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Myopia onset and role of peripheral refraction

Authors Rotolo M, Montani G, Martin R

Received 25 February 2017

Accepted for publication 28 April 2017

Published 16 June 2017 Volume 2017:9 Pages 105—111

DOI https://doi.org/10.2147/OPTO.S134985

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Mr Simon Berry


Maurilia Rotolo,1,2 Giancarlo Montani,2 Raul Martin1,3

1Optometry Research Group, IOBA Eye Institute, School of Optometry, Universidad de Valladolid, Valladolid, Spain; 2Optics and Optometry, Corso di Ottica e Optometria, Universita del Salento, Lecce, Italy; 3Faculty of Health and Human Sciences, School of Health Professions, Plymouth University, Peninsula Allied Health Centre, Plymouth, UK

Background: To determine the peripheral refraction characteristics related to 18-month changes in refraction in Caucasian (Mediterranean) children.
Methods: Non-cycloplegic peripheral refraction at 10° intervals over the central ±30° of horizontal visual field over 18 months (baseline, 12 months, and 18 months of follow-up) was conducted in 50 healthy children who were 8 years old. Axial length (AL) was also recorded. Relative peripheral refraction (RPR) was calculated and eyes were divided into three study groups: non-myopic eyes, myopic eyes, and eyes that develop myopia.
Results: Myopic eyes showed hyperopic RPR and emetropic and hyperopic eyes showed myopic RPR. Univariate analysis of variance did not find any statistically significant effect of peripheral refraction (F36=0.13; P=1.00) and RPR (F36=0.79; P=0.80) on myopia onset (eyes that developed myopia along the study). All the studied groups showed an increase of AL, without statistically significant differences between the studied groups (F6=0.09; P=0.99).
Conclusion: Hyperopic relative peripheral shift change in eyes that develop myopia has been found with differences in RPR between myopic (hyperopic RPR) and hyperopic or emmetropic eyes (with myopic RPR). The results suggest that RPR cannot predict development or progression of myopia in Caucasian (Mediterranean) children and the efficacy in slowing myopia progression obtained with treatments that manipulate the peripheral refraction is not just driven with RPR.

Keywords: myopia, refractive errors, myopia onset, peripheral refraction, relative peripheral hyperopia

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