Inner retinal structure and intraocular pressure in children with obesity.

In this cross-sectional pediatric cohort, obesity was associated with higher IOP, and this association remained stable after adjustment for ocular biometry.

retinal nerve fiber layer differences were sensitive to biometry and magnification correction, whereas ganglion cell and inner plexiform layer thickness did not differ significantly.

insulin resistance was not independently associated with OCT or IOP parameters within the obesity subgroup. Longitudinal studies are needed to determine the clinical relevance of these findings.