J Korean Ophthalmol Soc > Volume 59(2); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(2):164-168.
DOI: https://doi.org/10.3341/jkos.2018.59.2.164    Published online February 15, 2018.
Myopia Progression of Full Correction and Undercorrection with Myopic Anisometropia.
Ji Hye Kim, Che Ron Kim, Ji Myong Yoo
1Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. yjm@gnu.ac.kr
2The Glory Eye Clinic, Changwon, Korea.
3Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.
3디옵터 이상의 차이를 보인 근시부등시 환자에서 굴절교정 정도에 따른 근시 진행 양상
김지혜1⋅김체론2⋅유지명1,3
경상대학교 의과대학 안과학교실1, 창원글로리안과의원2, 경상대학교 건강과학연구원3
Correspondence:  Ji Myong Yoo,
Email: yjm@gnu.ac.kr
Received: 28 September 2017   • Revised: 25 October 2017   • Accepted: 17 January 2018
Abstract
PURPOSE
To investigate the change of refractive error between the full-correction and under-correction treatment groups of myopic anisometropic patients. METHODS: This study included 36 patients who had no amblyopia with myopic anisometropia > 3.00 diopters (D) and less than 6.00 D using the cycloplegic refraction test. The patients were divided into two groups involving the full-correction of both eyes (group 1) or full-correction on the less myopic eye and under-correction with −0.50 D of the more myopic eye (group 2). We monitored refractive changes every 6 months for 24 months. RESULTS: At the first visit, the mean refractive error of the less myopic eye was −0.68 ± 0.54 D and that of the more myopic eye was −4.22 ± 0.77 D in group 1. The mean refractive error of the less myopic eye was −0.75 ± 0.58 D and that of the more myopic eye was −4.36 ± 0.73 D in group 2. There was no significant difference between the groups (p = 0.713 and p = 0.585, respectively). At 24 months, the mean refractive errors of group 1 were −1.27 ± 0.54 D and −4.88 ± 0.81 D, respectively, and that of group 2 were 1.38 ± 0.54 D and −5.59 ± 1.01 D, respectively. The mean refractive error of the less myopic eyes showed no significant difference between both groups (p = 0.555), but that of the more myopic eyes was significantly different (p = 0.027). Between both groups, the degree of anisometropia at 24 months was 3.61 ± 0.60 in group 1 and 4.20 ± 0.86 in group 2. Group 2 showed a significant difference and more severe anisometropic changes (p = 0.022). CONCLUSIONS: Full correction of myopic anisometropia without amblyopia is a better method for reducing the progression of anisometropia.
Key Words: Anisometropia;Full correction;Myopia progression;Undercorrection


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