Changes in Visual Parameters during Paramenstruum in a Rural Population of Eastern India: A Pilot Study


Authors : Mukhopadhyay, Debapriya; Mandal, Rajib; Mukherjee, Shreyasi; Mukherjee, Harinath

Volume/Issue : Volume 9 - 2024, Issue 8 - August

Google Scholar : https://tinyurl.com/498mp2fa

Scribd : https://tinyurl.com/4p8mznmj

DOI : https://doi.org/10.38124/ijisrt/IJISRT24AUG453

Abstract : Aim This study aims to analyze a set of symptoms of visual difficulties due to accommodative changes before and during the period of menstruation.  Methods This cross-sectional study includes 60 females of the rural population having an accommodative facility of 14 cycles/min with ±2.00D flippers. All subjects have undergone a comprehensive ocular examination which also includes investigation of different parameters of accommodation and convergence before and during menstruation. This Statistical analysis was done with the help of paired T test and the result was shown as significant if P< 0.05.  Results Pre-menstruation no accommodative changes were found. During menstruation, all the subjects were found with a significant change in NPA (OD, OS), AA (OD, OS), NRA, PRA, PFV (Break-Near) and AF (OU) during menstruation. 66.7% of subjects were found with symptoms of headache, backache, difficulty in reading and blurring of vision during menstruation. After prolong near work 16.7% of subjects were found with the blurring of near vision 16.7% were found with the blurring of distance vision.  Conclusion Accommodative insufficiency along with its associated symptoms may induce during the menstruation cycle. The clinician should consider accommodative changes during eye examination of an adult female.

Keywords : Near Point of Accommodation, Negative Relative Accommodation, Positive Relative Accommodation, Accommodative Facility, Visual Function, Menstruation.

References :

  1. Versura P, Fresina M, Campos EC. Ocular surface changes over the menstrual cycle in women with and without dry eyes. Gynecol Endocrinol. 2007;23(7):385-90.
  2. Guttridge NM. Changes in ocular and visual variables during the menstrual cycle. Ophthal Physl Opt. 1994;14(1):38-48.
  3. Eisner A, Burke SN, Toomey MD. Visual sensitivity across the menstrual cycle. Neurological sciences institute, Oregon health & science university, OR97006, USA. Vis Neurosci. 2004;21(4) 513-31.
  4. Millodot MI, Lamont AN. Influence of menstruation on corneal sensitivity. Br J Ophthalmol. 1974;58(8):752.
  5. Green K, Cullen PM, Philips CL. Aqueous humour turnover and IOP during menstruation. Br J Ophthalmol.1984;68(10):736-40.
  6. Dalton K. Influence of menstruation on glaucoma. Br J Ophthalmol. 1967;51(10):692.
  7. Leach NE, Wallis NE, Lothringer LL. Changes in corneal hydration and curvature occur during the normal menstrual cycle over an extended period. J Reprod Med. 1971;6(5):201-4.
  8. AkarY, Yucel I, Akar ME, Taskin O, Ozer HO. Menstrual cycle-dependent changes in visual field analysis of healthy women. Ophthalmologica. 2005;219(1):30-5.
  9. Akar Y, Zulauf M, Yucel I, Akar ME, Erdem U, Trak B. Menstrual Cycle–Dependent Differences Between Right and Left Visual Hemifields in Perimetry. Curr Eye Res. 2005;30(9):723-7.
  10. Ulas F, Dogan U, Duran B, Keles A, Agca S, Celebi S. Effects of the menstrual cycle on the choroidal thickness of healthy women of reproductive age using spectral-domain optical coherence tomography. Department of Ophthalmology and Curr Eye Res. 2013;38(11):1172-81.
  11. Riss B, Binder S, Riss P, Kemeter P. Corneal sensitivity during the menstrual cycle. Br J Ophthalmol. 1982;66(2):123-6.
  12. Kiely PM, Carney LG, Smith G. Menstrual cycle variations of corneal topography and thickness. Am J OptomPhysiol Opt. 1983;60(10):822-9.
  13. Ghahfarokhi NA, Vaseghi A, Ghahfarokhi NA, Ghoreishi M, Peyman A, Dehghani A. Evaluation of corneal thickness alterations during menstrual cycle in productive age women. Indian J Ophthalmol. 2015;63(1):30.
  14. Lodato Giuffre G, Di Rosa L, Fiofino F, Bubella DM, Changes in the central corneal thickness during various phases of the menstrual cycle University Eye Clinic, Department of Neurology, Ophthalmology and Psychiatry, University of Palermo, Palermo, Italy. J Optom Arch Am Acad Optom. 1973;50(11):863-71
  15. Ghahfarokhi NA, Vaseghi A, Ghahfarokhi NA, Ghoreishi M, Peyman A, Dehghani A. Evaluation of corneal thickness alterations during menstrual cycle in productive age women. Indian J Ophthalmol. 2015;63(1):30.
  16. Tatlipinar S, Gedik Ş, Irkec M, Orhan M, Erdener U. Ocular ferning during the menstrual cycle in healthy women. Eur J Ophthalmol. 200;11(1):15-8.
  17. Sanghvi C, Aziz K, Jones NP. Uveitis and the menstrual cycle. Eye. 2004;18(5):451-4.
  18. Kaneda Y, Ikuta T, Nakayama H, Kagawa K, Furuta N. Visual evoked potential and electroencephalogram of healthy females during the menstrual cycle. J Med Investigation. 1997; 44: 41-6.
  19. Brulé J, Lavoie MP, Casanova C, Lachapelle P, Hébert M. Evidence of a possible impact of the menstrual cycle on the reproducibility of scotopic ERGs in women. Doc Ophthalmol. 2007;114(3):125-34.
  20. Azarmina M, Soheilian M, Azarmina H. Increased latency of visual evoked potentials in healthy women during menstruation. J Ophthalmic Vis Res. 2016;6(3):183.
  21. Giuffrè G, Di Rosa L, Fiorino F. Changes in colour discrimination during the menstrual cycle. Ophthalmologica. 2007;221(1):47-50.
  22. Howarth PA, ClemesSA. Susceptibility to induced visual discomfort during the menstrual cycle while viewing a visual display unit. Optom Vis Sci. 2006;83(3):190-4.
  23. Gong JF, Xie HL, Mao XJ, Zhu XB, Xie ZK, Yang HH, et al. Relevant factors of estrogen changes of myopia in adolescent females. Chin Med J. 2015;128(5):659.
  24. Xie H, Mao X, Yang H, Xie Z, Pan Y, Gao Y. Analysis on the relationship between adolescent myopia and serum sex hormone. Chin Med J. 2014;94(17):1294-7.
  25. Gong JF, Xie HL, Mao XJ, Zhu XB, Xie ZK, Yang HH, et al. Relevant factors of estrogen changes of myopia in adolescent females. Chin Med J. 2015;128(5):659.

Aim This study aims to analyze a set of symptoms of visual difficulties due to accommodative changes before and during the period of menstruation.  Methods This cross-sectional study includes 60 females of the rural population having an accommodative facility of 14 cycles/min with ±2.00D flippers. All subjects have undergone a comprehensive ocular examination which also includes investigation of different parameters of accommodation and convergence before and during menstruation. This Statistical analysis was done with the help of paired T test and the result was shown as significant if P< 0.05.  Results Pre-menstruation no accommodative changes were found. During menstruation, all the subjects were found with a significant change in NPA (OD, OS), AA (OD, OS), NRA, PRA, PFV (Break-Near) and AF (OU) during menstruation. 66.7% of subjects were found with symptoms of headache, backache, difficulty in reading and blurring of vision during menstruation. After prolong near work 16.7% of subjects were found with the blurring of near vision 16.7% were found with the blurring of distance vision.  Conclusion Accommodative insufficiency along with its associated symptoms may induce during the menstruation cycle. The clinician should consider accommodative changes during eye examination of an adult female.

Keywords : Near Point of Accommodation, Negative Relative Accommodation, Positive Relative Accommodation, Accommodative Facility, Visual Function, Menstruation.

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe