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Investigative Ophthalmology & Visual Science, Vol 36, 1573-1580, Copyright © 1995 by Association for Research in Vision and Ophthalmology


ARTICLES AND REPORTS

Optical compensation for night myopia based on dark focus and CA/C ratio

JC Kotulak, SE Morse and JC Rabin
Evans US Army Community Hospital, Fort Carson, Colorado, USA.

PURPOSE. To determine whether individual differences in dark focus and convergence accommodation to convergence (CA/C) ratio can be used to prescribe the best optical correction for night myopia. METHODS. The best correction for night myopia was obtained by measuring visual acuity and contrast sensitivity across a range of lens powers and luminances. Dark focus was measured with an infrared optometer, and CA/C ratio was measured with an infrared optometer and eyetracker. Only young subjects were used (mean age = 25.4 years). RESULTS. Optimal lens power was significantly correlated with dark focus, regardless of CA/C ratio. However, the slope of the regression line relating lens power to dark focus was steeper for subjects with CA/C ratios less than 0.4 diopters/meter angle (D/MA, n = 7) than for subjects with CA/C ratios greater than 0.4 D/MA (n = 9). The mean CA/C ratio for the entire sample (n = 16) was 0.59 D/MA. The mean optimal lens power and dark focus were -0.79 and 0.74 D, respectively, for the low CA/C group, and - 0.60 and 0.91 D, respectively, for the high CA/C group. CONCLUSIONS. Visual performance in night myopia can be optimized by taking into account intersubject differences in dark focus and CA/C ratio. Best visual performance was found with a lens roughly equaling the full dark focus for subjects with low CA/C ratios and half the dark focus for subjects with high CA/C ratios.





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