Comparison of calculated and gradient AC/A ratios among normal, exophoria and esophoria

AIM: To analyze the clinical application of calculated and gradient accommodative convergence/accommodation ratio(AC/A)in different eye positions.METHODS: A total of 127 myopes in ophthalmology were included. The calculated AC/A was obtained by near/distance phoria and the gradient AC/A was obtained...

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Main Authors: Min Tang, Shi-Rui Yang, Bao-Zeng Xu, Wen-Hua Li, Yu-Lin Lei
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2022-06-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2022/6/202206037.pdf
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author Min Tang
Shi-Rui Yang
Bao-Zeng Xu
Wen-Hua Li
Yu-Lin Lei
author_facet Min Tang
Shi-Rui Yang
Bao-Zeng Xu
Wen-Hua Li
Yu-Lin Lei
author_sort Min Tang
collection DOAJ
description AIM: To analyze the clinical application of calculated and gradient accommodative convergence/accommodation ratio(AC/A)in different eye positions.METHODS: A total of 127 myopes in ophthalmology were included. The calculated AC/A was obtained by near/distance phoria and the gradient AC/A was obtained by near addition +1.00D. The differences of eye positions of the calculated and gradient AC/A were compared. RESULTS:The calculated AC/A value was higher than the near +1.00D gradient AC/C(P<0.01); Comparing the same method in different eye positions revealed that the calculated AC/A and gradient AC/A were significantly different, which has the highest AC/A in the esophoria group and the lowest AC/A in the exophoria group; Comparing the two methods in the same group revealed that the calculated AC/A in the esophoria group and the normal group was higher than the gradient AC/A(P<0.01), and there was no significant difference in the AC/A measured by the two methods in the exophoria group(P>0.05).CONCLUSION: The calculated AC/A is higher than the gradient AC/A, especially in patients with esophoria and emmetropia, it is easy to obtain high AC/A values by using the calculation method, resulting in erroneous diagnosis. The gradient method is more recommended.
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spelling doaj.art-829444bb44b944fa840748d1f6b469622022-12-22T00:23:46ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232022-06-012261066106810.3980/j.issn.1672-5123.2022.6.37202206037Comparison of calculated and gradient AC/A ratios among normal, exophoria and esophoriaMin Tang0Shi-Rui Yang1Bao-Zeng Xu2Wen-Hua Li3Yu-Lin Lei4Binzhou Medical University, Binzhou 256603, Shandong Province, ChinaBinzhou Medical University, Binzhou 256603, Shandong Province, ChinaJinan Mingshui Eye Hospital, Jinan 250200, Shandong Province, ChinaJinan Mingshui Eye Hospital, Jinan 250200, Shandong Province, ChinaJinan Mingshui Eye Hospital, Jinan 250200, Shandong Province, ChinaAIM: To analyze the clinical application of calculated and gradient accommodative convergence/accommodation ratio(AC/A)in different eye positions.METHODS: A total of 127 myopes in ophthalmology were included. The calculated AC/A was obtained by near/distance phoria and the gradient AC/A was obtained by near addition +1.00D. The differences of eye positions of the calculated and gradient AC/A were compared. RESULTS:The calculated AC/A value was higher than the near +1.00D gradient AC/C(P<0.01); Comparing the same method in different eye positions revealed that the calculated AC/A and gradient AC/A were significantly different, which has the highest AC/A in the esophoria group and the lowest AC/A in the exophoria group; Comparing the two methods in the same group revealed that the calculated AC/A in the esophoria group and the normal group was higher than the gradient AC/A(P<0.01), and there was no significant difference in the AC/A measured by the two methods in the exophoria group(P>0.05).CONCLUSION: The calculated AC/A is higher than the gradient AC/A, especially in patients with esophoria and emmetropia, it is easy to obtain high AC/A values by using the calculation method, resulting in erroneous diagnosis. The gradient method is more recommended.http://ies.ijo.cn/cn_publish/2022/6/202206037.pdfaccommodation convergence to accommodation ratio(ac/a)calculated ac/a ratiogradient ac/a ratiophoria
spellingShingle Min Tang
Shi-Rui Yang
Bao-Zeng Xu
Wen-Hua Li
Yu-Lin Lei
Comparison of calculated and gradient AC/A ratios among normal, exophoria and esophoria
Guoji Yanke Zazhi
accommodation convergence to accommodation ratio(ac/a)
calculated ac/a ratio
gradient ac/a ratio
phoria
title Comparison of calculated and gradient AC/A ratios among normal, exophoria and esophoria
title_full Comparison of calculated and gradient AC/A ratios among normal, exophoria and esophoria
title_fullStr Comparison of calculated and gradient AC/A ratios among normal, exophoria and esophoria
title_full_unstemmed Comparison of calculated and gradient AC/A ratios among normal, exophoria and esophoria
title_short Comparison of calculated and gradient AC/A ratios among normal, exophoria and esophoria
title_sort comparison of calculated and gradient ac a ratios among normal exophoria and esophoria
topic accommodation convergence to accommodation ratio(ac/a)
calculated ac/a ratio
gradient ac/a ratio
phoria
url http://ies.ijo.cn/cn_publish/2022/6/202206037.pdf
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AT baozengxu comparisonofcalculatedandgradientacaratiosamongnormalexophoriaandesophoria
AT wenhuali comparisonofcalculatedandgradientacaratiosamongnormalexophoriaandesophoria
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