Refraction and its development in young adults born prematurely and screened for retinopathy of prematurity.

Autor: Pétursdóttir D; Institution of Neuroscience/Ophthalmology, Uppsala University, Uppsala, Sweden., Holmström G; Institution of Neuroscience/Ophthalmology, Uppsala University, Uppsala, Sweden., Larsson E; Institution of Neuroscience/Ophthalmology, Uppsala University, Uppsala, Sweden.
Jazyk: angličtina
Zdroj: Acta ophthalmologica [Acta Ophthalmol] 2022 Mar; Vol. 100 (2), pp. 189-195. Date of Electronic Publication: 2021 Feb 02.
DOI: 10.1111/aos.14766
Abstrakt: Purpose: To evaluate refraction and its development in young adults born prematurely, screened for retinopathy of prematurity, and to compare with individuals of the same age born at term.
Materials and Methods: The participants were 59 preterms, with a birthweight of ≤ 1500 g, and 43 term-born controls, all born during 1988-1990. The refraction was measured in cycloplegia, and the spherical equivalent (SE) was calculated. The axial length (AL), anterior chamber depth and corneal radius (CR) were measured, and the AL/CR ratio was calculated.
Results: The mean SE was -0.5 dioptres (D) (SD 2.5) in right eyes (REs) and -0.4 D (SD 2.3) in left eyes (LEs) of preterms, and -0.2 D (SD 1.5) in REs and -0.2 D (SD 1.5) in LEs of controls. The distribution of refraction was wider in the preterm group compared to the control group. In the preterm group, 12% had a SE ≥ 1.5 D, but none of the controls. Ten preterms, but none of the controls, had anisometropia ≥ 1.0 D. The prevalence of astigmatism ≥ 1.0 D was higher in preterms than controls. The SE decreased around 1 D in both preterms and controls from 10 to 25 years of age. The AL and CR were shorter in the preterms; however, the AL/CR ratio was similar in both groups. Within the preterm group, cryotherapy was correlated with astigmatism, but not with SE and anisometropia at this age.
Conclusion: Prematurely born individuals had higher prevalence of refractive errors in young adulthood compared to term-born controls.
(© 2021 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.)
Databáze: MEDLINE