 Purpose: To find out the prevalence of accommodation anomaly and distribution of Accommodation anomalies among High School children age from 13 to 17 year in clinical population Bangalore and correlation with COVD- QOL questionnaire  Methodology: A prospective cross-sectional Analytical study was conducted in high school children age between 13 to 17 years visited to Dr.Agarwal’s eye hospital Bangalore. Children with vision less than 20/20 U/O, strabismus/ amblyopia, systemic and ocular pathology and dyslexia/learning disability were excluded. The routine optometric eye evaluation done followed by detail history taking after that Accommodation diagnosis measurement done followed by first filling of COVD- QOL questionnaire. The diagnosis of Accommodation anomalies based on scheiman and wick criteria and the clinical and statistical analysis was done by MS Excel and SPSS 16 software.  Results: Total of 160 high school children (male 78 and female 82) evaluated there is more prevalence of Accommodation anomalies 56% (N=90) found in clinical population, among them 41 were male and 49 were female. In Accommodation anomalies Acc.infacility is more prevalent (46%) than Acc. Insufficiency (33%) and Acc. Excess (21%). In COVD-QOL questionnaire Acc. Infacility got more score compare to other Acc. Anomalies but very less child score more than 20, maximum child score between 5 to 9.  Conclusion: On the basis of this result we can suggest the optometrist or eye health care professional to do binocular vision check up on regular basis and parent of the children for regular comprehensive eye check-up not just a vision check up and go for vision therapy if required as we know vision therapy is best treatment for Accommodation and binocular vision anomalies

Keywords : QOL-19:- Quality of life 19 Questionnaires, N:- Number, U/O:- Oculus Uterque(Botheye), SPSS16:- Statistical product and service solution version 16, Acc:- Accommodation.