TY - JOUR
A1 - Kaur, Savleen
A1 - Sukhija, Jaspreet
A1 - Katoch, Deeksha
A1 - Sharma, Mansi
A1 - Samanta, Ramanuj
A1 - Dogra, Mangat
T1 - Refractive and ocular biometric profile of children with a history of laser treatment for retinopathy of prematurity
Y1 - 2017/9/1
JF - Indian Journal of Ophthalmology
JO - Indian J Ophthalmol
SP - 835
EP - 840
VL - 65
IS - 9
UR - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2017;volume=65;issue=9;spage=835;epage=840;aulast=Kaur
DO - 10.4103/ijo.IJO_872_16
N2 - Purpose: Indian children belong to a diverse socioeconomic strata with retinopathy of prematurity (ROP) developing in mature, higher birth weight babies as well. The purpose of our study is to analyze the long-term status of refractive errors and its relationship with ocular biometry in children with ROP who were laser treated at a tertiary center in North India. Methods: Cross sectional study. Children (<16 years) enrolled from January 2014 to December 2014 with a history of laser treatment for ROP and examined for refractive and biometric status. Results: Thirty-six children presenting to us at the mean age of 7.37 ± 3.07 years (6–15 years) were included. Mean spherical equivalent (SE) was −4.05 D ± 5.10. 75% were myopic, with high astigmatism in 31%. Higher lens thickness (P = 0.03) and higher SE (P = 0.002) at 1 year postnatal age were predictors of larger SE. 79.4% achieved a favorable functional outcome (visual acuity ≥20/40). 5.88% achieved unsatisfactory outcome (<20/200) despite having a favorable structural outcome. Conclusion: There are a substantial number of children who develop myopia and high astigmatism while undergoing laser treatment for ROP. We found myopia in our cohort to be lenticular and greater axial length contributing to the development of high myopia. An initial large refractive error predicts the future development of myopia in these children. Nearly 6% of patients with good structural outcome have unexplained subnormal vision. Our threshold for prescribing glasses in these children should be low.
ER -