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At least 37 records · Page 2Linked to original sources

[Reduction of asthenopia-related to accommodative relaxation].

PURPOSE: We investigated experimentally the effect of accommodative relaxation by outward shift stimuli for accommodation on asthenopia. METHODS: Twenty female students fixed on optical outward-shift stimuli at accommodation for 2 min immediately after 15 min of a sustained task on a 3-D display. Before and after the trial task and the outward shift stimuli, their accommodative step response was measured and their subjective symptoms were assessed. The outward shift stimuli in the optical system, which was set on a refractometer, were presented by moving the target scenery images from far to near and near to far repetitively a round both eyes' far point position. At the same time as the accommodation measurements, the changes of refraction were recorded from the same eye. RESULTS: While looking at the outward shift stimuli, the refraction of 9 out of 20 subjects showed an outward shift and that of the other 11 subjects shifted inward. The post-trial value of contraction (from far to near) time of accommodative step response in the inward-shift group was markedly prolonged, from 0.86 s to 0.97 s (p = 0.043), and the post-trial accommodative power at the far target was shifted outward; from +1.21 D to +1.13 D(p = 0.048). The subjective symptoms of "ocular fatigue", "eye heaviness" and "eye dryness" also increased after the is(p = 0.0035, p = 0.0038, p = 0.0162, respectively). In the outward-shift group, however, no statistical changes were found. CONCLUSION: From these results, we suggested that accommodative relaxation produced by outward shift stimuli at accommodation is effective in reducing of asthenopia following the deterioration of accommodative functions.

Accommodation, Ocular↗

[Convergence insufficiency and asthenopia].

22 cases with convergence insufficiency (CI) were presented here. It is found that there was an important relationship between CI and asthenopia. The causes clinical findings, diagnostic criteria, treatment of CI and relation with asthenopia were discussed.

Adolescent↗

[Asthenopia and monitor characteristics].

An epidemiological survey on 30,000VDT operators has been carried out to evaluate the relationship between asthenopia and monitor characteristics. A VDU operator has been classified as asthenopeic if he complained about at least two of the following ten symptoms: headache, tearing, eye smarting, blurred vision, double vision, ocular itching, photophobia, blinking, nausea, eye heaviness. Visual discomfort has been related to 1) the presence of flicker; the possibility to regulate, 2) brightness, 3) height; and 4) inclination of monitor. Asthenopia has resulted statistically correlated to the presence of flicker and to the impossibility of regulating height and inclination of monitor for both sexes. The possibility to regulate monitor brightness has not determined a reduction of visual discomfort either in men or in women.

Adult↗

[The 4-prism diopter base-in test in diagnosis of exophoria with asthenopia and compensation by accommodative convergence].

About 30% of our patients suffering from purely binocular asthenopia showed lower binocular than monocular visual acuity. Cover test examination revealed exophoria at near fixation, which could be regarded to be physiological. Furthermore, the Pola test as well as Graefe's prism diplopia test showed no pathological findings. When given 4 prism base-in, a better binocular acuity was achieved and exophoria at for distance fixation was revealed. Often the prisms base-in had to be increased slowly and an operative treatment was indicated in 80%. The test is described in detail and examples from typical case studies are demonstrated. The importance of the test for understanding asthenopia in cases with heterophoria is discussed.

Accommodation, Ocular↗

Restricted lees screen fields in patients with asthenopia, with and without psychogenic disorders.

Lees screen restrictions of non-specific origin, including apparent restrictions of the SR, IR, and LR muscles, were reported last year by Labow et al. In this complementary study, the authors examined eight apparently healthy subjects who had no history of ocular or psychiatric problems, eight psychiatric patients, and eight who had had a CNS disorder or had suffered cerebral trauma. Comparison of the Lees screen findings, visual fields, and accommodative defects of these patients revealed significant restriction of the Lees screen fields in only those patients who had symptoms of asthenopia (including all in the third group). Thus, such restriction does not depend on emotional state.

Adolescent↗

Effect of cumulative nearwork on accommodative facility and asthenopia.

PURPOSE: To investigate quantitatively in young adults the relationship between long-term cumulative nearwork, degradation of dynamic accommodative ability and the presence of asthenopic symptoms. METHODS: Subjects consisted of 87 young students and office workers between 18 and 31 years of age with uncorrected visual acuity of 20/30 or better in each eye. The amounts of nearwork, dynamic accommodative facility, and level of asthenopic symptoms were measured for each subject. RESULTS: Total cumulative nearwork time was negatively correlated with accommodative facility and positively correlated with the number of asthenopic symptoms. Furthermore, significant correlations were found between total nearwork time and blurred vision, and blurred vision and reduced accommodative facility. Moreover, the sub-category of "hours spent reading over the years" was found to be significantly correlated with decreased accommodative facility. CONCLUSIONS: The correlations suggest a relationship between cumulative amount of nearwork, decreased accommodative facility and asthenopia.

Accommodation, Ocular↗

Effect of subjective and objective workload on asthenopia at VDU workplaces.

An ergophthalmological tool has been developed to investigate effects of subjective and objective workload on work-related visual complaints (asthenopia). In field studies on different visual display unit (VDU) workplaces effects of objective and subjective workload, work intensity, and work breaks (5-9 min/hour) could be found. It could be shown that during the first hours of VDU work, asthenopic complaints have the tendency to follow effective workload. With increasing working time the effect of a general and visual fatigue overlaps other reported visual complaints in the majority of cases.

Asthenopia↗

Adaptation to prism-induced heterophoria in subjects with abnormal binocular vision or asthenopia.

In a previous study we investigated how normal subjects adapted to prism-induced heterophoria. In this study we have continued this work by investigating this phenomena in 15 patients with abnormal binocular vision and/or asthenopia. It was found that the majority of subjects lacked or had a deficient adaptation system to base-in and/or base-out prisms, but all except two subjects examined adapted normally to vertical prism. These results suggest that it may be possible to treat the horizontal adaptation system independently from the vertical one. Prism vergences, heterophoria measurements, and the presence of fixation disparity gave little indication of the adaptation ability of the subjects. Symptoms correlated well with adaptation ability.

Accommodation, Ocular↗

[Asthenopia and objective ophthalmological findings in a population of 2058 VDT operators in Lombardy].

A large population of 2058 VDT operators from all compartments in Lombardia of a large national company was studied. An "ergophthalmological" questionnaire was administered to all subjects, followed by an ophthalmological-orthoptic examination. Ametropias showed a prevalence of 51.9%; the most common refractive defect was myopia followed by astigmatism and hyperopia. Heterophorias with bad or mediocre compensation had a prevalence of 4.1 and 11% respectively. The study of symptoms showed a frequency of 23.5% of intense asthenopic complaints and 21.1% of less severe and less frequent symptomatology. Asthenopia was significantly correlated (chi square) with sex, VDT exposure, refraction, presbyopia, and decompensated heterophorias.

Adult↗

Bilateral striate cortex contusion presenting with cerebral asthenopia rather than cortical blindness.

We report a 22-year-old female with a history of contusion of bilateral occipital lobes at the age of 1 year. Magnetic resonance imaging confirmed severe lesion in bilateral striate cortices which should have resulted in cortical blindness. However, she displayed a fairly good visual function presenting only cerebral asthenopia and the restriction of the visual field. A positron emission tomography revealed that no areas other than the primary visual cortices responded to visual stimuli. Thus, her residual vision may be attributable to plasticity of the visual cortex in humans.

Adult↗