Corneal refractive error and astigmatism in patients aged 6 to 18 years with a history of retinopathy of prematurity and birth weight of <1500 g

PURPOSE

To investigate corneal refractive power (CR) and astigmatism (AS) in 6- to 18-year-old children with a history of retinopathy of prematurity (ROP) and birth weight of <1500 g who either did or did not undergo retinal photocoagulation (PC).

STUDY DESIGN

Retrospective study.

METHODS

We examined 143 eyes of 77 children in 2021. The children were divided into three groups for evaluation of CR and AS: those with a birth weight of ≥2500 g (normal birth weight [NBW] group, 13 eyes) as controls, those with spontaneously resolved ROP (sr-ROP group, 27 eyes), and those who underwent PC for treatment of ROP (PC-ROP group, 103 eyes). Swept-source anterior segment optical coherence tomography was used to analyze the cornea.

RESULTS

The median CR in the NBW, sr-ROP, and PC-ROP groups was 42.2 (41.3, 42.8) diopters (D), 44.5 (43.2, 45.5) D, and 45.2 (43.8, 46.6) D, respectively. The median AS in the NBW, sr-ROP, and PC-ROP groups was 1.2 (1.0, 1.5) D, 1.1 (0.8, 1.6) D, and 2.1 (1.4, 2.7) D. In the PC-ROP group, the with-the-rule astigmatic axis was 97%. In all three groups, a strong positive correlation was found between the mean anterior and posterior CR (NBW: r=0.795, sr-ROP: r=0.842, PC-ROP: r=0.890) and AS (NBW: r=0.883, sr-ROP: r=0.841, PC-ROP: r=0.860).

CONCLUSION

CR was significantly higher in the sr-ROP (p=0.013) and PC-ROP (p<0.001) groups than in the NBW group. The PC-ROP group had significantly more AS than the sr-ROP group. There was a strong correlation between the anterior and posterior CR and AS.

Gaze-angle dependency of pupil-size measurements in head-mounted eye tracking

Pupillometry - the study of temporal changes in pupil diameter as a function of external light stimuli or cognitive processing - requires the accurate and gaze-angle independent measurement of pupil dilation. Expected response amplitudes often are only a few percent relative to a pre-stimulus baseline, thus demanding for sub-millimeter accuracy. Video-based approaches to pupil-size measurement aim at inferring pupil dilation from eye images alone. Eyeball rotation in relation to the recording camera as well as optical effects due to refraction at corneal interfaces can, however, induce so-called pupil foreshortening errors (PFE), i.e. systematic gaze-angle dependent changes of apparent pupil size that are on a par with typical response amplitudes. While PFE and options for its correction have been discussed for remote eye trackers, for head-mounted eye trackers such an assessment is still lacking. In this work, we therefore gauge the extent of PFE in three measurement techniques, all based on eye images recorded with a single near-eye camera. We present both real world experimental data as well as results obtained on synthetically generated eye images. We discuss PFE effects at three different levels of data aggregation: the sample, subject, and population level. In particular, we show that a recently proposed refraction-aware approach employing a mathematical 3D eye model is successful in providing pupil-size measurements which are gaze-angle independent at the population level.