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Article: Prevalence and course of strabismus in the first year of life for infants with prethreshold retinopathy of prematurity: findings from the Early Treatment for Retinopathy of Prematurity study

TitlePrevalence and course of strabismus in the first year of life for infants with prethreshold retinopathy of prematurity: findings from the Early Treatment for Retinopathy of Prematurity study
Authors
KeywordsGestational Age
Laser Coagulation
Prevalence
Retinopathy of Prematurity - complications - physiopathology - surgery
Strabismus - epidemiology - physiopathology
Issue Date2006
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archopthalmol.com
Citation
Archives of Ophthalmology, 2006, v. 124 n. 6, p. 766-773 How to Cite?
AbstractOBJECTIVE: To present strabismus data for premature infants with prethreshold retinopathy of prematurity (ROP) enrolled in the Early Treatment for Retinopathy of Prematurity study. DESIGN: The prevalence of strabismus was tabulated for all of the infants with high-risk prethreshold disease who participated in the randomized trial of the Early Treatment for Retinopathy of Prematurity study and were examined at 6 and/or 9 months' corrected age as well as for all of the infants with low-risk prethreshold disease who were examined at 6 months' corrected age. MAIN OUTCOME MEASURES: Presence or absence of strabismus at 6 and 9 months' corrected age. RESULTS: The prevalence of strabismus at 6 months was higher for infants with high-risk prethreshold ROP than for those with low-risk prethreshold ROP (20.3% vs 9.6%, respectively; P<.001). Risk factors associated with the development of strabismus at 9 months include abnormal fixation behavior, presence of amblyopia, and outborn birth status (ie, born outside of a study-affiliated hospital). At 9 months, 30% of infants with high-risk prethreshold ROP had strabismus, although only 42% showed strabismus at 6 months. Thirty percent of infants with strabismus at 6 months showed normal alignment at 9 months. CONCLUSIONS: Infants with high-risk prethreshold ROP show significant variability in the presence vs absence of strabismus in the first year of life; thus, conservative management is recommended. APPLICATION TO CLINICAL PRACTICE: Ophthalmologists managing strabismus in infants who have high-risk prethreshold ROP should be aware of the significant variability in ocular alignment during the first year of life.
DescriptionLai, WW is a member of the Early Treatment for Retinopathy Cooperative Group
Persistent Identifierhttp://hdl.handle.net/10722/206307
ISSN
2014 Impact Factor: 4.399
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorVanderVeen, DK-
dc.contributor.authorCoats, DK-
dc.contributor.authorDobson, V-
dc.contributor.authorFredrick, D-
dc.contributor.authorGordon, RA-
dc.contributor.authorHardy, RJ-
dc.contributor.authorNeely, DE-
dc.contributor.authorPalmer, EA-
dc.contributor.authorSteidl, SM-
dc.contributor.authorTung, B-
dc.contributor.authorGood, WV-
dc.contributor.authorEarly Treatment for Retinopathy Cooperative Group-
dc.contributor.authorLai, WW-
dc.date.accessioned2014-10-23T06:22:35Z-
dc.date.available2014-10-23T06:22:35Z-
dc.date.issued2006-
dc.identifier.citationArchives of Ophthalmology, 2006, v. 124 n. 6, p. 766-773-
dc.identifier.issn0003-9950-
dc.identifier.urihttp://hdl.handle.net/10722/206307-
dc.descriptionLai, WW is a member of the Early Treatment for Retinopathy Cooperative Group-
dc.description.abstractOBJECTIVE: To present strabismus data for premature infants with prethreshold retinopathy of prematurity (ROP) enrolled in the Early Treatment for Retinopathy of Prematurity study. DESIGN: The prevalence of strabismus was tabulated for all of the infants with high-risk prethreshold disease who participated in the randomized trial of the Early Treatment for Retinopathy of Prematurity study and were examined at 6 and/or 9 months' corrected age as well as for all of the infants with low-risk prethreshold disease who were examined at 6 months' corrected age. MAIN OUTCOME MEASURES: Presence or absence of strabismus at 6 and 9 months' corrected age. RESULTS: The prevalence of strabismus at 6 months was higher for infants with high-risk prethreshold ROP than for those with low-risk prethreshold ROP (20.3% vs 9.6%, respectively; P<.001). Risk factors associated with the development of strabismus at 9 months include abnormal fixation behavior, presence of amblyopia, and outborn birth status (ie, born outside of a study-affiliated hospital). At 9 months, 30% of infants with high-risk prethreshold ROP had strabismus, although only 42% showed strabismus at 6 months. Thirty percent of infants with strabismus at 6 months showed normal alignment at 9 months. CONCLUSIONS: Infants with high-risk prethreshold ROP show significant variability in the presence vs absence of strabismus in the first year of life; thus, conservative management is recommended. APPLICATION TO CLINICAL PRACTICE: Ophthalmologists managing strabismus in infants who have high-risk prethreshold ROP should be aware of the significant variability in ocular alignment during the first year of life.-
dc.languageeng-
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archopthalmol.com-
dc.relation.ispartofArchives of Ophthalmology-
dc.subjectGestational Age-
dc.subjectLaser Coagulation-
dc.subjectPrevalence-
dc.subjectRetinopathy of Prematurity - complications - physiopathology - surgery-
dc.subjectStrabismus - epidemiology - physiopathology-
dc.titlePrevalence and course of strabismus in the first year of life for infants with prethreshold retinopathy of prematurity: findings from the Early Treatment for Retinopathy of Prematurity studyen_US
dc.typeArticleen_US
dc.identifier.emailLai, WW: wicolai@hku.hk-
dc.identifier.doi10.1001/archopht.124.6.766-
dc.identifier.pmid16769828-
dc.identifier.hkuros164311-
dc.identifier.volume124-
dc.identifier.issue6-
dc.identifier.spage766-
dc.identifier.epage773-
dc.identifier.isiWOS:000238199300001-
dc.publisher.placeUnited States-

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