Pupil barycenter configuration in patients with myopia and hyperopia.

Int Ophthalmol

Ophthalmology Department, Istanbul Medipol University, Istanbul, Turkey.

Published: November 2022

Purpose: To compare the apparent chord mu between hyperopia and myopia cases and investigate the usefulness of iris barycenter configurations as an alternative for performing kappa angle distance calculations.

Methods: This prospective study evaluated 394 eyes of 197 patients classified into two groups according to their spherical equivalent values: the myopic (mean spherical equivalent refraction ≤  - 0.50 D) and the hyperopia group (mean spherical equivalent refraction ≥  + 0.50 D). The two groups were further subdivided according to severity (myopic group: mild, ≤  - 0.50 and ≤  - 3.00 D; moderate, <  - 3.00 and ≤  - 6.00 D; severe, <  - 6.00 D; hyperopic group: mild, ≥  + 0.50 and ≤  + 2.00 D; moderate, >  + 2.00 and ≤  + 4.00 D; severe, >  + 4.00 D). The pupil and iris barycenter distance measurements and other parameters were obtained through optical low-coherence reflectometry.

Results: Of the 197 patients, 109 (55.3%) were female and 88 (44.7%) were male individuals; their ages ranged from 7 to 60 years (mean, 35.16 ± 14.75 years). The average pupil barycenter distances were 0.38 ± 0.15 and 0.21 ± 0.11 mm in hyperopia and myopia patients, respectively (p < 0.01). Corneal and lens thickness measurements were higher in hyperopia patients (p < 0.01, p < 0.01, respectively), whereas anterior chamber depth and pupil diameter measurements were higher in myopia patients (p < 0.01, p < 0.01, respectively). No significant difference in astigmatism or white-to-white measurements was observed between hyperopia and myopia patients (p > 0.05).

Conclusion: The measurements for the apparent chord mu of the pupil and iris barycenter origins were higher in hyperopic than in myopic cases.

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http://dx.doi.org/10.1007/s10792-022-02343-0DOI Listing

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