Accommodative Status in Amblyopes and Its Effect on Quality of Life

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(A), Issue. (1), January
First page: (363) Last page: (372)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Accommodative Status in Amblyopes and Its Effect on Quality of Life
Aloe Gupta1*, Ria Fulwani2,  Nitin Trivedi3
1M. Optom ,FIACLE, Sr. Lecturer, Nagar School of Optometry, Shri C.H. Nagri Municipal Eye Hospital, Ahmedabad
2M. Optom., Nagar School of Optometry, Shri C.H. Nagri Municipal Eye Hospital, Ahmedabad
3M.S. Ophthal, Avataran Eye Hospital, Ex professor Shri C.H. Nagri Municipal Eye Hospital, NHL Medical College, Ahmedabad
(Corresponding author*) email id:aloegupta@gmail.com*

Online Published on 02-Jan-2019

ABSTRACT

PURPOSE: The purpose of this study is to assess accommodative status in amblyopic subjects and its effect on quality of life.METHOD: A cross sectional non randomized study was performed at tertiary eye care hospital. Study was carried out in five stages starting from collection of demographic data, anterior and posterior segment evaluation followed by cycloplegic refraction of selected amblyopes. Lag of accommodation was measured post adaptation, via monocular estimation method (MEM). ASQE questionnaire was filled up by amblyopic subjects or their parents. In the final stage control subjects were evaluated in similar manner, their lag of accommodation was measured and ASQE questionnaire was been filled up by subjects. Statistical analysis was performed using SPSS software.RESULTS: Total of 91 subjects diagnosed with amblyopia was enrolled in study between 3 to 21 years of age with a mean value of 9.6 ± 4 years. Best corrected Visual acuity in amblyopic eye was in range of 1.77 to 0.30 log unit, while in better or good eye visual acuity was in range of 0.00 to 0.17 Mean value of MEM retinoscopy for amblyopes was found out to be lag of OD :+1.32 ±0.59 D and OS +1.34 ±0.57 D , while that of control subjects was OD: +0.71 ±0.21 D , OS: 0.69±0.24 D. Paired t-test compares lag of accommodation obtained in amblyopes to that of normal subjects .p value was found to be significant i.e. less than 0.001.For amblyopes R2 value came to be 2.6% while on the other hand R2 value for controls was 87%.ASQE scoring for amblyopes was between range of 29 to 49 ,score for near work domain was 9.51 (mean of 1.58) for amblyopes , 6.78 (mean of 1.13)for controls.CONCLUSION: Accommodative response in amblyopic subjects was affected as well as their quality of life as compared to controls. Lag of accommodation directly correlates with the near domain of quality of life score in amblyopes.

Keywords

amblyopic,posterior segment,monocular estimation method,ASQE

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