthalmol Strabismus 1985 Mar-Apr;22(2):58-9. doi: 10.3928/0191-3913-19850301-06. PMID: 3989640

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