교정나이 3세가 된 미숙아의 굴절이상, 약시 및 사시

• 영문명: Refractive Errors, Amblyopia and Strabismus in 3-year-old Premature Children
• 발행기관: 대한안과학회
• 저자명: 배지현 최동규,Ji Hyun Bae, MD, Dong Gyu Choi, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number10, 1385~1391쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2010.10.15

영문 초록

Purpose: To evaluate the refractive status, anisometropia, amblyopia and strabismus in 3-year-old premature children. Methods: A total of 161 eyes from 82 premature infants were retrospectively reviewed and divided into three groups according to the presence of retinopathy of prematurity (ROP) and treatment; Group 1 (68 eyes): without ROP, Group 2-1 (32 eyes): spontaneously regressed ROP, and Group 2-2 (61 eyes): regressed ROP with treatment. The incidences and clinical features of refractive errors, anisometropia, amblyopia and strabismus at the age of three years were compared among the three groups. Results: The incidences of myopia, astigmatism, anisometropia and the severity of myopia increased according to the presence of ROP and treatment (p = 0.03, 0.02, 0.001, and 0.04, respectively). There were no significant differences in the incidences of hyperopia among the three groups; however, the severity of hyperopia in Group 2-2 was higher than those in the other two groups (p = 0.01). Patients in Group 1 had better best corrected visual acuity (BCVA) compared with those of the other two groups (p < 0.001). However, no significant differences in the incidences of strabismus or amblyopia among the three groups (p = 0.80 and 0.85, respectively) were found, and the ratio of esotropia : exotropia was 1:1.3. Conclusions: Regular ocular examination should be required in children who were born prematurely in order to detect and treat ophthalmologic problems such as refractive errors, amblyopia and strabismus. J Korean Ophthalmol Soc 2010;51(10):1385-1391

키워드

Amblyopia, Premature infant, Refractive error, Retinopathy of prematurity, Strabismus