Abstract | PURPOSE: METHODS: Longitudinal (0-7 years) cycloplegic refraction data were collected prospectively for two groups of preterm children: severe ROP group included those with regressed ROP following bilateral panretinal laser photocoagulation (n = 37; median gestational age [GA] = 25.2; range, 22.7-27.9 weeks) and mild/no ROP group included those with spontaneously regressed ROP or no ROP (n = 27; median GA = 27.1; range, 23.1-32.0 weeks). Analyses were based on spherical equivalent (SEQ), anisometropia, astigmatism, and age (corrected for gestation). RESULTS: The prevalence, magnitude, and rate of myopic progression all were significantly higher in the severe ROP group than in the mild/no ROP group. Longitudinal SEQ in the severe ROP group were best fit with a bilinear model. Before 1.3 years old, the rate of myopic shift was -4.7 diopters (D)/y; after 1.3 years, the rate slowed to -0.15 D/y. Longitudinal SEQ in the mild/no ROP group was best fit with a linear model, with a rate of -0.004 D/y. Anisometropia in the severe ROP group increased approximately three times faster than in the mild/no ROP group. In the severe ROP group, with-the-rule astigmatism increased significantly with age. CONCLUSIONS: The severe ROP group progressed rapidly toward myopia, particularly during the first 1.3 years; anisometropia and astigmatism also increased with age. The mild/no ROP group showed little change in refraction. Infants treated with laser photocoagulation for severe ROP should be monitored with periodic cycloplegic refractions and provided with early optical correction.
|
Authors | Jingyun Wang, Xiaowei Ren, Li Shen, Susan E Yanni, Joel N Leffler, Eileen E Birch |
Journal | Investigative ophthalmology & visual science
(Invest Ophthalmol Vis Sci)
Vol. 54
Issue 9
Pg. 6018-24
(Sep 05 2013)
ISSN: 1552-5783 [Electronic] United States |
PMID | 23920368
(Publication Type: Comparative Study, Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
|
Topics |
- Child
- Child, Preschool
- Disease Progression
- Female
- Follow-Up Studies
- Gestational Age
- Humans
- Infant
- Infant, Newborn
- Infant, Premature
- Infant, Very Low Birth Weight
- Male
- Prevalence
- Prognosis
- Prospective Studies
- Refractive Errors
(epidemiology, etiology, physiopathology)
- Retinopathy of Prematurity
(complications, diagnosis, physiopathology)
- Texas
(epidemiology)
- Visual Acuity
|