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Jaclyn A. Benzoni OD, MS, FAAO; Mark Rosenfield MCOptom, PhD, FAAO

Clinical Amplitude of Accommodation in Children between 5 and 10 Years of Age

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Background: While there have been extensive

studies of the amplitude of accommodation (AA)

in adults, estimates of AA from studies in children

between 5 and 10 years of age vary widely with some

of the data being contradictory. Further, since values

of AA are used for the diagnosis of several conditions

including accommodative insufficiency (AI), it is

important to able to compare clinical findings with

age-defined norms.


Methods: The present study was performed on

60 asymptomatic children between 5 and 10 years of

age. Each child was refracted for distance viewing, and

both push-up (PU) and push-down (PD) amplitudes

were recorded monocularly using a Royal Air Force

(RAF) nearpoint rule. Four readings (2 PU and 2 PD)

were taken on each subject. The same procedures were

also carried out on 38 adult subjects between 20 and

50 years of age.


Results: The mean findings (average of PU and

  1. PD) declined from 16.2D (SEM=1.7D) at 5 years of

age to 12.4D (SEM=1.4D) at 10 years of age. A twophase regression was observed, with a rapid decline

between 5 and 7 years of age, but minimal change

between 7 and 10 years of age.


Conclusions: Both the pediatric and adult data is

broadly similar to the classic findings of Donders and

Duane. However, a relatively high percentage (36%)

of children met the most commonly adopted criterion

for AI, suggesting that this standard may need to be

reexamined in this particular age group


I haven't actually used the optometrist side, so my review is limited to the vision therapy offered.  This office was recommended by my occupational therapist for the treatment of my double vision following a stroke.

Claire A.

Love this location. I had a brain injury accident from day one one. All the team make you feel you still important and hope in the horizon after when the medical system fell you miserably. Dr. Ikeda very professional and very understanding about your issue. Two tombs up.

Jim K.

My husband and I were immediately impressed with Dr Ikeda. I was hit by a car while cycling which caused broken bones and three brain injuries. The brain injuries caused double vision. Dr. Ikeda examined my eyes and got me started on vision therapy with his occupational therapist who specializes in vision therapy.  She (Chris) is absolutely great.  I am impressed with the array of tools used to help recover my binocular vision.  I am doing things I never thought were possible (balance boards etc).  Chris pushes me and keeps me motivated. I really enjoy my sessions with her.  The office staff is always friendly and they have a wonderful appointment reminder tool that makes it easy to keep my calendar up to date. I am happy the rehab center at Little Co. of Mary recommended them!!

Teresa S.

The Vision Therapy is handled in a separate office through a different door from the shared waiting room. Chris, the vision therapist, has a wide and varied assortment of tools, equipment and resources to best evaluate and treat most vision issues. After just a few visits, my double vision became easier to control, using exercises developed during the therapy process. It was time well-spent.

Joe M.

I have been coming here since I can remember. I love it here. The staff is so amazing and nice. They explain everything they gonna do and never make you feel rushed. Dr. Ikeda has always been my doctor and I would never want another one. He is the doctor for my whole family and is always asking how everyone is doing. I am also so crazy about picking out my frames and have to try so many and each person who helps me take the time and lets me try them all on. I would never want to go anywhere else! I definitely would recommend this office to anyone looking for a great eye doctor.

Kayla W.

This is not for the eye exam but for the frames selection portion. I brought my prescription from Kaiser here with my VSP insurance. The reception staff was very polite and professional.  Manny helped me to pick out frames and explain my coverage.  Very helpful and patient not like the individual at the other place I rated here on Yelp.  I was running late and he still helped me and was not bothered at all.  I am so glad I came here ..........very pleased.

Very professional staff and pleasant.

Daniel G.
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