Subjective measurement of the Stiles‐Crawford effect of the first kind with variation in accommodation

Abstract

Purpose To measure the Stiles‐Crawford effect of the first kind (SCE‐I), corresponding to central vision, with innovative technology to evaluate changes in the directionality and photoreceptor alignment with accommodation. Methods A uniaxial Maxwellian system (spot size in pupil 0.5 mm diameter) was employed, incorporating a spatial light modulator to flicker at 2 Hz between two 2.3° fields corresponding to test (peripheral pupil) and reference (pupil centre) positions. Participants determined thresholds at 13 positions along the horizontal pupil meridian by indicating if the test field was brighter or dimmer than the reference field. Thresholds were determined by a staircase procedure after four reversals at each pupil location. After pupil dilation, seven emmetropes were tested at 0 D to 6 D accommodation stimulus levels in 2 D intervals. Data were fit by the Gaussian function, both when the fits were unforced or forced to pass through the sensitivity expected for the reference point. Directionality (ρ) and peak location values (xnormalmax) were determined for unforced and forced fits. Results Regression slopes for ρ as a function of accommodation stimulus were not significant. There was a tendency for xmax to shift temporally with increasing accommodation across the 6 D stimulus range. This was not significant for regression fitting (–0.059 mm/D, R2 = 0.06, p = 0.20), but a paired t‐test for 0 and 6 D stimuli showed a weakly significant change of 0.62 mm (p = 0.05). The differences between the two fitting approaches were small and non‐significant. Conclusions Directionality did not change with accommodation, but the pupil peak location showed a significant temporal shift of approximately 0.62 mm with 6 D accommodation stimulus. It is possible that substantial changes in the directionality and a shift in the direction of peak location might occur at very high levels of accommodation.