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Myopia, Refractive Errors and Eye Growth Regulation

Optometry and Vision Science
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Retinal photograph of myopic eye Associate Professor Katrina Schmid

Research Assistant
Cassie Rayner



Background

Myopia (short-sightedness) is the most common refractive problem. It usually results when the axial length of the eye is too long for the eye’s power. This means that images of distant objects are focussed in front of the retina (the light-detecting layer of the eye) and appear blurred. While spectacles, contact lenses and laser surgery can optically correct the myopia, there is no treatment that is effective in preventing the development of myopia. As the myopic eye is enlarged, the risk of eye diseases such as glaucoma and retinal detachment may be increased. A treatment to prevent or at least slow myopia development is thus much sought after.

The School of Optometry and Vision Science's myopia research group is located within the Institute of Health and Biomedical Innovation (IHBI) Linked to another site at QUT and is part of Institute's Vision Improvement Domain. The group is involved in many research projects, with many collaborators, investigating how eye growth is regulated and why myopia develops in some individuals. We are using both human based and animal based studies to shed light on different aspects of this complicated problem. Our future studies are aimed at adding further to our knowledge of this area. 


Human Based Research

Our human based research predominantly revolves around the hypothesis that myopia development is due to the presence of image blur. We are investigating this by studying the dynamics of the accommodation system and the visual system's sensitivity to image blur. We are also comparing the visual performance of myopes with that of non-myopes.


Measuring axial length of the eye - A-scan ultrasonography  
The length of a person's eye can be measured using A-scan ultrasonography. Here Dr Schmid measures the axial length of a patient attending our clinic for full myopia assessment and advice.


Recent projects in this area include:

Animal Based Research

Here we use the chick as a model for eye growth regulation. Eye growth is monitored using A-scan ultrasonography and refractive error changes using retinoscopy. Our two main areas of interest include:

We are also currently working on the role of the GABAergic, dopaminergic, muscarinic and serotonin systems in eye growth regulation.

An important question is what retinal transmitters may be involved in eye growth and how the signal to speed up or slow down growth gets from the retina, where it is thought to be generated, to the sclera, which ultimately has to change in size. Both the dopaminergic and muscarinic systems appear to have a role in this process. Their effects are not additive, but neither do they work in isolation (see diagram below).

Model showing role of retinal transmitters in eye growth

Some of our recent projects in this area include:

 


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