Ocular Cosmesis in Retinopathy of Prematurity

Summers, Gail

doi:10.1001/archopht.1992.01080200072027

Cited by 18 publications

(1 citation statement)

References 24 publications

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“…However, in some cases such a benefit may be unlikely. In those cases the aesthetic effect of misaligned eyes can harm psychosocial development of the child [Summers et al, 1992]. Most ophthalmologists feel this is sufficient cause for realignment surgery in cognitively intact children, even when there is little chance of restoring significant visual function.…”

Section: Strabismusmentioning

confidence: 99%

Ophthalmological problems of the premature infant

Repka

2002

Ment. Retard. Dev. Disabil. Res. Rev.

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Preterm infants are more likely than term infants to have significant abnormalities of all parts of the visual system leading to reduced vision. The most common problem is retinopathy of prematurity (ROP). The frequency and severity of this disorder is inversely related to gestational age. Damage ranges from minor to catastrophic. Preterm infants also have higher rates of amblyopia, strabismus, refractive error, and cortical visual impairment. The later problem is largely associated with neonatal brain injury. Years later, these children may develop glaucoma and retinal detachments.

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Section: Strabismusmentioning

confidence: 99%

Ophthalmological problems of the premature infant

Repka

2002

Ment. Retard. Dev. Disabil. Res. Rev.

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Strabismus in Premature Infants in the First Year of Life

Bremer

Palmer²,

Fellows³

et al. 1998

Arch Ophthalmol

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Prevalence and Course of Strabismus in the First Year of Life for Infants With Prethreshold Retinopathy of Prematurity

et al. 2006

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To present strabismus data for premature infants with prethreshold retinopathy of prematurity (ROP) enrolled in the Early Treatment for Retinopathy of Prematurity study.Design: The prevalence of strabismus was tabulated for all of the infants with high-risk prethreshold disease who participated in the randomized trial of the Early Treatment for Retinopathy of Prematurity study and were examined at 6 and/or 9 months' corrected age as well as for all of the infants with low-risk prethreshold disease who were examined at 6 months' corrected age.Main Outcome Measures: Presence or absence of strabismus at 6 and 9 months' corrected age.Results: The prevalence of strabismus at 6 months was higher for infants with high-risk prethreshold ROP than for those with low-risk prethreshold ROP (20.3% vs 9.6%, respectively; PϽ.001). Risk factors associated with the de-velopment of strabismus at 9 months include abnormal fixation behavior, presence of amblyopia, and outborn birth status (ie, born outside of a study-affiliated hospital). At 9 months, 30% of infants with high-risk prethreshold ROP had strabismus, although only 42% showed strabismus at 6 months. Thirty percent of infants with strabismus at 6 months showed normal alignment at 9 months.Conclusions: Infants with high-risk prethreshold ROP show significant variability in the presence vs absence of strabismus in the first year of life; thus, conservative management is recommended.Application to Clinical Practice: Ophthalmologists managing strabismus in infants who have high-risk prethreshold ROP should be aware of the significant variability in ocular alignment during the first year of life.

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Ocular Cosmesis in Retinopathy of Prematurity

Cited by 18 publications

References 24 publications

Ophthalmological problems of the premature infant

Ophthalmological problems of the premature infant

Strabismus in Premature Infants in the First Year of Life

Prevalence and Course of Strabismus in the First Year of Life for Infants With Prethreshold Retinopathy of Prematurity

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