Journal of the Korean Ophthalmological Society 2005;46(10):1704-1710.
Published online October 31, 2005.
Long-term Follow-up Results of Hyperopic Refractive Change.
Sung Jin Na, Nam Young Choi, Mi Ra Park, Soo Chul Park
1Department of Ophthalmology, Seoul Veterans Hospital, Seoul, Korea.
2Department of Ophthalmology, Kangnam St. Mary's Hospital, Catholic University College of Medicine, Seoul, Korea. scpark@cmc.cuk.ac.kr
원시 변화에 대한 장기 고찰
나성진1,최남영1,박미라2,박수철2
Department of Ophthalmology, Seoul Veterans Hospital1, Seoul, Korea Department of Ophthalmology, Kangnam St. Mary`s Hospital, Catholic University College of Medicine2, Seoul, Korea
Correspondence:  Sung-Jin Na M.D.1
Abstract
PURPOSE
To investigate the trend of refractive change in hyperopic patients according to increases in age. METHODS: Eighty-eight children who had hyperopia of more than +1.50 diopters (D) and could be followed up for at least 5 years were included in this study. We divided the patients into two groups according to the level of initial hyperopia and retrospectively analyzed hyperopic refractive changes over a 5-year period according to age at initial diagnosis, presence of esotropia, amblyopia, astigmatism and anisometropia. RESULTS: We gained the following formula about the aspect of hyperopic reduction in 88 patients over a period of 5 years: Diopter (D)=7.99-2.14 Ln (age). The presence of anisometropia and amblyopia did not affect hyperopic reduction. Hyperopic reduction amounts in the group with a hyperopic eye of more than +5D at initial diagnosis were greater than in the group with a hyperopic eye less than +5D, and greater in the group with an astigmatic eye of more than 1D. The presence of esotropia and the age at initial diagnosis did not affect hyperopic reduction. CONCLUSIONS: We show that emmetropization in hyperopic children occurs according to the following formula: Diopter (D)=7.99-2.14 Ln (age). Both the initial level of hyperopia and the concurrent presence of astigmatism affected hyperopic reduction. However, the presence of anisometropia, amblyopia, esotropia and the age at initial diagnosis did not significantly affect hyperopic reduction.
Key Words: Emmetropization;Hyperopia


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