title: Early use of eyeglasses for myopia predicts long axial length of the eye.
abstract: Patients with long axial length (AL) eyes (> 25 mm) are at increased risk of globe perforation during performance of intraconal (retrobulbar) eye block. These patients often require glasses or contact lenses for myopia (nearsightedness) as children or young adults. A history of early correction for myopia might, therefore, be a predictor of long AL eyes. One hundred one patients undergoing cataract surgery had AL measured and answered questions about their use of corrective lenses. We found that a history of correction for myopia as a child or young adult was 82% sensitive and 84% specific for having a measured AL > or = 25 mm. Patients with this history may be at increased risk for globe perforation during intraconal block.
authors.affiliation: Department of Anesthesia, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USA. joseph_bayes@meei.harvard.edu
authors.forename: Joseph
authors.initials: J
authors.lastname: Bayes
authors.forename: Hui
authors.initials: H
authors.lastname: Zheng
authors.forename: Carl E
authors.initials: CE
authors.lastname: Rosow
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D000368:Aged; D002387:Cataract Extraction; D002648:Child; D003261:Contact Lenses; D004311:Double-Blind Method; D005123:Eye / Q000473:pathology*; D005139:Eyeglasses / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000473:pathology* / Q000628:therapy*; D009407:Nerve Block / Q000009:adverse effects*; D009929:Organ Size; D011379:Prognosis; D011795:Surveys and Questionnaires; D055815:Young Adult