Chan Ka Yin, Cheung Sin Wan, Cho Pauline
School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China.
Clin Exp Optom. 2012 Mar;95(2):160-5. doi: 10.1111/j.1444-0938.2011.00682.x. Epub 2011 Dec 8.
The aim was to determine the corneal parameters in low to moderate myopic Chinese children and to investigate the differences in these corneal parameters between male and female subjects.
Refractive errors and corneal parameters were retrieved from subjects who had participated in studies on myopia and astigmatism in 2008 and 2009. Corneal parameters including simulated K (Sim K) and asphericity (Q) at 9.0 mm chord and horizontal visible iris diameter (HVID) were determined for 217 children (112 males and 105 females aged from six to 12 years) using the Medmont E300 topographer.
The Q of the corneas was -0.44 ± 0.12 along the flat meridian and -0.22 (-0.70 to 0.63) along the steep meridian. The HVID and Sim K of male subjects were larger and flatter than female subjects. The mean HVID of male and female subjects was 11.3 ± 0.3 mm and 11.1 ± 0.30 mm, respectively. The mean Sim K value in male and female subjects was 7.91 ± 0.24 mm and 7.79 ± 0.21 mm, respectively, along the flat meridian, and was 7.65 ± 0.26 mm and 7.53 ± 0.24 mm, respectively, along the steep meridian.
All corneas were prolate elliptical in shape along the flat meridian and the peripheral flattening rate was found to be greater along the flat meridian. A greater flattening rate was observed in the corneas of Chinese children when compared to that of Caucasian children. The Q between male and female subjects was not significantly different. Male subjects tended to have larger HVID and flatter corneas than female subjects.
本研究旨在测定低度至中度近视中国儿童的角膜参数,并探讨这些角膜参数在男性和女性受试者之间的差异。
从2008年和2009年参与近视和散光研究的受试者中获取屈光不正和角膜参数。使用Medmont E300角膜地形图仪,对217名年龄在6至12岁的儿童(112名男性和105名女性)测定角膜参数,包括9.0mm弦长的模拟角膜曲率(Sim K)、非球面系数(Q)和水平可见虹膜直径(HVID)。
角膜在平坦子午线方向的Q值为-0.44±0.12,在陡峭子午线方向为-0.22(-0.70至0.63)。男性受试者的HVID和Sim K比女性受试者更大且更平坦。男性和女性受试者的平均HVID分别为11.3±0.3mm和11.1±0.30mm。男性和女性受试者在平坦子午线方向的平均Sim K值分别为7.91±0.24mm和7.79±0.21mm,在陡峭子午线方向分别为7.65±0.26mm和7.53±0.24mm。
所有角膜在平坦子午线方向呈长椭圆形,且在平坦子午线方向周边变平率更大。与白种儿童相比,中国儿童角膜的变平率更高。男性和女性受试者之间的Q值无显著差异。男性受试者的HVID往往比女性受试者更大,角膜更平坦。