Macular edema in Asian Indian premature infants with retinopathy of prematurity: Impact on visual acuity and refractive status after 1-year

Autor: Anand Vinekar, Shwetha Mangalesh, Chaitra Jayadev, Noel Bauer, Sivakumar Munusamy, Vasudha Kemmanu, Mathew Kurian, Padmamalini Mahendradas, Kavitha Avadhani, Bhujang Shetty
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Community
digital imaging
Karnataka Internet-assisted Diagnosis of Retinopathy of Prematurity
retinopathy of prematurity
telemedicine
universal screening
Age-related macular degeneration
en-face optical coherence tomography
polypoidal choroidal vasculopathy
Choroid
enhanced depth imaging technique
swept source optical coherence tomography
Choroidal imaging
choroidal thickness
retinal dystrophies
Choroidal neovascularization
idiopathic juxtafoveal telangiectasis
juxtafoveal retinal telangiectasia
lutein
macular edema
macular pigment
macular telangiectasia
Müller cells
parafoveal telangiectasis
perifoveal telangiectasis
retinal angiomatous proliferation
retinal telangiectasis
subretinal neovascularization
zeaxanthin
Microscope-integrated optical coherence tomography
RESCAN
spectral domain optical coherence tomography
vitreoretinal surgery
Central reading center
randomized controlled trial
standard operating procedure
Fundus autofluorescence
lipofuscin
retina
retinal imaging
Cystoid macular edema
dexamethasone implant
external limiting membrane
optical coherence tomography
Ozurdex
serous retinal detachment
uveitis
Adaptive optics
axial length
cone density
myopia
Artifact
foveal diameter
foveal slope
ocular magnification
Emmetropization
hand-held
spectral-domain optical coherence tomography
visual acuity
Ophthalmology
RE1-994
Zdroj: Indian Journal of Ophthalmology, Vol 63, Iss 5, Pp 432-437 (2015)
Druh dokumentu: article
ISSN: 0301-4738
1998-3689
DOI: 10.4103/0301-4738.159879
Popis: Purpose: To report the impact of transient, self-resolving, untreated "macular edema" detected on spectral domain optical coherence tomography in Asian Indian premature infants with retinopathy of prematurity (ROP) on visual acuity (VA) and refraction at 1-year of corrected age. Materials and Methods: Visual acuity and refraction of 11 infants with bilateral macular edema (Group A) was compared with gestational age-matched 16 infants with ROP without edema (Group B) and 17 preterms infants without ROP and without edema (Group C) at 3, 6, 9 and 12 months of corrected age using Teller Acuity Cards and cycloplegic retinoscopy. Sub-group analysis of the previously described pattern A and B macular edema was performed. Results: Visual acuity was lower in infants with macular edema compared with the other two control groups throughout the study period, but statistically significant only at 3 months. Visual improvement in these infants was highest between the 3 rd and 6 th month and plateaued by the end of the 1 st year with acuity comparable to the other two groups. The edema cohort was more hyperopic compared to the other two groups between 3 and 12 months of age. Pattern A edema had worse VA compared to pattern B, although not statistically significant. Conclusion: Macular edema, although transient, caused reduced VA as early as 3 months of corrected age in Asian Indian premature infants weighing
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