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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.
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.
Background:
This study compares the ocular biometry with or without myopia in children with type 1 diabetes mellitus (T1DM) and healthy children in China to analyse the difference between myopia in T1DM and healthy children.
Methods:
A case-control study was conducted at the Children's Hospital of Fudan University. The children were divided into four subgroups depending on myopia or non-myopia, T1DM or non-DM. The participants were evaluated for anterior chamber depth (ACD), lens thickness (LT), axial length (AL), average keratometry (K) and lens power (P). Furthermore, cycloplegic refraction was performed and the spherical equivalent (SE) was acquired.
Results:
One hundred and ten patients with T1DM and 102 healthy subjects were included in this study. In the age-sex adjusted analysis, the myopia T1DM subgroup showed thicker LT (p = 0.001), larger P (p = 0.003) and similar ACD, AL, K and SE (all p > 0.05) compared to the myopia control subgroup. Additionally, the myopia T1DM subgroup showed longer AL (p < 0.001) and similar ACD, LT, K and P (all p > 0.05) as the non-myopia T1DM subgroup. In the multivariate linear regression, for T1DM patients, eyes with longer AL, shallower ACD, and larger P were associated with a decrease in SE (p < 0.001, p = 0.01, and p < 0.001, respectively). Meanwhile, for healthy controls, eyes with longer AL and larger P were associated with a decrease in SE (all p < 0.001).
Conclusions:
The ACD and LT of myopia T1DM children remained unchanged compared to non-myopia T1DM children. This means that the lens in the former group could not lose power as compensation for AL growth, thus providing evidence for the acceleration of myopia in T1DM children.
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