Myopia dominance in preterm infants without and with retinopathy of prematurity: Indian Twin Cities ROP study

Swapnil Thakur1, Seema Kumari1, Vishwa Sanghavi1

  • 1Myopia Research Lab, Prof. Brien Holden Eye Research Centre, Prof. Brien Holden Institute of Optometry and Vision Sciences, LV Prasad Eye Institute, Hyderabad, Telangana, India.

Acta Ophthalmologica
|August 17, 2024
PubMed

Insights

Myopia is more common in preterm infants, especially those with retinopathy of prematurity (ROP). Severe ROP and laser treatment for ROP increase myopia risk, necessitating regular eye exams.

Area of Science:

  • Ophthalmology
  • Neonatal Medicine
  • Pediatric Optometry

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
  • Understanding refractive error progression in infants with ROP is crucial for early intervention.

Purpose of the Study:

  • To analyze refractive errors in premature infants with varying stages of ROP.
  • To compare refractive outcomes between infants with and without ROP.
  • To evaluate the impact of laser treatment on refractive error progression in ROP.

Main Methods:

  • Retrospective analysis of 838 premature infants' data.
  • Categorization based on ROP presence, stage (1-3, aggressive posterior ROP), and laser treatment.
  • Assessment of 1-year refractive error change in a subset of 117 infants.

Main Results:

  • Myopia prevalence was higher in infants with ROP (39.7%) versus no-ROP (19.8%).
  • Myopia increased with ROP severity: Stage 1 (19.7%) to aggressive posterior ROP (59.5%).
  • Laser treatment for ROP doubled myopia risk (54.5% vs. 25.5% in untreated).
  • Significant 1-year myopic shift observed in aggressive posterior ROP and Stage 3 ROP.

Conclusions:

  • Myopia is prevalent in preterm infants, with higher rates in those with ROP.
  • Severe ROP and laser treatment are associated with increased myopia.
  • Meticulous periodic refractive error assessment is essential for preterm infants, especially those with ROP.
Abstract