“…However, no evidence of a reciprocal relationship between the response AC/A and CA/C ratios was demonstrated, similar to the findings of Rosenfield (Rosenfield, Ciuffreda, & Chen, 1995). This inverse relationship adds to the body of evidence which suggests two separate neural mechanisms control the accommodative vergence cross-link and the vergence accommodation cross-link Owens, 1980;Rosenfield, Ciuffreda, & Chen, 1995;Semmlow & Hung, 1981;Wolf, Ciuffreda, & Jacobs, 1987). The lack of a reciprocal relationship between the AC/A and CA/C ratios means that measuring only the AC/A ratio, which is common in current clinical practice, does not give a true representation of both cross-link interactions.…”