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[Visual future of prematures].

J P Gerhard, D Willard, J F Risse

    Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
    |January 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

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    Premature children born with low birth weight exhibit significant retinal abnormalities, including pigmentary changes and vascular issues. These findings are linked to a high prevalence of myopia, necessitating long-term monitoring for potential vision complications.

    Area of Science:

    • Ophthalmology
    • Neonatology
    • Developmental Pediatrics

    Context:

    • Premature infants are at increased risk for various ocular complications.
    • Low birth weight (<1,500g) is a significant risk factor for retinopathy of prematurity and associated visual impairments.
    • Longitudinal studies are crucial for understanding the long-term visual outcomes in this vulnerable population.

    Purpose:

    • To investigate retinal periphery abnormalities in premature children aged 5-8 years with birth weights ≤1,500g.
    • To identify the prevalence and types of retinal anomalies, including pigmentary, vascular, and vitreous abnormalities.
    • To assess the refractive status, specifically myopia, and its characteristics in this cohort.

    Summary:

    • Retinal periphery examination in 60 premature children (birth weight ≤1,500g) revealed pigmentary modifications (20%), vascular abnormalities (14%), and vitreous abnormalities (12%).

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  • Potential complications like retinal tear, retinoschisis, and detachment were noted, emphasizing the need for vigilance even with subtle signs.
  • Refraction studies identified myopia in 30% of children, with a significant subgroup having high myopia (≥8 diopters), characterized by its constancy, importance, and minimal evolution.

    • Impact:

    • Highlights the persistent ocular risks associated with prematurity and low birth weight.
    • Underscores the importance of regular ophthalmological follow-up for early detection and management of visual complications in premature infants.
    • Provides insights into the unique characteristics of myopia in premature children, aiding in prognosis and management strategies.