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Published on: April 3, 2016
Long-term visual prognosis of infantile-onset high myopia
1Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan. yfshih@ha.mc.ntu.edu.tw
Insights
Infantile high myopia progression varies by severity. Lower myopia levels tend to worsen, while higher levels may stabilize or regress, with most children achieving good vision.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Refractive Errors
Background:
- Infantile-onset high myopia presents unique challenges in visual development and management.
- Understanding the long-term clinical course is crucial for predicting visual outcomes in affected children.
Purpose of the Study:
- To analyze the refractive status changes in children with infantile-onset high myopia treated with full correction.
- To determine the visual prognosis and identify factors influencing myopia progression or regression.
Main Methods:
- A cohort of 57 children with infantile-onset high myopia (>-5.0 D before age 5) received full correction.
- Data collected included cycloplegic refraction, axial length, and best-corrected visual acuity every 6 months.
- The mean follow-up duration was 9.36 years.
Main Results:
- Myopia progression/regression correlated with initial refractive error severity.
- Lower myopia (-5.0 to -7.75 D) showed higher progression rates compared to the highest myopia group (<= -11.0 D).
- The highest myopia group exhibited greater regression rates; 80% achieved >20/40 vision, with 37% >20/25.
Conclusions:
- Infantile high myopia follows a distinct clinical course compared to school-age myopia.
- Higher initial myopia degrees often lead to stabilization or regression.
- Lower degrees of infantile high myopia demonstrate a significant tendency for progression.
Purpose:
To investigate the clinical course and changes of refractive status in infantile-onset myopic children who received fully corrected glasses and to determine their visual prognosis.
Methods:
In all, 57 children with infantile-onset high myopia (spherical equivalent over -5.0 D prior to the age of 5 years) were included in this study. All children received initial full-correction glasses at the mean age of 3.52 years. The cycloplegic refraction, axial length, and the best-corrected visual acuity were collected every 6 months. The mean follow-up time was 9.36 years.
Results:
We noted that the tendency toward progression or regression of myopia appeared to be related to the degree of refractive error. Lower grades of high myopia (-5.0 to -7.75 D) showed a greater tendency to progress than those of the highest initial myopic refraction level (< or = -11.0 D). While the latter group exhibited a more-substantial regression rate than those cases of the lower initial refraction level. About 80% of infantile-onset high myopes demonstrated a final best-corrected vision of greater than 20/40, with 37% of children revealing a best-corrected vision level even better than 20/25.
Conclusion:
Clinical course of infantile high myopia is different to school myopia. Usually, higher degree of high myopia showed a stable state of myopia, or even possible regression, whereas the lower grades of high myopia revealed a strong tendency to progress.
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