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The influence of optics, peripheral refraction and posture on refractive error development

Hartwig, Andreas

[Thesis]. Manchester, UK: The University of Manchester; 2012.

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Abstract

The aim of the present project was to analyse the link between peripheral posture, optics, optics and refractive error progression. Preliminary studies were conducted to ensure that peripheral aberrometry is valid for further analysis. The repeatability of the IRX-3 for peripheral aberrometry was asgood as for central measurements and the recalculation of elliptical pupils did not seem to be necessary for measurements up to 20 degrees eccentricity. Higher order aberration measurements werecomparable to other studies.Eye and head movements as well as working distance did not differ significantly between myopes and non-myopes. However, there was some evidence, that forward bending of the head during reading increases in association with higher refractive error progression rates.The link between central higher order aberrations and refractive error development was analysed by comparing higher order aberrations between isometropes and anisometropes. This analysisdid not show any significant association of higher order aberrations on the development, as no major differences were found between the two groups. For central vision, changes in biometric parameters during accommodation were analysed. It was found that biometric parameters change similarly in myopes and non-myopes.Peripheral accommodation was found to differ between myopes and emmetropes indicating that there might be an influence of peripheral refraction on myopisation. However, associationbetween peripheral refraction or peripheral aberrations and refractive error progression were not significant. The reason for this observation might be the low refractive error progression (0.04± 0.29 D in myopes and -0.12 ± 0.38 D in emmetropes) during one year in the study population.