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Published on: May 25, 2020
Age variations in intraocular pressure in a cohort of healthy Austrian school children
W A Dusek1, B K Pierscionek, J F McClelland
1Vision Science Research Group, School of Biomedical Sciences, University of Ulster, County Londonderry, UK.
Insights
This study established normal intraocular pressure (IOP) ranges for school-aged children using the Icare tonometer. Males showed higher IOP and a correlation with age, unlike females.
Area of Science:
- Ophthalmology
- Pediatric Optometry
- Ocular Biomechanics
Background:
- Intraocular pressure (IOP) is a critical factor in ocular health.
- Normative data for IOP in healthy school-aged children are limited.
- Understanding typical IOP ranges is essential for early detection of potential vision abnormalities.
Purpose of the Study:
- To establish mean and normal ranges of intraocular pressure (IOP) in healthy school-aged children using the Icare rebound tonometer.
- To investigate potential associations between IOP and various visual function measures in this demographic.
Main Methods:
- IOP was measured using the Icare tonometer in 211 children (aged 6-15 years).
- Six IOP measurements were taken from each eye.
- Visual acuity, retinoscopy, amplitude of accommodation, accommodative facility, and accommodative response were also assessed.
Main Results:
- Males exhibited higher mean IOP (15.02 mm Hg) compared to females (14.44 mm Hg) (P=0.041).
- A significant association between age and IOP was observed in males (P<0.001), but not in females (P=0.459).
- IOP showed significant associations with the amplitude of accommodation in males, particularly up to age 11.
Conclusions:
- This study provides valuable normative intraocular pressure (IOP) data for European school-aged children utilizing the Icare tonometer.
- The findings highlight potential sex-based differences in IOP and its correlation with age and accommodation in children.
Purpose:
Limited data exist detailing the normal range of intraocular pressure (IOP) for healthy school age children. This study aims to describe the mean and normal range of IOP measurements that may be expected using the Icare rebound tonometer and to examine associations between visual function measures and IOP.
Methods:
Six measurements of IOP from each eye were obtained from 211 normal children aged 6-15 years (79 females and 132 males) using the Icare tonometer. Other measures of visual function obtained included: visual acuity, non-cycloplegic retinoscopy, amplitude of accommodation, accommodative facility, and accommodative response.
Results:
Statistical analysis (Mann-Whitney U test) demonstrated that the male subjects were more likely to have higher IOP measurements than the female subjects (mean IOP males 15.02 mm Hg (SD 2.19), mean IOP females 14.44 (SD 2.01) P=0.041). Analysis (Spearman's rho) showed a statistically significant association between age and IOP (right eye) in males (P<0.001) but no association for females (P=0.459). Using Spearman's rank analysis, statistically significant associations were found between IOP and amplitude of accommodation in males, for the whole data set (P=0.09) and for data up to age 11 (P<0.001). For females no statistically significant association was found for the whole data set (P=0.253) or for data up to age 11 (P=0.08). IOP was not significantly associated with visual acuity, refractive error, accommodative facility, or accommodative response.
Conclusion:
This study provides useful normative IOP data using the Icare tonometer for a European cohort of school age children.
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