PubMed · 13422477
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F D COSTENBADER. The improved accommodometer.. https://pubmed.ncbi.nlm.nih.gov/13422477/
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The aim of the experiment was to test for a contribution from short-wavelength sensitive cones to the static and step accommodation response, to compare responses from short and long- plus middle-wavelength sensitive cone types, and to examine the contribution of a signal from longitudinal chromatic aberration to the accommodation response. Accommodation was monitored continuously (eight subjects) to a square-wave grating (2.2 c/d; 0.57 contrast) in a Badal optometer. The grating stepped (1.00 D) randomly towards or away from the eye from a starting position of 2.00 D. Five illumination conditions were used to isolate cone responses, and combine them with or without longitudinal chromatic aberration. Accuracy of the response before the step, step amplitude, latencies and time-constants, were compared between conditions using single factor ANOVA and t-test comparisons. Both S-cones and LM-cones mediated static and step accommodation responses. S-cone contrast drives "static" accommodation for near, but the S-cone response is too slow to influence step dynamics when LM-cones participate.
This study investigated the change in corneal curvature and corneal wave-front aberrations with accommodation. The corneal curvature of the right eyes of 12 young adults was measured using a corneal topography system, while subjects fixated far (4.0 m) and near (0.2 m) targets with their left eyes. Convergence was controlled. Both the mean corneal radius at the vertex and the shape parameter significantly increased from the far to the near viewing condition. No significant change in root mean square of wave-front aberrations with accommodation was observed for the group, but there was individual variation in the change of wave-front aberration. A significant mean change for the group in both x-axis coma and spherical aberration was found. The change in corneal surface with accommodation suggests an increase in peripheral curvature with flattening at the vertex.
BACKGROUND: Pilots undergo many visual tests for both selection and assessment, and we know that there are many similarities between pilots and surgeons. Hence, it would not be unreasonable to bring similar visual tests into surgery. Tonic accommodation (TA) is a stable parameter that is adopted by the eye in the absence of any stimulation. Over recent years, surgery has undergone change from traditional open surgery to minimally invasive procedures, bringing many advantages. However, not every surgeon has the ability to perform under conditions where the operative field is represented on a flat monitor. METHOD: We determined the TA values in medical students and then correlated this with their performance on a virtual reality surgical simulator. RESULTS: We found that TA values predicted the number of errors made with the dominant hand, accounting for 27% of the variance. CONCLUSION: The data suggest that TA may play a role in the individual differences that are noted when surgeons perform laparoscopic surgery. Further studies are needed to evaluate the exact role of TA in surgical performance.