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Axial length development in children

Austin Bach1, Victor M Villegas2, Aaron S Gold3

  • 1Larkin Eye Institute, Miami, Florida 33143, USA.

International Journal of Ophthalmology
|May 28, 2019
PubMed

Insights

Pediatric ocular axial lengths grow most rapidly in the first 10 months of life and stabilize after 36 months in healthy eyes. This data aids in diagnosing pediatric eye conditions.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Biometry

Background:

  • Accurate measurement of ocular axial length is crucial for diagnosing and managing various pediatric eye conditions.
  • Establishing normative data for axial length in healthy pediatric eyes is essential for comparison.

Purpose of the Study:

  • To establish a normative model for ocular axial length in pediatric subjects without intraocular pathology.
  • To analyze the pattern of axial length growth in healthy children.

Main Methods:

  • Retrospective chart review of axial lengths from 330 eyes of 165 pediatric subjects examined under anesthesia.
  • Inclusion criteria: absence of intraocular pathology; exclusion criteria: presence of intraocular pathology.
  • Development of an axial length growth model using logarithmic regression, with stratification by age groups.

Main Results:

  • The study included 330 eyes from 165 pediatric subjects with a mean age of 30.62 months.
  • The steepest increase in ocular axial length was observed during the first 10 months of life.
  • No statistically significant axial length growth was detected after 36 months of age.

Conclusions:

  • This study provides the largest dataset of pediatric ocular axial lengths in healthy eyes.
  • The developed axial length model can aid in the diagnosis and management of pediatric ophthalmic diseases.
  • Normative data is critical for identifying deviations from typical growth patterns.
Abstract

Keywords:
axial lengthbiometryeye developmentmodelpediatric

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