Evidence map›Paper›PMID 33909034›Full record

ReviewInvestigative ophthalmology & visual science2021

IMI Accommodation and Binocular Vision in Myopia Development and Progression.

Nicola S Logan, Hema Radhakrishnan, Fiona E Cruickshank, Peter M Allen, Praveen K Bandela, Leon N Davies, Satoshi Hasebe, Safal Khanal, Katrina L Schmid, Fuensanta A Vera-Diaz and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Investigative ophthalmology & visual science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 4 pooled it
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 4 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Dose-Dependent Effects of Atropine on Accommodative and Binocular Visual Function for Myopia Control in Children: A Systematic Review and Meta-Analysis.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Pooled it
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  9. Spectacle lenses for control of myopia progression in children.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  10. S-Cone Retinal Pathway Dysfunction in Myopia.Investigative ophthalmology & visual science · 2026
    Article
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17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 4 countries.

Nicola S LoganSchool of Optometry, Aston University, Birmingham, United Kingdom.
Hema RadhakrishnanDivision of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.
Fiona E CruickshankDivision of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.
Peter M AllenVision and Hearing Sciences Research Centre, School of Psychology and Sports Sciences, Anglia Ruskin University, Cambridge, United Kingdom.
Praveen K BandelaBrien Holden Vision Institute, Sydney, New South Wales, Australia.
Leon N DaviesSchool of Optometry, Aston University, Birmingham, United Kingdom.
Satoshi HasebeDepartment of Ophthalmology, Kawasaki Medical School, Kurashiki, Okayama, Japan.
Safal KhanalSchool of Optometry, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Katrina L SchmidSchool of Optometry and Vision Science, Queensland University of Technology, Brisbane, Australia.
Fuensanta A Vera-DiazNew England College of Optometry, Boston, Massachusetts, United States.
James S WolffsohnSchool of Optometry, Aston University, Birmingham, United Kingdom.
Aston University · GBAnglia Ruskin University · GBBrien Holden Vision Institute · AUKawasaki Medical School · JPManchester Academic Health Science Centre · GBNew England College of Optometry · USQueensland University of Technology · AUUniversity of Alabama at Birmingham · USUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of accommodation in myopia development and progression has been debated for decades. More recently, the understanding of the mechanisms involved in accommodation and the consequent alterations in ocular parameters has expanded. This International Myopia Institute white paper reviews the variations in ocular parameters that occur with accommodation and the mechanisms involved in accommodation and myopia development and progression. Convergence is synergistically linked with accommodation and the impact of this on myopia has also been critiqued. Specific topics reviewed included accommodation and myopia, role of spatial frequency, and contrast of the task of objects in the near environment, color cues to accommodation, lag of accommodation, accommodative-convergence ratio, and near phoria status. Aspects of retinal blur from the lag of accommodation, the impact of spatial frequency at near and a short working distance may all be implicated in myopia development and progression. The response of the ciliary body and its links with changes in the choroid remain to be explored. Further research is critical to understanding the factors underlying accommodative and binocular mechanisms for myopia development and its progression and to guide recommendations for targeted interventions to slow myopia progression.

Indexed as

Accommodation, OcularConvergence, OcularDisease ProgressionHumansMyopiaRefraction, OcularVision, Binocular

Identifiers

PMID33909034
PMCPMC8083074
OpenAlexW3158587824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.