Abstract

Accommodative insufficiency (AI) involves the inability of the eye to focus properly on an object. AI is generally considered separate from presbyopia, but mechanically both conditions represent a difficulty engaging the near vision system (accommodation) to see near objects clearly. However, AI is the term used for a patient where normal near vision is expected, whereas presbyopia is specifically the loss of accommodation due to age. Approximately 80 percent of children diagnosed with convergence excess also demonstrate AI, a relationship attributed to the accommodative convergence.