Accommodative dysfunction in patients with cerebral palsy: Appropriate nearpoint prescribing

Abstract

This study was designed to inform the eyecare practitioner of accommodative dysfunction in patients with Cerebral Palsy (CP), and more importantly, to give guidelines for successful prescribing of nearpoint lenses. Files were obtained from the Oregon School for the Blind, in association with the Oregon Lions Statewide Low Vision Clinic. Inclusion criteria included a diagnosis of CP, a Monocular Estimate Method (MEM) retinoscopy finding indicating an accommodative dysfunction, and a nearpoint lens prescription prescribed. Surveys were sent to the vision teachers of these patients to assess the effect of the nearpoint lenses on daily activities. The results were analyzed and discussed; two successful examples were presented. It was found that patients who had the greatest success functioned on a higher cognitive level, received initial training with the prescription and continued support, and in addition, were given adequate time to adapt to the prescription. It was also shown that even though the patient may not appear to appreciate the aid a near prescription provides, a nearpoint lens should be attempted for those who are found to have CP with accommodative dysfunction