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Updated: May 10, 2026

Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients
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Peripheral optical quality and myopia progression in children.

Takefumi Yamaguchi1, Kazuhiko Ohnuma, Kenji Konomi

  • 1Department of Ophthalmology, Tokyo Dental College, 5-11-13 Sugano, Ichikawa, Chiba, Japan, 272-8513, yama19770614@hotmail.com.

Graefe'S Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie
|June 14, 2013
PubMed
Summary

Peripheral optical quality does not predict myopia progression in children. Instead, hyperopic relative peripheral defocus (RPD) and focal line refraction are linked to axial elongation and myopic progression.

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Area of Science:

  • Ophthalmology
  • Optometry
  • Pediatric Eye Care

Background:

  • Investigating peripheral optical quality and its link to axial elongation in pediatric myopia.
  • Understanding factors influencing myopic progression in children is crucial for early intervention.

Purpose of the Study:

  • To examine the relationship between peripheral optical quality and axial elongation in Japanese children.
  • To determine if peripheral optical quality predicts myopic progression.

Main Methods:

  • Twenty-nine Japanese children (10-12 years) with varying refractive errors were followed for 9 months.
  • Peripheral point spread functions (PSFs) and modulation transfer function (MTF) area were measured to assess optical quality.
  • Relative peripheral defocus (RPD) and focal line refractions were analyzed for correlation with myopia progression and axial length changes.

Main Results:

  • Axial length changes correlated significantly with myopic progression and initial relative peripheral defocus (RPD).
  • Children with significant myopic progression (>0.5 D) showed more hyperopic RPDs at 20° and 30° compared to non-progressors.
  • No significant correlation was found between peripheral optical quality (MTF area) and myopia progression or axial elongation.

Conclusions:

  • Hyperopic relative peripheral defocus (RPD) and focal line refraction are associated with axial myopia progression in children.
  • Peripheral optical quality, as measured by MTF area, does not appear to be a predictor of myopic progression in this cohort.
  • Findings suggest focusing on peripheral defocus characteristics for myopia management strategies.