Ocular Component Data in Schoolchildren as a Function of Age and Gender
作者:
KARLA ZADNIK,
RUTH MANNY,
JULIE YU,
G. MITCHELL,
SUSAN COTTER,
JULIO QUIRALTE,
MELVIN SHIPP,
NINA FRIEDMAN,
ROBERT KLEINSTEIN,
TERRY WALKER,
LISA JONES,
MELVIN MOESCHBERGER,
DONALD MUTTI,
期刊:
Optometry and Vision Science
(OVID Available online 2003)
卷期:
Volume 80,
issue 3
页码: 226-236
ISSN:1040-5488
年代: 2003
出版商: OVID
关键词: myopia;hyperopia;refractive error;ocular components
数据来源: OVID
摘要:
Purpose.To describe the refractive error and ocular components of a large group of school-aged children as a function of age and gender.Methods.In this report, we describe the refractive error and ocular components of 2583 school-aged children (49.3% girls, overall mean [±SD] age 10.0 ± 2.3). Measurement methods included cycloplegic autorefraction, autokeratometry, videophakometry, and A-scan ultrasonography. For statistical comparisons across gender and age, a critical point of &agr; = 0.005 was used to assess significance because of the large sample size and the large number of comparisons made.Results.Of these 2583 children, 10.1% were myopic (−0.75 D or more myopia in both meridians), and 8.6% were hyperopic (+1.25 D or more hyperopia in both meridians). As would be expected, there was a significant effect of age on refractive error (spherical equivalent, p < 0.0001), toward less hyperopia/more myopia. There was no significant difference in the average refractive error between girls and boys (p = 0.0192). Girls had steeper corneas than boys (0.74 D steeper in the vertical meridian and 0.63 D steeper in the horizontal meridian, p < 0.0001). There were no significant differences in corneal power with age (p = 0.16). Both older age and male gender were significantly associated with deeper anterior chambers (p < 0.0001 for both). The crystalline lens showed significant thinning with age (p < 0.0001), however, there was no significant difference in the lens thickness between girls and boys (p = 0.66). Both Gullstrand lens power and calculated lens power showed significant effects of age and gender (p < 0.0001 for both). Girls, on average, had Gullstrand lens powers that were 0.28 D steeper and calculated lens powers that were 0.80 D more powerful than boys. Axial length also showed significant effects of age and gender (p < 0.0001 for both). Girls’ eyes were, on average, 0.32 mm shorter than those of boys.Conclusions.These cross-sectional data show a general pattern of ocular growth, no change in corneal power, and crystalline lens thinning and flattening between the ages of 6 and 14 years. Girls tended to have steeper corneas, stronger crystalline lenses, and shorter eyes compared with boys.
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