Berntsen David A, Sinnott Loraine T, Mutti Donald O, Zadnik Karla
University of Houston College of Optometry, Houston, TX, United States.
Vision Res. 2011 May 11;51(9):1039-46. doi: 10.1016/j.visres.2011.02.016. Epub 2011 Feb 20.
The relationship between accommodative lag and annual myopia progression was investigated using linear models in 592 myopic children wearing a full refractive correction in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study. The mean (± SD) age and spherical equivalent refractive error at baseline were 10.4 ± 1.8 years and -2.13 ± 1.24 D, respectively. The mean annual progression of myopia was -0.45 ± 0.32 D, and the mean accommodative lag (for a 4-D Badal stimulus) was 1.59 ± 0.63 D. Neither lag at the beginning nor at the end of a yearly progression interval was associated with annual myopia progression (all p ≥ 0.12). These data suggest that foveal hyperopic retinal blur during near viewing may not drive juvenile-onset myopia progression.
在“种族与屈光不正协作纵向评估（CLEERE）研究”中，使用线性模型对592名佩戴全屈光矫正眼镜的近视儿童进行了调节滞后与年度近视进展之间关系的研究。基线时的平均（±标准差）年龄和球镜等效屈光不正分别为10.4±1.8岁和-2.13±1.24D。近视的平均年度进展为-0.45±0.32D，平均调节滞后（对于4D巴达尔刺激）为1.59±0.63D。在年度进展间隔开始时和结束时的调节滞后均与年度近视进展无关（所有p≥0.12）。这些数据表明，近视力时黄斑区远视性视网膜模糊可能不会导致青少年近视进展。
