Preethi Thiagarajan1, Kenneth J Ciuffreda. 1. Department of Biological and Vision Sciences, SUNY State College of Optometry, New York, New York 10036, USA. pthiagarajan@sunyopt.edu
Abstract
PURPOSE: To evaluate accommodative dynamics immediately before and after visual fatigue-inducing tasks with congruent (C) and noncongruent (NC) visual stimuli. METHODS: Accommodative dynamics for a 2-diopter (D) step (2.5 ↔ 4.5 D) stimulus were assessed using the WAM-5500 open-field autorefractor in 10 visually normal, asymptomatic, young-adult subjects before and after C and NC tasks performed on different days in a counterbalanced manner. For the C task, subjects altered binocular fixation (50 cycles) between reduced Snellen charts at 50 and 20 cm every 3 seconds to the beat of a metronome. For the NC task, subjects performed 50 cycles of accommodative flipper (± 1.5 D) as rapidly as possible while binocularly fixating on a reduced Snellen chart at 40 cm. RESULTS: Mean steady-state (SS) response level reflecting its accuracy was significantly (p ≤ 0.05) reduced post-NC task for both increasing (4.5-D level) and decreasing (2.5-D) accommodation. Although the SS response variability was significantly (p ≤ 0.05) increased post-NC task at the 4.5-D stimulus level, it did not change significantly (p > 0.05) for the C task. There were no significant differences between the pretask and posttask group mean initial amplitude, time constant, and peak velocity for either the C or the NC task for both increasing and decreasing accommodation. CONCLUSIONS: The accommodative system exhibited consistent fatigue effects with respect to SS variability and response accuracy. There was no objective evidence of oculomotor learning for these specific tasks.
PURPOSE: To evaluate accommodative dynamics immediately before and after visual fatigue-inducing tasks with congruent (C) and noncongruent (NC) visual stimuli. METHODS: Accommodative dynamics for a 2-diopter (D) step (2.5 ↔ 4.5 D) stimulus were assessed using the WAM-5500 open-field autorefractor in 10 visually normal, asymptomatic, young-adult subjects before and after C and NC tasks performed on different days in a counterbalanced manner. For the C task, subjects altered binocular fixation (50 cycles) between reduced Snellen charts at 50 and 20 cm every 3 seconds to the beat of a metronome. For the NC task, subjects performed 50 cycles of accommodative flipper (± 1.5 D) as rapidly as possible while binocularly fixating on a reduced Snellen chart at 40 cm. RESULTS: Mean steady-state (SS) response level reflecting its accuracy was significantly (p ≤ 0.05) reduced post-NC task for both increasing (4.5-D level) and decreasing (2.5-D) accommodation. Although the SS response variability was significantly (p ≤ 0.05) increased post-NC task at the 4.5-D stimulus level, it did not change significantly (p > 0.05) for the C task. There were no significant differences between the pretask and posttask group mean initial amplitude, time constant, and peak velocity for either the C or the NC task for both increasing and decreasing accommodation. CONCLUSIONS: The accommodative system exhibited consistent fatigue effects with respect to SS variability and response accuracy. There was no objective evidence of oculomotor learning for these specific tasks.
Authors: Daniel J Corwin; Mark R Zonfrillo; Christina L Master; Kristy B Arbogast; Matthew F Grady; Roni L Robinson; Arlene M Goodman; Douglas J Wiebe Journal: J Pediatr Date: 2014-09-26 Impact factor: 4.406
Authors: Daniel J Corwin; Douglas J Wiebe; Mark R Zonfrillo; Matthew F Grady; Roni L Robinson; Arlene M Goodman; Christina L Master Journal: J Pediatr Date: 2015-03-05 Impact factor: 4.406
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