Refractive and ocular biometric profile of children with a history of laser treatment for retinopathy of prematurity
نویسندگان
چکیده
PURPOSE Indian children belong to a diverse socioeconomic strata with retinopathy of prematurity (ROP) developing in mature, higher birth weight babies as well. The purpose of our study is to analyze the long-term status of refractive errors and its relationship with ocular biometry in children with ROP who were laser treated at a tertiary center in North India. METHODS Cross sectional study. Children (<16 years) enrolled from January 2014 to December 2014 with a history of laser treatment for ROP and examined for refractive and biometric status. RESULTS Thirty-six children presenting to us at the mean age of 7.37 ± 3.07 years (6-15 years) were included. Mean spherical equivalent (SE) was -4.05 D ± 5.10. 75% were myopic, with high astigmatism in 31%. Higher lens thickness (P = 0.03) and higher SE (P = 0.002) at 1 year postnatal age were predictors of larger SE. 79.4% achieved a favorable functional outcome (visual acuity ≥20/40). 5.88% achieved unsatisfactory outcome (<20/200) despite having a favorable structural outcome. CONCLUSION There are a substantial number of children who develop myopia and high astigmatism while undergoing laser treatment for ROP. We found myopia in our cohort to be lenticular and greater axial length contributing to the development of high myopia. An initial large refractive error predicts the future development of myopia in these children. Nearly 6% of patients with good structural outcome have unexplained subnormal vision. Our threshold for prescribing glasses in these children should be low.
منابع مشابه
نتایج ریفرکتیو و آناتومیک فتوکواگولاسیون با لیزر دیود در مبتلایان به رتینوپاتی ناشی از نارسی
Introduction & Objective: Retinopathy of prematurity (ROP) is a major cause of blindness in premature newborns. It accounts for 4% of childhood blindness in developed countries and up to 40% in developing countries. The aim of this study is to report the refractive and anatomical outcome of patients who had undergone laser photocoagulate on for retinopathy of prematurity (ROP). Materials & M...
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عنوان ژورنال:
دوره 65 شماره
صفحات -
تاریخ انتشار 2017