Prevalence of Accommodation Spasm in Children

International Journal of Medical Science
© 2023 by SSRG - IJMS Journal
Volume 10 Issue 6
Year of Publication : 2023
Authors : Walat Murad, Taym Darwish, Yusuf Suleiman
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Walat Murad, Taym Darwish, Yusuf Suleiman, "Prevalence of Accommodation Spasm in Children," SSRG International Journal of Medical Science, vol. 10,  no. 6, pp. 19-25, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I6P103

Abstract:

Objective: To study the prevalence of accommodation spasms in children. Methods: 450 patients (900 eyes) participated in the study, where a detailed medical history was taken, age and sex information was recorded, and after obtaining informed consent, a comprehensive ophthalmic examination was performed that included examination of visual ability corrected visual ability, measurement of worst refraction by Autorefractor device, in addition to examination using the slit lamp of the anterior sections of the eye and the fundus of the eye. It has done 1% cyclopentolate instillation into both eyes 3 times at an interval of 10 minutes and measurement of worst refraction 20 minutes after the third time with Autorefractor. Results: In this study, we found that 40.4% of the included patients had accommodation spasms and found statistically significant differences with regard to the occurrence of spasms in accommodation and sex; the incidence of spasms in accommodation was higher in the male group, and there was a statistically significant relationship between the incidence of Spasms in conformity and age Psychological stress and the use of smartphones and electronic games As the cases that had a spasm in conformity were between 10-18 years, and the cases in which convulsion occurred increased with the increase in psychological pressure and the increase in the use of smartphones and electronic games. Conclusion: Based on these results, we can propose Performing a Shell Conformity Test for Pediatric Patients because of the high prevalence of conformance spasms that may be caused by the nature of modern life.

Keywords:

Automatic refractometer, Accommodation shell, Cyclopentols, Conforming spasm.

References:

[1] Giacomo Savini et al., “Influence of Intraocular Lens Haptic Design on Refractive Error,” Journal of Cataract & Refractive Surgery, vol. 40, no. 9, pp. 1473-1478, 2014.
[CrossRef] [Google Scholar] [Publisher Link]
[2] Dimitri T. Azar, Basic and Clinical Sciences Course. Clinical optics. Section 3, American Academy of Ophthalmology 2019.
[Publisher Link]
[3] R.P. Rutstein, K.M. Daum, and J.F. Amos, ”Accommodative Spasm: A Study of 17 Cases,” Journal of the American Optometric Association, vol. 59, no. 7, pp. 527-538, 1988.
[Google Scholar] [Publisher Link]
[4] Savleen Kaur et al., “Diplopia after Excessive Smart Phone Usage,” Neuro-Ophthalmology, vol. 43, no. 5, pp. 323-326, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[5] K.M. Daum, “Accommodative Dysfunction,” Documenta Ophthalmologica, vol. 55, pp. 177-98, 1983.
[CrossRef] [Google Scholar] [Publisher Link]
[6] Ernst R. Tamm, and Elke Lütjen-Drecoll, “Ciliary Body, ” Microscopic Research & Technique, vol. 33, no. 5, pp. 390-439, 1996.
[CrossRef] [Google Scholar] [Publisher Link]
[7] Ernst R. Tamm et al., “Posterior Attachment of Ciliary Muscle in Young, Accommodating Old, Presbyopic Monkeys,” Investment of Ophthalmology and Vision Sciences, vol. 32, no. 5, pp. 1678-1692, 1991.
[CrossRef] [Google Scholar] [Publisher Link]
[8] José Ignacio Fernández-Vigo et al., “Diagnostic Imaging of the Ciliary Body: Technologies, Outcomes, and Future Perspectives,” European Journal of Ophthalmology, vol. 32, no. 1, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[9] J W Rohen, “Scanning Electron Microscopic Studies of the Zonular Apparatus in Human and Monkey Eyes,” Investigative Ophthalmology & Visual Science, vol. 18, no. 2, pp. 133-144, 1979.
[Google Scholar] [Publisher Link]
[10] Glasser Adrian et al., “Ultrasound Biomicroscopy of the Aging Rhesus Monkey Ciliary Region,” Optometry and Vision Science, vol. 78, no. 6, pp. 417-424, 2001.
[Google Scholar] [Publisher Link]
[11] Helga Kolb, Eduardo Fernandez, and Ralph Nelson, “Webvision: The Organization of the Retina and Visual System [Internet],” University of Utah Health Science Center, 1995.
[Google Scholar] [Publisher Link]
[12] Brian P. Danysh, and Melinda K. Duncan, “The Lens Capsule,” Experimental Eye Research, vol. 88, no. 2, pp. 151-164, 2009.
[CrossRef] [Google Scholar] [Publisher Link]
[13] Paul L. Kaufman et al., Adler's Physiology of the Eye, 10th ed., St. Louis: Mosby-Yearbook, 2002.
[Publisher Link]
[14] John F. Poyer, B'Ann T. Gabelt, and Paul L. Kaufman, “The Effect of Muscarinic Agonists and Selective Receptor Subtype Antagonists on the Contractile Response of the Isolated Rhesus Monkey Ciliary Muscle,” Experimental Eye Research, vol. 59, no. 6, pp. 729-736, 1994.
[CrossRef] [Google Scholar] [Publisher Link]
[15] Lee Ann Remington, Clinical Anatomy and Physiology of the Visual System, 3rd ed., Elsevier/Butterworth-Heinemann, pp. 1-292, 2012.
[Google Scholar] [Publisher Link]
[16] M.B. Wax, and P.B. Molinoff, “Distribution and Properties of Beta-Adrenergic Receptors in Human Iris-Ciliary Body,” Investigative Ophthalmology & Visual Science, vol. 28, no. 3, pp. 420-430, 1987.
[Google Scholar] [Publisher Link]
[17] D.G Fleming, and J.L. Hall, “Autonomic Innervation of the Ciliary Body: A Modified Theory of Accommodation,” American Journal of Ophthalmology, vol. 48, pp. 287-293, 1959.
[Google Scholar] [Publisher Link]
[18] M. Baumeister, and T Kohnen, “Accommodation and Presbyopia: Part 1: Physiology of Accommodation and Development of Presbyopia,” Der Ophthalmologe, vol. 105, no. 6, pp. 597-610, 2008.
[CrossRef] [Google Scholar] [Publisher Link]
[19] Bruce J. W. Evans, Pickwell's Binocular Vision Anomalies E-Book 6 th ed., Elsevier, 2021.
[Publisher Link]
[20] F.C. Donders, On the Anomalies of Accommodation and Refraction of the Eye : with a Preliminary Essay on Physiological Dioptrics, New Siddenham Society, London, 1864.
[Publisher Link]
[21] Alexander Duane, “Studies in Monocular and Binocular Accommodation with their Clinical Applications,” American Journal of Ophthalmology, vol. 5, no. 11, pp. 865-877, 1922.
[CrossRef] [Google Scholar] [Publisher Link]
[22] Mark E. Wilkinson, Essential Optics Review for the Boards, F.E.P. International, 2006.
[Google Scholar] [Publisher Link]
[23] William Harvey, and Andrew Franklin, Routine Eye Examination, Elsevier/Butterworth Heineman, pp. 1-152, 2005.
[CrossRef] [Google Scholar] [Publisher Link]
[24] Martin P. Koke, “Mechanism of Accommodation,” JAMA Ophthalmology, vol. 27, no. 5, pp. 950-968, 1942.
[CrossRef] [Publisher Link]
[25] Hermann von Helmholtz, and James P.C. Southall, Helmholtz's Treatise on Physiological Optics, New York: Dover, pp. 143-73, 1909.
[26] D. Jackson Coleman, “Unified Model for Accommodative Mechanism,” American Journal of Ophthalmology, vol. 69, no. 6, pp. 1063- 1079, 1970.
[CrossRef] [Publisher Link]
[27] DJ Coleman, “On the Hydraulic Suspension Theory of Accommodation,” Transactions of the American Ophthalmological Society, vol. 84, pp. 846-868, 1986.
[Google Scholar] [Publisher Link]
[28] D. Jackson Coleman, and Susan K Fish, “Presbyopia, Accommodation, and the Mature Catenary,” Ophthalmology, vol. 108, no. 9, pp. 1544-1551, 2001.
[CrossRef] [Google Scholar] [Publisher Link]
[29] R.F Fisher, “Is the Vitreous Necessary for Accommodation in Man?,” British Journal of Ophthalmology, vol. 67, no. 3, 1983.
[CrossRef] [Google Scholar] [Publisher Link]
[30] Laura Lindberg, “Spasm of Accommodation,” Duodecim, vol. 130, no. 2, pp. 168-173, 2014.
[Google Scholar] [Publisher Link]
[31] Padmaja Sankaridurg et al., “Comparison of Noncycloplegic and Cycloplegic Autorefraction in Categorizing Refractive Error Data in Children,” Journal of Acta Ophthalmology, vol. 95, no. 7, pp. e633–e640, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[32] TJ Zimmerman, and TM Wheeler, “Miotics: Side Effects and Ways to Avoid them,” Ophthalmology, vol. 89, no. 1, pp. 76-80, 1982.
[CrossRef] [Publisher Link]
[33] Rohit Shetty et al., “The Role of Aberrometry in Accommodative Spasm after Myopic Photorefractive Keratectomy,” Journal of Refractive Surgery, vol. 31, no. 12, pp. 851-853, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[34] R London, B Wick, and D Kirschen , “Post-Traumatic Pseudomyopia,” Optometry, vol. 74, no. 2, pp. 111-120, 2003.
[Google Scholar] [Publisher Link]
[35] A. Kawasaki1, and F.X Borruat, “Spasm of Accommodation in a Patient with Increased Intracranial Pressure and Pineal Cyst,” Klin Monbl Augenheilkd, vol. 222, no. 3, pp. 241-243, 2005.
[CrossRef] [Google Scholar] [Publisher Link]
[36] Hussaindeen Jameel Rizwana et al., “Acute Adult Onset Comitant Esotropia Associated with Accommodative Spasm,” Optometry and Vision Science, vol. 91, no. 4, pp. 46-51, 2014.
[CrossRef] [Google Scholar] [Publisher Link]
[37] Ozgun Melike Gedar Totuk, and Umit Aykan, “A New Treatment Option for the Resistant Spasm of Accommodation: Clear Lens Extraction and Multifocal Intraocular Lens Implantation,” International Journal of Ophthalmology, vol. 11, no. 1, pp. 172-74, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[38] Yuan Yuan Hu et al., “Effect of Cycloplegia on the Refractive Status of Children: The Shandong Children Eye Study,” Plos One, vol. 10, no. 2, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[39] Ian G. Morgan et al., “Cycloplegic Refraction is the Gold Standard for Epidemiological Studies,” Acta Ophthalmologica, vol. 93, no. 6, pp. 581-585, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[40] Joel S. Mindel, Chapter 26, Cholinergic pharmacology, Duane Foundation for Clinical Ophthalmology, vol. 3.
[Publisher Link]
[41] José De-Sola Gutiérrez, Rodríguez de Fonseca, and Gabriel Rubio, “Cell-Phone Addiction: A Review,” Frontiers in Psychiatry, vol. 7, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[42] Hyo Seok Lee, Sang Woo Park, and Hwan Heo, “Acute Acquired Comitant Esotropia Related to Excessive Smartphone Use,” BMC Ophthalmology, vol. 16, no. 37, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[43] R Wojciechowski, “Nature and Nurture: the Complex Genetics of Myopia and Refractive Error,” Clinical Genetics, vol. 79, no. 4, pp. 301-320 2011.
[CrossRef] [Google Scholar] [Publisher Link]
[44] Savleen Kaur et al., Diplopia after Excessive Smart Phone Usage, Neuro-Ophthalmology, vol. 43, no. 5, pp. 323-326, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[45] Sachitanand Singh, Kaushal Kishor Sah, and Rajeswari Kesavan, Prevalence of Adaptive Anomalies in Secondary School Children Aged 13 to 17 Years in Clinical Populations,” International Journal of Innovative Science and Research Technology, vol. 5, no. 3, 2020.
[Publisher Link]
[46] Hoy S. Shin, Sang C. Park, and Chun M. Park, “Relationship between Accommodative and Vergence Dysfunctions and Academic Achievement for Primary School Children,” Ophthalmic and Physiological Optics, vol. 29, no. 6, pp. 615-24 2009.
[CrossRef] [Google Scholar] [Publisher Link]
[47] M. Shiman et al., “Prevalence of Vision and Ocular Disease Conditions in a Clinical Pediatric Population,” J Am Optom Assoc, vol. 67, no. 4, pp. 193-202, 1996.
[Google Scholar] [Publisher Link]
[48] Rupali Preeti Sharma, Sourav Ghosh and Prem Kumar Singh, “Incidence of Accommodative Excess Reported at Binocular Vision Therapy clinic of a Tertiary Eye Care Centre Among School Children during Pandemic Lockdown,” Journal of Optometry and Ophthalmology, vol. 3, no. 1, pp. 1-11, 2022.[CrossRef] [Google Scholar] [Publisher Link]