Parafoveal and Perifoveal Accommodation Response to Defocus Changes Induced by a Tunable Lens

The accommodative response of the human eye is predominantly driven by foveal vision, but reacts also to off-foveal stimuli. Here, we report on monocular accommodation measurements using parafoveal and perifoveal annular stimuli centered around the fovea and extending up to 8° radial eccentricity for young emmetropic and myopic subjects. The stimuli were presented through a sequence of random defocus step changes induced by a pupil-conjugated tunable lens. A Hartmann–Shack wavefront sensor with an infrared beacon was used to measure real-time changes in ocular aberrations up to and including the fourth radial order across a 3 mm pupil at 20 Hz. Our findings show a significant reduction in accommodative response with increased radial eccentricity.