To Study Refractive Status Of Children From Western Maharashtra Diagnosed With Retinopathy Of Prematurity Either Medically Or Surgically Treated Or Conservatively Managed
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The study investigates the refractive status of children from Western Maharashtra diagnosed with retinopathy of prematurity (ROP) and treated through various methods. The results indicate that simple myopia is the most prevalent refractive error, with those treated surgically, especially by laser, being more susceptible to severe myopia. The authors emphasize the need for regular screening and monitoring for optimal visual outcomes in ROP patients.
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Similar to To Study Refractive Status Of Children From Western Maharashtra Diagnosed With Retinopathy Of Prematurity Either Medically Or Surgically Treated Or Conservatively Managed (20)
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To Study Refractive Status Of Children From Western Maharashtra Diagnosed With Retinopathy Of Prematurity Either Medically Or Surgically Treated Or Conservatively Managed
- 1. TO STUDY REFRACTIVE STATUS OF CHILDREN FROM WESTERN MAHARASHTRA DIAGNOSED WITH RETINOPATHY OF PREMATURITY EITHER MEDICALLY OR SURGICALLY TREATED OR CONSERVATIVELY MANAGED Dr Nishita Beke, Dr Nikhil Rishikeshi, Dr Sudhir Taras, Dr Sucheta Kulkarni, Dr Salil Gadkari
- 2. Introduction • Retinopathy of prematurity (ROP) is one of the leading causes of infant blindness and visual impairment worldwide. • Refractive error is a known complication of ROP and its treatment, and is a common cause of vision impairment in such children.
- 3. Purpose To study the refractive development in children diagnosed with retinopathy of prematurity (ROP) and treated medically or surgically or conservatively
- 4. Material and Methods • Retrospective study Inclusion criteria • Patients with ROP age more than 18 months who underwent follow ups during year 2015 • 3 groups Group 1: conservatively managed Group 2: Lasered Group 3: vitrectomized Exclusion criteria • Eyes with other associated congenital anomalies like cataract, anophthalmos, microphthalmos
- 5. Material: • Teller Acuity cards for vision assessment • Cycloplegic refraction with retinoscopy • Spherical equivalent of the net refraction was calculated for every group
- 6. Results 56 32 10 Total patients=98 (58 eyes) Conservative Lasered Vitrectomized * One Patient with pthysis bulbi after vitrectomy and congenital cataract excluded from study
- 7. • The mean spherical equivalent in – Group 1 : +1.28+/-1.76 D – Group 2 : -3.67+/- 0.71 D – Group 3 : +13.65+/-11.94 D • Simple myopia was the commonest type of refractive error. • Other complications related to refractive error: Two eyes of unilaterally vitrectomized patients eventually developed exotropia because of the amblyopia developed due to gross anisometropia
- 8. Discussion • The most common refractive error found was simple myopia the prevalence of which is 50%, comparable to the studies done before in Chinese population.* *Refractive status of Chinese with laser-treated retinopathy of prematurity.Ruan L, Shan HD, Liu XZ, Huang X. Opom Vis Sci.2015 Apr;92(4 Suppl 1):S3-9.
- 9. • Eyes which demanded treatment by laser photocoagulation were more prone to develop severe myopia compared with those treated conservatively. • These results are comparable to the study done in New Zealand population.* *Visual impairment due to retinopathy of prematurity (ROP) in New Zealand: a 22-year review.Br J Ophthalmol 2015;99:801-806 doi:10.1136/bjophthalmol- 2014-305913 • Comparable to any other study done before, APROP patients showed higher degree of myopia than other ROP babies.
- 10. • The development of gross anisometropia after surgical intervention remains a subject of major concern for further managing and visually rehabilitating these patients.
- 11. Conclusion • Periodic screening of ROP treated eyes by cycloplegic refraction should be a part of routine examination to achieve best outcomes of the ROP treatment. • Infants treated with laser photocoagulation should be especially monitored and provided with early optical correction.
- 12. Thank You!