Peripheral optical quality and myopia progression in children

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• 作者：Takefumi Yamaguchi ; Kazuhiko Ohnuma…
• 关键词：Myopia progression ; Peripheral optical quality ; Peripheral refraction ; Point spread function
• 刊名：Graefe's Archive for Clinical and Experimental Ophthalmology
• 出版年：2013
• 出版时间：October 2013
• 年：2013
• 卷：251
• 期：10
• 页码：2451-2461
• 全文大小：1130KB
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• 作者单位：Takefumi Yamaguchi (1) (2)
  Kazuhiko Ohnuma (3)
  Kenji Konomi (1)
  Yoshiyuki Satake (1)
  Jun Shimazaki (1) (2)
  Kazuno Negishi (2)
  
  1. Department of Ophthalmology, Tokyo Dental College, 5-11-13 Sugano, Ichikawa, Chiba, Japan, 272-8513
  2. Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan
  3. Department of Medical System Engineering, Faculty of Engineering, Chiba University, Chiba, Japan
  
• ISSN：1435-702X

文摘

Background To investigate the peripheral optical quality and its relationship with axial elongation, myopic progression in Japanese children. Methods Twenty-nine Japanese children, ages 10 to 12?years old, with baseline refraction from +0.75D to ?.5 D, were included and followed for 9?months. The central and peripheral point spread functions (PSFs; 0°, 10°, 20°, 30° nasally) were obtained at 0.25 D steps around ±2.5 D of best-focus PSF (BF-PSF) using double-pass PSF system. Modulation transfer function (MTF) area of the BF-PSF was calculated from BF-PSF to represent the peripheral optical quality. Relative peripheral defocus (RPD), the refraction of anterior/posterior focal lines, MTF area, and their correlations with myopia progression were analyzed. Results The average refractive change in 9?months was ?.5?±-.8 D. The change in axial length was significantly positively correlated with the amount of myopic progression (P--.0058) and RPD (P--.0007, 0.0036 and 0.0040, at 10°, 20°, 30° respectively) at the initial visit, but did not correlate with the peripheral MTF area. Myopic progression of more than 0.5 D with axial elongation was observed in seven children (MP group). The RPDs at 20° and 30° in the MP group were significantly more hyperopic than in the non-MP group (P--.002 and 0.007), whereas there was no significant difference in axial length, and central and peripheral MTF area between the MP and non-MP groups. MP group had more hyperopic focal lines compared with non-MP group at 20°and 30°. Conclusion These results suggest that the progression of axial myopia in children is associated with hyperopic RPD and refraction of focal lines, not with peripheral optical quality.