Association between Refractive Error Types and Asthenopia in Primary School Students

Vanessa Kuswanto, Felicia Kurniawan, Angela Shinta Dewi Amita

Abstract


Refractive error is a condition in which the cornea and lens fail to focus the light, resulting in reduced visual efficiency. Twelve million children are experiencing refractive errors worldwide and uncorrected refractive errors in children have been reported to cause asthenopia. This study aimed to determine the association between the types of refractive errors and asthenopia in children. This cross-sectional study was conducted on 111 students aged 10-13 years old in a public elementary school in Indonesia, SDN Penjaringan 10, in 2019. A questionnaire was used to assess asthenopia and the Snellen Chart, trial frames, and trial lenses were used for refractive errors examination. It was demonstrated that 87.4% of respondents experienced asthenopia, and 53.2% of respondents suffered from uncorrected refractive errors, mostly due to myopia. Fisher’s exact test results showed an association between refractive errors and asthenopia (p=0.019) with all myopic students experienced asthenopia. However, there was no significant association between astigmatism and asthenopia (p=0.754). In conclusion, not all types of refractive errors are associated with asthenopia.


Keywords


Asthenopia, refractive error, Primary School Students

Full Text:

PDF

References


Fauzi L. Skrining kelainan refraksi mata pada siswa sekolah dasar menurut tanda dan gejala. Journal Health Education. 2016;1(1):78–84

Amalia T. Prevalensi dan penyebab kelainan refraksi pada anak usia sekolah di Sekolah Dasar Muhammadiyah 16 Palembang [Thesis]. Palembang: Repository Universitas Muhammadiyah Palembang; 2016.

FassaVilela M, Castagno V, Meucci R, Fassa A. Asthenopia in Schoolchildren. Clinical Ophthalmology Dovepress. 2015;9:1595–603.

Wajuihian SO. Frequency of asthenopia and its association with refractive errors. African Vision and Eye Health. 2015;74(1).Art. #293.

Hashemi H, Khabazkhoob M, Forouzesh S, Nabovati P, Yekta A, Ostadimoghaddam H. The prevalence of asthenopia and its determinants among Schoolchildren. J Compr Ped. 2017;8(1):e43208.

Fernanda, N. Amalia, H. Hubungan akomodasi insufisiensi dan astenopia pada remaja di Jakarta Barat. J Biomed Kes 2018;1(1):10–7.

[AAO]. American Academy of Ophthalmology. Computers, digital devices and eye strain 2016. [11 Nov 2019]. Available from: https://www.aao.org/eye-health/tips-prevention/computer-usage.

Althomali TA. Relative proportion of different types of refractive errors in subjects seeking laser vision correction. Open Ophthalmol J. 2018;12:53–62.

Djupri AG. Pengaruh intensitas penerangan terhadap kelelahan mata pada siswa Kelas IV Dan V Sekolah Dasar Negeri 02 Kuripan-Purwodadi [thesis]. Surakarta: Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta; 2013.

Gupta R, Sharma B, Anand R, Bawaria S, Dewada R. Association of asthenopia and convergence insufficiency in children with refractive error- a hospital based study. Int J Med Res Rev. 2013; 1(5):222–27.

Mohamud MD. Frequency of presenting clinical features of asthenopia (ocular fatigue) in refractive patients. College Ophthalmology & Allied Vision Sciences (COAVS) Pakistan. 2017;7(3):15–9.

Schellini S, Ferraz F, Opromolla P, Oliveira L, Padovani C. Main Visual Symptoms associated with refractive errors and spectacle need in a Brazilian. Int J ophthalmol. 2016; 9(11):1657–62.

Prabhu P, Faseena N. Role of refractive errors in inducing asthenopic symptoms among spectacle corrected ammetropes. BMH Med. J. 2016;3(2):32-36.

Hanum IF. Efektivitas penggunaan screen pada monitor komputer untuk mengurangi kelelahan mata pekerja call centre Di PT. Indosat NSR Tahun 2008 [thesis]. Medan: Universitas Sumatra Utara; 2008.

Affandi ES. Sindrom penglihatan komputer (computer vision syndrome). Universitas Indonesia Penyegar Ilmu Kedokteran Maj Kedokt Indon. 2005;55(3):297–300.




DOI: https://doi.org/10.15395/mkb.v53n3.2236

Article Metrics

Abstract view : 1394 times
PDF - 692 times

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


 


Creative Commons License
MKB is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats