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  • Determination of accommodative lag or lead is an important test in the clinical evaluation of accommodation, vergence, and overall visual function, 11 and a slight lag of +0.33 D is considered to be normal. 6 Accommodative lead is a hallmark finding in the diagnosis of accommodative excess 12???14 and is associated with exophoria and other accommodative and binocular dysfunctions. 10,12,14???17 A
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