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Decreased AA was defined as more than 2D below the minimum expected amplitude for age (15 \u2013 \u00bc age); those with AA\u00a0&lt;\u00a05\u00a0D were excluded. Decreased AF was defined as &lt;6 cycles per minute. Mean near point of convergence (NPC), near positive fusional vergence (PFV) and symptoms (CISS) were compared between those with and without accommodative dysfunction using analysis of variance and independent samples t\u2010testing. Logistic regression was used to compare the effect of baseline accommodative function on treatment success [defined using a composite of improvements in: (1) clinical convergence measures and symptoms (NPC, PFV and CISS scores) or (2) solely convergence measures (NPC and PFV)].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Accommodative dysfunction was common in children with symptomatic CI (55% had decreased AA; 34% had decreased AF). NPC was significantly worse in those with decreased AA (mean difference\u00a0=\u00a06.1\u00a0cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Mean baseline CISS scores were slightly worse in children with coexisting accommodative dysfunction (decreased AA or AF) (30.2 points) than those with normal accommodation (26.9 points) (mean difference\u00a0=\u00a03.3 points;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Neither baseline accommodative function (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2265\u00a00.12 for all) nor interaction of baseline accommodative function and treatment (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2265\u00a00.50) were related to treatment success based on the two composite outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A coexisting accommodative dysfunction in children with symptomatic CI is associated with worse NPC, but it does not impact the severity of symptoms in a clinically meaningful way. Concurrent accommodative dysfunction does not impact treatment response for CI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.12911","type":"journal-article","created":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T06:31:40Z","timestamp":1635921100000},"page":"59-70","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Does coexisting accommodative dysfunction impact clinical convergence measures, symptoms and treatment success for symptomatic convergence insufficiency in children?"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0486-6998","authenticated-orcid":false,"given":"Marjean T","family":"Kulp","sequence":"first","affiliation":[{"name":"College of Optometry The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loraine T","family":"Sinnott","sequence":"additional","affiliation":[{"name":"College of Optometry The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8402-0521","authenticated-orcid":false,"given":"Susan A","family":"Cotter","sequence":"additional","affiliation":[{"name":"Southern California College of Optometry Marshall B. Ketchum University Fullerton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Borsting","sequence":"additional","affiliation":[{"name":"Southern California College of Optometry Marshall B. Ketchum University Fullerton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew\u00a0J","family":"Toole","sequence":"additional","affiliation":[{"name":"College of Optometry The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1227-5672","authenticated-orcid":false,"given":"Angela M","family":"Chen","sequence":"additional","affiliation":[{"name":"Southern California College of Optometry Marshall B. Ketchum University Fullerton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin C","family":"Jenewein","sequence":"additional","affiliation":[{"name":"Pennsylvania College of Optometry Salus University Elkins Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann M","family":"Morrison","sequence":"additional","affiliation":[{"name":"College of Optometry The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen\u00a0D","family":"Plaumann","sequence":"additional","affiliation":[{"name":"College of Optometry The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Jones\u2010Jordan","sequence":"additional","affiliation":[{"name":"College of Optometry The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G 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