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Ledford, Little Eye Book, Second Edition

  This continuing medical education activity is sponsored by Vindico Medical Education.


Original Articles
Distribution and Determinants of Intraocular Pressure in a Normal Pediatric Population
Journal of Pediatric Ophthalmology and Strabismus   Vol. 43   No. 1   January/February 2006
Ramanjit Sihota, MD, FRCS, FRCOphth; Deven Tuli, MS; Tanuj Dada, MD; Viney Gupta, MD and Murli Manohar Sachdeva , DCT Orthoptics
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PURPOSE

To examine the intraocular pressure (IOP) of a normal pediatric population under topical anesthesia without sedation and its correlation with other ocular parameters.

SUBJECTS AND METHODS

The IOP of 810 eyes of 405 patients with ages ranging from 0 to 12 years was measured using the Perkins applanation tonometer. Cooperative patients also underwent pachymetry, refraction, and biometry measurements.

RESULTS

The mean (± standard deviation) age was 6.68 (± 3.28) years, with a mean (± standard deviation) IOP of 12.02 (± 3.74) mm Hg. IOP showed an increasing trend with age (correlation coefficient [r] = 0.49) and tended to approach adult levels by 12 years of age. The IOP correlated directly with refraction (r = 0.69) and pachymetry (r = 0.39) and inversely with axial length (r = -0.1).

CONCLUSIONS

The IOP in children is much lower than that in adults. It was noted to increase with age, hyperopia, and corneal thickness and was inversely proportional to axial length.

J Pediatr Ophthalmol Strabismus 2006;43:14-18.

AUTHORS

The authors are from the Department of Ophthalmology, Dr. R. P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Originally submitted May 29, 2004.

Accepted for publication December 7, 2004.

Address reprint requests to Dr. Deven Tuli, A 58 Kailash Colony, New Delhi - 110 048, India.

The authors have no industry relationships to disclose.

The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage.

The material presented at or in any Vindico Medical Education continuing education activity does not necessarily reflect the views and opinions of Vindico Medical Education or SLACK Incorporated. Neither Vindico Medical Education or SLACK Incorporated, nor the faculty endorse or recommend any techniques, commercial products, or manufacturers. The faculty/ authors may discuss the use of materials and/or products that have not yet been approved by the U.S. Food and Drug Administration. All readers and continuing education participants should verify all information before treating patients or utilizing any product.