Volume 69, Number 4, 385-397, DOI: 10.1007/BF00162751

The accommodative response, refractive error and mental effort: 1. The sympathetic nervous system

Mark A. Bullimore and Bernard Gilmartin

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Abstract

The accommodative response of 12 emmetropic subjects was measured for an array of numbers located at -1,-3 and -5 dioptres using an objective infra-red optometer. Responses were compared for passive (reading numbers) and active (adding numbers) conditions. The imposition of mental effort induced a significant increase in mean response for the -1 D stimulus, a response equivalent to the passive condition at -3 D and a reduction in response at -5 D. Mental effort induced similar responses for the -1 D and -3 D locations when sympathetic innervation to the ciliary muscle was blocked with the beta-receptor antagonist timolol maleate. Responses for the -5 D location were, however, significantly increased. It is proposed that sympathetic inhibition can modify the effect of mental effort on near accommodative responses.

Key words  ocular accommodation - ciliary muscle innervation - myopia - near vision - mental effort

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