Ophthalmologic Outcomes of Children Born Premature Without ROP: Correlations With Gestational Age and Psychomotor Development.
OBJECTIVE
To study ophthalmological outcomes of premature children with no retinopathy of prematurity (ROP) and correlate with neurodevelopmental outcomes.


METHODS
A total of 69 former preterm infants were evaluated at 2 to 7 years of age. Detailed ophthalmologic examinations were performed. Neurodevelopment was assessed using the Peabody Developmental Motor Scale and Wechsler Preschool and Primary Scale of Intelligence. Another 69 healthy children served as controls.


RESULTS
The 69 preterm children (38 of 69 boys) and 69 controls (38 of 69 boys) had a mean age of 4.9 ± 1.5 and 4.9 ± 1.4 years, respectively. Compared to controls, preterm infants had vision impairment of 19% versus 1.4% (P = .001), hyperopia of 87% versus 98.5% (P = .21), myopia of 11% versus 1.4% (P = .017), and astigmatism of 39% versus 30.4% (P = .37). Children with any motor disability tended to have worse vision.


CONCLUSIONS
In the absence of ROP, hyperopia was more common in infants 32 weeks or older who weighed more than 1,500 g at birth; other vision problems were similar in subgroups. This may represent impending myopia in those younger than 32 weeks weighing less than 1,500 g. [J Pediatr Ophthalmol Strabismus. 2017;54(1):32-38.].
Christiane
C
Al-Haddad
Maamoun Abdul
MA
Fattah
Larissa
L
Smeets
Hani
H
Tamim
Leila
L
Dirani
Layal
L
Safadieh
Durriyah
D
Sinno
Lama
L
Charafeddine
D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000503:physiopathology* / Q000523:psychology; D008297:Male; D011597:Psychomotor Performance / Q000502:physiology*; D012160:Retina; D012178:Retinopathy of Prematurity / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D042262:Retinoscopy; D012189:Retrospective Studies; D013997:Time Factors; D014792:Visual Acuity / Q000502:physiology*