1995Optometry and Vision ScienceRequires access

Clinical Findings Before the Onset of Myopia in Youth

David A. Goss, Tonya W. Jackson

Open publisher page 61 citations

Abstract

PURPOSE: A study was conducted to identify variables that were different in children who were emmetropic and became myopic and in children who remained emmetropic. METHODS: A cohort of initially emmetropic children had eye and vision examinations at 6-month intervals for a period of 3 years. Ocular optical components were measured by keratometry and ultrasonography. Crystalline lens power was calculated using Bennett's formulas. RESULTS: There was a tendency for keratometer power of both principal meridians to be greater in the became-myopic group than in the remained-emmetropic group. Axial length to corneal radius (AL/CR) ratio was significantly greater in the became-myopic group than in the remained-emmetropic group. The variable with the highest sensitivity and specificity was the AL/CR ratio using the horizontal meridian corneal radius. CONCLUSIONS: Greater corneal powers and greater AL/CR ratios are risk factors for youth onset myopia.

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PURPOSE: A study was conducted to identify variables that were different in children who were emmetropic and became myopic and in children who remained emmetropic. METHODS: A cohort of initially emmetropic children had eye and vision examinations at 6-month intervals for a period of 3 years. Ocular optical components were measured by keratometry and ultrasonography. Crystalline lens power was calculated using Bennett's formulas. RESULTS: There was a tendency for keratometer power of both principal meridians to be greater in the became-myopic group than in the remained-emmetropic group. Axial length to corneal radius (AL/CR) ratio was significantly greater in the became-myopic group than in the remained-emmetropic group. The variable with the highest sensitivity and specificity was the AL/CR ratio using the horizontal meridian corneal radius. CONCLUSIONS: Greater corneal powers and greater AL/CR ratios are risk factors for youth onset myopia.

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Available abstract

PURPOSE: A study was conducted to identify variables that were different in children who were emmetropic and became myopic and in children who remained emmetropic. METHODS: A cohort of initially emmetropic children had eye and vision examinations at 6-month intervals for a period of 3 years. Ocular optical components were measured by keratometry and ultrasonography. Crystalline lens power was calculated using Bennett's formulas. RESULTS: There was a tendency for keratometer power of both principal meridians to be greater in the became-myopic group than in the remained-emmetropic group. Axial length to corneal radius (AL/CR) ratio was significantly greater in the became-myopic group than in the remained-emmetropic group. The variable with the highest sensitivity and specificity was the AL/CR ratio using the horizontal meridian corneal radius. CONCLUSIONS: Greater corneal powers and greater AL/CR ratios are risk factors for youth onset myopia.

Key concepts: Emmetropia, Keratometer, Meridian (astronomy), Ophthalmology, Medicine, Optometry, Refractive error, Cornea

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