Again, if the patient does exercises at home, the improvement will be seen much more quickly. In cases of pseudomyopia and accommodative excess, vision training is aimed at reducing excessive accommodative effort and improving accommodative control. Procedures similar to those used in training accommodative infacility may be used. In addition, general relaxation therapy techniques may be of benefit. Accommodative Infacility Differential Diagnosis Differential diagnosis of accommodative infacility is relatively easy.
Patients fail miserably when trying to clear plus and minus lenses.
The functional and nonfunctional causes are similar to those of accommodative insufficiency. Uncorrected refractive error may cause accommodative problems. Therefore, the first step is to correct any refractive error with spectacles, including small amounts of cylinder correction and hyperopia. Be sure to discuss wearing schedule with the patient, and the parents if the patient is a child. In some circumstances, a letter to the child's teacher is warranted.