Unilateral high myopia: optical components, associated factors, and visual outcomes

Aim: To elucidate the optical basis for unilateral high myopia and to identify the factors associated with its development. Methods: Medical records of 48 children (aged 4 months to 17 years; mean age 6.8 years) with unilateral high myopia (5 dioptres or more) seen consecutively by the author during...

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Veröffentlicht in:British journal of ophthalmology 2003-08, Vol.87 (8), p.1025-1031
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description Aim: To elucidate the optical basis for unilateral high myopia and to identify the factors associated with its development. Methods: Medical records of 48 children (aged 4 months to 17 years; mean age 6.8 years) with unilateral high myopia (5 dioptres or more) seen consecutively by the author during a 15 year period were reviewed. 45 (94%) of the 48 patients had unilateral axial myopia. Results: The mean refractive difference between paired eyes was 9.4 (SD 3.6) dioptres and the more myopic eye was on average 3.3 (1.8) mm longer than the less myopic eye. All but three of the patients had an ocular disorder associated with reduced acuity, central nervous system abnormality, or family history of high myopia. Conclusion: Clinical conditions associated with unilateral high myopia can be identified in the majority of patients and often account for the associated visual impairment.
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Methods: Medical records of 48 children (aged 4 months to 17 years; mean age 6.8 years) with unilateral high myopia (5 dioptres or more) seen consecutively by the author during a 15 year period were reviewed. 45 (94%) of the 48 patients had unilateral axial myopia. Results: The mean refractive difference between paired eyes was 9.4 (SD 3.6) dioptres and the more myopic eye was on average 3.3 (1.8) mm longer than the less myopic eye. All but three of the patients had an ocular disorder associated with reduced acuity, central nervous system abnormality, or family history of high myopia. Conclusion: Clinical conditions associated with unilateral high myopia can be identified in the majority of patients and often account for the associated visual impairment.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.87.8.1025</identifier><identifier>PMID: 12881349</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Algorithms ; Biological and medical sciences ; Causes of ; Central Nervous System - abnormalities ; Child ; Child, Preschool ; Clinical Science - Extended Reports ; Eye Diseases - complications ; Female ; high myopia ; Humans ; Infant ; Male ; Medical sciences ; Myopia ; Myopia - etiology ; Myopia - pathology ; Myopia - physiopathology ; Ophthalmology ; Optic Nerve Diseases - complications ; Prognosis ; Refraction, Ocular ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Methods: Medical records of 48 children (aged 4 months to 17 years; mean age 6.8 years) with unilateral high myopia (5 dioptres or more) seen consecutively by the author during a 15 year period were reviewed. 45 (94%) of the 48 patients had unilateral axial myopia. Results: The mean refractive difference between paired eyes was 9.4 (SD 3.6) dioptres and the more myopic eye was on average 3.3 (1.8) mm longer than the less myopic eye. All but three of the patients had an ocular disorder associated with reduced acuity, central nervous system abnormality, or family history of high myopia. 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subjects Adolescent
Algorithms
Biological and medical sciences
Causes of
Central Nervous System - abnormalities
Child
Child, Preschool
Clinical Science - Extended Reports
Eye Diseases - complications
Female
high myopia
Humans
Infant
Male
Medical sciences
Myopia
Myopia - etiology
Myopia - pathology
Myopia - physiopathology
Ophthalmology
Optic Nerve Diseases - complications
Prognosis
Refraction, Ocular
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Vision disorders
Visual Acuity
visual outcomes
title Unilateral high myopia: optical components, associated factors, and visual outcomes
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