ABSENCE OF FOVEAL DEPRESSION AND ITS ASSOCIATION WITH REFRACTIVE STATUS AND STRABISMUS IN CHILDREN WITH HISTORY OF RETINOPATHY OF PREMATURITY

Aksu Ceylan N., Bahar M., ÖZBİLEN K. T., Cebeci Z., Güner M. E., Kir N.

JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI, cilt.86, sa.3, ss.204-210, 2023 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 86 Sayı: 3
  • Basım Tarihi: 2023
  • Doi Numarası: 10.26650/iuitfd.1254425
  • Dergi Adı: JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.204-210
  • Anahtar Kelimeler: astigmatism, myopia, optical coherence tomography, refractive errors, Retinopathy of prematurity, strabismus
  • İstanbul Üniversitesi Adresli: Evet

Özet

Objective: To evaluate the foveal depression (FD) status on optical coherence tomography (OCT) and its relationship with strabismus, amblyopia and refractive errors in children with a history of retinopathy of prematurity (ROP).Material and Method: Medical records were reviewed for demographic data, ocular and medical history, systemic disorders, ophthalmologic and OCT findings. Patients were categorized into two groups according to foveal depression status on OCT: absence of FD (Non-FD Group) and presence of FD (FD Group). Demographic data, refractive errors (RE), strabismus, amblyopia and anisometropia were compared between the groups.Result: Mean age of the patients was 11.1 & PLUSMN;2.7 years in the Non-FD group and 10.1 & PLUSMN;2.9 years in the FD group (p=0.136). Mean gestastional age (GA) at birth and birth weight (BW) of the Non-FD group (28.8 & PLUSMN;2.7 weeks, 1269.1 & PLUSMN;455.5 grams) were significantly lower than those of the FD group (30.8 & PLUSMN;2.1weeks, 1530.8 & PLUSMN;415.2 grams) (p=0.002 and p=0.02, respectively). Although there was no significant difference between the groups in the mean spherical equivalent (SE) RE (-1.19 & PLUSMN; 4.86D in the Non-FD group and 0.77 & PLUSMN;4.08D in the FD group, p=0.09), the distribution of SE refractive errors was significantly different (p=0.001). 54.5% of patients in the Non-FD group had myopia and 72% of the patients in the FD group had hypermetropia. Mild myopia was significantly more in the Non-FD group and mild hypermetropia was significantly more in the FD group (p<0.05 for both). Astigmatism equal or greater than 1.50D was detected in 56.5% of the Non-FD group and 36% of the FD group (p>0.05). There was no significant difference between the groups in the incidence of strabismus, amblyopia and anisometropia (p>0.05). Conclusion: We detected lower GA and BW in the Non-FD group than those of the FD group. Myopia is more prevalent in patients with a history of ROP and absence of FD than in those with a normal foveal structure.