Ocular Accommodation

Cover Ocular Accommodation
Ocular Accommodation
Charles Sheard
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The accommodation, if strong and active, should respond readily to the demands made upon it up to within possibly three-quarters of its total capacity. To return, then, to our illustrative case, we turn up —2, —3, —3. 5, — 4 diopters and so on, giving the ciliary time to respond in each case, until finally, let us say, with a —5 D. S. Reading is difficult and with a —6 D. S. The reading of much larger type is impossible. We therefore conclude that the total accommodation available at the thirte...en inch reading point as evidenced by this modus operandi is, as a maximum, 9 diopters. This 9 diopters is the sum of the 3 diopters exerted by the accommodative mechan- ism in order to read at thirteen inches and the 6 diopters of additional accommodation as elicited by the concave lenses inserted.
If, again, with —2D. S. , V = 20/20, these tests upon the accommodative resources are instituted, the patient wearing the distance correction, and it is found that a —3 D. S. Meas- ures the maximum reserve at thirteen inches, it may then be concluded that, under the conditions through and by which the tests are made, some 6 diopters of accommodation are available and can be effectually put into operation at the reading point.


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