Myopia in preterm children at 12 to 24 months of age

Sule Ziylan1, Didem Serin, Safak Karslioglu

  • 1Sisli Etfal Hospital, Istanbul, Turkey.

Insights

Axial length is the primary factor influencing myopia development in preterm infants aged 12-24 months. The degree of myopia correlates with axial length and anterior chamber depth, highlighting key biometric influences.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Developmental Biology

Background:

  • High incidence of myopia observed in preterm children.
  • Understanding biometric factors is crucial for early intervention.

Purpose of the Study:

  • Examine biometric factors influencing myopia in preterm children (12-24 months).
  • Investigate the role of axial length, lens thickness, and anterior chamber depth.

Main Methods:

  • A-scan ultrasonography used to measure ocular biometric parameters.
  • Compared preterm myopic children, preterm emmetropic children, and full-term controls.
  • Study included 25 myopic, 35 emmetropic preterm children, and 20 full-term controls.

Main Results:

  • Significantly greater axial length in the myopic preterm group compared to controls.
  • No significant differences in lens thickness or anterior chamber depth among groups.
  • Myopia severity increased with longer axial length and shallower anterior chamber depth.

Conclusions:

  • Axial length is the main driver of myopia development in preterm infants.
  • Axial length and anterior chamber depth influence the degree of myopia.
  • Axial length is a critical refractive component in early-onset myopia in preterm populations.
Abstract