Responses of the Ocular Anterior Segment and Refraction to 0.5% Tropicamide in Chinese School-Aged Children of Myopia, Emmetropia, and Hyperopia

Purpose. To investigate the changes of anterior segment after cycloplegia and estimate the association of such changes with the changes of refraction in Chinese school-aged children of myopia, emmetropia, and hyperopia. Methods. 309 children were recruited and eligible subjects were assigned to thr...

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Main Authors: Ying Yuan, Zhengwei Zhang, Jianfeng Zhu, Xiangui He, Ergang Du, Kelimu Jiang, Wenjing Zheng, Bilian Ke
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/612728
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author Ying Yuan
Zhengwei Zhang
Jianfeng Zhu
Xiangui He
Ergang Du
Kelimu Jiang
Wenjing Zheng
Bilian Ke
author_facet Ying Yuan
Zhengwei Zhang
Jianfeng Zhu
Xiangui He
Ergang Du
Kelimu Jiang
Wenjing Zheng
Bilian Ke
author_sort Ying Yuan
collection DOAJ
description Purpose. To investigate the changes of anterior segment after cycloplegia and estimate the association of such changes with the changes of refraction in Chinese school-aged children of myopia, emmetropia, and hyperopia. Methods. 309 children were recruited and eligible subjects were assigned to three groups: hyperopia, emmetropia, or myopia. Cycloplegia was achieved with five cycles of 0.5% tropicamide. The Pentacam system was used to measure the parameters of interest before and after cycloplegia. Results. In the myopic group, the lenses were thinner and the lens position was significantly more posterior than that of the emmetropic and hyperopic groups in the cycloplegic status. The correlations between refraction and lens thickness (age adjusted; r=0.26, P<0.01), and lens position (age adjusted; r=-0.31, P<0.01) were found. After cycloplegia, ACD and ACV significantly increased, while ACA significantly decreased. Changes in refraction, ACD, ACV, and ACA were significantly different among the three groups (P<0.05, all). Changes of refraction were correlated with changes of ACD (r=0.41, P<0.01). Conclusions. Myopia presented thinner lenses and smaller changes of anterior segment and refraction after cycloplegia when compared to emmetropia and hyperopia. Changes of anterior chamber depth were correlated with refraction changes. This may contribute to a better understanding of the relationship between anterior segment and myopia.
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spelling doaj-art-56647809f1bd4b0fa67ddb5ee5dcddbc2025-02-03T06:04:55ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/612728612728Responses of the Ocular Anterior Segment and Refraction to 0.5% Tropicamide in Chinese School-Aged Children of Myopia, Emmetropia, and HyperopiaYing Yuan0Zhengwei Zhang1Jianfeng Zhu2Xiangui He3Ergang Du4Kelimu Jiang5Wenjing Zheng6Bilian Ke7Shanghai Eye Disease Prevention & Treatment Center, Shanghai 200040, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, ChinaShanghai Eye Disease Prevention & Treatment Center, Shanghai 200040, ChinaShanghai Eye Disease Prevention & Treatment Center, Shanghai 200040, ChinaChinese Medicine Hospital of Zhejiang Province, Hangzhou, Zhejiang 310006, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, ChinaPurpose. To investigate the changes of anterior segment after cycloplegia and estimate the association of such changes with the changes of refraction in Chinese school-aged children of myopia, emmetropia, and hyperopia. Methods. 309 children were recruited and eligible subjects were assigned to three groups: hyperopia, emmetropia, or myopia. Cycloplegia was achieved with five cycles of 0.5% tropicamide. The Pentacam system was used to measure the parameters of interest before and after cycloplegia. Results. In the myopic group, the lenses were thinner and the lens position was significantly more posterior than that of the emmetropic and hyperopic groups in the cycloplegic status. The correlations between refraction and lens thickness (age adjusted; r=0.26, P<0.01), and lens position (age adjusted; r=-0.31, P<0.01) were found. After cycloplegia, ACD and ACV significantly increased, while ACA significantly decreased. Changes in refraction, ACD, ACV, and ACA were significantly different among the three groups (P<0.05, all). Changes of refraction were correlated with changes of ACD (r=0.41, P<0.01). Conclusions. Myopia presented thinner lenses and smaller changes of anterior segment and refraction after cycloplegia when compared to emmetropia and hyperopia. Changes of anterior chamber depth were correlated with refraction changes. This may contribute to a better understanding of the relationship between anterior segment and myopia.http://dx.doi.org/10.1155/2015/612728
spellingShingle Ying Yuan
Zhengwei Zhang
Jianfeng Zhu
Xiangui He
Ergang Du
Kelimu Jiang
Wenjing Zheng
Bilian Ke
Responses of the Ocular Anterior Segment and Refraction to 0.5% Tropicamide in Chinese School-Aged Children of Myopia, Emmetropia, and Hyperopia
Journal of Ophthalmology
title Responses of the Ocular Anterior Segment and Refraction to 0.5% Tropicamide in Chinese School-Aged Children of Myopia, Emmetropia, and Hyperopia
title_full Responses of the Ocular Anterior Segment and Refraction to 0.5% Tropicamide in Chinese School-Aged Children of Myopia, Emmetropia, and Hyperopia
title_fullStr Responses of the Ocular Anterior Segment and Refraction to 0.5% Tropicamide in Chinese School-Aged Children of Myopia, Emmetropia, and Hyperopia
title_full_unstemmed Responses of the Ocular Anterior Segment and Refraction to 0.5% Tropicamide in Chinese School-Aged Children of Myopia, Emmetropia, and Hyperopia
title_short Responses of the Ocular Anterior Segment and Refraction to 0.5% Tropicamide in Chinese School-Aged Children of Myopia, Emmetropia, and Hyperopia
title_sort responses of the ocular anterior segment and refraction to 0 5 tropicamide in chinese school aged children of myopia emmetropia and hyperopia
url http://dx.doi.org/10.1155/2015/612728
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