An Analysis of Neonatal Risk Factors Associated With the Development of Ophthalmologic Problems at Infancy and Early Childhood: A Study of Premature Infants Born at or Before 32 Weeks of Gestation

Saldir, Mehmet; Sarici, Serdar Umit; Mutlu, Fatih Mehmet; Mocan, Cem; Altinsoy, Halil Ibrahim; Ozcan, Okan
November 2010
Journal of Pediatric Ophthalmology & Strabismus;Nov/Dec2010, Vol. 47 Issue 6, p331
Academic Journal
Background: To determine the frequency of ophthalmologic problems and the risk factors that affect the occurrence of these problems in premature newborns with a gestational age of 32 weeks or less. Methods: Premature newborns observed at a neonatal intensive care unit between January 2002 and March 2006 were included. A control visit including an ophthalmologic examination was performed at 10 months of age or later. Primary ocular morbidities were studied, and the association between these parameters and prenatal, perinatal, and neonatal characteristics were evaluated.Results: A total of 169 premature newborns were included in the study, and they were examined at a mean age of 25.85 ± 11.79 months (range: 10 to 42 months). There was complete vision loss (blindness) in 1 (0.6%) case, strabismus in 15 (8.9%) cases, and refractive errors in 10 (5.9%) cases. Twenty (77%) cases with any abnormality and 50 (35%) cases with a normal examination at follow-up had a history of retinopathy of prematurity (ROP) at any stage during the neonatal period (P = .001). Short gestational age (P = .018), low birth weight (P = .002), and the presence of ROP requiring retinal surgery during the neonatal period (P = .007) were determined to be significant risk factors for the development of vision loss, strabismus, and refractive errors.Conclusion: Neonates with a gestational age of 32 weeks or less, especially those younger than 30 weeks, should not only be screened for ROP in the neonatal period, but should also have regular follow-up examinations to check for the development of other ophthalmologic problems during infancy and early childhood.


Related Articles

  • The Effects of the Introduction of a High-Nutrient Transitional Formula on Growth and Development of Very-Low-Birth-Weight Infants. Worrell, L Andre; Thorp, James W; Tucker, Richard; McKinley, Leslie Turner; Chen, James; Chng, Yi-Mei; Vohr, Betty R // Journal of Perinatology;Mar2002, Vol. 22 Issue 2, p112 

    OBJECTIVE: The purpose of this study was to determine the impact of introducing a high-nutrient transitional formula (TF) for use after discharge on the growth and development of premature infants. STUDY DESIGN AND METHODS: This was a cohort study of all surviving infants with a birth weight...

  • ABOUT OUR COVER.  // Neonatal Network;Mar/Apr2015, Vol. 34 Issue 2, p67 

    No abstract available.

  • The demand for neonatal intensive care. Field, D.J.; Hodges, S.; Mason, E.; Burton, P.; Yates, J.; Wale, S. // BMJ: British Medical Journal (International Edition);11/25/89, Vol. 299 Issue 6711, p1305 

    Examines the demand for neonatal intensive care in Great Britain. Problems of the neonatal care in the country; Duration of the intensive care for premature infants; Gap between demand and provision of neonatal care.

  • TESTIRANJE KRITERIJUMA ZA SKRINING PREMATURNE RETINOPATIJE. OLUJIĆ, Maja; OROS, Ana; BREGUN DORONJSKI, Aleksandra; FILIPOVIĆ, Gordana VELISAVLJEV // Medicinski Pregled / Medical Review;sep/okt2012, Vol. 65 Issue 9/10, p409 

    Introduction. Retinopathy of prematurity is a disease of the eye, i.e. the retinal blood vessels, which occurs exclusively in premature infants. The level of blindness in one country depends on the level of development of neonatal care and the opportunities to implement screening. The aim of...

  • The good news-bad news about premature birth.  // Medical Update;Apr95, Vol. 18 Issue 10, p3 

    Reports on the proper medical care for premature infants. Advances made in the care for premature infants; Recommendation for specialized care in newborn intensive care units; Risks faced by premature infants when they reach school age.

  • The Preemie Parents' Companion. Donlevy, Susan C // Journal of Perinatology;Jun2002, Vol. 22 Issue 4, p338 

    Journal of Perinatology (2002) 22, 338 DOI: 10.1038/sj/jp/7210669

  • Home is where the hospital is for London preemies. Swanson, Lynne // CMAJ: Canadian Medical Association Journal;01/27/98, Vol. 158 Issue 2, p159 

    Looks at a program at the St. Joseph's Health Center in London, Ontario for parents of premature infants. The Care by Parent Program allowing parents to stay with babies in private bedrooms at the hospital; Nurse educators and emergency services available from the neonatal intensive care unit...

  • Hooked On Neonatology. Lantos, John D. // Health Affairs;Sep/Oct2001, Vol. 20 Issue 5, p233 

    Focuses on the importance of neonatal intensive care unit (NICU) on medical care for premature babies in the United States. Effects of NICU on the child health care; Overview of neonatal care; Factors causing the premature birth of babies.

  • Collaborating to improve infant care.  // American Nurse;Mar/Apr2014, Vol. 46 Issue 2, p15 

    The article reports on the move of the state of Louisina and the Instute for Healthcare Improvement (IHI) to use a toolkit created by the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) to improve the nursing care for late preterm infants.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics