Ocular findings in central precocious puberty

J AAPOS. 2022 Dec;26(6):316.e1-316.e5. doi: 10.1016/j.jaapos.2022.09.006. Epub 2022 Oct 19.

Abstract

Purpose: To evaluate ocular findings in central precocious puberty (PP).

Methods: This prospective study included 38 children with PP and 34 healthy control children. All participants were evaluated in terms of refractive error, axial length (AL), and anterior segment parameters, including keratometry (K), corneal volume (CV), anterior chamber depth (ACD), anterior chamber volume (ACV), and iridocorneal angle (ICA). Central macular thickness (CMT), retinal nerve fiber layer (RNFL) thickness and central subfoveal choroidal thickness (ChT) were also analyzed. The correlation of these parameters with Tanner stage was also investigated in the PP group.

Results: Compared with the control group, spherical refraction was less hyperopic (P = 0.017) and AL was significantly higher (P = 0.001) in the PP group. Spherical value and AL were significantly associated with the Tanner stage. None of the anterior segment parameters obtained by Pentacam was different in the PP group compared with controls. In PP cases, CMT and RNFL thicknesses in all sectors did not differ from controls. Subfoveal ChT was significantly higher in the PP group, regardless of Tanner stage (P < 0.001).

Conclusions: In our cohort of children with central PP, AL and ChT were higher than in children without PP.

MeSH terms

  • Anterior Chamber
  • Child
  • Humans
  • Hyperopia*
  • Prospective Studies
  • Puberty, Precocious* / diagnosis
  • Refraction, Ocular
  • Tomography, Optical Coherence