Accommodation insufficiency describes difficulty sustaining clear focus on near objects because the eye’s focusing system is weaker than expected for age. It is more common in children and young adults than in older adults, where presbyopia is typical.
Symptoms
People may report blurred near vision, eye strain, headaches, or difficulty concentrating when reading. Symptoms often worsen later in the day or with prolonged close work.
- Can be associated with uncorrected hyperopia
- Sometimes linked to general fatigue or illness
- Often picked up during routine eye examinations
Diagnosis and management
Assessment includes measuring near vision, accommodation amplitude, and binocular function. Treatment may involve correcting any refractive error, providing near add lenses, or using exercises, often overseen within general ophthalmology or optometry clinics.