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Vision-related quality of life in children with treated retinopathy of prematurity

Prem Kesarwani1, Subina Narang1, Deepak Chawla1

  • 1Government Medical College and Hospital, Sector 32, Chandigarh, India.

Indian Journal of Ophthalmology
|May 25, 2019
PubMed

Insights

Vision-related quality of life is negatively impacted in children treated for retinopathy of prematurity (ROP). Higher ROP severity and ocular complications lead to poorer outcomes for both children and their families.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Quality of Life Research

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
  • Understanding the long-term impact of ROP on a child's life is crucial for comprehensive care.

Purpose of the Study:

  • To evaluate the vision-related quality of life (VRQoL) in children previously treated for retinopathy of prematurity.
  • To identify factors associated with diminished VRQoL in this population.

Main Methods:

  • A cross-sectional observational study involving 54 children aged 2-7 years treated for ROP.
  • Vision-related quality of life was assessed using two versions of the Child Vision Functional Questionnaire (CVFQ), administered to parents.
  • CVFQ scores were analyzed in relation to ROP severity, ocular sequelae (myopia, amblyopia, anisometropia, strabismus), and disease characteristics.

Main Results:

  • Children with more severe ROP (stage 4-5) and greater clock-hour involvement reported poorer VRQoL across multiple subscales.
  • Ocular sequelae such as amblyopia, anisometropia, and strabismus were significantly associated with lower overall quality of life and specific subscale scores.
  • While visual acuity is important, other factors related to ROP severity and its complications also contribute to reduced VRQoL.

Conclusions:

  • Treatment for retinopathy of prematurity negatively affects the vision-related quality of life for children and their families.
  • The overall quality of life declines with increased ROP severity and the presence of ocular complications.
  • Addressing ROP sequelae beyond visual acuity is essential to improve the holistic well-being of affected children.
Abstract

Keywords:
Quality of liferetinopathy of prematurityvisual outcome

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