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Blood flow parameters in the arteries of the eye in premature children
Anna Niwald1, Mirosława Grałek, Beata Orawiec
1Department of Paediatric Ophthalmology, Institute of Paediatrics, Medical University of Lódź, University Hospital No 4 in Lódź.
Insights
Preterm infants show altered blood flow in specific eye arteries compared to full-term newborns. Color Doppler imaging reveals differences in central retinal and posterior ciliary arteries, suggesting immature vascular systems in premature neonates.
Area of Science:
- Ophthalmology
- Neonatology
- Vascular Biology
Background:
- Preterm birth can lead to various complications affecting multiple organ systems.
- Vascular development and function in neonates are critical for long-term health.
- Ocular blood flow assessment is important for understanding visual development in infants.
Purpose of the Study:
- To evaluate blood flow parameters in the ophthalmic, central retinal, and posterior ciliary arteries of preterm neonates.
- To compare ocular hemodynamic parameters between preterm and full-term infants.
Main Methods:
- Color Doppler imaging (CDI) was utilized to assess blood flow in key ocular arteries.
- Measurements included maximal systolic velocity, end-diastolic velocity, resistance index (RI), and pulsatility index (PI).
- The study included 36 preterm infants and 19 full-term infants.
Main Results:
- No significant differences in ophthalmic artery blood flow were observed between preterm and full-term infants.
- Preterm infants exhibited significantly lower end-diastolic velocity in the central retinal and posterior ciliary arteries.
- Higher resistance index (RI) and pulsatility index (PI) were noted in the central retinal and posterior ciliary arteries of preterm infants.
Conclusions:
- Altered blood flow dynamics in the eye arteries of preterm neonates suggest immaturity of their vascular system.
- Color Doppler ultrasonography is a valuable non-invasive tool for assessing hemodynamic parameters in the ocular arteries of premature infants.
- These findings highlight potential vascular vulnerabilities in preterm neonates affecting the eye.
Purpose:
of the study was to evaluate blood flow in the arteries of the eye in preterm neonates.
Material And Methods:
Color Doppler imaging (CDI) of ophthalmic artery, central retinal artery and posterior ciliary arteries was performed in 36 preterm infants and 19 full-term infants. Maximal systolic velocity, end-diastolic velocity, resistance index--RI and pulsatility index--PI were assessed for the studied vessels.
Results:
There were no significant differences in ophthalmic artery blood flow between preterm and normal newborns. End-diastolic velocity in central retinal artery and posterior ciliary arteries in preterm infants was significantly lower and resistent index and pulsatility index was higher. The Doppler color ultrasonography is a non-invasive technique which can be useful for the estimation of the hemodynamic parameters in the arteries of the eye in the prematures.
Conclusions:
The recorded changes in the ultrasound measurements of the blood flow in the eye arteries in premature children comparing to the normal newborns, can be the evidence for the immaturity of the vessel system in the preterm born neonates.
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