Is myopia accelerated in type 1 diabetes mellitus children? Analyses from the ocular parameters

Ying Xiao1, Yu Qian2, Chenhao Yang3

  • 1Department of Ophthalmology, Children's Hospital of Fudan University, National Children's Medical Center, 399 Wanyuan Road, Shanghai, 201102, China.

BMC Ophthalmology
|April 11, 2023
PubMed

Insights

Children with type 1 diabetes mellitus (T1DM) and myopia exhibit thicker lenses and unchanged anterior chamber depth compared to healthy myopic children. This suggests impaired lens power compensation contributes to myopia progression in T1DM.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Endocrinology

Background:

  • Type 1 diabetes mellitus (T1DM) is a chronic condition affecting children.
  • Myopia prevalence and progression can be influenced by various factors.
  • Understanding ocular biometry differences in T1DM is crucial for pediatric eye care.

Purpose of the Study:

  • To compare ocular biometry parameters between children with T1DM and healthy children.
  • To analyze differences in myopia between T1DM and healthy pediatric populations.
  • To investigate the relationship between ocular structures and refractive error in T1DM.

Main Methods:

  • A case-control study involving T1DM and healthy children in China.
  • Participants categorized into four subgroups: myopia/non-myopia and T1DM/non-DM.
  • Ocular biometry measured included anterior chamber depth (ACD), lens thickness (LT), axial length (AL), keratometry (K), lens power (P), and spherical equivalent (SE).

Main Results:

  • Myopic T1DM children had thicker lenses (LT) and greater lens power (P) than myopic controls.
  • Myopic T1DM children showed longer axial length (AL) compared to non-myopic T1DM children.
  • In T1DM patients, longer AL, shallower ACD, and larger P were associated with decreased SE; similar associations were found in healthy controls.

Conclusions:

  • Anterior chamber depth and lens thickness in myopic T1DM children did not significantly differ from non-myopic T1DM children.
  • The lens in myopic T1DM children may not adequately compensate for axial length growth.
  • These findings provide evidence for accelerated myopia progression in children with T1DM.
Abstract

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