Accommmodation Flashcards

1
Q

Hofstetter’s formula

A

25-0.4age = max
18.5 - 0.3age = avg
15 - 0.25age = min

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2
Q

Accomm insufficiency

A
AoA < min accom
Blurred vision/frontal HAs
Near xop -> eso if Px tries exert more accom
Tx: hyperopic rx/low add
Pen-nose exercise
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3
Q

Accomm fatigue

A

Similar Sx to AI but more transient

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4
Q

Accom spasm

A

Accom excess
Constant ciliary contraction
Causes: Uncorrected hyperopia / prolonged near work/brain lesions/MS/meningitis/head trauma
Sx: pseudomyopia/HAs/ocular discomfort/SOT/miosis
Tx: gradual hyperopia correction
Orthotic exercises

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5
Q

Accom inertia

A

More common 30+yo

Difficult switching from DV-NV-DV

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