The Distribution of Near Point of Convergence in a Rural Population: A Population-Based Cross-Sectional Study

Purpose: To determine the distribution of near point of convergence (NPC) according to age, sex, and refractive error in a rural population above 1 year of age in 2015.Methods: In this population-based cross-sectional study, multistage cluster sampling was applied to randomly select two underserved areas from the north and southwest of Iran and all individuals above 1 year living in these areas were invited to participate in the study. All participants underwent ocular examinations including visual acuity measurement, refraction, binocular vision testing including cover test and measurement of NPC, and slit lamp biomicroscopy. Results: Of 3851 who were invited, 3314 participated in the study (response rate=86.5%). The NPC was 8.42±2.94 cm in the whole population, 8.59±3.07 cm in men, and 8.30±2.84 cm in women. Subjects above 70years of age had the most remote NPC (mean=10.44±3.07 cm). The mean NPC was 7.79±2.93, 8.83±2.72, and 9.63±2.70 cm in emmetropic, myopic, and hyperopic participants, respectively. According to the results of a multiple linear regression model, NPC had a positive correlation with age (b=0.058, p<0.001), male sex (b=0.336, p=0.005), and hyperopia (b=0.044, p=0.011). Among the evaluated variables, age had the greatest effect on NPC (Standardized coefficient=0.402). Conclusion: The distribution of NPC in the Iranian population is different from other populations. Since NPC is influenced by age more than any other variable and presented normal values according to age in this study, the results can be used to interpret clinical measurements for diagnosis and treatment purposes