TITLE

Ophthalmic impairment at 7 years of age in children born very preterm

AUTHOR(S)
Cooke, R. W. I.; Foulder-Hughes, L.; Newsham, D.; Clarke, D.
PUB. DATE
May 2004
SOURCE
Archives of Disease in Childhood -- Fetal & Neonatal Edition;May2004, Vol. 89 Issue 3, pF249
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aims: To determine the prevalence of ophthalmic impairments in very preterm compared with term infants, the relation between impairments and cerebral ultrasound appearances and retinopathy, and the correlation with visual perception and motor and cognitive measures. Subjects: 279 children at 7 years of age born before 32 weeks gestation within Liverpool during 1991-92 and attending mainstream schools, and 210 term controls. Methods: Visual acuity was assessed by Snellen chart, and strabismus by the cover test. Stereopsis was determined using the INC random dot test, and contrast sensitivity using the Cambridge low contrast gratings. Visual and motor abilities were assessed using the Developmental test of motor integration (VMI) and the Movement ABC. Intelligence was measured with the Wechsler intelligence scale for children UK. Perinatal cranial ultrasound and retinopathy data were extracted from clinical records. Results: Children born preterm were significantly more likely to wear glasses, to have poor visual acuity, reduced stereopsis, and strabismus than term controls, but they showed no significant decrease in contrast sensitivity. Ophthalmic impairments were significantly related to poorer scores on the VMI, Movement ABC, and Wechsler IQ tests, but were not significantly related to neonatal cranial ultrasound appearances. Stage 3 retinopathy was related to poorer subsequent acuity. Conclusions: Children born very preterm and without major neurodevelopmental sequelae have an increased prevalence of ophthalmic impairments at primary school age which are associated with visual perceptional, motor, and cognitive defects. The cause may be a generalised abnormality of cortical development rather than perinatally acquired focal lesions of the brain.
ACCESSION #
13218169

 

Related Articles

  • ROP — Forme Fruste. Silverman, William A // Journal of Perinatology;Sep2001, Vol. 21 Issue 6, p393 

    Focuses on the diagnosis of the retinal disorder retrolental fibroplasia (RLF) in premature infants. Examination of ocular fundi of these infants to find out the development of RLF; Abnormalities associated with the disease.

  • Association of Human Milk Feedings With a Reduction in Retinopathy of Prematurity Among Very Low Birthweight Infants. Hylander, Mary Ann; Strobino, Donna M; Pezzullo, John C; Dhanireddy, Ramasubbareddy // Journal of Perinatology;Sep2001, Vol. 21 Issue 6, p356 

    INTRODUCTION: With the increased survival of very low birthweight ( VLBW ) infants, weighing less than 1500 g at birth, the incidence of retinopathy of prematurity ( ROP ) , a significant cause of blindness among children in the United States, is also increasing. Preterm infants with a positive...

  • Retinopathy of prematurity in the UK I: the organisation of services for screening and treatment. Haines, L.; Fielder, A.R.; Scrivener, R.; Wilkinson, A.R.; Pollock, J.I.; Royal College of Paediatrics and Child Health, the Royal College of Ophthalmologists and British Association of Perinatal Medicine // Eye;Jan2002, Vol. 16 Issue 1, p33 

    Aims: To ascertain how closely services for the screening and treatment of retinopathy of prematurity (ROP) were organised on a national level in 1995. Methods: Questionnaires about the local arrangements for the screening and treatment of retinopathy of prematurity...

  • Retinopathy of prematurity in the UK II: audit of national guidelines for screening and treatment. Fielder, A.R.; Haines, L.; Scrivener, R.; Wilkinson, A.R.; Pollock, J.I.; Royal Colleges of Ophthalmologists and Paediatrics and Child Health, and the British Association of Perinatal Medicine // Eye;May2002, Vol. 16 Issue 3, p285 

    Aims: To ascertain how closely in 1995, neonatologists and ophthalmologists were adhering to the national guidelines for the screening of retinopathy of prematurity (ROP, 1990) and those for screening and treatment (1995). Methods: Questionnaires about the local...

  • Poor Vision More Likely In Children Born Prematurely.  // Review of Optometry;7/15/2005, Vol. 142 Issue 7, p10 

    Discusses a Swedish study in the June 2005 issue of "Archives of Ophthalmology" which showed that premature children are at a greater risk than full-term children of having poor distance and near visual acuity, regardless of whether these children have retinopathy of prematurity or neurological...

  • Children born weighing less than 1701 g: visual and cognitive outcomes at 11–14 years. Stephenson, Terence; Wright, Sharon; O'Connor, Anna; Fielder, Alistair; Johnson, Ann; Ratib, Sonia; Tobin, Michael // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Jul2007, Vol. 92 Issue 4, pF265 

    Background and objective: Few studies of low birthweight children have explored the relationship between later visual morbidity and neuropsychological function. This study evaluated these outcomes using a geographically defined cohort. Methods: Prospective study of retinopathy of prematurity...

  • Malpractice linked to eye disorder in infants.  // Nutrition Health Review: The Consumer's Medical Journal;1993, Issue 66, p7 

    Reports on the common eye disorder affecting babies born prematurely. Retinopathy of prematurity; Effects of excessive oxygen on premature babies; Causes of retinopathy.

  • Incidence of ROP in two consecutive Swedish population based studies. Larsson, E.; Carle-Petrelius, B.; Cernerud, G.; Ots, L.; Wallin, A.; Holmström, G. // British Journal of Ophthalmology;Oct2002, Vol. 86 Issue 10, p1122 

    Aims: To prospectively analyse the present incidence of ROP (retinopathy of prematurity) in o well defined geographical area in Sweden, and to compare it with that from a decade earlier in exactly the same area. Methods: Infants born between 1 August 1998 and 31 July 2000 with a birth weight of...

  • Are screening, treatment guidelines for ROP too rigid? Cooney, Michael J. // Ophthalmology Times;10/15/99, Vol. 24 Issue 20, p80 

    Deals with the guidelines in the United States for screening premature infants for retinopathy of prematurity (ROP). Gestational age cut-off requirements; Common cause for litigation in cases of infants with ROP; Pieces of advice for the screening process.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics