Lely Retno W
Department Of Ophthalmology, Universitas Brawijaya, Dr. Saiful Anwar General Hospital, Malang, East Java, Indonesia

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Journal : Pediatric Sciences Journal

Assessing the relationship between anthropometric factors and refractive errors in school-age children: height, weight, or BMI? Risnanda, Muhammad Rafi; Anandita, Nanda Wahyu; Koentartiwi, Dyahris; Wulandari, Lely Retno
Pediatric Sciences Journal Vol. 5 No. 1 (2024): (Available online: 1 June 2024)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v5i1.68

Abstract

Introduction: Refractive errors (RE) are the leading cause of visual impairment and disability among children globally. Limited research exists on the relationship between anthropometric measures and refractive errors. This study aims to determine the correlation between weight, height, body mass index (BMI), and refractive errors in children. Methods: This cross-sectional study employed purposive sampling in orphanages across Malang City. Participants were selected based on specific inclusion criteria. Data on their weight, height, BMI, and types of refractive errors were collected as ordinal data. Refractive errors were measured objectively using an auto-refractometer, categorizing refractive errors as myopia and hyperopia based on spherical equivalent results. To minimize subjective bias, we utilized a large sample size and established clear inclusion and exclusion criteria. Additionally, we defined operational definitions for each standardized measurement to ensure consistency and accuracy. Statistical analyses were conducted using an unpaired T-test and Spearman’s correlation test with SPSS software. Results: A total of 362 participants aged 5–18 were included in the study, with 284 participants diagnosed with myopia and 78 with hyperopia. No significant differences were observed in mean body weight, height, or BMI between the myopia and hyperopia groups. Spearman's correlation test indicated no significant relationship between refractive errors and body weight (p > 0.05), height (p > 0.05), or BMI (p > 0.05). Conclusion: The study found no significant correlation between anthropometric status and the presence of refractive errors in children. Future research should consider more diverse settings and explore additional risk factors contributing to the prevalence of refractive abnormalities in children.
The correlation between body mass index and intraocular pressure in children without Down syndrome and children with Down syndrome Rizqillah, Aliyah Faiza; Wulandari, Lely Retno; Dewi, Nadia Artha; Anandita, Nanda Wahyu
Pediatric Sciences Journal Vol. 5 No. 1 (2024): (Available online: 1 June 2024)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v5i1.75

Abstract

Background: Intraocular Pressure (IOP) is the fluid pressure in the eye. Primarily, IOP is influenced by the production and drainage of aqueous humor. The IOP value is in the normal range if the production and drainage of aqueous humor are balanced so that IOP homeostasis must be maintained. Eye dysfunction can occur if the production and drainage of aqueous humour are not balanced. IOP can be influenced by factors such as Body Mass Index (BMI). This study aims to find out whether there is a correlation between BMI and IOP in children without Down syndrome and children with Down syndrome, where children with Down syndrome have one of the eye manifestations in the form of steep and thin corneas which could be one of the factors causing affect the results of IOP measurements. Methods: The research method used is quantitative-observational with a cross-sectional approach. The total research sample used in this study was 101 children aged 0 to 18 years, with details of 79 children without Down syndrome and 22 children with Down syndrome. Data were processed using the Mann-Whitney hypothesis test and T-test, as well as the Spearman correlation test. Results: The results of the study showed that there was a difference in IOP between children without Down syndrome and children with Down syndrome (p < 0.1), there was a difference in BMI results on IOP in children without Down syndrome and children with Down syndrome (p < 0.1), and there was no correlation between BMI and IOP in children without Down syndrome (p > 0.1). It was found that there was a correlation between BMI and IOP in children with Down syndrome (p < 0.1). It was stated that BMI contributed 91.7% to the increase in IOP. Conclusion: there was a significant difference in IOP and BMI results on IOP between children with and without Down syndrome. There was no correlation between BMI and IOP in children without Down syndrome, but there was a correlation between BMI and IOP in children with Down syndrome.
The influence of intraocular pressure and accommodation amplitude on refractive status in school-age children Marzuqi, Ahmad Azhar; Abdullah, Aulia Abdul Hamid; Wulandari, Lely Retno; Anandita, Nanda Wahyu
Pediatric Sciences Journal Vol. 6 No. 1 (2025): Available online : 1 June 2025
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v6i1.115

Abstract

Introduction: Refraction is the ability of the eye to refract light, which is divided into 3 categories of refractive status (RS), namely emmetropia, myopia, and hypermetropia. Increasing age in school-age children is also accompanied by the development of intraocular pressure (IOP) and accommodation amplitude (AA) values, which are assumed to affect retinal sensitivity (RS). Therefore, this study aims to investigate the effects of partial and simultaneous interactions between age, intraocular pressure (IOP), and age-related macular degeneration (AA) on retinal sensitivity (RS) in school-age children. Methods: This cross-sectional study utilized 236 eyeballs from children aged ≤18 years who consented to participate and completed all eye examinations at the Al-Ikhlas Singosari Orphanage in Malang. Variables included age, IOP, AA, and RS converted into spherical equivalent (SE). Data analysis employed partial and simultaneous regression tests. Result: Partially, increased age, IOP, and decreased AA influenced myopia (6.6%, 33.3%, and 19.1%, respectively), while reduced age, increased IOP, and increased AA influenced hypermetropia (14.3%, 47.2%, and 12.2%). Simultaneously, these variables affected myopia RS by 0.6% and hypermetropia RS by 2.6%, though not significantly. Conclusion: Age, IOP, and AA show effects on myopia and hypermetropia RS both partially and simultaneously, but the influence is small and insignificant.