早产儿的眼部生物测量和光学相干断层扫描参数:队列研究

IF 1.8 4区 医学 Q3 OPHTHALMOLOGY
Journal of Ophthalmology Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI:10.1155/2024/2381582
Marzieh Najjaran, Siamak Zarei-Ghanavati, Hadi Ostadimoghaddam, Abbasali Yekta, Nasser Shoeibi, Armin Hemmati, Mojtaba Abrishami, Saeed Akhlaghi, Mohammed Ziaei
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引用次数: 0

摘要

目的:比较患有或未患有早产儿视网膜病变(ROP)的 4-8 岁早产儿的生物测量和光学相干断层扫描参数以及屈光状态,并评估它们与年龄和性别匹配的足月儿童的相关性:方法:对四组儿童进行回顾性队列比较研究。有早产史(包括接受过玻璃体内贝伐单抗(IVB)治疗的 ROP 患儿)、有 ROP 病史但未接受治疗的患儿以及无 ROP 病史的患儿作为对照组,与年龄和性别匹配的足月儿童进行比较。对最佳矫正视力(BCVA)、球面等效屈光度(SE)、黄斑和脉络膜厚度以及生物计量参数进行了测量:共纳入了 120 名儿童的 120 只眼睛(每组 30 名儿童)。各组的 BCVA、SE 和主观圆柱度无明显差异(分别为 p=0.05、p=0.3、p=0.6)。与其他组相比,ROP 两组的轴向长度明显更短,角膜更陡峭(分别为 p=0.001、p <0.001)。经治疗后,黄斑病变消退组和早产儿组的黄斑中心厚度明显比足月儿组厚(P < 0.001)。在治疗组和退行性黄斑病变组中,胎龄与黄斑厚度呈负相关(r = -0.517;p=0.003;r = -0.490;p=0.006):结论:曾患过视网膜病变的儿童的轴长较短、角膜较陡、黄斑较厚,这与较低的胎龄有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ocular Biometric and Optical Coherence Tomography Parameters in Former Preterm Children: A Cohort Study.

Purpose: To compare biometric and optical coherence tomography parameters as well as refractive status in preterm children aged 4-8 years with or without retinopathy of prematurity (ROP), and evaluate their correlations with age and gender-matched full-term children.

Methods: Retrospective comparative cohort study of four groups of children. Children with a history of preterm birth, including ROP who received intravitreal bevacizumab (IVB) treatment, children with a history of ROP that regressed without treatment and those with no history of ROP were compared to age and gender-matched full-term children as a control group. Best corrected visual acuity (BCVA), spherical equivalent of refraction (SE), macular and choroidal thickness, as well as biometric parameters was measured.

Results: A total of 120 eyes of 120 children (30 children in each group) were included. There was no significant difference in BCVA, SE, and subjective cylinder between groups (p=0.05, p=0.3, p=0.6, respectively). Axial length was significantly shorter, and the cornea was steeper in both ROP groups than in other groups (p=0.001, p < 0.001, respectively). The central macular thickness was significantly thicker in the treated, regressed ROP and preterm groups than in full-term children (p < 0.001). The gestational age was negatively correlated with macular thickness in both treated and regressed ROP groups (r = -0.517; p=0.003, r = - 0.490; p=0.006, respectively).

Conclusions: Children with a history of ROP had a shorter axial length, steeper cornea, and thicker macula that correlated with lower gestational age.

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来源期刊
Journal of Ophthalmology
Journal of Ophthalmology MEDICINE, RESEARCH & EXPERIMENTAL-OPHTHALMOLOGY
CiteScore
4.30
自引率
5.30%
发文量
194
审稿时长
6-12 weeks
期刊介绍: Journal of Ophthalmology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to the anatomy, physiology and diseases of the eye. Submissions should focus on new diagnostic and surgical techniques, instrument and therapy updates, as well as clinical trials and research findings.
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