A longitudinal study on the relationship between myopia development and near accommodation lag in myopic children

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
Lan WeizhongGe Jian

Abstract

To investigate the possible relationship between myopia progression and near accommodative lag. A 1-year longitudinal study was carried out to measure the accommodative response and myopia progression in 62 children with mild and progressing myopia at two visits: they were 10.81 +/- 1.60 years old with refractive error -1.70 +/- 0.76 D on entry. Repeated measurements included refractive error, ocular biometry and accommodative response at 33 cm. The refractive error was determined by autorefraction after cycloplegia; ocular biometry by A-scan ultrasonography; and accommodative response by an open-field autorefractor. Results were based on the right eye and analysed by paired t-test and Pearson's correlation coefficient. Myopia progression in the year was -0.72 +/- 0.37 D (p < 0.001) with a range from -0.06 to -1.96 D. The change of axial length and vitreous depth were 0.41 +/- 0.25 mm (p < 0.001) and 0.36 +/- 0.24 mm (p < 0.001), respectively. The near lag was 0.76 +/- 0.29 D on entry and 0.72 +/- 0.38 D 1 year later (p = 0.79). No statistically significant correlations were found between near lag vs myopia progression and the change of ocular biometry as a whole (p > 0.10 for all). There was no significant difference in myopia...Continue Reading

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Citations

Jul 6, 2010·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Jie ShenLarry N Thibos
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