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Ocular auto-stimulation and its morbidity in stage 5 retinopathy of prematurity

Devesh Kumawat1, Pranita Sahay1, Tanveer Alam1

  • 1Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Ophthalmology
|May 25, 2019
PubMed

Insights

Ocular auto-stimulation (OAS) and related eye problems are common in advanced Retinopathy of Prematurity (ROP). Higher post-conceptional age is linked to OAS in these patients.

Area of Science:

  • Ophthalmology
  • Neonatal care
  • Pediatric eye diseases

Background:

  • Retinopathy of Prematurity (ROP) is a leading cause of childhood blindness.
  • Stage 5 ROP represents the most severe form, characterized by total retinal detachment.
  • Ocular auto-stimulation (OAS), or eye-pressing behavior, is frequently observed in infants with severe ROP.

Purpose of the Study:

  • To investigate the prevalence, characteristics, and associated morbidities of ocular auto-stimulation (OAS) in stage 5 Retinopathy of Prematurity (ROP).
  • To identify factors influencing the occurrence and severity of OAS in this vulnerable population.

Main Methods:

  • Retrospective analysis of stage 5 ROP cases from a tertiary care center (January 2017 - December 2017).
  • OAS categorized as infrequent or frequent based on parental history.
  • B-scan ultrasonography for retinal detachment configuration and automated keratometry in eyes undergoing vitrectomy.

Main Results:

  • OAS was present in 78.5% of eyes (73/93).
  • Higher post-conceptional age was significantly associated with OAS (P=0.018).
  • Enophthalmos was significantly more common in eyes with OAS (P=0.001), while corneal opacity and posterior synechiae showed no significant association.

Conclusions:

  • Ocular auto-stimulation and its associated morbidities are prevalent in stage 5 ROP.
  • Post-conceptional age and residual visual function appear to influence OAS characteristics.
Abstract

Keywords:
Blinding mannerismcorneal curvatureenophthalmoseye-pokingeye-pressingocular autostimulationretinopathy of prematurity

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