Journal article
An Evaluation of Binocular and Accommodative Function as Predictors of Myopia Progression
CJO. Canadian journal of optometry, v 87(3), pp 27-33
03 Sep 2025
Abstract
Introduction
This study was designed to evaluate whether common tests of binocular and accommodative function can predict myopia progression in children. The study explored lesser-studied clinical measures beyond accommodative lag and phoria.
Methods
This retrospective cohort study reviewed patients from age 5 years 0 months up to but not including the 17th birthday in an urban academic U.S. clinic. We measured binocular and accommodative functions in a sample of 410 patients with normal corrected visual acuity. The functions were correlated to change in cycloplegic refraction over time.
Results
The mean observation period was 2.59 ± 0.70 years. Pearson’s correlation coefficients between binocular/accommodative measures and refractive change were weak (r = -0.02 to 0.03). Excluding patients with constant strabismus and stratifying by phoria type (exodeviation or esodeviation), along with fusional vergence metrics, failed to make any meaningful improvements (r = -0.10 to 0.07). Even among patients at high-risk for myopia and myopia progression (baseline refraction ≤ 0.75D), correlations remained weak (r = -0.12 to 0.06).
Conclusion
In this clinic sample, common tests of binocular vision and accommodation were independent of change in refractive error and did not discriminate future myopia conversion or progression.
Metrics
1 Record Views
Details
- Title
- An Evaluation of Binocular and Accommodative Function as Predictors of Myopia Progression
- Creators
- Stanley W. Hatch - Drexel University
- Publication Details
- CJO. Canadian journal of optometry, v 87(3), pp 27-33
- Publisher
- Canadian Association of Optometrists
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pennsylvania College of Optometry (PCO)
- Scopus ID
- 2-s2.0-105045959232
- Other Identifier
- 991022203472204721