Retinal and Choroidal Changes in Children with Moderate-to-High Hyperopia

Purpose. This study aimed to investigate the characteristics of retinal nerve fiber layer (RNFL) thickness, ganglion cell layer (GCL) thickness, and choroidal thickness in children with moderate-to-high hyperopia (MHH). Methods. This was a cross-sectional study that enrolled 53 children with MHH and...

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Main Authors: Yu Qian, Yingyan Ma, Qiurong Lin, Zhaoyu Xiang, Jun Qiang, Yan Xu, Haidong Zou
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/9971564
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author Yu Qian
Yingyan Ma
Qiurong Lin
Zhaoyu Xiang
Jun Qiang
Yan Xu
Haidong Zou
author_facet Yu Qian
Yingyan Ma
Qiurong Lin
Zhaoyu Xiang
Jun Qiang
Yan Xu
Haidong Zou
author_sort Yu Qian
collection DOAJ
description Purpose. This study aimed to investigate the characteristics of retinal nerve fiber layer (RNFL) thickness, ganglion cell layer (GCL) thickness, and choroidal thickness in children with moderate-to-high hyperopia (MHH). Methods. This was a cross-sectional study that enrolled 53 children with MHH and 53 emmetropic children. Subjects with a spherical equivalent refraction (SER) of +4.0 D or higher were included in the MHH group, and subjects with SER between −1.0 D and +1.0 D were included in the emmetropic group. Ophthalmic examinations, including uncorrected visual acuity, cycloplegic refraction, slit-lamp examination, axial length, and swept-source optical coherence tomography (SS-OCT; DRI OCT Triton-1, Topcon, Tokyo, Japan), were performed. Results. The RNFL and GCL in the temporal and inferior quadrants in 1–3 mm of the macular fovea were thinner in the MHH group than in the emmetropic group (all P<0.05). The MHH group also had a thicker choroidal thickness in all regions (all P<0.05). The SER was independently correlated with the average choroidal thickness in the optic disc and fovea (coefficient = 4.853, P<0.001 for the optic disc; coefficient = 5.523, P=0.004 for the fovea), while axial length was negatively correlated with choroidal thickness (coefficient = −12.649, P<0.001). Axial length was positively associated with RNFL and GCL thickness in the temporal quadrant in 1–3 mm of the macular fovea (coefficient = 0.966, P=0.007 for RNFL and coefficient = 1.476, P=0.011 for the macular fovea). Conclusion. Compared with emmetropic children, MMH children had greater choroidal thickness. The characteristics of the RNFL and GCL thickness in MMH children were different from those in emmetropic children.
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spelling doaj-art-4dc415da16a743778284055ea2b937612025-08-20T02:38:45ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/99715649971564Retinal and Choroidal Changes in Children with Moderate-to-High HyperopiaYu Qian0Yingyan Ma1Qiurong Lin2Zhaoyu Xiang3Jun Qiang4Yan Xu5Haidong Zou6Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Eye Diseases Prevention & Treatment Center, Shanghai Eye Hospital, Shanghai, ChinaShanghai Eye Diseases Prevention & Treatment Center, Shanghai Eye Hospital, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPurpose. This study aimed to investigate the characteristics of retinal nerve fiber layer (RNFL) thickness, ganglion cell layer (GCL) thickness, and choroidal thickness in children with moderate-to-high hyperopia (MHH). Methods. This was a cross-sectional study that enrolled 53 children with MHH and 53 emmetropic children. Subjects with a spherical equivalent refraction (SER) of +4.0 D or higher were included in the MHH group, and subjects with SER between −1.0 D and +1.0 D were included in the emmetropic group. Ophthalmic examinations, including uncorrected visual acuity, cycloplegic refraction, slit-lamp examination, axial length, and swept-source optical coherence tomography (SS-OCT; DRI OCT Triton-1, Topcon, Tokyo, Japan), were performed. Results. The RNFL and GCL in the temporal and inferior quadrants in 1–3 mm of the macular fovea were thinner in the MHH group than in the emmetropic group (all P<0.05). The MHH group also had a thicker choroidal thickness in all regions (all P<0.05). The SER was independently correlated with the average choroidal thickness in the optic disc and fovea (coefficient = 4.853, P<0.001 for the optic disc; coefficient = 5.523, P=0.004 for the fovea), while axial length was negatively correlated with choroidal thickness (coefficient = −12.649, P<0.001). Axial length was positively associated with RNFL and GCL thickness in the temporal quadrant in 1–3 mm of the macular fovea (coefficient = 0.966, P=0.007 for RNFL and coefficient = 1.476, P=0.011 for the macular fovea). Conclusion. Compared with emmetropic children, MMH children had greater choroidal thickness. The characteristics of the RNFL and GCL thickness in MMH children were different from those in emmetropic children.http://dx.doi.org/10.1155/2021/9971564
spellingShingle Yu Qian
Yingyan Ma
Qiurong Lin
Zhaoyu Xiang
Jun Qiang
Yan Xu
Haidong Zou
Retinal and Choroidal Changes in Children with Moderate-to-High Hyperopia
Journal of Ophthalmology
title Retinal and Choroidal Changes in Children with Moderate-to-High Hyperopia
title_full Retinal and Choroidal Changes in Children with Moderate-to-High Hyperopia
title_fullStr Retinal and Choroidal Changes in Children with Moderate-to-High Hyperopia
title_full_unstemmed Retinal and Choroidal Changes in Children with Moderate-to-High Hyperopia
title_short Retinal and Choroidal Changes in Children with Moderate-to-High Hyperopia
title_sort retinal and choroidal changes in children with moderate to high hyperopia
url http://dx.doi.org/10.1155/2021/9971564
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AT zhaoyuxiang retinalandchoroidalchangesinchildrenwithmoderatetohighhyperopia
AT junqiang retinalandchoroidalchangesinchildrenwithmoderatetohighhyperopia
AT yanxu retinalandchoroidalchangesinchildrenwithmoderatetohighhyperopia
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