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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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