April 2009
Volume 50, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2009
Inter-Eye Correlation of Retinal Vessel Calibre Measurements in Anisometropic versus Emmetropic Children
Author Affiliations & Notes
  • N. D. Joachim
    Centre for Vision Research, Department of Ophthalmology and Westmead Millennium Institute, University of Sydney, Sydney, Australia
  • E. Rochtchina
    Centre for Vision Research, Department of Ophthalmology and Westmead Millennium Institute, University of Sydney, Sydney, Australia
  • A. G. Tan
    Centre for Vision Research, Department of Ophthalmology and Westmead Millennium Institute, University of Sydney, Sydney, Australia
  • P. Mitchell
    Centre for Vision Research, Department of Ophthalmology and Westmead Millennium Institute, University of Sydney, Sydney, Australia
  • J. J. Wang
    Centre for Vision Research, Department of Ophthalmology and Westmead Millennium Institute, University of Sydney, Sydney, Australia
    Centre for Eye Research Australia, University of Melbourne, Melbourne, Australia
  • Sydney Childhood Eye Study
    Centre for Vision Research, Department of Ophthalmology and Westmead Millennium Institute, University of Sydney, Sydney, Australia
  • Footnotes
    Commercial Relationships  N.D. Joachim, None; E. Rochtchina, None; A.G. Tan, None; P. Mitchell, None; J.J. Wang, None.
  • Footnotes
    Support  Australian NHMRC grant no. 253732
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 105. doi:
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      N. D. Joachim, E. Rochtchina, A. G. Tan, P. Mitchell, J. J. Wang, Sydney Childhood Eye Study; Inter-Eye Correlation of Retinal Vessel Calibre Measurements in Anisometropic versus Emmetropic Children. Invest. Ophthalmol. Vis. Sci. 2009;50(13):105.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : We previously reported strong inter-eye (right-left) correlations in retinal vessel calibre. Given magnification differences in anisometropia we hypothesised that this should impact inter-eye correlation. Our purpose was then to assess the correlation of retinal vessel calibre between right and left eyes in a sample of children with anisometropia compared to the corresponding correlation of children emmetropic in both eyes.

Methods: : From participants of the Sydney Childhood Eye Study, we selected 214 children aged 12 years who were emmetropic in both eyes (Group 1, spherical equivalent (SE) between -0.50 and 0.50 dioptres (D) (inclusive) in both eyes, and inter-eye SE difference <0.25D), 35 children with inter-eye SE difference ≥1.00D but <2.00D (Group 2), and 32 children with anisometropia (Group 3, inter-eye SE difference ≥2.00D). Retinal arteriolar and venular calibres were measured from digital retinal images in a zone 0.5 to 1.0 disc diameters from the optic disc margin, using a validated, computer-assisted program. Pearson correlations (r) between the two eyes were calculated and correlations in Groups 2 and 3 were compared with Group 1 using the student’s t-test. Linear regression models, constructed with data from all three groups, were used to assess retinal vessel caliber in relation to refractive error in terms of right-left eye differences.

Results: : In Group 1 r between right and left eyes was 0.57 for central retinal arteriolar equivalent (CRAE), and 0.70 for central retinal venular equivalent (CRVE). In Group 2, rcrae = 0.60 and rcrve = 0.82. This was not significantly different from Group 1. However, there was a borderline significant difference between Group 1 and Group 3, where rcrae = 0.36 (p1,3 = 0.08) and rcrve = 0.52 (p1,3 = 0.07) for anisometropic eyes. Inter-eye differences in refractive error were linearly associated with inter-eye retinal vessel calibre differences. For each 1.00D increase in SE difference between right and left eyes, the inter-eye differences for mean CRAE and CRVE increased by 0.84µm (p=0.018) and 1.30µm (p=0.004) , respectively.

Conclusions: : Right-left eye correlations in retinal vessel calibre measurements were lower in anisometropic children. It is known that ≥2.00D differences in refraction between two eyes can affect image size, and could contribute to measurement variation in retinal vessel calibre - anisometropia needs to be considered when assessing relationships with these measurements.

Keywords: clinical (human) or epidemiologic studies: biostatistics/epidemiology methodology • refraction • retina 
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