摘要
Objective:To investigate the influence of axial length(AL),corneal curvature(CR),and the ratio of axial length to corneal radius of curvature(AL/CR)on myopia in children,and to evaluate the accuracy and specificity of AL/CR in diagnosing myopia in children.Methods:A cross-sectional study was conducted.A total of 200 children(400 eyes)aged 6-12 years were recruited from the ophthalmology outpatient clinic of Fuling District People’s Hospital from December 2022 to December 2023.AL,CR,and AL/CR were measured,and comprehensive optometry was performed under cycloplegia,with the results recorded in spherical equivalent(SE)form.Results:A total of 200 subjects(400 eyes)were included in this study,of which 330 eyes(82.50%)were myopic.No significant differences in CR were observed among different refractive groups,while significant differences were noted in SE,AL,and AL/CR.The AL and AL/CR ratios were higher in myopic eyes compared to emmetropic and hyperopic eyes.Using cycloplegia as the gold standard,SE in the myopia group was correlated with AL,AL/CR,and CR,with stronger correlations observed with AL and AL/CR.An AL/CR value>3 demonstrated a sensitivity of 0.918,specificity of 0.786,misdiagnosis rate of 0.214,missed diagnosis rate of 0.082,and accuracy of 89.5%in diagnosing myopia.Conclusion:AL and AL/CR values are highly correlated with SE,with the strongest correlation observed in the myopia group.The AL/CR value exhibits high diagnostic value in determining myopia in children.
基金
Chongqing Fuling District Science and Health Joint Medical Research Project(2022KWLH069)。
