Retinopathy of prematurity and maternal age

Wei-Chi Wu1, Frank Shih-Chang Ong, Jane Zea-Chin Kuo

  • 1Department of Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taoyuan, Taiwan. weichi666@gmail.com

Retina (Philadelphia, Pa.)
|December 17, 2009
PubMed

Insights

Older maternal age is a newly identified risk factor for retinopathy of prematurity (ROP) in premature infants. Lower birth weight also increases ROP risk.

Area of Science:

  • Neonatal Medicine
  • Ophthalmology
  • Public Health

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
  • Identifying modifiable and non-modifiable risk factors is crucial for ROP prevention and management.

Purpose of the Study:

  • To investigate risk factors, particularly maternal factors, associated with the development of ROP in premature infants.
  • To identify key demographic and maternal characteristics that predict ROP development.

Main Methods:

  • A retrospective, matched case-control study was conducted.
  • Premature infants who developed ROP (cases) were compared with gestational age- and sex-matched controls who did not develop ROP.
  • Demographic and maternal risk factors were analyzed between the groups.

Main Results:

  • The study included 144 premature infants (72 cases, 72 controls).
  • Significantly lower birth weight (1,248.7g vs. 1,335.5g) and older maternal age (31.2 years vs. 28.2 years) were identified as significant risk factors for ROP.
  • Maternal age over 30 years was associated with an odds ratio of 2.9 for developing ROP.

Conclusions:

  • Older maternal age is a novel risk factor for ROP in premature infants.
  • Both low birth weight and advanced maternal age are critical factors to consider in ROP risk assessment.
Abstract

Related Concept Videos

Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption

As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
Photoreceptors and Visual Pathways01:22

Photoreceptors and Visual Pathways

At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category, whereas...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...