Macular edema in Asian Indian premature infants with retinopathy of prematurity: Impact on visual acuity and refractive status after 1-year

To report the impact of transient, self-resolving, untreated "macular edema" detected on spectral domain optical coherence tomography in Asian Indian premature infants with retinopathy of prematurity (ROP) on visual acuity (VA) and refraction at 1-year of corrected age. Visual acuity and refraction of 11 infants with bilateral macular edema (Group A) was compared with gestational age-matched 16 infants with ROP without edema (Group B) and 17 preterms infants without ROP and without edema (Group C) at 3, 6, 9 and 12 months of corrected age using Teller Acuity Cards and cycloplegic retinoscopy. Sub-group analysis of the previously described pattern A and B macular edema was performed. Visual acuity was lower in infants with macular edema compared with the other two control groups throughout the study period, but statistically significant only at 3 months. Visual improvement in these infants was highest between the 3 rd and 6 th month and plateaued by the end of the 1 st year with acuity comparable to the other two groups. The edema cohort was more hyperopic compared to the other two groups between 3 and 12 months of age. Pattern A edema had worse VA compared to pattern B, although not statistically significant. Macular edema, although transient, caused reduced VA as early as 3 months of corrected age in Asian Indian premature infants weighing <2000 g at birth. The higher hyperopia in these infants is possibly due to visual disturbances caused at a critical time of fovealization. We hypothesize a recovery and feedback mechanism based on the principles of active emmetropization to explain our findings..

Medienart:

Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Indian journal of ophthalmology - 63(2015), 5, Seite 432-437

Sprache:

Englisch

Beteiligte Personen:

Vinekar, Anand [VerfasserIn]
Mangalesh, Shwetha [Sonstige Person]
Jayadev, Chaitra [Sonstige Person]
Bauer, Noel [Sonstige Person]
Munusamy, Sivakumar [Sonstige Person]
Kemmanu, Vasudha [Sonstige Person]
Kurian, Mathew [Sonstige Person]
Mahendradas, Padmamalini [Sonstige Person]
Avadhani, Kavitha [Sonstige Person]
Shetty, Bhujang [Sonstige Person]

Links:

Volltext
www.ncbi.nlm.nih.gov
search.proquest.com
doaj.org

BKL:

44.00

Themen:

Adaptive optics
Age
Age-related macular degeneration
Artifact
Axial length
Babies
Central reading center
Choroid
Choroidal imaging
Choroidal neovascularization
Choroidal thickness
Community
Cone density
Cystoid macular edema
Dexamethasone implant
Digital imaging
Emmetropization
En-face optical coherence tomography
Enhanced depth imaging technique
External limiting membrane
Foveal diameter
Foveal slope
Fundus autofluorescence
Hand-held
Idiopathic juxtafoveal telangiectasis
Influence
Juxtafoveal retinal telangiectasia
Karnataka Internet-assisted Diagnosis of Retinopathy of Prematurity
Lipofuscin
Lutein
Müller cells
Macular edema
Macular pigment
Macular telangiectasia
Medicine
Metabolic disorders
Microscope-integrated optical coherence tomography
Morphology
Myopia
Ocular magnification
Ophthalmology
Optical coherence tomography
Ozurdex
Parafoveal telangiectasis
Perifoveal telangiectasis
Polypoidal choroidal vasculopathy
Premature birth
RE1-994
RESCAN
Randomized controlled trial
Retina
Retinal angiomatous proliferation
Retinal dystrophies
Retinal imaging
Retinal telangiectasis
Retinopathy of prematurity
Serous retinal detachment
Spectral domain optical coherence tomography
Spectral-domain optical coherence tomography
Standard operating procedure
Statistical analysis
Subretinal neovascularization
Swept source optical coherence tomography
Telemedicine
Universal screening
Uveitis
Visual acuity
Vitreoretinal surgery
Zeaxanthin

doi:

10.4103/0301-4738.159879

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC1964664438