_1789449309 20260915131509000 Editor editor.jddt@gmail.com Universal Journal of Pharmaceutical Research Universal Journal of Pharmaceutical Research Univ J Pharm Res 2456-8058 2831-5235 09 15 2026 Edah Tamunominabo Gloria Oiyahumen Anetor John Anetor Emmanuel Ifeanyi Obeagu Background: Accommodative disorders are common functional vision problems in school-aged children and are frequently overlooked during routine eye examinations. These disorders can adversely affect visual comfort, reading efficiency, and academic performance. Aim: To determine the prevalence, distribution, and associated factors of accommodative disorders among children aged 6–12 years in Benin City, Edo State, Nigeria. A school-based cross-sectional study was conducted among primary school children aged 6–12 years in Benin city using a multistage sampling technique. Method: Comprehensive eye examinations were performed, including distance and near visual acuity, refraction, accommodative amplitude, accommodative facility, near point of accommodation, and binocular vision assessment. Accommodative disorders were diagnosed using standard clinical criteria. Data were analyzed using descriptive statistics and chi-square tests, with statistical significance set at p< 0.05. Result: Of the 420 children initially recruited, 372 met the inclusion criteria and were analyzed (attrition rate: 11.4%). The mean age was 9.97±1.78 years, with a near-equal gender distribution (51.9% females, 48.1% males). The overall prevalence of accommodative disorders was 23.7%. Accommodative insufficiency was the most prevalent disorder (14.0%), followed by accommodative infacility (5.6%) and accommodative excess (4.0%). No significant associations were observed with age group or local government area. Conclusion: Accommodative disorders are common among children aged 6–12 years in Benin City, with accommodative insufficiency being the predominant subtype. Prolonged near work is a major modifiable risk factor. Incorporating accommodative and binocular vision assessments into routine school eye health programs is essential for early detection and improved educational outcomes.                       Peer Review History: Received 3 June 2026;   Reviewed 8 July 2026; Accepted  6 August; Available online 15 September 2026 Academic Editor: Dr. Emmanuel O. Olorunsola, Department of Pharmaceutics & Pharmaceutical Technology, University of Uyo, Nigeria, olorunsolaeo@yahoo.com Reviewers: Dr. Nicola Micale, University of Messina, Italy,  nmicale@unime.it Dr. Nagalingam Varnakulenthiren, Siddha Medicine, Unit of Siddha Medicine, Trincomalee Campus, EUSL, Sri Lanka, drvarnan@gmail.com 09 15 2026 http://creativecommons.org/licenses/by-nc/4.0 10.22270/ujpr.v11i4.1627 https://ujpronline.com/index.php/journal/article/view/1627 https://ujpronline.com/index.php/journal/article/download/1627/2227 https://ujpronline.com/index.php/journal/article/download/1627/2227 https://ujpronline.com/index.php/journal/article/download/1627/2241 https://ujpronline.com/index.php/journal/article/download/1627/2255