Corneal refractive error and astigmatism in patients aged 6 to 18 years with a history of retinopathy of prematurity and birth weight of <1500 g.

IF 2.1 3区医学 Q2 OPHTHALMOLOGY

Japanese Journal of Ophthalmology Pub Date : 2024-01-01 Epub Date: 2023-11-25 DOI:10.1007/s10384-023-01026-2

Takako Tachikawa, Ritsuko Ueno, Tetsuko Mita, Daisuke Yuzurihara, Toru Noda

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Abstract

Purpose: To investigate corneal refractive power (CR) and astigmatism (AS) in 6- to 18-year-old children with a history of retinopathy of prematurity (ROP) and birth weight of <1500 g who either did or did not undergo retinal photocoagulation (PC).

Study design: Retrospective study.

Methods: We examined 143 eyes of 77 children in 2021. The children were divided into three groups for evaluation of CR and AS: those with a birth weight of ≥2500 g (normal birth weight [NBW] group, 13 eyes) as controls, those with spontaneously resolved ROP (sr-ROP group, 27 eyes), and those who underwent PC for treatment of ROP (PC-ROP group, 103 eyes). Swept-source anterior segment optical coherence tomography was used to analyze the cornea.

Results: The median CR in the NBW, sr-ROP, and PC-ROP groups was 42.2 (41.3, 42.8) diopters (D), 44.5 (43.2, 45.5) D, and 45.2 (43.8, 46.6) D, respectively. The median AS in the NBW, sr-ROP, and PC-ROP groups was 1.2 (1.0, 1.5) D, 1.1 (0.8, 1.6) D, and 2.1 (1.4, 2.7) D. In the PC-ROP group, the with-the-rule astigmatic axis was 97%. In all three groups, a strong positive correlation was found between the mean anterior and posterior CR (NBW: r=0.795, sr-ROP: r=0.842, PC-ROP: r=0.890) and AS (NBW: r=0.883, sr-ROP: r=0.841, PC-ROP: r=0.860).

Conclusion: CR was significantly higher in the sr-ROP (p=0.013) and PC-ROP (p<0.001) groups than in the NBW group. The PC-ROP group had significantly more AS than the sr-ROP group. There was a strong correlation between the anterior and posterior CR and AS.

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6 ~ 18岁早产儿视网膜病变史和出生体重<1500 g患者角膜屈光不正和散光

目的:探讨6 ~ 18岁有早产儿视网膜病变(ROP)病史和出生体重的儿童角膜屈光度(CR)和散光(AS)的变化。方法:我们于2021年对77名儿童的143只眼睛进行了检查。将患儿分为三组进行CR和AS的评估:出生体重≥2500 g(正常出生体重[NBW]组，13眼)为对照，自发消退ROP组(sr-ROP组，27眼)，接受PC治疗ROP组(PC-ROP组，103眼)。采用扫源前段光学相干断层扫描对角膜进行分析。结果:NBW、sr-ROP和PC-ROP组的中位CR分别为42.2(41.3,42.8)、44.5(43.2,45.5)和45.2 (43.8,46.6)D。NBW、sr-ROP和PC-ROP组的中位AS分别为1.2 (1.0,1.5)D、1.1 (0.8,1.6)D和2.1 (1.4,2.7)D。PC-ROP组伴规则散像轴为97%。在所有三组中，平均前后CR (NBW: r=0.795, sr-ROP: r=0.842, PC-ROP: r=0.890)与AS (NBW: r=0.883, sr-ROP: r=0.841, PC-ROP: r=0.860)呈正相关。结论:CR在sr-ROP组显著高于PC-ROP组(p=0.013)

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来源期刊

Japanese Journal of Ophthalmology 医学-眼科学

CiteScore

4.80

自引率

8.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.