Axial length of cataract eyes: a comparison of two cohorts over a span of 10 years apart

Abstract Background To assess the associations of axial length with age-related cataract within a span of 10 years in an Asian population in southern Taiwan. Methods A retrospective cohort study examined 960 adults who underwent cataract surgery at the Kaohsiung Chang Gung Memorial Hospital in year...

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Main Authors: Yu-Ting Hsiao, Po-Chiung Fang, Pei-Chang Wu, Ming-Tse Kuo, Yi-Hao Chen, Hsi-Kung Kuo
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-021-01859-w
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author Yu-Ting Hsiao
Po-Chiung Fang
Pei-Chang Wu
Ming-Tse Kuo
Yi-Hao Chen
Hsi-Kung Kuo
author_facet Yu-Ting Hsiao
Po-Chiung Fang
Pei-Chang Wu
Ming-Tse Kuo
Yi-Hao Chen
Hsi-Kung Kuo
author_sort Yu-Ting Hsiao
collection DOAJ
description Abstract Background To assess the associations of axial length with age-related cataract within a span of 10 years in an Asian population in southern Taiwan. Methods A retrospective cohort study examined 960 adults who underwent cataract surgery at the Kaohsiung Chang Gung Memorial Hospital in year 2008 and year 2018. Axial length was assessed with the ultrasound biometry and/or the Zeiss IOLMaster. Eyes with prior blunt eye trauma or had underwent vitrectomy operations were excluded. The significance of the changes in axial length between the two cohorts was determined after performing age-matched analyses. Due to utilization of ultrasound biometry and/or Zeiss IOLMaster, axial length corrections with our mean difference in measurement results, which were similar to previous studies on comparison between the two measurement tools, were carried out. Results Axial length showed an age-related elongation in 10-year cross-sectional data, from a mean of 23.65 ± 1.80 mm in year 2008 to a mean of 24.30 ± 1.90 in year 2018 (p = 0.003). Patients with high myopia (axial length > 26 mm) increased significantly over the 10-year period from 8.1 to 16 % (p < 0.001). A birth cohort effect on axial length was evident as the axial lengths of year 2008 cohort were shorter than the 2018 cohort when they were in the same operation age group. In particular, persons born after the 1960s demonstrated a predominant increase in axial length in both cohorts. Conclusions Our study confirms a trend in increase of axial myopia, especially high myopias, over the 10-year period. A novel finding of this study was discovering a birth cohort effect on axial length, especially in persons born after the 1960s in southern Taiwan.
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spelling doaj.art-bf7935e782c04c20975cd553b74839ec2022-12-21T23:26:28ZengBMCBMC Ophthalmology1471-24152021-03-012111810.1186/s12886-021-01859-wAxial length of cataract eyes: a comparison of two cohorts over a span of 10 years apartYu-Ting Hsiao0Po-Chiung Fang1Pei-Chang Wu2Ming-Tse Kuo3Yi-Hao Chen4Hsi-Kung Kuo5Department of Ophthalmology, Kaohsiung Chang Gung Memorial HospitalDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial HospitalDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial HospitalDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial HospitalDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial HospitalDepartment of Ophthalmology, Kaohsiung Chang Gung Memorial HospitalAbstract Background To assess the associations of axial length with age-related cataract within a span of 10 years in an Asian population in southern Taiwan. Methods A retrospective cohort study examined 960 adults who underwent cataract surgery at the Kaohsiung Chang Gung Memorial Hospital in year 2008 and year 2018. Axial length was assessed with the ultrasound biometry and/or the Zeiss IOLMaster. Eyes with prior blunt eye trauma or had underwent vitrectomy operations were excluded. The significance of the changes in axial length between the two cohorts was determined after performing age-matched analyses. Due to utilization of ultrasound biometry and/or Zeiss IOLMaster, axial length corrections with our mean difference in measurement results, which were similar to previous studies on comparison between the two measurement tools, were carried out. Results Axial length showed an age-related elongation in 10-year cross-sectional data, from a mean of 23.65 ± 1.80 mm in year 2008 to a mean of 24.30 ± 1.90 in year 2018 (p = 0.003). Patients with high myopia (axial length > 26 mm) increased significantly over the 10-year period from 8.1 to 16 % (p < 0.001). A birth cohort effect on axial length was evident as the axial lengths of year 2008 cohort were shorter than the 2018 cohort when they were in the same operation age group. In particular, persons born after the 1960s demonstrated a predominant increase in axial length in both cohorts. Conclusions Our study confirms a trend in increase of axial myopia, especially high myopias, over the 10-year period. A novel finding of this study was discovering a birth cohort effect on axial length, especially in persons born after the 1960s in southern Taiwan.https://doi.org/10.1186/s12886-021-01859-wAxial lengthMyopiaAge‐related cataractAdults
spellingShingle Yu-Ting Hsiao
Po-Chiung Fang
Pei-Chang Wu
Ming-Tse Kuo
Yi-Hao Chen
Hsi-Kung Kuo
Axial length of cataract eyes: a comparison of two cohorts over a span of 10 years apart
BMC Ophthalmology
Axial length
Myopia
Age‐related cataract
Adults
title Axial length of cataract eyes: a comparison of two cohorts over a span of 10 years apart
title_full Axial length of cataract eyes: a comparison of two cohorts over a span of 10 years apart
title_fullStr Axial length of cataract eyes: a comparison of two cohorts over a span of 10 years apart
title_full_unstemmed Axial length of cataract eyes: a comparison of two cohorts over a span of 10 years apart
title_short Axial length of cataract eyes: a comparison of two cohorts over a span of 10 years apart
title_sort axial length of cataract eyes a comparison of two cohorts over a span of 10 years apart
topic Axial length
Myopia
Age‐related cataract
Adults
url https://doi.org/10.1186/s12886-021-01859-w
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