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[Changes in the visual system in low birth weight children]
M Grałek1, B Bogorodzki, B Kamer
1Z Oddziału Okulistyki Centrum Zdrowia Matki Polki w Lodzi.
Insights
This study evaluated the visual system in low birth weight infants, finding refractive errors in most. Hypermetropia was common, and retinopathy of prematurity (ROP) occurred in some very preterm infants.
Area of Science:
- Ophthalmology
- Neonatology
- Pediatric Vision
Context:
- Infants born with low birth weight (LBW) face increased risks for various health complications.
- Visual system development is particularly vulnerable in preterm and LBW infants.
- Longitudinal monitoring is crucial for early detection of ocular abnormalities in this population.
Purpose:
- To assess the visual system, focusing on refractive status, in a cohort of low birth weight infants.
- To identify the prevalence and types of refractive errors in these children.
- To document the occurrence of retinopathy of prematurity (ROP) and other ocular anomalies.
Summary:
- A cohort of 248 infants with birth weights between 600-2500g and gestational ages of 26-37 weeks underwent comprehensive ophthalmological examinations.
- Refractive errors were detected in 85.2% of the children, with hypermetropia being the most prevalent.
- Retinopathy of prematurity (ROP) was observed in 7 infants born below 1500g, and other ocular changes were noted in 7.6%.
Impact:
- Highlights the high incidence of refractive errors in low birth weight infants, necessitating early screening.
- Identifies specific risk factors (low birth weight, prematurity) associated with ROP and other visual impairments.
- Emphasizes the importance of regular, long-term ophthalmological follow-up for high-risk infant populations to prevent vision loss.
Purpose:
Evaluation of the visual system, especially refraction, in children with low birth weight under observation between 1990-1992.
Material And Methods:
248 children with birth weight 600-2500 g and gestational age 26-37 weeks underwent ophthalmological examination including USG, ERG and VER. The children were first examined between 3-4 weeks of life, then at 8 and 12 weeks and 6, 12, 18 and 24 months.
Results:
Refractive errors were found in 216 of patients, in 85.2% hypermetropia. ROP occurred in 7 children with birth weight below 1500 g and gestational age 27-32 weeks. Other ocular changes were observed in 19 (7.6%) of the examined children.