Accommodative facility in myopes and non-myopes at Mechi Netra 9Eye Hospital) at Japa district, Eastern Nepal

Mechi Netralaya and Ophthalmic Research Center

Accommodative facility in myopes and non-myopes at Mechi Netra 9Eye Hospital) at Japa district, Eastern Nepal - Jhapa; Mechi Netralaya and Ophthalmic Research Center; a2019 - 25p.

Objective:
Many studies have shown that the myopes have abnormal accommodative characteristics. This study aimed at measuring the accommodative facility of myopes and non-myopes and compare between them.
Method:
Distance and near accommodative facility in cycles per minute(cpm) were measured using ±2 D flippers. 100 patients (50 myopes and 50 non-myopes) aged between 15-25 years were taken as the research participants visited in OPD of Mechi Netralaya and Ophthalmic Research Centre, of Mechinagar-6, Jhapa. Only the right eye data was considered for the analysis. Difference between the groups were analyzed with the ANOVA (Brown-Forsythe F Test).
Findings:
This Mean distance facility was significantly lower (5.3 ± 2.8 cpm) in the myopic group compared with the mean distance facility in the non-myopic group (8.7 ± 3.1 cpm). Mean near facility was also significantly lower (4.3 ± 1.8 cpm) in the myopic group compared with the mean near facility in the non-myopic group (6.6 ± 2.4 cpm). But, both distance and near Accommodative facility was not significantly different among the age groups. The area under the receiver operating characteristics (ROC curve) for distance facility was 0.784 (P <0.001, 95% CI, 0.696–0.87), suggesting that distance cpm had only a fair ability to discriminate between myopic and non-myopic eyes. Hence, the accommodative facility cannot be used as a stand-alone discriminatory test to predict myopia.
Conclusions:
There was no any difference in the accommodative facility between age group. Myopic eyes have reduced accommodation facility at both distance and near. However, accommodative facility as a test does not have sufficient power to distinguish eyes with myopes and non-myopes of age between 15-25 years.


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