J Korean Ophthalmol Soc.  2007 Aug;48(8):1119-1125.

Changes of Refractive Errors and Optometric Values in Fourth Graders at an Urban Elementary School in Korea

Affiliations
  • 1The Institute of Ophthalmology and Optometry, Department of Ophthalmology, Ewha Womans University College of Medicine, Seoul, Korea. ckrey02@mm.ewha.ac.kr

Abstract

PURPOSE: To evaluate changes in refractive errors and quantify optometric values in 4th graders at an urban elementary school in Korea.
METHODS
A total of 188 school children (376 eyes) were assessed in a population-based, cross-sectional and longitudinal follow-up study between March and December 2003. Uncorrected visual acuity, best corrected visual acuity, corneal refractive power measured with auto keratometer (KR-8100, Topcon(R) Inc., Japan), axial length measured with A-scan ultrasound biometry (A/B-scan system 835, Humphrey(R) Inc., Dublin, CA), and cycloplegic refraction were evaluated on March and December, respectively.
RESULTS
Mean visual acuity decreased from -0.15+/-0.29 LogMAR to -0.20+/-0.35 LogMAR and mean spherical equivalent (SE) showed myopic progression from -0.65+/-1.57 diopter (D) to -0.88+/-1.75D. The prevalence rate of myopia (< or =-0.50D SE) was increased from 44.1% to 50.3%, while that of hyperopia (> or =+1.00D SE) was decreased from 8.0% to 5.8%. Mean corneal refractive power changed from 43.21+/-1.29D to 43.35+/-1.31D, and mean axial length changed from 23.38+/-0.88 mm to 23.60+/-0.92 mm, respectively.
CONCLUSIONS
We assessed the changes of refractive errors and quantified the optometric values in a population-based, longitudinal follow-up study. The results showed that the prevalence of myopia and the mean axial length increased during our study in urban elementary 4th graders in Korea.

Keyword

Optometric value; Refractive error; Myopia

MeSH Terms

Biometry
Child
Follow-Up Studies
Humans
Hyperopia
Korea*
Myopia
Prevalence
Refractive Errors*
Ultrasonography
Visual Acuity

Reference

References

1. Kim SH, Kim SM. Survey on causative factors responsible for the school myopia. J Korean Ophthalmol Soc. 1977; 18:45–9.
2. Sperduto RD, Seigel D, Roberts J, et al. Prevalence of myopia in the United States. Arch Ophthalmol. 1983; 101:405–7.
Article
3. Wong L, Coggon D, Cruddas M, et al. Education, reading, and familial tendency as risk factors for myopia in Hong Kong fishermen. J Epidemiol Community Health. 1993; 47:50–3.
Article
4. Zylbermann R, Landau D, Berson D. The influence of study habits on myopia in Jewish teenagers. J Pediatr Ophthalmol Strabismus. 1993; 30:319–22.
Article
5. Lin LL, Shih YF, Tsai CB, et al. Epidemiologic study of ocular refraction among schoolchildren in Taiwan in 1995. Optom Vis Sci. 1999; 76:275–81.
Article
6. Maul E, Barroso S, Munoz SR, et al. Refractive error study in children: results from La Florida, Chile. Am J Ophthalmol. 2000; 129:445–54.
Article
7. Hammond CJ, Snieder H, Gilbert CE, et al. Genes and environment in refractive error: the twin eye study. Invest Ophthalmol Vis Sci. 2001; 42:1232–6.
8. Saw SM, Zhang MZ, Hong RZ, et al. Near-work activity, night-lights, and myopia in the Singapore-China Study. Arch Ophthalmol. 2002; 120:620–7.
Article
9. Lee MJ, Lee YH, Shyn KH. The progression of myopia with age. J Korean Ophthalmol Soc. 1987; 28:151–5.
10. Fan DS, Lam DS, Lam RF, et al. Prevalence, incidence, and progression of myopia of school children in Hong Kong. Invest Ophthalomol Vis Sci. 2004; 45:1071–5.
Article
11. Kim JC, Koo BS. A study of prevailing features and causes of myopia and visual impairment in urban school children. J Korean Ophthalmol Soc. 1988; 29:165–81.
12. Harly RD. Pediatric Ophthalmology. 2nd ed.Philadelphia: W.B. Saunder Company;1983. p. 398–9.
13. Duke-Elder . System of Ophthalmology. 5. St. Louis: C.V. Mosby Company;1970. p. 207–53.
14. Oh JH, Hong YJ, Kim SD, et al. Refractive error incidence in primary school children. J Korean Ophthalmol Soc. 1975; 16:36–42.
15. Rho GH, Choi O, Rho SH. Refractive errors in school children in Cheju Island. J Korean Ophthalmol Soc. 1984; 25:223–8.
16. Koo BS, Kim JC, Yang HN. A survey of the visual impairment and the refractive errors in urban school children in Korea. J Korean Soc School Health. 1988; 1:103–13.
17. Mantyjarvi MI. Prediction of myopia progression in school children. J Pediatr Ophthalmol Strabismus. 1985; 22:71–5.
18. Liang YS, Lai IC, Loke TY, et al. Preliminary report of ocular examination in school children. Transaction of the ophthalmologic society of Republic of China. 1986; 23:1–7.
19. Jensen H, Goldschmidt E. Vision and refraction of school children. Acta Ophthalmol. 1985; 173:83.
Article
20. Heyman L, Gwiazda J, Hussein M, et al. Relationship of age, sex, and ethnicity with myopia progression and axial elogation in the correction of myopia evaluation trial. Arch Ophthalmol. 2005; 123:977–87.
21. Parssinen O, Hemminki E. Spectacle-use, bifocals and prevention of myopic progression. The two-year results of a randomized trial among schoolchildren. Acta Ophthalmol. 1988; 185:S156–61.
22. Saw SM, Tong L, Chua WH, et al. Incidence and progression of myopia in Singaporean school children. Invest Ophthalmol Vis Sci. 2005; 46:51–7.
Article
23. Kelly TS, Chatfield C, Tustin G. Clinical assessment of the arrest of myopia. Br J Ophthalmol. 1975; 59:529–38.
Article
24. Kim SY, Min BM. Myopic progression according to the age of onset in childhoods. J Korean Ophthalmol Soc. 1998; 39:721–7.
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