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Reproducibility of nearwork-induced transient myopia measurements using the WAM-5500 autorefractor in its dynamic mode

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机构: [1]Chinese Univ Hong Kong, Dept Ophthalmol & Visual Sci, Univ Eye Ctr, Hong Kong Eye Hosp 3F, Kowloon, Hong Kong, Peoples R China [2]Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Tongren Hosp, Beijing Ophthalmol & Visual Sci Key Lab, Beijing, Peoples R China [3]Mid Western Univ, Coll Optometry, Glendale, AZ USA [4]Anyang Eye Hosp, Anyang, Henan, Peoples R China [5]SUNY State Coll Optometry, Dept Biol & Vis Sci, New York, NY 10010 USA
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关键词: Near-work induced transient myopia Myopia progression Reproducibility Accommodation

摘要:
To evaluate the reproducibility of nearwork-induced transient myopia (NITM) measurements obtained objectively using an open-field autorefractor (WAM-5500) in its dynamic mode. NITM was assessed in 22, visually-normal, teen-aged and young-adult subjects using an infrared autorefractor (WAM-5500) in the dynamic mode. Measurements were obtained from the right eye in two test sessions separated by either 30 minutes or 2 days. Initial NITM and its decay were assessed monocularly by the same experimenter immediately after binocularly viewing and performing a detailed near task (5D) for 5 minutes incorporating a cognitive demand, with habitual distance refractive correction in place. Data were averaged over 10-second bins for 3 minutes (180 seconds; 18 bins) for the decay analysis. The NITM post- minus pre-task difference and its limits of agreement (LOA), as well as intraclass correlation coefficient (ICC), were calculated to evaluate reproducibility over the two test sessions for the initial NITM magnitude and its decay. The group mean (+/- SE) initial NITM and its decay duration were 0.33 +/- 0.09 D and 0.28 +/- 0.08 D, and 118.6 +/- 14.3 seconds and 132.3 +/- 12.2 seconds respectively, for each test session, which were not significantly different (p > 0.05). The difference (range), LOA, and ICC (95% confidence interval [CI]) were 0.06D (-0.15, 0.64), -0.29 to 0.40D, and 0.90D (0.77, 0.96) for the initial NITM; they were -13.6 (-150.0, 140.0) seconds, -174.5 to 147.3 seconds, and 0.14 (0.00, 0.52) for decay duration, respectively, for each test session. The ICC range for the first 50 secs of the NITM response/decay was 0.90 to 0.96. The initial NITM was highly repeatable. The initial decay phase was moderately repeatable, with the later decay phase being more variable, yet still yielding acceptable reproducibility in many cases. Both of these key parameters, namely initial NITM and its early decay, can be assessed reliably and with good reproducibility. This is important in future longitudinal studies of NITM, and its possible relation to refractive development.

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出版当年[2011]版:
大类 | 4 区 医学
小类 | 3 区 眼科学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 眼科学
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出版当年[2010]版:
Q2 OPHTHALMOLOGY
最新[2023]版:
Q2 OPHTHALMOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2010版] 出版当年五年平均 出版前一年[2009版] 出版后一年[2011版]

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第一作者机构: [2]Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Tongren Hosp, Beijing Ophthalmol & Visual Sci Key Lab, Beijing, Peoples R China
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通讯机构: [1]Chinese Univ Hong Kong, Dept Ophthalmol & Visual Sci, Univ Eye Ctr, Hong Kong Eye Hosp 3F, Kowloon, Hong Kong, Peoples R China [2]Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Tongren Hosp, Beijing Ophthalmol & Visual Sci Key Lab, Beijing, Peoples R China [*1]Chinese Univ Hong Kong, Dept Ophthalmol & Visual Sci, Univ Eye Ctr, Hong Kong Eye Hosp 3F, 147K Argyle St, Kowloon, Hong Kong, Peoples R China
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