Display options
Share it on

J Ophthalmol. 2016;2016:6963976. doi: 10.1155/2016/6963976. Epub 2016 Jul 20.

Convergence Insufficiency, Accommodative Insufficiency, Visual Symptoms, and Astigmatism in Tohono O'odham Students.

Journal of ophthalmology

Amy L Davis, Erin M Harvey, J Daniel Twelker, Joseph M Miller, Tina Leonard-Green, Irene Campus

Affiliations

  1. Department of Ophthalmology and Vision Science, The University of Arizona, Tucson, AZ 85711, USA.
  2. Department of Ophthalmology and Vision Science, The University of Arizona, Tucson, AZ 85711, USA; Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA.
  3. Department of Ophthalmology and Vision Science, The University of Arizona, Tucson, AZ 85711, USA; Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA; College of Optical Sciences, The University of Arizona, Tucson, AZ 85721, USA.

PMID: 27525112 PMCID: PMC4971328 DOI: 10.1155/2016/6963976

Abstract

Purpose. To determine rate of convergence insufficiency (CI) and accommodative insufficiency (AI) and assess the relation between CI, AI, visual symptoms, and astigmatism in school-age children. Methods. 3rd-8th-grade students completed the Convergence Insufficiency Symptom Survey (CISS) and binocular vision testing with correction if prescribed. Students were categorized by astigmatism magnitude (no/low: <1.00 D, moderate: 1.00 D to <3.00 D, and high: ≥3.00 D), presence/absence of clinical signs of CI and AI, and presence of symptoms. Analyses determine rate of clinical CI and AI and symptomatic CI and AI and assessed the relation between CI, AI, visual symptoms, and astigmatism. Results. In the sample of 484 students (11.67 ± 1.81 years of age), rate of symptomatic CI was 6.2% and symptomatic AI 18.2%. AI was more common in students with CI than without CI. Students with AI only (p = 0.02) and with CI and AI (p = 0.001) had higher symptom scores than students with neither CI nor AI. Moderate and high astigmats were not at increased risk for CI or AI. Conclusions. With-the-rule astigmats are not at increased risk for CI or AI. High comorbidity rates of CI and AI and higher symptoms scores with AI suggest that research is needed to determine symptomatology specific to CI.

References

  1. Optom Vis Sci. 2003 Dec;80(12):832-8 - PubMed
  2. Optom Vis Sci. 2006 May;83(5):281-9 - PubMed
  3. Optom Vis Sci. 1995 Apr;72(4):224-32 - PubMed
  4. Optom Vis Sci. 2006 Apr;83(4):206-12 - PubMed
  5. Optom Vis Sci. 1999 Sep;76(9):643-9 - PubMed
  6. Optometry. 2012 Apr 30;83(4):137-58 - PubMed
  7. Optometry. 2003 Jan;74(1):25-34 - PubMed
  8. J Ophthalmol. 2015;2015:895803 - PubMed
  9. J Optom. 2016 Oct-Dec;9(4):246-57 - PubMed
  10. Ophthalmic Epidemiol. 2008 Jan-Feb;15(1):24-36 - PubMed
  11. J Optom. 2014 Oct-Dec;7(4):178-92 - PubMed
  12. Invest Ophthalmol Vis Sci. 2014 Aug 07;55(8):5420-30 - PubMed

Publication Types

Grant support