Abstract:

Objective To investigate and analyze the changes in the anterior segment of eyes of children with different genetic background and same refraction under different accommodations. Methods A total of 60 emmetropic children (60 eyes, +0.50～-0.50 DS) were enrolled and divided into A group (n=30) and B group (n=30). Parents of children of A group were emmetropic and parents of children of B group were highly myopic (≥6.0 DS). All children underwent subjective refraction after mydriasis. The anterior chamber depth, crystalline lens thickness, and dark pupil diameter were measured under relaxation and different accommodations. The difference between two groups was compared. Results The differences of age, accommodation amplitude, and naked vision between two groups were not statistically significant (P>0.05). The differences of measurements under relaxation and accommodation of 3D between two groups were not statistically significant (P>0.05). The decrease of anterior chamber depth and the increase of crystalline lens thickness of A group under accommodation of 6D were larger than those of B group (P<0.05), while the difference of the decrease of dark pupil diameter between two groups was not statistically significant (P>0.05). Conclusion Changes of anterior chamber depth and crystalline lens thickness in the anterior segment of eyes of children with highly myopic parents under accommodation of 6D are smaller than those of children with emmetropic parents. Whether this difference leads to the difference of refraction in the future still needs further study.

Key words: heredity, myopia, accommodation, anterior segment of eyes