Study of Accommodative & Convergence Status and Effect of Accommodative & Convergence Exercises in Diamond Workers

In modern civilization when near work has assumed so much of importance, it is but natural that convergence and accommodation has great significance. Constant use of one eye in diamond cutting and polishing causes dissociation between the eyes leading to accommodation failure. This accommodation failure causes relative convergence insufficiency. The establishment of efficient accommodation and convergence in diamond workers presenting with decrease amplitude of accommodation and convergence insufficiency is challenging field of vision care. It is the author’s observation that concern over cosmesis too frequently outweighs considerations of establishing effective visual functioning, efficiency, and comfort. One reason for this attitude appears to stem from misconceptions that symptoms related to insufficiency of accommodation and convergence in premature presbyopic age is relieved by giving near addition. Second reason seems to relate to the limited resources available that describe the practical management aspects of designing and administering successful therapy programs. The goal of present study is to analyze the prevalence of insufficiency accommodation & convergence in diamond workers as well as facilitated accommodative and convergence exercises in diamond workers. The purpose of study is also to
assess the effect of Exercises on work profile of diamond workers. So it will give the impact of exercise on diamond workers. This is prospective based study.70 diamond workers were selected. Initial examination was conducted to rule out exclusion criteria followed by refraction and we measure Near point of convergence & Amplitude of Accommodation with RAF rule & MINUS lens technique. Decrease in Accommodation and convergence demand were given proper exercise on synaptophore and with RAF rule was given up to 2 weeks and after 2 weeks again assessment was conducted on accommodation and
convergence demand. Out of 70 workers 49(70%) given exercise. 39(79.59%) were cured totally and reached to normal range after two weeks. 7(14.28%) were improved and 3(6.12%) were totally failed and didn’t improve with exercise. In Diamond workers there are high prevalence of accommodation and convergence dysfunction. Study shows good result of accommodation and convergence after exercise and even it is maintain for longer period with proper exercise.