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Good visual acuity in an adult population with marked posterior segment changes secondary to retinopathy of
P J Ferrone1, M T Trese, G A Williams
1Associated Retinal Consultants, Royal Oak, Michigan 48073, USA.
Insights
Good visual acuity is possible in adults with retinopathy of prematurity (ROP) despite significant posterior segment changes. Early childhood monitoring and treatment are crucial for optimal vision development in these patients.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pediatric Ophthalmology
Background:
- Retinopathy of prematurity (ROP) is a leading cause of childhood blindness.
- Long-term visual outcomes in adults with regressed ROP are not well-documented.
- Posterior segment changes can significantly impact vision.
Purpose of the Study:
- To demonstrate the compatibility of good visual acuity with severe posterior segment abnormalities in adults with ROP.
- To highlight the importance of continued monitoring for ROP patients into adulthood.
Main Methods:
- Retrospective chart review of adult patients diagnosed with regressed ROP.
- Inclusion criteria: age >21 years, visual acuity of 20/60 or better.
- Analysis of posterior segment changes and visual acuity outcomes.
Main Results:
- 14 eyes in 12 adult patients with regressed ROP and good visual acuity (20/15-20/60) were identified.
- 11 eyes were myopic (6 with spherical equivalent > or = -6.00).
- Posterior segment findings included macular fold (1 eye) and macular ectopia (13 eyes).
Conclusions:
- Good visual acuity can coexist with significant posterior segment changes in adults with a history of ROP.
- Emphasizes the necessity of diligent childhood follow-up and prompt treatment of amblyogenic factors.
- Ensures patients achieve their maximum visual potential throughout life.
Purpose:
To show that good visual acuity can be compatible with marked posterior segment changes secondary to retinopathy of prematurity (ROP) in the adult population.
Methods:
A retrospective chart review of adult patients with regressed ROP. We found 14 eyes in 12 patients who were older than 21 years with a visual acuity of 20/60 or better associated with marked posterior segment changes secondary to ROP.
Results:
Of the 14 eyes, 11 were myopic, with six eyes having the spherical equivalent of > or = -6.00. Best-corrected visual acuities ranged from 20/15-20/60. One eye had a macular fold. Thirteen eyes had macular ectopia.
Conclusions:
Good vision can be compatible with marked posterior segment changes secondary to ROP in an adult population. This emphasizes the need to follow these patients closely during childhood and treat them promptly for any amblyogenic condition that could prevent them from reaching their full visual potential.