Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (4): 76-80.doi: 10.6040/j.issn.1673-3770.0.2020.432

Previous Articles     Next Articles

A controlled Study of the accommodative parameters of eyes with uncorrected myopic anisometropia

YUE Pengcheng1,2, DU Qiuxuan1,2, KONG Ling1,2, QIAO Zhentao1,2   

  1. 1. Qingdao Eye Hospital of Shandong First Medical University, Qingdao 266071, Shandong, China;
    2. Shandong Frist Medical University & Shandong Academy of Medical Sciences / State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Qingdao 266071, Shandong, China
  • Published:2021-08-05

PDF (PC)

385

Abstract: Objective To study the effect of myopic anisometropia on binocular accommodative parameters. Methods The study involved 63 patients with different refractive parameters in their two eyes but no history of refractive correction for anisometropia. They were divided into anisometropia group and control group according to the difference in refractive status. Their cycloplegic refraction were measured using a comprehensive refractometer. The monocular and binocular negative relative accommodation, accommodative responses, positive relative accommodation, accommodative facilities, amplitudes of accommodation, and the differences in adjustment parameters of the two groups were analyzed. Results There were 34 patients in the anisometropia group. The monocular PRA in the eyes with higher degree was -2.10±0.88, and that of the eyes with lower degree was -2.46±0.70; the difference was statistically significant(t=2.96, P<0.05). The monocular accommodative response value of the eyes in the in the eyes with higher degree was +0.51±0.42, and that of the eyes in eyes with lower degree was +0.35±0.35, the difference was statistically significant(Z=-2.45, P<0.05). The monocular accommodative facility of the eyes in the eyes with higher degree was 4.47±2.38, and that of the eyes with lower degree was 5.53±3.03; the difference was statistically significant(t=-2.42, P<0.05). The monocular NRA in the eyes with higher degree was +2.21±0.28, and that of the eyes with lower degree was +2.21±0.40; the difference was not statistically significant(Z=-0.43, P>0.05). There were 29 patients in the control group, they were no statistically significant differences between the NRA, accommodation responses, PRA, and accommodative facilities of the two eyes in the control group(NRA: Z=-0.42, P>0.05; accommodative response: Z=-0.95, P>0.05; PRA: Z=-1.37, P>0.05; accommodative facility: Z=-0.04, P> 0.05). The binocular NRA of the anisometropia group was +2.39±1.58, whereas that of the control group was +2.24±0.31; the difference was statistically significant(Z=-2.54, P<0.01). The binocular PRA was -2.00±0.81 in the anisometropia group and -2.49±0.81 in the control group; the difference was statistically significant(Z=-2.31, P<0.05). The binocular accommodative response was +0.38±0.30 in the anisometropia group and +0.41±0.30 in the control group; the difference was not statistically significant(Z=-0.58, P>0.05). The binocular flexibility was 4.57±2.50 in the anisometropia group and 4.59±2.18 in the control group, and the difference was not statistically significant(Z=-0.04, P>0.05). Conclusion Myopic anisometropia may cause abnormal interbinocular accommodative parameters.

Key words: Myopia, Anisometropia, Accommodation, Vision function parameters, Uncorrected

CLC Number: 

  • R778.1
[1] Deng L, Gwiazda JE. Anisometropia in children from infancy to 15 years[J]. Invest Ophthalmol Vis Sci, 2012, 53(7): 3782-3787. doi:10.1167/iovs.11-8727.
[2] Press LJ. Relationship between anisometropia, amblyopia, and binocularity[J]. Optom Vis Sci, 1999, 76(10): 677. doi:10.1097/00006324-199910000-00016.
[3] Vincent SJ, Collins MJ, Read SA, et al. Myopic anisometropia: ocular characteristics and aetiological considerations[J]. Clin Exp Optom, 2014, 97(4): 291-307. doi:10.1111/cxo.12171.
[4] 陈梦兰, 何花, 刘芸. 屈光参差儿童的斜视、弱视特征及立体视功能的差异性分析[J]. 华中科技大学学报(医学版), 2020, 49(5): 602-608. doi:10.3870/j.issn.1672-0741.2020.05.017. CHEN Menglan, HE Hua, LIU Yun. Differences and characteristics of strabismus, amblyopia and stereoscopic vision function in children with anisometropia[J]. Acta Med Univ Sci et Technol Huazhong, 2020, 49(5): 602-608. doi:10.3870/j.issn.1672-0741.2020.05.017.
[5] 熊佳伟, 周行涛, 莫晓芬. 儿童屈光参差临床研究进展[J]. 中国眼耳鼻喉科杂志, 2017, 17(4): 288-291. doi:10.14166/j.issn.1671-2420.2017.04.017. XIONG Jiawei, ZHOU Xingtao, MO Xiaofen. Clinical research progresses of children's anisometropia[J]. Chin J Ophthalmol Otorhinolaryngol, 2017,17(4): 288-291. doi:10.14166/j.issn.1671-2420.2017.04.017.
[6] Kuo NW, Shen CJ, Sheu SJ. The ocular biometric and corneal topographic characteristics of high-anisometropic adults in Taiwan[J]. J Chin Med Assoc, 2011, 74(7): 310-315. doi:10.1016/j.jcma.2011.05.007.
[7] Xu SZ, Xu AQ, Tao AZ, et al. Corneal biomechanical properties and intraocular pressure in high myopic anisometropia[J]. Eye Contact Lens, 2010, 36(4): 204-209. doi:10.1097/ICL.0b013e3181e4a60a.
[8] Mutti DO, Mitchell GL, Moeschberger ML, et al. Parental myopia, near work, school achievement, and children's refractive error[J]. Investig Ophthalmol Vis Sci, 2002, 43(12): 3633-3640.
[9] Shapira Y, Vainer I, Mimouni M, et al. Effect of anisometropia on the predictability and accuracy of refractive surgery[J]. Cornea, 2016, 35(11): 1410-1415. doi:10.1097/ico.0000000000000974.
[10] Horwood AM, Riddell PM. Independent and reciprocal accommodation in anisometropic amblyopia[J]. J Am Assoc Pediatr Ophthalmol Strabismus, 2010, 14(5): 447-449. doi:10.1016/j.jaapos.2010.07.003.
[11] 傅佳, 武晶晶, 郭寅, 等. 近视性屈光参差主导眼的屈光状态及其调节功能[J]. 眼科, 2016, 25(2): 102-105. doi:10.13281/j.cnki.issn.1004-4469.2016.02.008. FU Jia, WU Jingjing, GUO Yin, et al. Refractive status and its accommodation of dominant eye in myopic anisometropia[J]. Ophthalmol China, 2016, 25(2): 102-105. doi:10.13281/j.cnki.issn.1004-4469.2016.02.008.
[12] 徐丹, 姜俭, 阎静, 等. 近视性屈光参差者双眼调节反应的研究[J]. 中华眼科杂志, 2009, 45(7): 612-615. doi:10.3760/cma.j.issn.0412-4081.2009.07.007. XU Dan, JIANG Jian, YAN Jing, et al. Analyze of the accommodative response in myopia anisometropes[J]. Chin J Ophthalmol, 2009, 45(7): 612-615. doi:10.3760/cma.j.issn.0412-4081.2009.07.007.
[13] Toor S, Horwood A, Riddell P. The effect of asymmetrical accommodation on anisometropic amblyopia treatment outcomes[J]. J Am Assoc Pediatr Ophthalmol Strabismus, 2019, 23(4): 203.e1-203.e5. doi:10.1016/j.jaapos.2019.05.010.
[14] 陈云云, 丁程璐, 保金华, 等. 儿童近视进展与调节功能的关系[J]. 温州医科大学学报, 2020, 50(6): 461-464,470. doi:10.3969/j.issn.2095-9400.2020.06.006. CHEN Yunyun, DING Chenglu, BAO Jinhua, et al. Study on the relationship between myopia progression and accommodative functions in children[J]. J Wenzhou Med Univ, 2020, 50(6): 461-464,470. doi:10.3969/j.issn.2095-9400.2020.06.006.
[15] 李瑞凤, 刘桂香, 万鲁芹. 实验近视性屈光参差对双眼视功能的影响[J]. 山东大学耳鼻喉眼学报, 2012, 26(3): 72-74. doi: 10.6040/j.issn.1673-3770.2012.03.024. LI Ruifeng, LIU Guixiang, WAN Luqin. Influence of experimental myopic anisometropia on binocular visual function[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2012, 26(3): 72-74. doi: 10.6040/j.issn.1673-3770.2012.03.024.
[16] Bharadwaj SR, Candy TR. The effect of lens-induced anisometropia on accommodation and vergence during human visual development[J]. Investig Ophthalmol Vis Sci, 2011, 52(6): 3595-3603. doi:10.1167/iovs.10-6214.
[17] Charman WN. Aniso-accommodation as a possible factor in myopia development[J]. Oph Phys Optics, 2004, 24(5): 471-479. doi:10.1111/j.1475-1313.2004.00205.x.
[18] Childress ME, Childress CW, Conklin RM. Possible effects of visual demand on refractive error[J]. J Am Optom Assoc, 1970, 41(4): 348-353.
[19] Harris P. Visual conditions of symphony musicians[J]. J Am Optom Assoc, 1988, 59(12): 952-959.
[20] 李丹,赵桁,李杰,等. 低度近视性屈光参差不同矫正方式的调节功能研究[J]. 国际眼科杂志,2021,21(4):730-733. doi:10.3980 /j.issn.1672-5123.2021.4.35. LI Dan, ZHAO Heng, LI Jie, et al. Study of the accommodative difference between wearing orthokeratology lens and frame lens in low myopic anisometropia children[J]. Int Eye Sci, 2021, 21(4): 730-733. doi:10.3980 /j.issn.1672-5123.2021.4.35.
[21] HAN Xiaoxia, XU Dongjun, GE Weizhong, et al. A Comparison of the effects of orthokeratology lens, medcall lens, and ordinary frame glasses on the accommodative response in myopic children.[J]. Eye Contact Lens, 2018, 44: 268-271. doi:10.1097/ICL.0000000000000390.
[22] 蓝方方,赵武校,甘露. 角膜塑形镜对青少年近视眼调节参数的影响[J]. 中国临床新医学,2017,10(1):15-18. doi:10.3969 /j. issn.1674-3806.2017.01.05.
[23] 刘俐娜,钟兴武,胡施思,等. 屈光参差儿童单眼配戴角膜塑形镜后调节功能的变化[J]. 国际眼科杂志, 2020,20(6):1040-1043. doi:10.3980/j.issn.1672-5123.2020.6.25. Liu LN, Zhong XW, Hu SS, et al. Effect on the accommodation function of monocular orthokeratology in anisometropic children[J]. Int Eye Sci, 2020, 20(6):1040-1043 doi:10.3980/j.issn.1672-5123.2020.6.25.
[24] Koh LH, Charman WN. Accommodative responses to anisoaccommodative targets[J]. Ophthalmic Physiol Opt, 2008, 18(3): 254-262. doi:10.1111/j.1475-1313.1998.00329.x.
[25] Vincent SJ, Collins MJ, Read SA, et al. Interocular symmetry in myopic anisometropia[J]. Optom Vis Sci, 2011: 1. doi:10.1097/opx.0b013e318233ee5f.
[1] DAI ChengOverview,LI BinzhongGuidance. Advances in multifocal soft corneal contact lens research [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 100-105.
[2] ZHANG Taoran, WANG Wei, LI Mingming, HUANG Yingxiang. Subfoveal choroidal thickness changes following intravitreal ranibizumab treatment in choroidal neovascularization due to pathological myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 68-71.
[3] PENG Jiao, ZHONG Dingjuan, CHEN Jiao, ZUO Jun, WANG Hua. The effect of the relationship between the diameter of the optical zone and the diameter of the dark pupil on the visual quality of patients with different degrees of myopia after SMILE [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 100-107.
[4] LI Ying. Importance of standardized methods in corneal refractive surgery and the prevention of complications [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 1-6.
[5] ZHANG Ying, LEI Yulin, MA Zhixing, YANG Xinghua, ZHANG Jing, HOU Jie. Early clinical observation of corneal densitometry after SMILE combined with rapid corneal cross-linking [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 52-58.
[6] LIU Yi, YU Mingkun, SUN Wei, SHAO Zhen, HU Yuanyuan, BI Hongsheng. The effectiveness and safety of orthokeratology on controlling myopia of children: a meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 92-100.
[7] RAN Hongyun, JIANG Keke，,ZHANG Jie. Analysis of underlying factors of refractive errors in infants with retinopathy of prematurity [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 118-124.
[8] LIU Ling,ZHANG Meixia. Drug therapy for myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 123-128.
[9] Pathologic myopia(PM)is a major cause of vision loss worldwide, particularly in Asian countries. Choroidal neovascularization(CNV)is a severe complication of PM, which can cause macular disorders, leading to central scotoma, metamorphopsia, visual field loss, and finally blindness if not treated. The advents of optical coherence topography(OCT), OCT angiography, and fundus fluorescein angiography are helpful in diagnosing CNV due to PM, which can show the position and size of CNV, whether active or passive. For the treatment, photodynamic and anti-vascular endothelial growth factor(anti-VEGF)therapies are widely applied. In recent years, administering the intravitreal anti-VEGF injection has become the first-line treatment for CNV secondary to PM. Many clinical studies have indicated that intravitreal anti-VEGF injections affect antagonizing neovascularization and reduce macular edema, thereby contributing to visual improvements and better long-term outcomes. This article provides an overview of the current diagnosis and treatment options for myopic CNV.. Diagnosis and treatment of choroidal neovascularization in pathologic myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 157-162.
[10] Ying LI,Yang JIANG. A discussion on the choice of surgical methods for correction of myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 1-6.
[11] Bo WAN,Donghui LI,Yan LUO,Ying LI. Lens vault changes and associated factors after implantation of implantable collamer lenses with central flow [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 36-41.
[12] Yang JIANG,Ying LI,Ge CUI. Efficacy of 0.1% diclofenac sodium eye drops post-SMILE [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 57-60.
[13] Xuanqi WANG. Research advances on vault and relevant factors after implantable collamer lens implantation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 72-78.
[14] Danfeng ZHANG. Changes in the ocular biometric parameters before and after cycloplegia in juveniles with different degrees of myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 121-124.
[15] SONG Sen, LI Ying, DING Xin, JIN Yumei. Early visual acuity recovery and related factors in myopic patients after small incision lenticule extraction [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 77-79.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 84 -87 .
[2] NIU Shanli,CHAI Maowen,LI Zhenxiu . Endoscopic rhinoplasty of inferior turbinate in 60 patients with chronic hypertrophic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 16 -18 .
[3] MENG Qing-guo,LU Yong-tian,FAN Xian-liang .

Association of killer cell immunoglobulin-like receptor gene polymorphisms with nasopharyngeal carcinoma

[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 196 -199 .
[4] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 199 -199 .
[5] WAN Li-jia,LU Hai-tao,JIANG Yi-dao,LIU Hui,LI Qin,SHE La-zhi . Effect of H-uvulopalatopharyngoplasty on obstructive sleep apnea
hypopnea syndrome[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 204 -205 .
[6] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 222 -224 .
[7] JI Xiao-bin,DENG Jia-de,ZANG Lin-quan,WANG Lei,XIE Jun . Blood histamine in guinea pigs with allergic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 228 -230 .
[8] XIANG Deng,LU Yong-tian,SUN Huan-ji . Endoscopic repair for cerebrospinal fluid rhinorrhea in 19 cases and a literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 234 -236 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 253 -257 .
[10]
YIN Guo-hua,ZHONG Xiao . Long-term effect of laser reduction on lingua adenoids
[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 280 -282 .
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd