Evaluation of peripheral subjective refraction in relation to accommodative fluctuations and the risk of myopia progression

The aim of the study was to evaluate peripheral subjective refractive responses in relation to accommodative micro-fluctuations and their possible variation between myopic and hyperopic subjects. Accommodative fluctuations were measured in each subject using an ocular aberrometer, followed by a subjective assessment of peripheral refraction. The primary aim was to determine whether subjective peripheral refraction was consistent with accommodative fluctuations and, more importantly, whether it differed between myopes and hyperopes. The ultimate goal was to determine whether different peripheral responses can influence the progression of myopia. When examining the linear fits of the accommodative measurements in relation to the peripheral refraction data, it is also noted that the graphs show higher correlations in myopic subjects than in non-myopic subjects. Our results emphasize the importance of measuring peripheral refraction in addition to central measurements to provide clinicians with additional insight into refractive status that can help in assessing myopic risk. This method offers a practical approach that is accessible to all clinicians without specialized instruments and improves routine refractive examination