Journal List > J Korean Ophthalmol Soc > v.52(4) > 1009007

Ko, Ryu, and Park: Pupil Size in the Normal Korean Population According to Age and Illuminance

Abstract

Purpose

To report the change of pupil sizes according to age and illuminance in the normal Korean population.

Methods

Normal Koreans outpatients who never had a history of ophthalmic disease were examined. The patients con-sisted of 320 eyes of 160 patients, which were classified into 8 age decades (teenage to 80’s) with 40 eyes in each age group. The vertical and horizontal pupil size and area under 4 different illuminances (3,500, 1,200, 500, 5 lux) were measured using the Colvard pupillometer® (OASIS Medical, Glendora, CA, USA).

Results

The pupil size was significantly decreased as the age increased under each illuminance. The pupil area measured after dark adaptation was 47.30 mm2 in the teenage group, 43.32 mm2 in the 20’s group, 41.94 mm2 in the 30’s group, 40.98 mm2 in the 40’s group, 40.61 mm2 in the 50’s group, 38.60 mm2 in the 60’s group, 37.78 mm2 in the 70’s group and 35.45 mm2 in the 80’s group. The decrease in pupil area was statistically significant.

Conclusions

In the normal Korean population, a significant decrease in pupil size and area was observed with aging. The present study results provide good basic data for cataract and presbyopia refractive surgery.

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Figure 1.
Light-amplification pupillometer (Colvard pupillometer®, OASIS medical, USA) attaching digital camera (A), and pic-ture of the pupil with the digital camera (B).
jkos-52-401f1.tif
Figure 2.
Comparison of the mean vertical and horizontal diameters of pupils under various illuminance (A: vertical diameter, B: horizontal diameter) (lx: Lux).
jkos-52-401f2.tif
Figure 3.
Statistical comparison of the mean vertical and horizontal diameters of pupils under various illuminance in different age groups (A: vertical diameter; B: horizontal diameter).
Values are the mean ± SD. Differences in numeric characteristics within each age group were tested with analysis of variance (ANOVA) with Tukey‐ Kramer post‐ hoc test. Bars with different superscripts (a, b, c, d) represents statistically significant difference from each other within a specific age group (p<0.05).
jkos-52-401f3.tif
Figure 4.
Comparison of the area of the pupil (lx: Lux).
jkos-52-401f4.tif
Figure 5.
Statistical comparison of the mean pupil area under various illuminance in different age groups.
Values are the mean ± SD. Differences in numeric characteristics within each age group were tested with analysis of variance (ANOVA) with Tukey‐ Kramer post‐ hoc test. Bars with different superscripts (a, b, c, d) represents statistically significant difference from each other within a specific age group (p<0.05).
jkos-52-401f5.tif
Table 1.
Age and sex distribution of study population
Age group Number of eyes (No. of subjects) Male (No. of subjects) Female (No. of subjects) Age (mean ± SD, yr)
10-19 40 (20) 9 11 14.3 ± 2.1
20-29 40 (20) 9 11 24.8 ± 2.4
30-39 40 (20) 11 9 36.9 ± 3.2
40-49 40 (20) 12 8 43.7 ± 1.8
50-59 40 (20) 16 4 56.2 ± 1.4
60-69 40 (20) 14 6 67.4 ± 2.3
70-79 40 (20) 13 7 75.3 ± 2.7
80-89 40 (20) 8 12 83.1 ± 3.6
Total (eyes) 320 (160) 184 (92) 136 (68) 49.2 ± 12.3
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