Research Article

Effect of Near Work on Intraocular Pressure in Emmetropes

Table 1

Summary of prior studies examining the effect of accommodation on intraocular pressure; BCVA: best corrected visual acuity.

StudyParticipantsAccommodative taskOutcome measuresTonometry methodMain result

Armaly and Rubin [5]10 healthy subjects with best corrected visual acuity (BCVA) of at least 20/20 divided into two age groups (20–25 and 45–55 years)View a target at 25 cm with variable lenses to induce variable magnitudes of accommodationMinute-by-minute IOP measurements with variable durations of accommodation and relaxationGoldmann applanationYounger and older age groups had mean maximum reductions in IOP of 4.5 mm Hg and 2.3 mm Hg, respectively

Mauger et al. [8]30 young (aged 22 to 35 years), healthy subjects with BCVA of at least 20/20 divided into three groups (mean age not reported)View a single row of 6/6 letters with either no lens (group 1), a −4.0 D lens (group 2), or a −1.5 D lens (group 3) added at 2.5 minutes to induce varying amounts of accommodationIOP at baseline and at 3 and 6 minutesGoldmann applanationAt 3 and 6 minutes, groups 1–3 had respective IOP changes of 0 and 0.35 mm Hg, −1.32 and −2.38 mm Hg, and −1.15 and −2.15 mm Hg

Cassidy et al. [9]20 volunteers with newly diagnosed primary open angle glaucoma divided into two groups (mean age of 66 years)Read for ten minutesGroup A: IOP at baseline and after 10 minutes of reading
Group B: IOP at baseline and after 10 minutes of watching television at 6 meters
Goldmann applanationIOP of groups A and B decreased by 2.5 and 0.35 mm Hg, respectively, and IOP of all group A subjects decreased with 9 of 10 decreasing by at least 2 mm Hg

Read et al. [16]15 myopic and 17 emmetropic healthy adults (mean age of 23 years)View an n10 size letter to induce 3 D of accommodationIOP at baseline and after 2 minutes of near workPascal dynamic contour tonometerIOP decreased by 1.8 mm Hg in both groups

Jenssen and Krohn [7]33 healthy volunteers with BCVA averaging 1.2 (mean age of 24 years)View Lang fixation cube to induce 3 D of accommodationIOP at baseline, after 10 minutes of far work, and after 3 minutes of near work (static); on a subsequent day, IOP at baseline and after 3 minutes of rapidly alternating between near and far work (repeated)Goldmann applanationIOP decreased from baseline after both static and repeated accommodation with mean reductions in IOP of 1.76 and 2.06 mm Hg, respectively

Yan et al. [17]46 progressing myopes and 40 emmetropes with BCVA of at least 20/20 (mean age of 24.6 years)View first-line test object on visual chart at 5 m through 3 D lens until clear; repeat with 6 D lensIOP at baseline (relaxation of accommodation induced by −3 D lens) and IOP after 3 D and 6 D accommodative tasks; anterior chamber anatomical measurements performediCare rebound tonometerIOP increased in progressing myopes (0.8 and 1.02 mm Hg after 3 and 6 D lenses, respectively) but no significant change in emmetropes; in both, anterior chamber depth and angle decreased and lens thickened

Liu et al. [11]270 myopes and 48 emmetropes with BCVA of at least 20/20 (mean age of 19.4 years)View a visual chart at 5 meters with a −3 D lens on subjects’ fully corrected lensesIOP at baseline and after 3 minutes of accommodation, which began after the subject reported subjective resolution of the target after the addition of the −3 D lensiCare rebound tonometerNo significant IOP change after accommodation in progressing myopes, stable myopes, and emmetropes