We report a pioneer clinical study using triple-input polarization-sensitive optical coherence tomography (TRIPS-OCT) to assess sub-macular scleral birefringence in 60 children with myopia. Results showed a significant difference in scleral birefringence between high and low myopia groups. In addition, we observed a correlation between axial length and birefringence in the low myopia group. This suggests the potential of using sub-macular scleral birefringence as a biomarker for myopia progression. Despite a high exclusion ratio due to inadequate scleral visibility and other limitations, these findings warrant further large-scale studies.
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