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Mohammed Abrar Hassan1*, K Kavita2, Suwaibah Fatima Samer3

1Department of Physiology, Bhaskar Medical College, Yenkapally, Moinabad, RR (Dist.), AP, India.
2Dept of Obstetrics and gynecology, Bhaskar Medical College, Yenkapally, Moinabad, RR (Dist.), AP, India.
3Department of Ophthalmology, Bhaskar Medical College, Yenkapally, Moinabad, RR (Dist.), AP, India.


Article history
Received: 16 December 2013
Revised: 26 December 2013
Accepted: 29 December 2013
Early view: 30 December 2013

*Author for correspondence



Objective: The main aim of this study is to Project the early onset of presbyopic changes in multi gravida females, Association of socio economic parameters as contributing factor ,Nutritional deficiency during the stages of pregnancy, Role of pregnancy induced hypertension in establishing recession of near point of convergence.
Subject and Methods: This study is prospective study being carried out on 100 female subjects attending the Department of Obstetrics and Gynecology of Bhaskar Medical College. The subjects were divided into two groups between the age of 20 to 30 years. A detailed obstetric history of every patient was recorded along with routine investigation to access the nutritional status and the vital data to access the cardiovascular changes. The ocular examination was done to access the visual acuity for distance and nearby using Snellen’s chart and Jager’s near vision chart. While the near point and accommodation point was recorded by using RAF rule (Royal air Force) finally the AC/A ration assessment is derived from the available data.
Result: There was significant increase in accommodation and convergence values in group 1 subjects in the range of 16-20 cm amounting to 26%, followed by 24% in the range of 21-25 cm but there is significant increase in the subjects ranging between 26-40 cms amounting to 48% i.e. about ¼th of total subjects. The group 2 subjects form the control group in the same age group in non-pregnant category shows a significant number of subjects in the 10-20 cmsf range amounting to 92% and this range is considered as normal values for accommodation and convergence state of eyes.
Conclusion: This study shows that convergence insufficiency is encountered in post partum period and this is attributed to general health, and the stress induced during the period of pregnancy and as well during parturition.