Urban Beata, Bakunowicz-Łazarczyk Alina
Z Kliniki Okulistyki Dzieciecej z Ośrodkiem Leczenia Zeza Uniwersytetu Medycznego w Białymstoku.
Klin Oczna. 2010;112(10-12):304-6.
To determine, whether intraocular pressure (IOP) is associated with myopia and axial length in children and adolescents.
129 patients in age from 9 to 18 years (mean 14.5 years), were examined. They underwent dynamic contour tonometry, cycloplegic autorefraction, and A-scan biometry. For analyses, refractive error was split into three groups: low myopia (spherical equivalent refraction - SE < -3.00 D), moderate myopia (SE from -3,00 D to -6,00 D), and high myopia (SE > -6.00 D).
There were no significant IOP differences between eyes with low (mean IOP = 15.15 mm Hg +/- 2.73), moderate (15.3 mmHg +/- 2.6) or high myopes (15.6 mmHg +/- 2.33). IOP was not correlated with spherical equivalent refraction (p = 0.49) or axial length (Spearman correlation, r = 0.04). There were also no statistically significant differences in IOP between the less myopic and more myopic eyes of 11 patients with anisometropia > 3,00 D. Neither spherical equivalent (p = 0.49) nor axial length (p = 0.51) were significantly associated with IOP in anisometropic patients.
IOP was not associated with refractive error and axial length in the eyes of myopic children and adolescents. Further observations are necessary, because myopia can be a risk factor in developing juvenile glaucoma.
确定儿童和青少年的眼压（IOP）是否与近视和眼轴长度相关。
对129例年龄在9至18岁（平均14.5岁）的患者进行了检查。他们接受了动态轮廓眼压测量、睫状肌麻痹验光和A超生物测量。为了进行分析，屈光不正被分为三组：低度近视（等效球镜度-SE＜-3.00D）、中度近视（SE为-3.00D至-6.00D）和高度近视（SE＞-6.00D）。
低度近视（平均眼压=15.15mmHg±2.73）、中度近视（15.3mmHg±2.6）或高度近视（15.6mmHg±2.33）的眼睛之间眼压无显著差异。眼压与等效球镜度（p=0.49）或眼轴长度（Spearman相关性，r=0.04）无关。在11例屈光参差＞3.00D的患者中，近视程度较轻和较重的眼睛之间眼压也无统计学显著差异。在屈光参差患者中，等效球镜度（p=0.49）和眼轴长度（p=0.51）均与眼压无显著相关性。
近视儿童和青少年眼中的眼压与屈光不正和眼轴长度无关。由于近视可能是青少年青光眼发病的一个危险因素，因此有必要进行进一步观察。
