Available methods of the examination of accommodation of the eye in the ophthalmological outpatient department (materials from the Conference on Accomodation, Yaroslavl, 2019)

Abstract

Time limits in the outpatient department practice do not allow to perform an extensive examination of young patients with refraction and accommodation disorders and to assess the severity and significance of their condition. Constantly redundant tension of accommodation (CRTA), weakness of accommodation, as well as the in¬flexibility of accommodation – all have the similar clinical picture, require a careful approach to differential diagnosis and, thereby, different methods of treatment. Therefore, the examination of accommodation of younger patients must be as comfortable as possible, not tedious, impersonal and informative. Accommodation disorders not only accompany, but also act as triggers as far as a number of diseases are concerned, the role of accommodation response delay has been already proven to be a reason of myopia progression. Underestimation of their role in the development of some pathological conditions can leave a patient with¬out the required assistance and limit his or her visual performance during the most productive age. The authors offer an examination algorithm that does not contradict with global requirements on this issue, but significantly reduces the amount of time that doctors need for detecting an accommodation disorder. The relevance of the suggested algorithm of subjective and objective accommodation examination methods is that they do not require expensive equipment, are not time-consuming and are quite accurate despite their apparent simplicity.