TABLE 2.

Distribution of normal and weak accommodative responses by refractive error type.

Refractive group	Accommodation
	Normal	Weak	Total
Isometropia
Stable, low-grade hyperopia (≤+2.00 D)	14 (78%)	4 (22%)	18
Stable, moderate-grade hyperopia (+2.25 to +4.00 D)	6 (50%)	6 (50%)	12
Stable, high-grade hyperopia (>+4.00 D)	0	4	4
Increasing hyperopia (≥+1.50 D increase)	4 (36%)	7 (64%)	11
Decreasing hyperopia (≥1.50 D decrease)	2 (22%)	7 (78%)	9
Anisometropia	1 (17%)	5 (83%)	6
Total	27 (45%)	33 (55%)	60 (100%)

Note: A normal accommodative response was defined as a shift in the retinoscopic reflex from ‘with’ to ‘against’ as an examiner performed retinoscopy from 50 cm and the participant switched fixation from 50 cm to a more proximal position of 20–30 cm. A weak accommodative response was the absence of a shift in reflex from ‘with’ to ‘against’ when fixating on the more proximal target. Data from Haugen et al.23