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 |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
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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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