Significance of Prescribing Astigmatic Correction in Young Patients having Low Astigmatism with Near Vision Complaints

Astigmatic Correction in Young Patients having Low Astigmatism

Authors

  • Faisal Rashid Department of Ophthalmology, Services Institute of Medical sciences, Services Hospital, Lahore, Pakistan
  • Muhammad Ajmal Chaudhary Department of Ophthalmology, Sheikh Zayed Medical College/ Sheikh Zayed Hospital, Rahim Yar Khan, Pakistan
  • Nasrullah Khan Department of Ophthalmology, Services Institute of Medical sciences, Services Hospital, Lahore, Pakistan
  • Rana Naveed Iqbal Department of Ophthalmology, Services Institute of Medical sciences, Services Hospital, Lahore, Pakistan
  • Mustafa Khalid Waheed Lahore Medical & Dental College, Lahore, Pakistan
  • Asad Aslam Khan College of Ophthalmology & Allied Vision Sciences (COAVS), King Edward Medical University/Mayo Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i12.1197

Keywords:

Low Astigmatism, Near Vision, Eye Strain, Headache, Cylindrical Correction

Abstract

Astigmatism causes increased difficulty in reading performance like book reading, mobile usage and computer work. Objective: The primary objective was to find out the significance of prescribing astigmatic correction in young patients having low astigmatism with near vision complaints and secondary objective was to find out the most common type of astigmatism affecting near vision. Methods: This was a multicentered, prospective cohort study conducted from April 2022 to Sep 2022. A total of 64 subjects of both genders were selected through non-probability convenient sampling technique. Patients with age between 15-30 years having low astigmatism (0.25-0.75D) with near vision complaints were included. Any amount of astigmatism was corrected with appropriate glasses and subjects were asked for a follow up fortnightly. Follow up improvement in symptoms were recorded and compared with earlier complaints by applying chi square test using SPSS version 23.0. Results: A total of 64 subjects were enrolled in the study. The mean age of patients was 22.44 years including 27 (42%) males and 37 (58%) females. The most common symptom was Eye Strain found in 53 (83%) of the patients. Most common type of astigmatism was Against the Rule astigmatism. 62 (96%) patients improved to 6/6 in both eyes. On follow up, improvement in symptoms was noted and compared with symptoms before the usage of glasses. Conclusions: The study concluded that the treatment for near vision complaints in young patients is prescribing them with proper cylindrical / astigmatic correction in the form of eye glasses. 

References

Koroye-Egbe A, Ovenseri-Ogbomo G, Adio AO. Refractive error status in Bayelsa state, Nigeria. Nigerian Journal of Ophthalmology. 2010 Jul; 18(2): 57-61. doi: 10.4314/njo.v18i2.70764. DOI: https://doi.org/10.4314/njo.v18i2.70764

Pateras E. Prevalence of refractive errors amongst adults, located at the north suburbs of Athens-Greece. Health Science Journal. 2012 Jan; 6(1): 102.

Fricke TR, Holden BA, Wilson DA, Schlenther G, Naidoo KS, Resnikoff S, et al. Global cost of correcting vision impairment from uncorrected refractive error. Bulletin of the World Health Organization. 2012 Oct; 90: 728-38. doi: 10.2471/BLT.12.104034. DOI: https://doi.org/10.2471/BLT.12.104034

Yingyong P. Refractive errors survey in primary school children (6-12 year old) in 2 provinces: Bangkok and Nakhonpathom (one year result). Medical journal of the Medical Association of Thailand. 2010 Oct; 93(10): 1205.

Dandona R and Dandona L. Refractive error blindness. Bulletin of the World Health Organization. 2001 ; 79(3): 237-43.

Harris WF. Astigmatism. Ophthalmic and Physiological Optics. 2000 Jan; 20(1): 11-30. doi: 10.1016/S0275-5408(99)00040-X. DOI: https://doi.org/10.1016/S0275-5408(99)00040-X

American Academy of Ophthalmology Refractive Management/Intervention Panel. Preferred Practice Pattern® Guidelines. Refractive Errors & Refractive Surgery. San Francisco, CA: American Academy of Ophthalmology; 2007. [Last cited: 1st Jan 2024]. Available at: http://www.aao.org/ppp.

Abrams D. Duke-Elder's practice of refraction. Butterworth-Heinemann; 1998.

Wills J, Gillett R, Eastwell E, Abraham R, Coffey K, Webber A, et al. Effect of simulated astigmatic refractive error on reading performance in the young. Optometry and vision science. 2012 Mar; 89(3): 271-6. doi: 10.1097/OPX.0b013e3182429c6b. DOI: https://doi.org/10.1097/OPX.0b013e3182429c6b

Sheedy JE. The physiology of eyestrain. Journal of Modern Optics. 2007 Jun; 54(9): 1333-41. doi: 10.1080/09500340600855460. DOI: https://doi.org/10.1080/09500340600855460

Grosvenor Tand Grosvenor TP. Primary care optometry. Elsevier Health Sciences; 2007.

Feldman F and Cooper, J. Assessing the reliability and validity of an asthenopia questionnaire. American Optometric Association; 2014.

Sheedy JE, Hayes J, Engle AJ. Is all asthenopia the same?. Optometry and Vision Science. 2003 Nov; 80(11): 732-9. doi: 10.1097/00006324-200311000-00008. DOI: https://doi.org/10.1097/00006324-200311000-00008

SchaperoM, Cline D, Hofstetter HW. Dictionary of Visual Science, 4th ed. Butterworth-Heinemann; 1997.

Sheedy JE. Vision problems at video display terminals: a survey of optometrists. Journal of the American Optometric Association. 1992 Oct; 63(10): 687-92.

Nilsen E and Salibello C. Survey of US optometrists regarding prevalence and treatment of visual stress symptoms. Advances in Human Factors/Ergonomics. 1997 Aug: 663-6.

Guth SK. Prentice memorial lecture: the science of seeing—a search for criteria. Optometry and Vision Science. 1981 Oct; 58(10): 870-85. doi: 10.1097/00006324-198110000-00014. DOI: https://doi.org/10.1097/00006324-198110000-00014

Sheedy JE and Saladin JJ. Phoria, vergence, and fixation disparity in oculomotor problems. American Journal of Optometry and Physiological Optics. 1977 Jul 1; 54(7): 474-8. doi: 10.1097/00006324-197707000-00008. DOI: https://doi.org/10.1097/00006324-197707000-00008

Sheedy JE and Saladin JJ. Association of symptoms with measures of oculomotor deficiencies. American Journal of Optometry and Physiological Optics. 1978 Oct; 55(10): 670-6. doi: 10.1097/00006324-197810000-00002. DOI: https://doi.org/10.1097/00006324-197810000-00002

Grisham DJ. Visual therapy results for convergence insufficiency: a literature review. Optometry and Vision Science. 1988 Jun; 65(6): 448-54. doi: 10.1097/00006324-198806000-00004. DOI: https://doi.org/10.1097/00006324-198806000-00004

Hennessey D, Iosue RA, Rouse MW. Relation of symptoms to accommodative infacility of school-aged children. Optometry and Vision Science. 1984 Mar; 61(3): 177-83. doi: 10.1097/00006324-198403000-00005. DOI: https://doi.org/10.1097/00006324-198403000-00005

Levine S, Ciuffreda KJ, Selenow A, Flax N. Clinical assessment of accommodative facility in symptomatic and asymptomatic individuals. Journal of the American Optometric Association. 1985 Apr; 56(4): 286-90.

Jaschinski-Kruza W and Schweflinghaus W. Relations between dark accommodation and psychosomatic symptoms. Ophthalmic and Physiological Optics. 1992 Jan; 12: 103–5. doi: 10.1111/j.1475-1313.1992.tb00260.x. DOI: https://doi.org/10.1111/j.1475-1313.1992.tb00260.x

Wiggins NP and Daum KM. Visual discomfort and astigmatic refractive errors in VDT use. Journal of the American Optometric Association. 1991 Sep; 62(9): 680-4.

Wiggins NP, Daum KM, Snyder CA. Effects of residual astigmatism in contact lens wear on visual discomfort in VDT use. Journal of the American Optometric Association. 1992 Mar; 63(3): 177-81.

Bachman WG. Computer-specific spectacle lens design preference of presbyopic operators. Journal of Occupational Medicine. 1992 Oct; 34: 1023–7.

Butzon SP, Sheedy JE, Nilsen E. The efficacy of computer glasses in reduction of computer worker symptoms. Optometry (St. Louis, Mo.). 2002 Apr; 73(4): 221-30.

Sheedy JE and McCarthy M. Reading performance and visual comfort with scale to grey compared with black-and-white scanned print. Displays. 1994 Jan; 15(1): 27-30. doi: 10.1016/0141-9382(94)90040-X. DOI: https://doi.org/10.1016/0141-9382(94)90040-X

Sheedy JE, Kang JM, Ota WT. Vertical eye gaze position: effect on task performance and visual comfort. Diagnosing and treating computer-related vision problems. Boston: Butterworth-Heinemann. 2002: 190.

Wilkins AJ, Nimmo-Smith I, Slater AI, Bedocs L. Fluorescent lighting, headaches and eyestrain. Lighting Research & Technology. 1989 Mar; 21(1): 11-8. doi: 10.1177/096032718902100102. DOI: https://doi.org/10.1177/096032718902100102

Toda I, Fujishima H, Tsubota K. Ocular fatigue is the major symptom of dry eye. Acta Ophthalmologica. 1993 Jun; 71(3): 347-52. doi: 10.1111/j.1755-3768.1993.tb07146.x. DOI: https://doi.org/10.1111/j.1755-3768.1993.tb07146.x

Robaei D, Rose K, Kifley A, Mitchell P. Patterns of spectacle use in young Australian school children: findings from a population-based study. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2005 Dec; 9(6): 579-83. doi: 10.1016/j.jaapos.2005.07.005. DOI: https://doi.org/10.1016/j.jaapos.2005.07.005

He M, Huang W, Zheng Y, Huang L, Ellwein LB. Refractive error and visual impairment in school children in rural southern China. Ophthalmology. 2007 Feb; 114(2): 374-82. doi: 10.1016/j.ophtha.2006.08.020. DOI: https://doi.org/10.1016/j.ophtha.2006.08.020

Fuller JR, Baxter LA, Harun S, Levy IS. Astigmatism in Bangladeshi and white school entrants in East London: a prospective comparative study. Eye. 1995 Nov; 9(6): 794-6. doi: 10.1038/eye.1995.196. DOI: https://doi.org/10.1038/eye.1995.196

Garber JM. High corneal astigmatism in Navajo school children and its effect on classroom performance. Journal of the American Optometric Association. 1981 Jul; 52(7): 583-6.

Shih YF, Hsiao CK, Tung YL, LIN LL, Chen CJ, Hung T. The prevalence of astigmatism in Taiwan schoolchildren. Optometry and Vision Science. 2004 Feb; 81(2): 94-8. doi: 10.1097/00006324-200402000-00007. DOI: https://doi.org/10.1097/00006324-200402000-00007

He M, Zeng J, Liu Y, Xu J, Pokharel GP, Ellwein LB. Refractive error and visual impairment in urban children in southern China. Investigative Ophthalmology & Visual Science. 2004 Mar; 45(3): 793-9. doi: 10.1167/iovs.03-1051. DOI: https://doi.org/10.1167/iovs.03-1051

Robaei D, Rose K, Ojaimi E, Kifley A, Huynh S, Mitchell P. Visual acuity and the causes of visual loss in a population-based sample of 6-year-old Australian children. Ophthalmology. 2005 Jul; 112(7): 1275-82. doi: 10.1016/j.ophtha.2005.01.052. DOI: https://doi.org/10.1016/j.ophtha.2005.01.052

Wolffsohn JS, Bhogal G, Shah S. Effect of uncorrected astigmatism on vision. Journal of Cataract & Refractive Surgery. 2011 Mar; 37(3): 454-60. doi: 10.1016/j.jcrs.2010.09.022. DOI: https://doi.org/10.1016/j.jcrs.2010.09.022

Rosenfield M, Hue JE, Huang RR, Bababekova Y. The effects of induced oblique astigmatism on symptoms and reading performance while viewing a computer screen. Ophthalmic and Physiological Optics. 2012 Mar; 32(2): 142-8. doi: 10.1111/j.1475-1313.2011.00887.x. DOI: https://doi.org/10.1111/j.1475-1313.2011.00887.x

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Published

2023-12-31
CITATION
DOI: 10.54393/pjhs.v4i12.1197
Published: 2023-12-31

How to Cite

Rashid, F., Chaudhary, M. A., Khan, N., Iqbal, R. N., Waheed, M. K., & Khan, A. A. (2023). Significance of Prescribing Astigmatic Correction in Young Patients having Low Astigmatism with Near Vision Complaints : Astigmatic Correction in Young Patients having Low Astigmatism. Pakistan Journal of Health Sciences, 4(12), 99–104. https://doi.org/10.54393/pjhs.v4i12.1197

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