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       XXIX Annual Congress of the Iranian Society of Ophthalmology        بـیــست و نهمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Near Points of Convergence and Accommodation in a Population of University Students in Iran
Author(s): Hassan Hashemi, MD; Mojgan Pakbin, MS; Babak Ali, MS; Abbasali Yekta, PhD Hadi Ostadimoghaddam, PhD; Amir Asharlous, PhD; Mohammadreza Aghamirsalim, MD Mehdi Khabazkhoob, PhD
Presentation Type: Oral
Subject: Strabismus & Neuro-ophthalmology
Others:
Presenting Author:
Name: Mojgan Pakbin
Affiliation :(optional) 1- Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran. 2- Research and Technology Deputy, Tehran University of Medical Sciences, Tehran, Iran.
E mail: mpopto@yahoo.com
Phone:
Mobile: 09126127265
Purpose:

To determine the distribution of near point of convergence (NPC) and near point of accommodation (NPA) in a young student population in Iran.

Methods:

The subjects were selected using a cluster sampling method. All students underwent optometry tests, including visual acuity measurement, refraction, and cover test, as well as ophthalmic examinations. The NPC and NPA were measured using an accommodative target (near Snellen chart).

Results:

Of 1,595 students, the data of 1,357 were analyzed. The mean NPC and NPA in the total sample were 7.25 cm (95% confidence interval [CI], 7.02 to 7.48) and 9.99 cm (95% CI, 9.69 to 10.29), respectively. Older age was associated with an increase in the NPC, which increased from 6.98 cm in 18–20 years olds to 9.51 cm in those over 30 years. The NPA was significantly associated with age and refractive errors in the multiple linear regression model, increasing from 9.92 cm in 18–20 years olds to 11.44 cm in those over 30 years (?? = 0.003). Hyperopic eyes had lower NPA than myopic and emmetropic eyes (?? = 0.001). In younger age groups, the mean accommodation amplitude was lower than the mean Hofstetter value. Moreover, with age, especially after 30 years, the mean values surpassed those determined using the Hofstetter formula.

Conclusion:

The NPC values in this study were lower than those previously reported for identical age groups. The Hofstetter formula is not always an accurate predictor of the accommodation amplitude in the Iranian adult population.

Attachment:





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