Changes in the Ocular Biometric Measurements of Korean Children with Myopia and Hyperopia

Ji Eon Kang, Sin Hae Park, Sun Young Shin
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Abstract

Purpose: To document changes in the optical coherence biometry data over 1 year of Korean children aged 6 to 9 years with myopia and hyperopia.Methods: We used fluorescein angiography to retrospectively study changes in refractive errors over 1 year in 60 children who visited our hospital between December 2019 and June 2022. The IOL master 700 platform was used to derive axial length, corneal curvature (the K value), central corneal thickness, anterior chamber depth, lens thickness, and the white-to-white size at 1-year intervals. The Mann-Whitney and Wilcoxon signed-ranked tests were used to compare the values. A p-value < 0.05 was taken to indicate a significant difference.Results: The mean ages of hyperopic and myopic children were 6.27 ± 0.87 and 6.93 ± 0.87 years at initial presentation. Significant 1-year changes in axial length, anterior depth, and lens thickness were apparent. The mean corneal curvature, and central corneal and lens thicknesses were significantly higher in hyperopic than myopic children but the axial length and anterior chamber depth were significantly greater in myopic children. However, after 1 year, the lens thicknesses did not significantly differ between the two groups.Conclusions: Over 1 year of early life, changes in the mean corneal curvature and lens thickness were significant in hyperopic children and changes in the axial length and anterior depth were significant in myopic children. Thus, the eye growth pattern may differ between hyperopic and myopic children.
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韩国近视和远视儿童眼部生物测量指标的变化
目的:记录韩国6至9岁近视和远视儿童一年内光学相干生物测量数据的变化:我们使用荧光素血管造影术回顾性研究了2019年12月至2022年6月期间在我院就诊的60名儿童1年内屈光不正的变化。使用 IOL master 700 平台得出每隔 1 年的轴长、角膜曲率(K 值)、角膜中央厚度、前房深度、晶状体厚度和白-白大小。采用 Mann-Whitney 和 Wilcoxon 符号排序检验来比较这些数值。P值小于0.05表示差异显著:远视和近视儿童初次发病时的平均年龄分别为 6.27 ± 0.87 岁和 6.93 ± 0.87 岁。轴长、前深度和晶状体厚度在1年内有明显变化。远视儿童的平均角膜曲率、角膜中央厚度和晶状体厚度明显高于近视儿童,但近视儿童的轴长和前房深度明显大于远视儿童。然而,1 年后,两组儿童的晶状体厚度没有明显差异:结论:在幼儿期的 1 年中,远视儿童的平均角膜曲率和晶状体厚度变化显著,而近视儿童的眼轴长度和前房深度变化显著。因此,远视和近视儿童的眼球发育模式可能有所不同。
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