Clinical Studies on the Changes of Intraocular Pressure and Keratometry before and after Pupil Dilation in Children and Teenagers

Siqi WU; Gang CHEN; Yishuang XIAO

doi:10.12259/j.issn.2095-610X.S20220129

Article Contents

Article Navigation > Journal of Kunming Medical University > 2022 >

Siqi WU, Gang CHEN, Yishuang XIAO. Clinical Studies on the Changes of Intraocular Pressure and Keratometry before and after Pupil Dilation in Children and Teenagers[J]. Journal of Kunming Medical University. doi: 10.12259/j.issn.2095-610X.S20220129

Citation:

Siqi WU, Gang CHEN, Yishuang XIAO. Clinical Studies on the Changes of Intraocular Pressure and Keratometry before and after Pupil Dilation in Children and Teenagers[J]. Journal of Kunming Medical University. doi: 10.12259/j.issn.2095-610X.S20220129

Citation:

PDF( 614 KB)

Clinical Studies on the Changes of Intraocular Pressure and Keratometry before and after Pupil Dilation in Children and Teenagers

doi: 10.12259/j.issn.2095-610X.S20220129

1.
Dept. of Ophthalmology，Kunming Children’s Hospital，Kunming Yunnan 650034
2.
Dept. of Ophthalmology，Dali Maternal and Child Health Hospital，Dali Yunnan 671000，China

Received Date: 2021-12-07

Abstract

Abstract

Objective To investigate the changes of intraocular pressure and keratometry before and after pupil dilation in children and teenagers. Methods This prospective clinical study included 487 （974 normal eyes） children and teenagers, mean age of （9.92±2.47） years range 4-17 years and refractive diopter range +3.50 - -10D） from the Department of Ophthalmology, Kunming Children’s Hospital from December 2015 to January 2019. The intraocular pressure （IOP） was measured by non-contact tonometer and keratometry was measured by computer optometry instrument and corneal topography. Data were analyzed using pearson correlation analysis and t test. Results （1） The IOP before and after the pupil dilation were 17.02±2.27 mmHg、16.86±2.86 mmHg in the right eye, and 17.19±2.30 mmHg and 16.90±2.81 mmHg in the left eye. There was no significant difference in IOP before and after the pupil dilation in both eyes （P > 0.05）; （2） There was no statistically significant difference between either right and left eyes or males and females （ P > 0.05） in ΔIOP. （3） There was no significant correlation between ΔIOP and SE and age. （4） There was no significant difference in K _f and K_S of keratometry measured by the same instrument before and after the dilation （P > 0.05） . （5） There was no significant difference in keratometry measured by different instruments between computer optometer and corneal topography before the dilation of the right eyes in K _f （P > 0.05） ; corneal topography was higher than computer optometry, the difference was statistically significant （ P < 0.05） in K _S. The K_f corneal topography of the left eye was slightly higher than that of computer optometry, and the difference was statistically significant （P < 0.05）; there was no significant difference between Ks corneal topography and computer optometry （ P > 0.05） . （6） There was statistically significant difference （ P < 0.05） in keratometry after the pupil dilation between corneal topographic map computer optometer. Conclusion There is no significant change in IOP and keratometry after the pupil dilation in children and teenagers.
- Children and teenagers,
- Pupil dilation,
- Intraocular pressure,
- Keratometry

FullText(HTML)

References(17)

References

[1]	周云,冯敏,何娟. 儿童阿托品散瞳前后眼压的临床研究[J]. 临床眼科杂志,2013,21(3):258-259. doi: 10.3969/j.issn.1006-8422.2013.03.026
[2]	李菲菲. 青少年快速散瞳前后眼压差异的临床研究[J]. 中国斜视与小儿眼科杂志,2015,23(4):18-20. doi: 10.3969/j.issn.1005-328X.2015.04.005
[3]	林华优, 黄锦海, 黎远光, 等, 散瞳对Lenstar测量白内障患者眼球生物结构参数及IOL度数计算的影响[J]. 中华眼视光学与视觉科学杂志, 2014, 16（5）: 301-305.
[4]	毛剑. 近视青年屈光手术前散瞳后眼压变化的观察[J]. 实用防盲技术,2016,11(2):62-64. doi: 10.3969/j.issn.1673-3835.2016.02.007
[5]	Qian X Y,Duperré,Jean,et al. Pre- versus post-dilation changes in intraocular pressure:Their clinical significance[J]. Canadian Journal of Ophthalmology,2012,47(5):448-452. doi: 10.1016/j.jcjo.2012.07.005
[6]	Kim J M,Park K H,Han S Y,et al. Changes in intraocular pressure after pharmacologic pupil dilation[J]. BMC Ophthalmol,2012,12(1):53. doi: 10.1186/1471-2415-12-53
[7]	肖宏,柏全豪,张晓君,等. 美多丽-P诊断性散瞳前后眼压差异的研究[J]. 国际眼科杂志,2007,7(6):1736-1737. doi: 10.3969/j.issn.1672-5123.2007.06.075
[8]	陆道平. 正常眼与原发性青光眼的前房深度[J]. 中华眼科杂志,1986,22(6):93-97.
[9]	Shaw B R,Lewis R A. Intraocular pressure elevation after pupillary dilation in open angle glaucoma[J]. Arch Ophthalmol,1986,104(4):1185-1188.
[10]	Tan G S,Wong C Y,Wong T Y,et al. Is routine pupil dilation safe among Asian patients with diabetes?[J]. Invest Ophth Vis Sci,2009,50(9):4110-4113. doi: 10.1167/iovs.08-2745
[11]	Tsai I L,Tsai C Y,Kuo L L,et al. Transient changes of intraocular pressure and anterior segment configuration after diagnostic mydriasis with 1% tropicamide in children[J]. Clinical & Experimental Optometry,2012,95(2):166-172.
[12]	陈洁,瞿佳. 角膜地形图的应用和分析(第一讲)[J]. 眼视光学杂志,2000,2(1):56-58.
[13]	Maguire L J,Singer D E,Klyce S D. Graphic presentation of computer-analyzed keratoscope photographs[J]. Arch Ophthalmol,1987,105(2):223-230. doi: 10.1001/archopht.1987.01060020077033
[14]	赵俊奇,郭智勇,陈安世,等. 一种基于图像处理的人眼全自动角膜曲率计研究[J]. 中国生物医学工程学报,2011,30(1):100-104. doi: 10.3969/j.issn.0258-8021.2011.01.017
[15]	赵于渔,陈中幸,泮璐婷,等. 散瞳对IOLMaster700和OA-2000测量白内障患者眼球生物结构参数的影响[J]. 中华眼视光学与视觉科学杂志,2019,21(7):481-487. doi: 10.3760/cma.j.issn.1674-845X.2019.07.001
[16]	兰长骏,彭悦,廖萱. 扫频光相干断层扫描生物测量仪在白内障中的应用[J]. 中华实验眼科杂志,2019,37(2):123-128. doi: 10.3760/cma.j.issn.2095-0160.2019.02.010
[17]	郭家箭,杨根兰,饶丹,等. 散瞳对pentacam生物测量的影响[J]. 赣南医学院学报,2019,39(9):911-913. doi: 10.3969/j.issn.1001-5779.2019.09.012

Relative Articles(20)

Relative Articles

[1]	Haoran XING, Xi ZHANG, Yingying ZHANG, Tianhao BAO. Advancements in the Clinical Use of Antidepressants for Adolescent Depression. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20240725
[2]	Liping LI, Hongchao ZHAO, Huiqiong ZHAO, Jun LI. The Effect of Different Concentrations of Atropine on Myopia Prevention and Control in Adolescents. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20230903
[3]	Xiangjing SONG, Shaojie YANG, Kejian WANG, Yuzhi LAN, Cai KONG, Tao WANG, Changcui WU. Growth and Development of Adolescent Girls of Lahu Ethnic Group in Lancang County of Yunnan Province. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20230619
[4]	Deng'ai DUAN, Yonghui ZHANG, Wei WANG, Xinju LIAO, Zhixiong ZHANG. Effect of Childhood Abuse on Non-suicidal Self-injury in Adolescents with First-episode Depression. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20230304
[5]	Li XU, Jinghan ZHAO, Yuxiong JIN, Huizuo FU, Jing YUAN, Xin WANG, Jianzhong YANG. Studies on the Related Factors of Non-suicidal Self-injury in Adolescent Patients with Depression. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20220529
[6]	Yunxin ZHAO, Fanyuan MENG, Zhi ZHAO, Luming LI, Lijuan AO, Moxian CHEN. Factors Affecting the Quality of Life in Adolescent Scoliosis. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20220522
[7]	Xiu-qiang YAN, Xiao-fan ZHANG, Yu-ling REN, Juan-juan LI, Li-wei ZHANG. OCT Evaluation on the Establishment of A Mouse Model of Chronic Ocular Hypertension Induced by Magnetic Beads Injection. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20201245
[8]	Jiao Feng , Yan Rui , Dong Zhe , Pu Juan , Han Fang . . Journal of Kunming Medical University,
[9]	Li Zun Hua , Wu Hong Xiang , Qiu Liang Wu , Li Jun . . Journal of Kunming Medical University,
[10]	Ji Shu Yu , Zhong Hua , Li Lei , Feng Shi Ting . . Journal of Kunming Medical University,
[11]	Li Zhen , Ye Qing , He Biao Hua , Li Guan Xi , Wang Hong , Zeng Yong Li , Yu Zhuo , Li Hua , Chen Zhi Song . Epidemiological Investigation on Children and Teenagers with Congenital Heart Disease in three Counties in Zhaotong Area from 2015 to 2016. Journal of Kunming Medical University,
[12]	Lei Jie Peng , Yang Li , Luo Cheng , Zhang Ti Yuan , Lv Xin , Li Sheng Qiao , Lin Hai Bo . Comparative Study of Paliperidone ER Tablets and Risperidone Tablets in Treatment of Childhood and Adolescents First Episode Schizophrenia. Journal of Kunming Medical University,
[13]	Qiu Wei , Chen Ying , Hu Xiu , Zhao Hong Yu . Analysis on Current Situation and Influencing Factors of Lead Poisoning in Children and Adolescents in Certain Region of Yunnan. Journal of Kunming Medical University,
[14]	Peng Hui . . Journal of Kunming Medical University,
[15]	Zhao Jiang . . Journal of Kunming Medical University,
[16]	Li Cong Mei . . Journal of Kunming Medical University,
[17]	Li Chong Yang . Analysis of Related Factors of Treatment and Prognosis of Osteosarcoma in Adolescence. Journal of Kunming Medical University,
[18]	Ou Yang Ke . Clinical Observation of Ocular Hypertension after Vitrectomy with Silicon Oil Plumbage. Journal of Kunming Medical University,
[19]	Wang Heng Chang . Risky Behavior Analysis Among Adolescents in a Certain District of a Certain City. Journal of Kunming Medical University,
[20]	Cao Lan . Misdiagnosis of Mesenteric Panniculitis as Colonic Tumor: A Report of 4 Cases. Journal of Kunming Medical University,