Irlen lenses do not improve accommodative accuracy at near.

The purpose of the experiment was to determine the influence of Irlen lenses on steady-state accommodation in successful users, as there is speculation that near accommodative dysfunction may be a factor in these patients. Monocular steady-state accommodation in six successful Irlen patients was assessed for near blur stimuli (2, 3, and 4 D) either with nonfiltered spectacle refractive correction or their spectrally broad-band filtered spectacle refractive correction. Accommodation was measured subjectively using a Hartinger coincidence optometer. There was no significant difference in mean level of accommodation between the two conditions. Additionally, there was a small but significant increase in accommodative variability with the filtered prescription. The use of Irlen correction did not have any positive effect on monocular steady-state accommodation at near.