Simultaneous Changes in Astigmatism with Noncycloplegia Refraction and Ocular Biometry in Chinese Primary

Yaoyao Lin1, Dandan Jiang2, Chunchun Li2

  • 1School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou, Zhejiang, China.

Insights

Astigmatism prevalence slightly decreased in Chinese schoolchildren over two years. Longer axial lengths (AL) and higher AL/corneal radius of curvature (CRC) ratios are key risk factors for developing astigmatism.

Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Biometry

Background:

  • Astigmatism is a common refractive error affecting visual acuity.
  • Understanding astigmatism progression in children is crucial for early intervention.
  • Ocular biometry plays a role in refractive error development.

Purpose of the Study:

  • To evaluate changes in astigmatism among Chinese schoolchildren.
  • To investigate the relationship between astigmatism progression and ocular biometric parameters.

Main Methods:

  • A two-year longitudinal study of 1,463 Chinese children aged 6-9 years.
  • Annual measurements of noncycloplegic refraction, axial length (AL), and corneal radius of curvature (CRC).
  • Definition of clinically significant astigmatism (CSA) as ≤-0.75 diopters (D).

Main Results:

  • The prevalence of CSA slightly decreased from 22.4% to 20.3% over two years.
  • Longer baseline AL (>23.58 mm) and higher AL/CRC ratio (>2.99) were significant predictors for developing CSA.
  • Increased astigmatism was associated with greater AL growth, increased AL/CRC ratio, and myopic shift.

Conclusions:

  • A slight decrease in astigmatism prevalence was observed in the study cohort.
  • Longer axial length and higher AL/CRC ratio are identified as independent risk factors for developing clinically significant astigmatism.
  • Astigmatism progression in children is linked to axial elongation and myopic development.
Abstract

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