Abstract
Introduction: Uncorrected refractive error contributes to the leading cause of moderate to severe visual impairment. Correction of refractive error in school children will make a dramatic improvement in educational potential and quality of life. We decided to screen college students to study the prevalence of the pattern of refractive error, look out for the newly detected cases and also see the effectiveness of school eye screening programme (SES).
Materials and Methods: A cross-sectional study was conducted in a Medical College. 193 randomly selected students, aged between 17 to 25 years were examined. Participant’s demographic details and history regarding previous eye checkup, use of glasses, frequency of its change and its power were recorded. Uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) were noted. The participants were subjected to non cycloplegic refraction. Refractive error measurements were recorded in sphere, negative cylinder, and cylinder axis format. In our study uncorrected refractive error was defined as people having vision 6/12 or worse, who could achieve a two line improvement in vision after refractive correction. Statistics were analysed using SPSS software version 20.
Results: 69.4% (134) of the participants had refractive error. 66.3% (128) of participants were myopic, 3.1% (6) had astigmatism. Five participants (2.6%) had uncorrected refractive error.
Conclusion: Myopia is the most prevalent refractive error. Continuation of screening for refractive error during admissions in college can complement to SES to reduce the magnitude of uncorrected refractive error.
Keywords: Myopia, Uncorrected refractive error, college students.
References
- Flaxman SR, Bourne RRA, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, et al. Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Glob Health. 2017 Dec 1;5(12):e1221–34.
- Dandona R, Dandona L, Naduvilath TJ, Srinivas M, McCarty CA, Rao GN. Refractive errors in an urban population in Southern India: the Andhra Pradesh Eye Disease Study. Invest Ophthalmol Vis Sci. 1999 Nov;40(12):2810–8.
- Varma R, Wu J, Chong K, Azen SP, Hays RD, Los Angeles Latino Eye Study Group. Impact of severity and bilaterality of visual impairment on health-related quality of life. Ophthalmology. 2006 Oct;113(10):1846–53.
- Saxena R, Vashist P, Tandon R, Pandey RM, Bhardawaj A, Menon V. Accuracy of visual assessment by school teachers in school eye screening program in Delhi. Indian J Community Med. 2015 Jan 1;40(1):38.
- Al-Rashidi SH, Albahouth AA, Althwini WA, Alsohibani AA, Alnughaymishi AA, Alsaeed AA, et al. Prevalence Refractive Errors among Medical Students of Qassim University, Saudi Arabia: Cross-Sectional Descriptive Study. Open Access Maced J Med Sci. 2018 May 19;6(5):940–3.
- Dey AK, Chaudhuri SK, Jana S, Ganguly P, Ghorai S, Sarkar A. Prevalence of Refractive Errors in Medical Students. -. Int J Health Sci Res IJHSR. 2014;4(8):98–102.
- Woo WW, Lim KA, Yang H, Lim XY, Liew F, Lee YS, et al. Refractive errors in medical students in Singapore. Singapore Med J. 2004 Oct;45(10):470–4.
- Goldblum D, Brugger A, Haselhoff A, Schmickler S. Longitudinal change of refraction over at least 5 years in 15,000 patients. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Klin Exp Ophthalmol. 2013 May;251(5):1431–6.
- Williams KM, Verhoeven VJM, Cumberland P, Bertelsen G, Wolfram C, Buitendijk GHS, et al. Prevalence of refractive error in Europe: the European Eye Epidemiology (E3) Consortium. Eur J Epidemiol. 2015;30(4):305–15.
- Jyothirmai DT, Meenakshi DV, Padmavathi DSV. A Study on Refractive Errors Among Medical Students Attending Ophthalmology Department. :5.
- Bourne RRA, Stevens GA, White RA, Smith JL, Flaxman SR, Price H, et al. Causes of vision loss worldwide, 1990-2010: a systematic analysis. Lancet Glob Health. 2013 Dec;1(6):e339-349.
- Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, et al. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology. 2016 May;123(5):1036–42.
- Myopia Stabilization and Associated Factors Among Participants in the Correction of Myopia Evaluation Trial (COMET). Invest Ophthalmol Vis Sci. 2013 Dec;54(13):7871–84.
- Sankaridurg P, Donovan L, Varnas S, Ho A, Chen X, Martinez A, et al. Spectacle lenses designed to reduce progression of myopia: 12-month results. Optom Vis Sci Off Publ Am AcadOptom. 2010 Sep;87(9):631–41.
- Aller TA. Clinical management of progressive myopia. Eye. 2014 Feb;28(2):147–53.
- Walline JJ, Greiner KL, McVey ME, Jones-Jordan LA. Multifocal contact lens myopia control. Optom Vis Sci Off Publ Am AcadOptom. 2013 Nov;90(11):1207–14.
- Rose KA, Morgan IG, Ip J, Kifley A, Huynh S, Smith W, et al. Outdoor activity reduces the prevalence of myopia in children. Ophthalmology. 2008 Aug;115(8):1279–85.
- Chia A, Chua W-H, Cheung Y-B, Wong W-L, Lingham A, Fong A, et al. Atropine for the treatment of childhood myopia: safety and efficacy of 0.5%, 0.1%, and 0.01% doses (Atropine for the Treatment of Myopia 2). Ophthalmology. 2012 Feb;119(2):347–54.
- Padhye AS, Khandekar R, Dharmadhikari S, Dole K, Gogate P, Deshpande M. Prevalence of Uncorrected Refractive Error and Other Eye Problems Among Urban and Rural School Children. Middle East Afr J Ophthalmol. 2009;16(2):69–74.
Corresponding Author
Dr Ramya Chelliah MS
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