Gender Differences in Pupil Diameter and Dynamics in Preschool Children

Purpose: To investigate the effects of sex on pupil dynamics in children using an infrared pupillometer.Subjects and Methods: This study included 29 children (52 eyes) aged 4-6 years. Pupil diameter, axial length (AL), and non-cycloplegic autorefraction were measured during the kindergarten health c...

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Published inNeuro-Ophthalmology Japan Vol. 41; no. 4; pp. 321 - 327
Main Authors Hori, Yuichi, Dannoue, Kazuhiko, Kawakami, Momoko, Itokawa, Takashi, Matsumura, Saiko, Ishikawa, Hitoshi, Uemura, Keiko, Sakakibara, Nanae, Matsumoto, Tadashi
Format Journal Article
LanguageJapanese
Published The Japanese Neuro-Ophthalmology Society 25.12.2024
日本神経眼科学会
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ISSN0289-7024
2188-2002
DOI10.11476/shinkeiganka.41.321

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Abstract Purpose: To investigate the effects of sex on pupil dynamics in children using an infrared pupillometer.Subjects and Methods: This study included 29 children (52 eyes) aged 4-6 years. Pupil diameter, axial length (AL), and non-cycloplegic autorefraction were measured during the kindergarten health checkups. We also evaluated the dynamic pupillary response to light. During pupillary constriction in response to light, the maximum and minimum pupil diameters, pupil constriction, latency, maximum and mean pupillary constriction speed, mydriasis speed, and 75% recovery time were analyzed.Results: The maximum pupil diameter (6.3±0.8 mm: 5.9±0.6 mm, p<0.05) and minimum pupil diameter (3.4±0.5 mm: 3.0±0.4 mm, p<0.05) were significantly larger in boys than girls. However, the other parameters related to the dynamic pupillary response did not show a significant difference between the sexes. The AL was significantly longer in boys than in girls (22.4±0.6 mm: 22.0±0.7 mm, p<0.05), and showed a significant positive correlation with maximum (r=0.29, p<0.05) and minimum (r=0.31, p<0.05) pupil diameters.Conclusion: Boys had longer AL and larger pupil diameters than girls, suggesting that sex differences may influence ocular structure in children.
AbstractList Purpose: To investigate the effects of sex on pupil dynamics in children using an infrared pupillometer.Subjects and Methods: This study included 29 children (52 eyes) aged 4-6 years. Pupil diameter, axial length (AL), and non-cycloplegic autorefraction were measured during the kindergarten health checkups. We also evaluated the dynamic pupillary response to light. During pupillary constriction in response to light, the maximum and minimum pupil diameters, pupil constriction, latency, maximum and mean pupillary constriction speed, mydriasis speed, and 75% recovery time were analyzed.Results: The maximum pupil diameter (6.3±0.8 mm: 5.9±0.6 mm, p<0.05) and minimum pupil diameter (3.4±0.5 mm: 3.0±0.4 mm, p<0.05) were significantly larger in boys than girls. However, the other parameters related to the dynamic pupillary response did not show a significant difference between the sexes. The AL was significantly longer in boys than in girls (22.4±0.6 mm: 22.0±0.7 mm, p<0.05), and showed a significant positive correlation with maximum (r=0.29, p<0.05) and minimum (r=0.31, p<0.05) pupil diameters.Conclusion: Boys had longer AL and larger pupil diameters than girls, suggesting that sex differences may influence ocular structure in children.
Purpose: To investigate the effects of sex on pupil dynamics in children using an infrared pupillometer.Subjects and Methods: This study included 29 children (52 eyes) aged 4-6 years. Pupil diameter, axial length (AL), and non-cycloplegic autorefraction were measured during the kindergarten health checkups. We also evaluated the dynamic pupillary response to light. During pupillary constriction in response to light, the maximum and minimum pupil diameters, pupil constriction, latency, maximum and mean pupillary constriction speed, mydriasis speed, and 75% recovery time were analyzed.Results: The maximum pupil diameter (6.3±0.8 mm: 5.9±0.6 mm, p<0.05) and minimum pupil diameter (3.4±0.5 mm: 3.0±0.4 mm, p<0.05) were significantly larger in boys than girls. However, the other parameters related to the dynamic pupillary response did not show a significant difference between the sexes. The AL was significantly longer in boys than in girls (22.4±0.6 mm: 22.0±0.7 mm, p<0.05), and showed a significant positive correlation with maximum (r=0.29, p<0.05) and minimum (r=0.31, p<0.05) pupil diameters.Conclusion: Boys had longer AL and larger pupil diameters than girls, suggesting that sex differences may influence ocular structure in children. 【目的】赤外線電子瞳孔計を用いて小児における性差が瞳孔に与える影響を検討すること.【対象および方法】対象は4~6歳児,29名(52眼)である.保育園眼科健診にて瞳孔,眼軸長,非調節麻痺下他覚的屈折検査の測定を行った.瞳孔記録は対光反射に関するパラメータ(最大瞳孔径,最小瞳孔径,縮瞳率,潜時,平均縮瞳速度,最大縮瞳速度,散瞳速度,75%回復時間)を用いて評価した.【結果】最大瞳孔径(すべて男児:女児の順で6.3±0.8 mm :5.9±0.6 mm),最小瞳孔径(3.4±0.5 mm :3.0±0.4 mm)とも男児の方が女児よりも有意に大きかった(p<0.05)が,その他のパラメータで性差は認めなかった.眼軸長は男児(22.4±0.6 mm)が女児(22.0±0.7 mm)と比較して有意に長く,眼軸長は最大瞳孔径(r=0.29,p<0.05)および最小瞳孔径(r=0.31,p<0.05)と有意な正の相関を示した.【結論】男児の方が女児よりも眼軸長および瞳孔径が大きく,小児において性差が眼球構造に影響を与える可能性が示唆された.
Author Matsumoto, Tadashi
Sakakibara, Nanae
Kawakami, Momoko
Matsumura, Saiko
Itokawa, Takashi
Uemura, Keiko
Dannoue, Kazuhiko
Hori, Yuichi
Ishikawa, Hitoshi
Author_FL 上村 景子
糸川 貴之
松村 沙衣子
檀之上 和彦
Ishikawa Hitoshi
川上 桃子
松本 直
Hori Yuichi
榊原 七重
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SubjectTerms gender differences
normal children
ocular structure
pupil diameter
pupillary light reflex
Title Gender Differences in Pupil Diameter and Dynamics in Preschool Children
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