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Visual function of preterm children: a review from a primary eye care centre

机译:早产儿的视觉功能:初级眼保健中心的评论

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Purpose: To understand the pattern of visual development in preterm children attending a primary eye care centre in Malaysia. To improve the knowledge and management of preterm children in the South East Asian region. Methods: Clinical records of preterm babies born from 2000 to 2008 were reviewed retrospectively. Follow-up data from 1 to 6 years were also reviewed. Data collected included; gender, race, age at birth, current age, birth weight, and current weight, record of fundus examination, visual acuity (VA), refraction and strabismus. Results: A total of 102 records were reviewed. Of these, 48 (47.1%) were males and 54 (52.9) were females, with 60 (58.8%) Malays, 20 (19.6%) Chinese, 21 (20.6%) Indian and 1 (1%) Caucasian. The average gestational age was 30.83+/-2.42 weeks and average birth weight was 1.37+/-0.36kg. Around 38 (37.3%) of them had retinopathy of premature (ROP) and 64 (62.7%) were without ROP. Improvement of VA was observed with age. Children with ROP developed myopia with age and those without ROP became mostly hyperopic. Linear regression analysis indicated that degree of myopia is significantly associated with severity of ROP and birth weight. No significant increment of astigmatism was noted with age. Only 13.7% of them had strabismus. Conclusions: This study concludes that children with ROP developed myopia with age and those without ROP became more hyperopic. Degree of myopia is associated with severity of ROP and birth weight. These factors should be considered during screening of vision and refractive error in children.
机译:目的:了解在马来西亚初级眼保健中心就读的早产儿的视觉发育模式。增进东南亚地区早产儿的知识和管理。方法:回顾性分析2000年至2008年出生的早产儿的临床资料。还回顾了1到6年的随访数据。收集的数据包括在内;性别,种族,出生年龄,当前年龄,出生体重和当前体重,眼底检查记录,视力(VA),屈光度和斜视。结果:共检查102条记录。其中,男性为48(47.1%),女性为54(52.9),其中马来人60(58.8%),华人20(19.6%),印度人21(20.6%)和白种人(1%)。平均胎龄为30.83 +/- 2.42周,平均出生体重为1.37 +/- 0.36kg。其中约38(37.3%)患有早产儿视网膜病变(ROP),而64例(62.7%)没有ROP。随着年龄的增长,观察到VA的改善。患有ROP的儿童随着年龄的增长会发展为近视眼,而没有ROP的儿童则成为远视眼。线性回归分析表明,近视程度与ROP的严重程度和出生体重显着相关。随着年龄的增长,没有发现散光的显着增加。他们中只有13.7%患有斜视。结论:本研究得出结论,患有ROP的儿童随着年龄的增长会发生近视,而没有ROP的儿童会变得远视。近视程度与ROP的严重程度和出生体重有关。在筛查儿童视力和屈光不正时应考虑这些因素。

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