Analysis of the clinical characteristics and refraction state in premature infants: a 10-year retrospective analysis

Yan Deng1, Chun-Hong Yu1, Yun-Tao Ma2

  • 1Pediatric Ophthalmology, the Second Affiliated Hospital of Nanchang University, Nanchnag 330006, Jiangxi Province, China.

Insights

Premature infants treated for retinopathy of prematurity (ROP) show higher rates of myopia and astigmatism. These findings highlight the importance of monitoring refractive status in infants with ROP.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Pediatrics

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
  • Understanding the long-term visual outcomes and refractive status in these infants is crucial for effective management.

Purpose of the Study:

  • To investigate the visual outcomes and refractive status of premature infants with and without ROP.
  • To compare outcomes between treated and untreated ROP cases.

Main Methods:

  • Retrospective review of clinical records of 562 premature infants (2007-2017).
  • Analysis of ROP incidence, treatment, visual outcomes, and refractive states (myopia, astigmatism).
  • Correlations between refractive progression, birth weight, gestational age, and treatment methods were examined.

Main Results:

  • Overall ROP incidence was 16.55%; no significant difference between sexes, but severe ROP (Stage IV-V) occurred only in males.
  • Myopia and astigmatism were common, particularly in infants with ROP (48.84%).
  • Infants treated for ROP showed the highest prevalence of myopic refraction (63.63%).

Conclusions:

  • Refractive states differ significantly between premature and mature infants.
  • Treatment for ROP is associated with an increased risk of developing myopia, astigmatism, and higher diopter values.
  • These findings underscore the need for specialized ophthalmic care for premature infants, especially those with ROP.
Abstract

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