Daum K M
Doc Ophthalmol. 1983 May 1;55(3):177-98. doi: 10.1007/BF00140808.
A retrospective review of the records of 114 subjects with accommodative dysfunction has been completed. Most subjects (N = 96) were found to have accommodative insufficiency. Lesser numbers of subjects were categorized in the class of infacility of accommodation (N = 14), spasm of accommodation (N = 3) and fatigue of accommodation (N = 1). A majority of the subjects presented with complaints of blur, headaches and/or asthenopia while attempting nearwork. Most subjects presented with reduced abilities in one or more of the following areas: accommodative amplitude and facility, fusional vergences, near point of convergence and stereo acuities. The clinical characteristics of the group as a whole and the major subgroups have been examined both before and after treatment of the condition with orthoptic exercises and/or plus lenses at the nearpoint. The result of the treatment indicates that although most subjects (96%) experienced some relief with treatment only about half (53%) had their problems totally solved. The importance of these findings is briefly discussed.
对114例调节功能障碍患者的记录进行了回顾性研究。发现大多数患者（N = 96）存在调节不足。较少数量的患者被归类为调节不灵活（N = 14）、调节痉挛（N = 3）和调节疲劳（N = 1）。大多数患者在尝试近工作时出现视力模糊、头痛和/或眼疲劳的症状。大多数患者在以下一个或多个方面能力下降：调节幅度和灵活性、融合性聚散、近点集合和立体视敏度。在使用视轴矫正训练和/或近用正透镜治疗该疾病之前和之后，对整个组以及主要亚组的临床特征进行了检查。治疗结果表明，虽然大多数患者（96%）在治疗后有所缓解，但只有约一半（53%）的问题得到了完全解决。简要讨论了这些发现的重要性。
