Shifts in tonic accommodation after near work are related to refractive errors in children

1995 ◽  
Vol 15 (2) ◽  
pp. 93-97 ◽  
Author(s):  
Jane Gwiazda ◽  
Joseph Bauer ◽  
Frank Thorn ◽  
Richard Held
2021 ◽  
Vol 14 (1) ◽  
pp. 23
Author(s):  
Waleed M. Alghamdi ◽  
Muhammed S. Alluwimi ◽  
Sulaiman A. Aldakhil ◽  
Majid A. Moafa ◽  
Mansour A. Alghamdi

It has been reported that refractive errors (RE) and binocular vision (BV) anomalies are common among university students. In this study we aimed to assess RE and BV status among university students in Saudi Arabia, and its relation to the academic performance. We recruited 109 participants (aged from 18 to 21 years). Visual acuity (VA) and objective refraction were used to assess the refractive status. Cover test, near-point convergence (NPC) and stereopsis tests were used to assess the BV status. Convergence insufficiency symptom survey (CISS) was applied to quantify near-work related symptoms. Mann-Whitney U test (p value was set as p < 0.05) was used to compare VA, CISS, NPC and the academic performance between the groups who had heterophoria versus orthophoria. We found that there was only 38% emmetrope, while the percentage of heterophoria was 45.8%. The academic performance was not statistically different among the two groups, but CISS and stereopsis scores were significantly different (p < 0.03). We concluded that RE and BV anomalies were common among university students in Saudi Arabia, but did not affect the academic performance. More studies are warranted to understand the low scores of CISS and stereoacuity, and their association with RE and BV anomalies.


1970 ◽  
Vol 3 (2) ◽  
pp. 146-150 ◽  
Author(s):  
R Maheshwari ◽  
RR Sukul ◽  
Y Gupta ◽  
M Gupta ◽  
A Phougat ◽  
...  

Aim: To study accommodation in relation to different refractive errors, amblyopia and to measure the anatomical changes in the accommodating eye Materials and methods: We studied the amplitude of accommodation (AA) in 150 patients in the age group 11 – 30 years which included emmetropes, myopes, hypermetropes and hypermetropic amblyopes using the Royal Air Force (RAF) rule. The anterior chamber depth (ACD), axial length (AxL) and lens thickness (LT) changes during accommodation were measured using an A-scan. Myopes and hypermetropes were further divided based on the amount of refractive error : < 2D, 2 -4D and > 4D. Results: Corrected low myopes had the highest accommodation amplitude (p < 0.05) followed by emmetropes. Corrected hypermetropes were found to have the lowest amplitude of accommodation (p < 0.05). The amblyopic eye had a significantly low AA compared to the non-amblyopic eye (p < 0.05). ACD decreased (p < 0.05) and LT increased (p < 0.05) during accommodation. The AxL increase was maximum in myopes (p < 0.05) followed by hypermetropes but the change was not significant in hypermetropes (p > 0.05). Conclusion: The amblyopic eye has low amplitudes of accommodation proving the benefit of near adds in amblyopic patients. Prolonged near work might induce myopia in susceptible eyes by increasing the axial length. Key words: accommodation, refractive error, amblyopia, biometric changes DOI: http://dx.doi.org/10.3126/nepjoph.v3i2.5267 Nepal J Ophthalmol 2011; 3(2): 146-150


1987 ◽  
Vol 7 (2) ◽  
pp. 131-135 ◽  
Author(s):  
Karen S. Wolf ◽  
Kenneth J. Ciuffreda ◽  
Steven E. Jacobs

Author(s):  
Fedor Ermolyuk

Keratoconus is a dystrophic disease of the cornea, when it is thinned with the formation of a conus-like protrusion (protrusion of the cornea). This disease belongs to the group of keratectasia, it has a multifactorial nature and occurs in approximately 25 % of all corneal pathologies. The disease can be either primary, which is based on dystrophic changes in the cornea, or secondary, which develops against the background of prenatal keratitis. Keratoconus of iatrogenic origin, which develops as a result of refractive eye microsurgery, has become widespread during the last 20 years. Most often primary keratoconus manifests during puberty, progresses to 30–40 years, after which its development slows down. An early clinical manifestation of this corneal pathology is a progressive decrease in visual acuity, development of double vision (binocular diplopia) with the development of a strong headache against this background. Monocular polyopia — images and symbols with multiple contours — develops subsequently. Severe dry eyes, itching, photophobia appear in advanced stages. Diagnosis of keratoconus in some cases can be a significant difficulty, since the use of conventional research methods only allow to suspect refractive errors in the form of myopia or astigmatism. It is necessary to take into account the impossibility of correcting visual impairment using conventional methods — glasses or contact lenses — to make correct diagnosis. As a rule, diagnosis of keratoconus requires use of expanded spectrum of instrumental research methods.


Author(s):  
Olga Lemzyakova

Refraction of the eye means its ability to bend (refract) light in its own optical system. In a normal state, which is called emmetropia, light rays passing through the optical system of the eye focus on the retina, from where the impulse is transmitted to the visual cortex of the brain and is analyzed there. A person sees equally well both in the distance and near in this situation. However, very often, refractive errors develop as a result of various types of influences. Myopia, or short-sightedness, occurs when the light rays are focused in front of the retina as a result of passing through the optical system of the eye. In this case, a person will clearly distinguish close objects and have difficulties in seeing distant objects. On the opposite side is development of farsightedness (hypermetropia), in which the focusing of light rays occurs behind the retina — such a person sees distant objects clearly, but outlines of closer objects are out of focus. Near vision impairment in old age is a natural process called presbyopia, it develops due to the lens thickening. Both myopia and hypermetropia can have different degrees of severity. The variant, when different refractive errors are observed in different eyes, is called anisometropia. In the same case, if different types of refraction are observed in the same eye, it is astigmatism, and most often it is a congenital pathology. Almost all of the above mentioned refractive errors require correction with spectacles or use of contact lenses. Recently, people are increasingly resorting to the methods of surgical vision correction.


2018 ◽  
Vol 44 (1) ◽  
pp. 30
Author(s):  
Ni Made Ari Suryathi ◽  
I Putu Budhiastra ◽  
Ariesanti Tri Handayani

Introduction and Aims. Refractive errors such as miopia, hyperopia and astigmatism in teenagers are common in Asian country nowadays. Gadget usage also influence the prevalence and incidence of refractive errors specially for miopia and astigmatism. Outdoor activities have positive impact to prevent miopia. The aim of this study is to report the role of outdoor activities as unique school program that could prevent refractive errors in Junior High School in rural area of Bali Method. This is analytic descriptive study with cross sectional approach of 231 Pekutatan II Junior High School students taken in December 2016. This school located in rural area; 35,3 km from Jembarana and 60,5 km from Denpasar, the capital city of Bali. The area of the school is about 1500 m2, where 70% of the land are still vacant to natural habitat and this school had their own garden area that being organized by the students themselves after school hours. This school do not have computer extra curriculum as well. Result. From 231 students there were only 14 students that have refractive errors consist of 5 boys and 9 girls, mostly aged 15 years. Six students (2%) were diagnosed as myopia and 8 students (3.4%) were diagnosed as compound astigmatism myopia. The length of gadget usage in this school were 1.66 hours and outdoor activities time were 4.78 hours per day. The hereditary factors of refractive errors were noted in 12 students (5 %). Outdoor activities associated with refractive errors in this study (p = 0.03). While time using gadget does not have an association with the refractive errors (p = 0.38). Conclusion. Rural area where the outdoor activities are still common have protective effect to prevalence of refractive errors in teenager.


2017 ◽  
Vol 5 (3) ◽  
pp. 554-557
Author(s):  
Dr.R.Priyadarsini M.D ◽  
◽  
Dr.K.Kanchana M.D ◽  
Dr.P.Shanmugapriya M.D ◽  
Dr.Malaiarasi M.D.

2017 ◽  
Vol 21 (3) ◽  
pp. 177-183
Author(s):  
Eman Morad ◽  
Mohamed Abd_ Elateef ◽  
Mohammad Mousa ◽  
Ismael Abdelatif

2021 ◽  
pp. 1-7
Author(s):  
Salam Chettian Kandi ◽  
Hayat Ahmad Khan

<b><i>Introduction:</i></b> Uncorrected refractive errors and amblyopia pose a major problem affecting schoolchildren. We had previously observed that many schoolchildren in the Hatta region presented to the ophthalmology clinic with uncorrected refractive errors and amblyopia, which led us to undertake this research. As per the WHO, the term “visual impairment” can be “low vision” or “blindness.” Based on the presenting vision, “low vision” is defined for children who have vision of &#x3c;6/18 to 3/60 or having visual field loss to &#x3c;20° in the better-seeing eye. Children defined to have “blindness” have presenting vision of &#x3c;3/60 or corresponding visual field of &#x3c;10°. <b><i>Purpose:</i></b> To estimate the magnitude of uncorrected refractive errors and amblyopia among the schoolchildren aged 6–19 years and to assess the efficacy of school-based refractive error screening programs in the Hatta region of the United Arab Emirates. <b><i>Methods:</i></b> An epidemiological, cross-sectional, descriptive study was conducted on the entire student population studying in the government schools of the region. Those who failed the Snellen visual acuity chart test and those who were wearing spectacles were evaluated comprehensively by the researcher in the Department of Ophthalmology of the Hatta Hospital. Data were entered in the Refractive Error Study in School Children (RESC) eye examination form recommended by the WHO, and were later transferred to Excel sheets and analyzed by SPSS. <b><i>Results:</i></b> 1,591 students were screened and evaluated from the end of 2016 to mid-2017. About 21.37% (<i>n</i> = 340) had impaired vision with 20.9% (<i>n</i> = 333) refractive errors, of which 58% were uncorrected. Among the refractive error group, 19% (64 subjects) had amblyopia (4% of total students). The incidence of low vision was 9.5% and blindness was 0.38%. Low vision was found to be 9.5% and blindness 0.38%, taking in to account presenting visual acuity rather than best-corrected visual acuity for defining low vision and blindness. <b><i>Conclusion:</i></b> A significant number of students were detected to have uncorrected refractive errors among the vision impaired group (59%, <i>n</i> = 197) despite a school-based vision screening program in place. Seventy-eight percent of the amblyopia cases (<i>n</i> = 50) were found to be in the 11–19 years age group. Noncompliance with optical corrections was the reason for the high number of cases. A rigorous vision screening program and refractive services, complimented with awareness among parents and teachers, are recommended.


Sign in / Sign up

Export Citation Format

Share Document