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收稿:2020-09-21,
纸质出版:2021-03-30
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代诚, 刘梦, 李宾中. 青少年晶状体形态与眼轴长度的关系[J]. 第三军医大学学报, 2021,43(6):547-552.
Cheng DAI, Meng LIU, Binzhong LI. Relationship between lens morphology and axial length in adolescents[J]. Journal of Third Military Medical University, 2021, 43(6): 547-552.
代诚, 刘梦, 李宾中. 青少年晶状体形态与眼轴长度的关系[J]. 第三军医大学学报, 2021,43(6):547-552. DOI: 10.16016/j.1000-5404.202009178.
Cheng DAI, Meng LIU, Binzhong LI. Relationship between lens morphology and axial length in adolescents[J]. Journal of Third Military Medical University, 2021, 43(6): 547-552. DOI: 10.16016/j.1000-5404.202009178.
Objective
2
To investigate the change rules of lens by analyzing the relationship between lens morphology and axial length in adolescents.
Methods
2
A total of 285 adolescents (6~18 years old
570 eyes) who visited our ophthalmological department from May to June 2020 were enrolled in this study. Diopter
axial length
keratometry and lens parameters were obtained by optometry after cycloplegia
optical biomimetry (IOL Master) and anterior segment optical coherence tomography (CASIA2)
respectively. The subjects were divided into 3 age groups (6~10
11~14 and 15~8 years)
and were also assigned into 3 groups in accordance with their equivalent spherical specularity: hyperopia
emmetropia and myopia groups. One-way analysis of variance was adopted to compare lens parameters among different age and refractive groups
and their relationships with axial length were analyzed with Pearson correlation analysis and linear regression analysis.
Results
2
In different age groups
statistical differences were observed in the radius of anterior surface curvature and the diopter of lens (
P
<
0.05); And similar results were seen in above 2 parameters and in the thickness and diameter of lens among different refractive groups (
P
<
0.05). The curvature radius of the anterior and posterior surface
diopter
and thickness and diameter of lens were all significantly correlated with the ax
ial length of eye in different age groups and refractive groups (
P
<
0.001). In the hyperopia
emmetropia and myopia groups
with the increase of every 1 mm in ocular axis
the radius of anterior surface curvature was increased by 1.19
1.04 and 0.58 mm; the radius of posterior surface curvature was increased by 0.41
0.38 and 0.30 mm
the diopter was decreased by 1.68 D
1.44 D and 0.98 D; the thickness was reduced by 0.076
0.091 and 0.059 mm
and the diameter increased by 0.3
0.23 and 0.24 mm
respectively.
Conclusion
2
The disparity of lens parameters among different ages and refractive states in adolescents is mainly caused by the diversity of axial length. The morphological changes of the lens are coordinated with the growth of axial length
but the changes will be decreased with the growth.
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