Clinical Study

Eye (2006) 20, 290–296. doi:10.1038/sj.eye.6701863; published online 8 April 2005

Comparison of amplitude of apparent accommodation in pseudophakic eyes with that of normal accommodation in phakic eyes in various age groups

The authors have no proprietary interest in any of the materials described in this article.

K Hayashi1 and H Hayashi2

  1. 1Hayashi Eye Hospital, Fukuoka, Japan
  2. 2Department of Ophthalmology, School of Medicine, Fukuoka University, Fukuoka, Japan

Correspondence: K Hayashi, Hayashi Eye Hospital, 4-7-13 Hakataekimae, Hakata-Ku, Fukuoka 812-0011, Japan. Tel: +81 92 431 1680; Fax: +81 92 441 5303; E-mail: hayashi-ken@hayashi.or.jp

Received 27 December 2004; Accepted 15 February 2005; Published online 8 April 2005.

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Abstract

Purpose

 

To compare the amplitude of apparent accommodation in eyes with monofocal intraocular lenses with that of normal accommodation in the phakic fellow eyes in various age groups.

Patients and methods

 

In all, 130 eyes of 130 patients scheduled to undergo cataract surgery, and 130 fellow eyes that had little cataract and good visual acuity of 20/33 or better were studied. The following groups were studied: in their 40s and younger (n=20) or in their 50s (n=30), 60s (n=30), 70s (n=30), and 80s (n=20). Using an accommodometer (Kowa HS-9E), the accommodative amplitude was measured at 1 month after surgery.

Results

 

In the patients in their 40s and younger or in their 50s, the amplitude of apparent accommodation was significantly less than that of normal accommodation; no significant difference was observed in the patients in their 60s, 70s, or 80s. The incidence of patients in whom the amplitude of apparent accommodation was more than that of normal accommodation was greater in the patients in their 60s, 70s, and 80s than in the patients in their 40s and younger and in their 50s.

Conclusion

 

The amplitude of apparent accommodation is virtually equivalent to that of normal accommodation in patients older than 60 years of age.

Keywords:

normal accommodation, apparent accommodation, monofocal intraocular lens, age

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