1. Ocular Findings in Low Birthweight and Premature Babies in the First Year: Do We Need to Screen?
- Author
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Scott C, Goble R, and Cosgrave E
- Subjects
Adult ,Male ,Pediatrics ,medicine.medical_specialty ,Refractive error ,Visual acuity ,Adolescent ,genetic structures ,Visual Acuity ,Gestational Age ,Refraction, Ocular ,Nystagmus, Pathologic ,03 medical and health sciences ,Vision Screening ,0302 clinical medicine ,medicine ,Birth Weight ,Humans ,Retinopathy of Prematurity ,Retrospective Studies ,business.industry ,Infant, Newborn ,Retinopathy of prematurity ,General Medicine ,Infant, Low Birth Weight ,Middle Aged ,Refractive Errors ,medicine.disease ,eye diseases ,Strabismus ,Ophthalmology ,Increased risk ,030221 ophthalmology & optometry ,Female ,Case note ,medicine.symptom ,business ,Infant, Premature ,030217 neurology & neurosurgery ,Follow-Up Studies ,Maternal Age - Abstract
PurposeThere is no standardized approach for the ophthalmic care follow-up of children screened for retinopathy of prematurity (ROP). The authors report the ocular findings at 12 months in preterm and low birthweight babies screened for ROP over a 5-year period (1998–2003).MethodsThe case notes of 211 babies were retrospectively reviewed for birth details, maternal details, presence of ROP, and findings at follow-up screening which included visual acuity, refraction at 12 months, presence of squint, and any other ocular problems.ResultsAt 1 year follow-up, 16.6% of ROP positive children failed a screening visit because of squint (6.66%), refractive error (6.66%), and optic nerve abnormalities (3.33%). At 1 year follow-up, 10% of ROP negative children had failed a screening visit because of squint (3.75 %), refractive error (3.75%), and other pathology (2.5%).ConclusionsThe authors recommend screening all babies with ROP at 12 months to identify amblyogenic factors such as squint and refractive error. Parents of infants who do not develop ROP should be advised of the increased risk of visual problems in their children and to have their child examined in the preschool period.
- Published
- 2008
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