Ophthalmic findings in infants of very low birthweight.

Published on Nov 12, 2008in Developmental Medicine & Child Neurology5.449
路 DOI :10.1111/J.1469-8749.1990.TB08461.X
Neil A. Gibson5
Estimated H-index: 5
Alistair R. Fielder41
Estimated H-index: 41
+ 1 AuthorsMalcolm I Levene28
Estimated H-index: 28
SUMMARY The ophthalmic findings in 127 very low-birthweight infants seen at a mean corrected age of 7.6 months (range one to 15 months) are presented and related to their neonatal findings on cerebral ultrasound scanning and eye examinations for retinopathy of prematurity. 19 infants (15 per cent) had significant ophthalmic abnormalities, including reduced visual acuity (11), squints (13), disorders of supranuclear eye-movement (three) and retinal abnormalities (eight). A strong association was found between cystic periventricular leukomalacia and ophthalmic morbidity. RESUME Donnees ophtalmologiques chez les nourrissons de tres faible poids de naissance L'article rapporte les donnees ophtalmologiques recueillies chez 127 nourrissons de tres faible poids de naissance examines a l'芒ge corrige moyen de 7,6 mois (entre un et quinze mois), et reliees aux donees neo-natales de l'echographie cerebrale et des examens de l'oeil pour retinopathie de prematurite. 19 nourrissons (15 pour cent) presentaient des anomalies ophtalmologiques caracteristiques, incluant une baisse de l'acuite visuelle (11), un strabisme (13), des troubles des mouvements oculaires supra-nucleaires (trois) et des anomalies retiniennes (huit). Une forte correlation a ete notee entre la leucomalacie kystique periventriculaire et la morbidite ophtalmologique. ZUSAMMENFASSUNG Ophthalmologische Befunde bei Sauglingen mit sehr niedrigem Geburtsgewicht Es werden die ophthalmologischen Befunde von 127 Sauglingen mit sehr niedrigem Geburtsgewicht, die im korrigierten Alter von 7.6 Monaten (Bereich ein bis 15 Monate) untersucht wurden, vorgestellt und mit den Befunden aus der Neonatalperiode (Ultraschall des Kopfes und Augenuntersuchungen auf Retinopathie des Frugeborenen) verglichen. 19 Sauglinge (15 Prozent) hatten signifikante ophthalmologische Befunde: verminderte Sehscharfe (11), Schielen (13), Storungen der supranuklearen Augenbewegungen (drei) und Veranderungen der Retina (acht). Es fand sich eine starke Beziehung zwischen der cystischen periventrikularen Leukomalazie und Augenerkrankungen. RESUMEN Hallazgos oftalmicos en lactantes con muy bajo peso al nacer Se presentan los hallazgos oftalmologicos en 127 lactantes con muy bajo peso al nacer, vistos a una edad corregida media de 7.6 meses (promedio 15 meses) y se retacionan con hallazgos neonatales obtenidos con ultrasonidos y examen ocular en busca de retinopatia por prematuridad. 19 ninos (15 por ciento) tenian anomalias oftalmicas significativas, incluyendo una reduccion en la agudeza visual (11), estrabismos (13), alteraciones en los movimientos oculares supranucleares (tres) y anomalias retinianas (ocho). Se hallo una fuerte asociacion entre la leucomalacia periventricular quistica y la morbilidad of talmica.
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