Email this article Clinical and functional eye’s parameters in extremely low birth weight patients with retinopathy of prematurity
- Authors: Kogoleva L.V.1
-
Affiliations:
- The Helmholtz Moscow Research Institute of Eye Diseases
- Issue: Vol 9, No 3 (2014)
- Pages: 14-19
- Section: Articles
- URL: https://journal-vniispk.ru/1993-1859/article/view/37594
- DOI: https://doi.org/10.17816/rpoj37594
- ID: 37594
Cite item
Full Text
Abstract
The article presents the results of comprehensive ophthalmological study of 50premature children (100 eyes), gestational age less than 27 weeks.Follow-up observation (during 5-16 years after active retinopathy of prematurity) revealed a number of clinical, structural and functional features of regressive/cicatricial retinopathy of prematurity; this fact reflects the degree of incomplete retina formation and severity of retinopathy of prematurity. These features include the residual avascular areas and vascular anastomosis in the peripheral retina (80%), retinal vessels displacement and traction in the nasal side of the retina (20%). Furthermore, the analyses of the total electroretinogramshowed a reduction of the photoreceptors’ functional activity in comparison with themature infants.In 60% of children we observed the macula differentiation defects (according to the optical coherence tomography) and significantdepression of the central retina bioelectric activity (with preference of cone system).This fact can be thecauseof the vision loss. The presence of comorbidity and refractive errors (88.5%), including high myopia (30.4%), determine the necessity of thedifferentiated approach,forehanded and adequate treatment.The high risk of the late complications (23%) requires lifelong preventive medical examination and rehabilitation of these patients.
Full Text
##article.viewOnOriginalSite##About the authors
Ludmila Viktorovna Kogoleva
The Helmholtz Moscow Research Institute of Eye Diseases
Email: kogoleva@mail.ru
старший научный сотрудник отдела патологии глаз у детей 105062, Moscow, Russia
References
- Нероев В.В., Коголева Л.В., Катаргина Л.А. Особенности течения и результаты лечения активной ретинопатии недоношенных у детей с экстремально низкой массой тела при рождении. Российский офтальмологический журнал. 2011; 4(4): 50-3.
- Катаргина Л.А., Рудницкая Я.Л., Коголева Л.В. Влияние коррекции аномалий рефракции в сенситивном периоде на морфофункциональное развитие макулы у детей с ретинопатией недоношенных. Российский офтальмологический журнал. 2013; 6(1): 8-13.
- Сайдашева Э.И., Фомина Н.В. Ретинопатия недоношенных у детей с ЭНМТ в Санкт-Петербурге. В кн.: Материалы Всероссийской научно-практической конференции с международным участием «Ретинопатия недоношенных-2011». М.; 2011: 12-4.
- Рудницкая Я.Л. Анатомо-функциональные особенности развития макулы у детей с ретинопатией недоношенных: Дисс.. канд. мед. наук. М.; 2013.
- Austeng D., Kallen K.B.M., Hellstrom A., Jakobsson P.G., Johansson K. et al. Screening for retinopathy of prematurity in infants born before 27 weeks gestation in Sweden. Arch. Ophthalmol. 2011; 129(2): 167-72.
- Drenser K.A., Trese M.T., Capone A. Agressive posterior retinopathy of prematurity. Retina. 2010; 30: 37-40.
- Kychenthal A., Dorta P., Katz X. Zone 1 retinopathy of prematurity: clinical characteristics and treatment outcomes. Retina. 2006; 26 (Suppl.): 11-5.
- Mirabella G., Kjaer P.K., Norcia A.M., Good W., Madan A. Visual development in very low birth weight infants. Pediatr. Res. 2006; 60: 435-9.
- Wong K., Ng J., Ells A., Fielder A.R., Wilson C.M. The temporal and nasal retinal arteriolar and venular angles in preterm infants. Br. J. Ophthalmol. 2011; 95: 1723-7.
Supplementary files
