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Asthenopia in Postgraduate Surgical Trainees: Prevalence and Correlation With Refractive and Orthoptic Parameters
Aashi Bansal1, Sakshi Meshram1, Shreya Thatte1
1Department of Ophthalmology, SAMC & PGI, Indore, India.
The British and Irish Orthoptic Journal
|April 13, 2026
Summary
Asthenopia, or eye strain, affects over two-thirds of surgical trainees, impacting their visual health. This study identified risk factors and suggests routine eye exams to help manage symptoms in these professionals.
Area of Science:
- Ophthalmology
- Surgical Education
- Occupational Health
Background:
- Asthenopia (eye strain) is common in professions requiring prolonged near work.
- However, it is under-reported among postgraduate surgical trainees.
- This study investigates the prevalence and risk factors of asthenopia in this specific population.
Purpose of the Study:
- To determine the prevalence of asthenopia in surgical trainees.
- To identify associated risk factors contributing to eye strain in this group.
- To inform potential interventions for visual discomfort.
Main Methods:
- An observational study involving 107 surgical trainees (102 respondents).
- Utilized a structured asthenopia questionnaire and detailed ophthalmic evaluations for 43 trainees.
- Included assessments of visual acuity, fusional vergence, stereoacuity, and accommodation.
Main Results:
- A high prevalence of asthenopia was found at 67.6% among surgical trainees.
- Ophthalmology trainees exhibited the highest prevalence.
- Lower positive fusional vergence (PFV) near was significantly associated with asthenopia (p=0.03).
Conclusions:
- Asthenopia is prevalent in surgical trainees, likely due to visual demands, sleep deprivation, and academic load.
- Routine ophthalmic and orthoptic assessments are recommended to alleviate symptoms.
- Addressing visual health is crucial for surgical trainee well-being and performance.
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