Schor C M
School of Optometry, University of California, Berkeley.
Optom Vis Sci. 1992 Apr;69(4):258-69. doi: 10.1097/00006324-199204000-00002.
The near triad consists of an increase in accommodation, vergence, and pupillary constriction. All three motor systems exhibit phasic and tonic responses. The tonic response adapts readily to phasic efforts of accommodation and vergence. Cross-coupling between accommodation and vergence provides a means of dynamically adjusting the tonic set points of the two motor systems to a common near or far working distance. Accommodative vergence cross-links play a dominant role in coordinating proximal changes in accommodation and convergence. The magnitude of cross-link interactions can be modified by imbalanced strength of tonic adaptation by accommodation and vergence. Reducing adaptation of tonic accommodation increases the AC/A ratio and decreases the CA/C ratio. Reducing adaptation of tonic vergence has the opposite effect. A model is able to predict these and other interactions simply by reducing the decay time constant of one of the two motor systems. For example, reducing the time constant for tonic accommodation results in an increased AC/A ratio and decreased CA/C ratio. Reducing the time constant for tonic vergence has the opposite effect. The model predicts transient step responses by accommodative vergence when the AC/A ratio is low and transient step responses of vergence accommodation when the CA/C ratio is low. It also predicts a reciprocal relationship between the AC/A and CA/C ratios. When one cross-link ratio is high the other cross-link ratio is low. Simulated frequency responses predict the low frequency roll off of low AC/A and low CA/C ratios. The step and frequency responses of cross-link ratios are shown to be the same for proximal (perceived distance) and retinal (blur and disparity) stimuli. The model suggests that physiological variations of tonic decay time constants may play an important role in determining clinically abnormal values of AC/A and CA/C ratios.
近反射三联征包括调节、集合和瞳孔收缩增加。所有这三个运动系统均表现出相位和紧张性反应。紧张性反应能很容易地适应调节和集合的相位性努力。调节和集合之间的交叉耦合提供了一种将两个运动系统的紧张性设定点动态调整到共同的近或远工作距离的方法。调节性集合交叉联系在协调调节和会聚的近端变化中起主导作用。交叉联系相互作用的大小可通过调节和集合的紧张性适应强度不平衡来改变。减少紧张性调节的适应会增加AC/A比率并降低CA/C比率。减少紧张性集合的适应则会产生相反的效果。一个模型只需通过降低两个运动系统之一的衰减时间常数就能预测这些及其他相互作用。例如,降低紧张性调节的时间常数会导致AC/A比率增加和CA/C比率降低。降低紧张性集合的时间常数则会产生相反的效果。该模型预测当AC/A比率较低时调节性集合的瞬态阶跃反应,以及当CA/C比率较低时集合性调节的瞬态阶跃反应。它还预测了AC/A和CA/C比率之间的相互关系。当一个交叉联系比率高时,另一个交叉联系比率就低。模拟的频率反应预测了低AC/A和低CA/C比率的低频滚降。对于近端(感知距离)和视网膜(模糊和视差)刺激,交叉联系比率的阶跃和频率反应显示是相同的。该模型表明,紧张性衰减时间常数的生理变化可能在确定AC/A和CA/C比率的临床异常值中起重要作用。
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