Positive relative accommodation

Short description: Measurement in eye examinations

Positive relative accommodation (PRA) in biology, is a measure of the maximum ability to stimulate eye accommodation while maintaining clear, single binocular vision.[1] This measurement is typically obtained by an orthoptist, ophthalmologist or optometrist during an eye examination using a phoropter. After the patient's distance correction is established, she or he is instructed to view small letters on a card 40 cm from the eyes. The examiner adds lenses in −0.25 diopter increments until the patient first reports that they become blurry. The total value of the lenses added to reach this point is the PRA value. [citation needed]

High PRA values (>= 3.50 diopters) are considered to be diagnostic of disorders involving accommodative excess.[2] Those with accommodative insufficiency typically have PRA values below −1.50 diopters.[3]

## See also

* Accommodation in fish
* Adaptation (eye)
* Amplitude of accommodation
* Convergence insufficiency
* Mandelbaum effect
* Negative relative accommodation

## References

1. ↑ www.vision-therapy.com
2. ↑ "Evaluating relative accommodations in general binocular dysfunctions". Optom. Vis. Sci. 79 (12): 779–87. Dec 2002. doi:10.1097/00006324-200212000-00010. PMID 12512686.
3. ↑ "Care of the Patient with Accommodative and Vergence Dysfunction". Archived from the original on May 10, 2006. https://web.archive.org/web/20060510181613/http://www.aoa.org/documents/CPG-18.pdf. Retrieved May 8, 2006.

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