Purpose. To investigate the effect of target chart contours and the se
verity of astigmatism on accommodation in astigmatic eyes. Methods. Th
e accommodative responses of 30 subjects were measured with an automat
ed refractometer (Canon RK-1) using star pattern and bar pattern targe
ts. Results. The mean accommodative response was greatest when the bar
pattern was parallel to the stronger principal meridian of the eye, f
ollowed by the star pattern and the bar pattern parallel to the weaker
meridian on both meridians. Similar results were obtained in subjects
with astigmatism greater or less than 1.25 D. The mean slopes of AR/A
S plots decreased in the same order as the accommodative response and
the change was significant in subjects with astigmatism exceeding 1.25
D. In addition, about one-third of the subjects showed a consistent d
ecrease in astigmatism with accommodation. Conclusions. These results
indicate that the type of target chart and the severity of astigmatism
influence the accommodative response.