Accommodative Dysfunction

Accommodative Dysfunction: What To Know About This Eye Focusing Disorder

An Accommodative Dysfunction is a specific type of eye focusing issue that impacts the ability of a child or young adult to properly accommodate their eyes. The eyes’ ability to focus is an essential visual role that allows individuals to read and accomplish a variety of tasks on a daily basis.


To properly read with efficiency and accuracy in the schoolroom or perform effectively in the workplace, the eyes need to focus in three main ways. First and foremost, the eyes need strength in order to maintain focus on written material for a period of time. Secondly, the eyes need a high level of precision in order to clearly see the print. Third and lastly, the eyes need flexibility to alter accommodation from closeup to far away in order to properly obtain visual data in an environment. With that being said, for efficient learning, reading, and working, your eyes need to be able to participate in the succeeding eye focusing, or accommodation, abilities.

  • Amplitude of Focusing – Referring to how strong the eyes’ ability to concentrate on a closeup object is. The higher the overall amplitude of eye focusing, the nearer an object is able to be held to your eyes and sustained in complete focus for a period of time.
  • Accuracy of Focusing – Referring to the capability of adjusting the lens system of your eyes with accuracy to sustain optimal clearness of the object being viewed.
  • Agility of Focusing – Referring to the capability to adjust and alter concentration from closeup to far away quickly and with minimal to no effort.

For the majority of children, the aforementioned eye focusing abilities are typically developed by four to five years of age and generally work proficiently well into middle adulthood. However, it is possible for an Accommodative Dysfunction issue to exist as a result of an interruption in typical visual development or a concussion or a more serious TBI.

If a child or adolescent has an eye focusing disorder, they can sometimes be classified as having one of the below diagnoses:

  • Accommodative Insufficiency – This is a low strength or amplitude to maintain near concentration
  • Accommodative Excess – This is an excessive and over-focusing error of close visual objects and responsibilities/jobs
  • Accommodative Infacility – This is a poor or lethargic eye focusing flexibility from close to far away

Individuals with this particular condition tend to struggle with the following:

  • Headaches and/or eye discomfort with sustained closeup work such as reading
  • Blinking, squinting, and rubbing eyes
  • Blurred vision when trying to read small print
  • Difficulty copying from the chalk or whiteboard
  • Vision worsens as the day progresses
  • Poor reading comprehension
  • Reduced attention at work, in the schoolroom, or with independent reading


One of the most critical pieces of treatment with accommodative dysfunction is the right lens prescription. By utilizing lenses in combination with vision therapy in the office, it is possible to build the accuracy, strength, and flexibility of eye focusing that is necessary to improve the binocular vision.

At Performance Vision Inc., we are a first-rate rehabilitative and developmental vision therapy clinic. We go beyond the traditional at-home treatment a forward-thinking office-based treatment approach. Our board-certified doctors and vision therapists offer ground-breaking vision therapy that integrates a variety of skills like auditory processing, balance, cognitive, and coordinated movement. We use a personalized approach to address vision issues, including Accommodative Dysfunction. Our methods ensure that our patients are able to advance their much-needed visual abilities and enhance daily living inside the workplace, the classroom, and in sports.

Our progressive treatment includes but is not limited to the following:

  • Visual Imagery Therapy
  • Binocular Imagery Therapy
  • Eye-Hand Coordination Development
  • Visual Processing Development
  • Visual-Motor Integration Development
  • Visual-Vestibular Integration Development


Many of our patients have successfully reports the elimination of the following:

  • Eye fatigue
  • Nearpoint blur
  • Visual stress headaches

Many of our patients have also reported improvements in the following areas:

  • Concentration and attention
  • Confidence
  • Copying abilities
  • Reading abilities
  • Work proficiency and endurance
  • Classroom performance
  • Sports performance

Contact Us Today

If you would like to learn more about this eye focusing disorder and what our services can do for you, don’t hesitate to get in touch with our clinic today. Performance Vision Inc. is ready to answer any questions that you may have and can schedule an evaluation for you.