The current study aim to determine the effect of myofascial release technique and ocular muscle exercise to release eye strain headache in myopic students.

This study aim to reduce eye strain headache to improve quality of life and student academic performance. This study will enable the students to to work on digital device for a long period of time without any discomfort.

According to recent researches MFR technique used to relax the muscles tension in muscles and fascia. This technique also enhance ROM. In this technique Apply gentle and sustain pressure on muscle start with light pressure gradually increase as it tolerated move the fingers along the length of muscle during apply pressure to take deep breath to help relax and facilitate the release.

Previous study showed a significant improvement in reduction of the number of headache days (p < 0.001) and the headache pain level (p < 0.001) following treatment.

The other intervention of this study is the ocular muscle exercise. Previous study showed that strengthening neck exercises like isometric neck exercise improve muscular strength and it is also delivering long term treatment effect on cervical pain.

This study divide in to two groups. Group A (experimental group) and Group B (control group)Patient in group A will receive ocular muscle exercise which is consist of three exercise like palm exercise, blinking exercise, pencil pushup exercise This group will also receive myofascial release technique on sternocleidomastoid muscle and upper trapezius muscles. Patient in group B will receive ocular muscle exercise and neck isometric exercise.

This study will manage the musculoskeletal and visual aspects of headaches and eye strain by combining myofascial release treatments with eye exercises. This study will contribute to reduce the eye strain headache and improve their quality of life and improve students' academic performance during class room and online learning.

Inclusion Criteria:

• Age = 20- 30 years old
• Gender= male / female
• Diagnosed of Mild (-0.50 to -3.0 D) and moderate ( -3.0 to -6.0 D) myopia
• Unilateral or bilateral headache with mild or medium intensity
• Pain around eyes, forehead and temples
• Headache with neck stiffness or pain
• Headache increase with visual activity such as reading, using computer or cell phone.
• Headache associate with triggers in sternocleidomastoid, upper trapezius
• Positive convergent test (13)

Exclusion Criteria:

• History of genetic disease
• History of refractive surgery
• Wear contact lenses
• Headache associate with photophobia
• Headache associate with phonophobia
• History of neck trauma
• Cervical radiculopathy, herniated disc, arthritis
• Pain aggravated by movements of head