DR. NILANJAN CHOWDHURY
Dr.SANJOY CHOWDHURY
Abstract
AIM:evaluate factors of spherical equivalents(ΔSE)change and determine predictor of clinically significant ΔSE with cyclopentolateMETHODS:145 children(4 to 15 years)wereincluded,axial length and lag of accommodation assessed.SE measured 1 hour afterfirst drop,ΔSE compared between differentgroups.regression analysis done to find related factors with ΔSE.ROC analysis to findout suitable predictor of clinically significant ΔSE(≧0.50D).RESULTS:mean SE reached to -0.70 ±1.86 D from-1.30 ± 1.62D,mean 0.60 ± 0.55 D,0.63 ± 0.55D and 0.57 ± 0.56D in male-female group,no significant difference.different ΔSE among different refractive groups(P<0.0001),ΔSE of hyperopes larger than others.ΔSE correlated with accommodationlag(B=-0.54,P< 0.0001),spherical equivalent&age(P<0.0001).lag predicted clinically significant ΔSE by 82%(AUC=0.82),85%(AUC=0.85)in combination with axial length and 86% with axial length and age.CONCLUSION:accommodation lag plays vital role in predicting clinically significant ΔSE
Leave a Comment