open access
Effect of stress on convergence insufficiency symptom score (CISS) among optometrists and optometry students
- Goa Medical College, Bambolim, 403201, India
open access
Abstract
Background: This study aimed to measure stress levels and to assess its effect on clinical symptoms related to non‑strabismic binocular vision disorders among optometrists and optometry students in India.
Material and methods: This study aimed to assess the effect of stress on convergence insufficiency symptom score (CISS) among optometrists and optometry students aged 18 to 30 years. An ocular screening of the 50 subjects was done. A CISS survey was administered, followed by the objective assessment of various components of binocular vision. Finally, subjects were asked to fill out the Kessler Psychological Distress Scale (K10) stress questionnaire.
Results: The mean age of the participants was 22.58 (±1.20) years (range = 18–30 years). Pearson’s correlation between the near point of convergence (NPC) and CISS score showed a negative relationship of –0.010 (p = 0.948), that is, there’s no linear relationship between the two variables. NPC, when correlated with the K10 scale, showed no linear relationship between the two (–0.145, p = 0.233). There was no significant difference in other parameters, including accommodation, vergences, heterophorias, and accommodative convergence/accommodation (AC/A) ratio. The correlation of stress with CISS was statistically insignificant (p = 0.90).
Conclusion: This cross-sectional study, including 50 optometrists and optometry students, showed that the effect of stress on the CISS was not statistically significant (p = 0.90). This concludes that the result of the responses to the CISS questionnaire is not answered under the influence of stress.
Abstract
Background: This study aimed to measure stress levels and to assess its effect on clinical symptoms related to non‑strabismic binocular vision disorders among optometrists and optometry students in India.
Material and methods: This study aimed to assess the effect of stress on convergence insufficiency symptom score (CISS) among optometrists and optometry students aged 18 to 30 years. An ocular screening of the 50 subjects was done. A CISS survey was administered, followed by the objective assessment of various components of binocular vision. Finally, subjects were asked to fill out the Kessler Psychological Distress Scale (K10) stress questionnaire.
Results: The mean age of the participants was 22.58 (±1.20) years (range = 18–30 years). Pearson’s correlation between the near point of convergence (NPC) and CISS score showed a negative relationship of –0.010 (p = 0.948), that is, there’s no linear relationship between the two variables. NPC, when correlated with the K10 scale, showed no linear relationship between the two (–0.145, p = 0.233). There was no significant difference in other parameters, including accommodation, vergences, heterophorias, and accommodative convergence/accommodation (AC/A) ratio. The correlation of stress with CISS was statistically insignificant (p = 0.90).
Conclusion: This cross-sectional study, including 50 optometrists and optometry students, showed that the effect of stress on the CISS was not statistically significant (p = 0.90). This concludes that the result of the responses to the CISS questionnaire is not answered under the influence of stress.
Keywords
stress; binocular vision anomalies; CISS
Title
Effect of stress on convergence insufficiency symptom score (CISS) among optometrists and optometry students
Journal
Issue
Vol 8 (2023): Continuous Publishing
Article type
Original paper
Pages
5-12
Published online
2023-03-16
Page views
2504
Article views/downloads
626
DOI
Bibliographic record
Ophthalmol J 2023;8:5-12.
Keywords
stress
binocular vision anomalies
CISS
Authors
Aksha Shetty
Eliza Lysenka Fernandes
Ugam Usgaonkar
- Scheiman M, Wick B. Clinical Management of Binocular Vision: Heterophoric, Accommodative, and Eye Movement Disorders. Lippincott, Williams and Wilkins, Philadelphia 2002.
- Hashemi H, Nabovati P, Khabazkhoob M, et al. The prevalence of convergence insufficiency in Iran: a population-based study. Clin Exp Optom. 2017; 100(6): 704–709.
- Gracia-Munoz A, Carbonell-Bonette S, Canto-Cerdan M. Accommodative and binocular dysfunctions: prevalence in a randomized sample of university students. Clin Exp Optom . 2016; 99: 313–321.
- Montés-Micó R. Prevalence of general dysfunctions in binocular vision. Ann Ophthalmol. 2001; 33(3): 205–208.
- Lara F, Cacho P, García A, et al. General binocular disorders: prevalence in a clinic population. Ophthalmic Physiol Opt. 2001; 21(1): 70–74.
- Scheiman M, Gallaway M, Coulter R, et al. Prevalence of vision and ocular disease conditions in a clinical pediatric population. J Am Optom Assoc. 1996; 67: 193–202.
- Wajuihian SO, Hansraj R. Vergence anomalies in a sample of high school students in South Africa. J Optom. 2016; 9(4): 246–257.
- Rouse MW, Borsting E, Hyman L, et al. Frequency of convergence insufficiency among fifth and sixth graders. The Convergence Insufficiency and Reading Study (CIRS) group. Optom Vis Sci. 1999; 76(9): 643–649.
- Scheiman M, Cotter S, Rouse M, et al. Convergence Insufficiency Treatment Trial Study Group. Randomised clinical trial of the effectiveness of base-in prism reading glasses versus placebo reading glasses for symptomatic convergence insufficiency in children. Br J Ophthalmol. 2005; 89(10): 1318–1323.
- García-Muñoz Á, Carbonell-Bonete S, Cacho-Martínez P. Symptomatology associated with accommodative and binocular vision anomalies. J Optom. 2014; 7(4): 178–192.
- Rouse MW, Borsting EJ, Mitchell GL, et al. Convergence Insufficiency Treatment Trial Group. Validity and reliability of the revised convergence insufficiency symptom survey in adults. Ophthalmic Physiol Opt. 2004; 24(5): 384–390.
- Borsting E, Rouse MW, De Land PN. Prospective comparison of convergence insufficiency and normal binocular children on CIRS symptom surveys. Convergence Insufficiency and Reading Study (CIRS) group. Optom Vis Sci. 1999; 76(4): 221–228.
- Borsting E, Rouse MW, Deland PN, et al. Association of symptoms and convergence and accommodative insufficiency in school-age children. Optometry. 2003; 74(1): 25–34.
- Scheiman M, Cotter S, Rouse M, et al. Randomized clinical trial of the effectiveness of base-in prism reading glasses versus placebo reading glasses for symptomatic convergence insufficiency in children. Br J Ophthalmol. 2005; 89: 138–23.
- Scheiman M. A Randomized Clinical Trial of Treatments for Convergence Insufficiency in Children. Arch Ophthalmol. 2005; 123(1): 14–24.
- Scheiman M, Mitchell GL, Cotter S, et al. A randomized clinical trial of vision therapy/orthoptics versus pencil pushups for the treatment of convergence insufficiency in young adults. Optom Vis Sci. 2005; 82(7): 583–595.
- Convergence Insufficiency Treatment Trial (CITT) Study Group. The convergence insufficiency treatment trial: design, methods, and baseline data. Ophthalmic Epidemiol. 2008; 15(1): 24–36.
- Rouse M, Borsting E, Mitchell GL, et al. Convergence Insufficiency Treatment Trial (CITT) Investigator Group. Validity of the convergence insufficiency symptom survey: a confirmatory study. Optom Vis Sci. 2009; 86(4): 357–363.
- Bolding MS, Lahti AC, White D, et al. Ocular convergence deficits in schizophrenia. Front Psychiatry. 2012; 3: 86–70.
- Pang Yi, Teitelbaum B, Krall J. Factors associated with base-in prism treatment outcomes for convergence insufficiency in symptomatic presbyopes. Clin Exp Optom. 2012; 95(2): 192–197.
- Rouse MW, Borsting EJ, Mitchell GL, et al. Convergence Insufficiency Treatment Trial Group. Validity and reliability of the revised convergence insufficiency symptom survey in adults. Ophthalmic Physiol Opt. 2004; 24(5): 384–390.
- Fink G. Stress: concepts, definition and history. Reference Module in Neuroscience and Biobehavioral Psychology, Elsevier. 2017.
- Omigbodun OO, Onibokun AC, Yusuf BO, et al. Stressors and counseling needs of undergraduate nursing students in Ibadan, Nigeria. J Nurs Educ. 2004; 43(9): 412–415.
- Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust N Z J Public Health. 2001; 25(6): 494–497.
- Kessler RC, Barker PR, Colpe LJ, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003; 60(2): 184–189.