VS 117 LABORATORY III: BINOCULAR ACCOMMODATION:
(CONSENSUAL AND ANISO ACCOMMODATION)

INTRODUCTION
In most situations, the accommodative response is equal (consensual) in the two eyes, even when one eye is occluded. However, there are situations (such as uncorrected anisometropia) in which the accommodative stimulus in the two eyes is unequal. If the difference is small (i.e., < 0.75 D), some individuals can differentially accommodate using aniso-accommodation and clear both eyes images at the near distance. In this lab, we will demonstrate the consensual and aniso-accommodative response.
A Badal optical system is one in which an object can be moved toward or away from the eye without changing the angular subtense of the retinal image, yet still allowing a change of vergence. This is accomplished by placing a convex lens in front of the eye so the secondary focal point of the lens coincides with the primary focal point of the eye's optical system (approximately the spectacle plane: 1.5 cm from the eye).
The apparatus you will use for this experiment has two Badal systems, one for each eye. Each system is mounted on an arm which is part of a haploscope (a form of Wheatstone mirror stereoscope). Although the haploscope part of the apparatus will not be used as such, each arm provides a support for a moveable stigma (point light source), a Badal lens, a lens holder with several cells, and a half silvered mirror. Moreover, ability to rotate the arm around an axis passing through the rotation center of the eye has certain advantages which will become apparent later on.
Since the above mentioned stigma can be moved along the haploscope arm, a subject can move the stigma to a position of conjugacy with the retina. Therefore, the location of the stigma can indicate the conjugate focus of a given eye's optical system, and from this conjugate focus (CF, which is the reciprocal of stigma distance in meters) the accommodative response (AR), or the refractive error (RE) can be calculated according to the relation:

CF = RE + AR + L (All units are in diopters.)
where CF = conjugate focus of stigma
RE = refractive error (RE = positive for myopes and negative for hyperopes)
AR = accommodative response
(AR is positive if accommodation increases the eye's dioptric power, and negative if it decreases the eye's dioptric power.)
L= auxillary lenses in the spectacle plane*
* The spectacle plane is assumed coincident with the first focal plane of the eye, and, throughout this experiment, accommodative response, refractive error, and any accessory lenses put in the cells will be regarded as having their effects in the spectacle plane, i.e., there will be no need to take account of positional power as far as RE, AR, and L are concerned.

The diagram below is a top view of the optical components of one of the two Badal optometers, showing its relation to the right eye of a subject.

For the laboratory Badal optometer, the following data apply:
d1 = s.r. - k (s.r. is the scale reading on haploscope arm)
d2 + d3 = 10.0 cm (for a P = +10 D lens)
d2 + d3 = 12.5 cm (for a P = +8 D lens)
When a setting is made with the optometer, the location of the stigma is determined from the centimeter scale on the haploscope arm (d1 = s.r. - k). Stigma location (d1) can then be transformed to a vergence value in diopters with respect to some specific location such as the familiar spectacle plane.

Additional useful parameters for this lab are:
x = stigma distance from Badal lens anterior focal point
k= scale correction for subject settings (i.e., offset of scale reading from lens focal length)
s.r.= scale reading
f = focal length of Badal lens (0.10 meters)
d1= stigma distance to Badal lens = s.r. - k
V = optical vergence subtended by stigma at spectacle plane
AD = 1/TD - L - RE
AD = accommodative demand (AD is positive if the required accommodation must increase.)
TD = target distance (TD is positive for real targets.)
L = lens power
RE = refractive error (RE = positive for myopes and negative for hyperopes.)


In the above diagram, a Badal system is shown on-line, i.e., without the half-silvered mirror so the optical relations can be seen more easily. The final path of the refracted ray is not shown, because we are presently concerned with the relationship between the incident vergence at the spectacle plan (V) and stigma (M) location. Note, in this illustration, that M is closer to the lens than the focal point by the distance X' from the secondary focal point of the Badal lens. According to the Newtonian relation,
(1) xx' = ff'; but f = f' (lens in air)
(2) therefore, xx' = f2 = P12
Also, since we are interested in the Dioptric incident vergence (V) at the spectacle plane we note that:
- 1x' = V, or x' = - 1V
substituting in (1), - xV = P12 , and solving for -V
- V = xP2
If M' is conjugate to the retina, it follows that
- V = CF which means that the incident vergence at the spectacle plane equals the reciprocal of the conjugate focal distance in meters (sign reversed).

So, given P2, which is constant for a given Badal system,

(3) CF = xP2

 

FOR A +10 D LENS:

From Fig. 2:
x = f - d1 = 0.10 m - d1 m

Since d1 = s.r. - k
x = 0.10 - (s.r. - k) = 0.10 - s.r. + k = .10 + k - s.r. (all units in meters)

P2 = 1/f2 = +1/((0.1m)2) = +100D2

Substituting in (3):
CF = (0.10 + k - s.r) * 100 (where CF is in units of 1/m or D, and all other variables are in units of meters)

(4a) CF = (10 + k - s.r.) (where CF is in units of 1/m or D, and all other variables are in units of cm)

Since the vergence change within the lens focal length is linear such that each 1cm increment of the 10 cm focal length corresponds to 1D of the total 10D lens power,

CF = 10D - (d1 / 1.0) (d1 = s.r. - k) (d1 is in cm)

FOR A +8 D LENS:

From Fig. 2:
x = f - d1 = 0.125 m - d1 m

Since d1 = s.r. - k
x = 0.125 - (s.r. - k) = 0.125 - s.r. + k = .125 + k - s.r. (all units in meters)

P2 = 1/f2 = +1/((0.125m)2) = +64D2

Substituting in (3):
CF = (0.125 + k - s.r) * 64 (where CF is in units of 1/m or D, and all other variables are in units of meters)

(4b) CF = (12.5 + k - s.r.) * 0.64 (where CF is in units of 1/m or D, and all other variables are in units of cm)

Since the vergence change within the lens focal length is linear such that each 1.56cm increment of the 12.5cm focal length corresponds to 1D of the total 8D lens power,

CF = 8D - (d1 / 1.56) (d1 = s.r. - k) (d1 is in cm)

To summarize, therefore, the two relationships that apply to the present experiment are equation (4a) and (4b) above, for finding conjugate focus in reciprocal meters, and the general equation

CF = RE + AR + L relating reciprocal conjugate focus to refractive error, accommodative response, and any lens in the spectacle plane.

ILLUSTRATIVE EXAMPLES
(These should be studied before analyzing your data.)
Assume k = 5 cm
1. An ametropic observer with accommodation relaxed sets the sigma at a scale reading of 13.0 cm. As stated earlier, when a setting is made, the sigma is conjugate to the retina. Since zero accommodation is in force we can determine the refractive error of the test eye from the relations discussed earlier.
From equation (4):
CF = (10 + 5 cm - s.r. cm) m-1
= 15 - 13 = 2.0 m-1
From equation relating CF to RE, AR, and L:
CF = RE + AR + L
+ 2.0 = RE + 0 + 0 Therefore, the test eye is + 2.0 D myopic
2. A 1.0 D myopic eye fixates a near target through (not by reflection) the half-silvered mirror. When the sigma is set for conjugacy the scale reading is 12.2 cm. How much accommodation is in force, i.e., what is the accommodative response?
CF = (10 + 5 cm - s.r. cm) m-1
= 15 - 12.2 = 2.8
2.8 m-1 = RE + AR+ L = +1.0 + AR + 0
2.8 - 1.0 = AR = + 1.8 m-1 Therefore, the accommodation in force is +1.8 D *
* The sign is significant, because, under some physiological and/or environmental conditions accommodative response can take on negative values relative to some initial accommodative level.
3. An emmetrope views a distant target through the half-silvered mirror. A -5.00 D lens is placed in the spectacle plane to stimulate accommodation. The scale reading for conjugacy of stigma to the retina is 16.0 cm. Calculate the amount of accommodation actually used (accommodative response).
CF = (10 + 5 cm - s.r. cm) m-1 = 15 - 16 = -1.0 m-1
-1.0 = RE + AR + L = 0 + AR + (-5.0) = 0 + AR - 5.0
AR = 5.0 - 1.0 = +4.0 D Thus, the actual accommodation in force under the given condition is +4.0 D.
4. Calculate the scale reading for conjugacy of stigma to retina when a -4.0 D hyperopic eye views a distant target without any accessory lens in the spectacle plane. (Assume accommodative response equals zero. Therefore, the target will appear blurred to the subject.)
CF= (10 + 5 cm - s.r. cm) m-1 = RE + AR + L
15 - s.r. = -4.0 + 0 + 0
15 + 4.0 = s.r. = 19.0 cm for the given conditions

EXPERIMENT

APPARATUS: Badal apparatus, distance Snellen chart, reduced Snellen chart, optical bench, trial lens set, meter stick.
METHOD: Use two members of your group as subjects; each subject should be an emmetrope or have minimal refractive error (less than 0.50 D, if possible). Refractive states of both subjects must be known since the amount and kind of refractive error is involved in calculating accommodative response. Perform PART I through PART IV with the first subject, then repeat those parts for the second subject.

PART I. Record subject's spherical correction (in diopters). Set each haploscope arm at zero degrees, and lock the clamp screws. Set interaxial distance equal to subject's PD. Have subject place his/her head in the head rest and direct her/him to fixate the 3 meter target. An assistant adjusts the chin rest, while looking through the sighting device, to bring subject's eyes to the proper height in front of the lens cells. Next, adjust the forehead rest to move the head forward or backward until the apex of each cornea is in line with the sighting device for each eye. These adjustments will place the corneas at standard distance (approx. 14 mm) from the middle lens cell plane. Have the subject move the stigma along the arm to determine if considerable horizontal or vertical motion of the stigma image is perceived. Stigma image motion may be minimized by increasing or decreasing the interaxial setting a millimeter or two. Ideally there should be no apparent horizontal or vertical motion of the image as the stigma is moved along the arm.
Move the 3 meter chart laterally so the projected position of the sigma image, as viewed through the half-silvered mirror, falls on the black paper attached to the chart. This increases the contrast, making the stigma image easier to see. Note that an occluder covers the far side of the left hand half-silvered mirror. This occluder must be left in place from PART I through PART III. The right eye will be looking at the Snellen chart, but each eye will see its own stigma image. The near surface of the left half-silvered mirror is not covered.
While fixating some letter near the black background on the Snellen chart, move the stigma along the right arm until the spot of light appears clearest, i.e., until the edges are sharpest. Be careful to maintain fixation on the letter while doing this. Do not attempt to "follow" the small light, because if you accommodate for this light your results will be inaccurate. Adjust the stigma before the right and left eye until both stigmas are simultaneously clear. Bracket each stigma slightly farther and slightly nearer than the optimal focus point. Choose the midpoint of this range as the stigma location. Record the position of each stigma (s.r.) as read from the scale on the haploscope arm. Repeat until four pairs of readings have been obtained.

PART II. Place the reduced Snellen chart a distance of 50 cm from the middle lens cell. Have the subject carefully fixate the smallest readable letters while he/she makes four settings of the right-hand and left-hand stigmas. Observe the same precautions advised in Part I. Record the above settings on your data sheet.

PART III. Place a -2.0 D lens in the right middle lens cells. Have the subject fixate the reduced Snellen chart placed in the same position as for Part II, and record four stigma settings.

PART IV. Differential (aniso) accommodation. Adjust the chin rest to bring the eyes to the proper level in front of the lens cells. Remove the occluder and the -2D trial lens from in front of the left eye and view the near target at 25 cm binocularly. Make four settings of both stigmas. Now place a +0.5 lens in the right middle lens cell, and make four additional settings of both stigmas. You can compare the difference in the accommodative response of the two conditions to estimate whether aniso-accommodation occurred.

REPORT
For this lab, each group should turn in a single report containing the following:
A. Practice problems. (Each person should submit individual solutions as part of the group report.)
B. Data analysis. (Only one data analysis is required for the group.)
C. Data sheet. (Only one data sheet is required for the group.)

A. PRACTICE PROBLEMS
1. The average scale reading is 16.0 cm for a 1.5 D myopic eye fixating a distant target. The trial lens is -3.0 , and the Badal lens power (P) equals +10D. What is the accommodative response (AR)? Assume k = 5cm.
2. Both eyes of a subject are 2.0 D myopic. The right eye fixates a chart 40 cm in front of the spectacle plane through a -3.0 D trial lens. The Badal lens power (P) equals +10D. The left eye has a +1.0 D trial lens, and the far side of the left half-silvered mirror is covered. Therefore, the subject cannot see the 40 cm target with the left eye, but can see the left stigma. Assume k = 5cm.
a) If the accommodative response of each eye equals 2.5 D, what are the stigma settings (d1) for each eye?
b) What is the accommodative demand (AD) for the right eye.
c) Is the right eye over-accommodating or under-accommodating for this stimulus? By how much?

B. DATA ANALYSIS
PART I. a) Calculate the accommodative response (AR) for each eye. (Compare for both subjects.)
b) Were the results between the two eyes consensual?

PART II. a) Calculate the accommodative response (AR) for each eye. (Compare for both subjects.)
b) Were the responses between the two eye consensual?
c) How much higher was this response than that obtained in PART I?
d) What was the accommodative demand (AD)?
e) Theoretically, how much accommodative response should have occurred if the accommodative response (AR) equaled the accommodative demand (AD)?

PART III. a) Calculate the accommodative response (AR) for each eye. (Compare for both subjects.)
Did the results differ from PART II?
b) What was the accommodative demand (AD)?

PART IV. a) Calculate the accommodative response (AR) for each eye. (Compare for both subjects.)
b) Did aniso-accommodation occur for this condition?

Data Sheet for Lab #1