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Frequency and associated factors of accommodation and non-strabismic binocular vision dysfunction among medical university students.
Cai, Jie; Fan, Wen-Wen; Zhong, Yun-Hui; Wen, Cai-Lan; Wei, Xiao-Dan; Wei, Wan-Chen; Xiang, Wan-Yan; Chen, Jin-Mao.
Afiliación
  • Cai J; Department of Ophthalmology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
  • Fan WW; Digital and Intelligent Technology Transformation and Application Research Institute of Visual Function, Tianjin 300000, China.
  • Zhong YH; Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
  • Wen CL; Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
  • Wei XD; Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
  • Wei WC; Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
  • Xiang WY; Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
  • Chen JM; Department of Ophthalmology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
Int J Ophthalmol ; 17(2): 374-379, 2024.
Article en En | MEDLINE | ID: mdl-38371255
ABSTRACT

AIM:

To investigate the frequency and associated factors of accommodation and non-strabismic binocular vision dysfunction among medical university students.

METHODS:

Totally 158 student volunteers underwent routine vision examination in the optometry clinic of Guangxi Medical University. Their data were used to identify the different types of accommodation and non-strabismic binocular vision dysfunction and to determine their frequency. Correlation analysis and logistic regression were used to examine the factors associated with these abnormalities.

RESULTS:

The results showed that 36.71% of the subjects had accommodation and non-strabismic binocular vision issues, with 8.86% being attributed to accommodation dysfunction and 27.85% to binocular abnormalities. Convergence insufficiency (CI) was the most common abnormality, accounting for 13.29%. Those with these abnormalities experienced higher levels of eyestrain (χ2=69.518, P<0.001). The linear correlations were observed between the difference of binocular spherical equivalent (SE) and the index of horizontal esotropia at a distance (r=0.231, P=0.004) and the asthenopia survey scale (ASS) score (r=0.346, P<0.001). Furthermore, the right eye's SE was inversely correlated with the convergence of positive and negative fusion images at close range (r=-0.321, P<0.001), the convergence of negative fusion images at close range (r=-0.294, P<0.001), the vergence facility (VF; r=-0.234, P=0.003), and the set of negative fusion images at far range (r=-0.237, P=0.003). Logistic regression analysis indicated that gender, age, and the difference in right and binocular SE did not influence the emergence of these abnormalities.

CONCLUSION:

Binocular vision abnormalities are more prevalent than accommodation dysfunction, with CI being the most frequent type. Greater binocular refractive disparity leads to more severe eyestrain symptoms.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: China

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: China