Abstract
A study of 5,000 case records was recently made to ascertain how frequently weakness of accommodation was found. It developed into a most interesting piece of work because it revealed certain surprises, a few of which will probably be of sufficient interest to warrant a paper. The points noted in the examination were as follows : Name, age and occupation; history, complaint and objective examination. Vision without present glasses, with glasses, and by manifest refraction ; a record of various previously purchased glasses, date of purchase and whether or not refraction was by cycloplegic. If vision was 6/12 or better, the near point of accommodation was measured. Muscular balance, duction tests and near point of convergence. Dark room examination. Examination with cycloplegic, objective and subjective. Final test a week later (if atropine was used, two weeks later). Glasses ordered; patient requested to return with glasses.
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