Retrospective evaluation of ophthalmological and neurological outcomes for infants born before 24 weeks gestational age in a Swedish cohort

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Retrospective evaluation of ophthalmological and neurological outcomes for infants born before 24 weeks gestational age in a Swedish cohort

Hellström, Ann, 1959 (författare): Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,The Sahlgrenska Centre for Pediatric Ophthalmology Research, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Sahlgrenska Ctr Pediat Ophthalmol Res,Dept Clin N, Gothenburg, Sweden.

Jacobson, L. (författare): Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Sect Eye & Vis, Stockholm, Sweden.;Karolinska Univ Sjukhuset, Astrid Lindgren Childrens Hosp, Neuropediat Dept, Stockholm, Sweden.,Karolinska University Hospital

Al-Hawasi, Abbas (författare): Linköping University,Linköpings universitet,Avdelningen för sinnesorgan och kommunikation,Medicinska fakulteten

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Hellström-Westas, Lena, 1954- (författare): Uppsala University,Uppsala universitet,Institutionen för kvinnors och barns hälsa,Uppsala Univ, Sweden

Rakow, A. (författare): Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Woman & Child Hlth, Stockholm, Sweden.

Johnson, Mats, 1956 (författare): Gothenburg University,Göteborgs universitet,Gillbergcentrum,Gillberg Neuropsychiatry Centre,Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Gillberg Neuropsychiat Ctr, Gothenburg, Sweden.

Sävman, Karin, 1960 (författare): Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Region Västra Götaland, Department of Neonatology, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute for Clinical Sciences, Department of Pediatrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Dept Neonatol, Reg Vastra Gotland, Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.

Holmström, Gerd, 1951- (författare): Uppsala University,Uppsala universitet,Oftalmiatrik,Uppsala Univ, Sweden

Larsson, Eva, 1961- (författare): Uppsala University,Uppsala universitet,Oftalmiatrik,Uppsala Univ, Sweden

Gränse, Lotta (författare): Department of Clinical Sciences, Ophthalmology, Skåne University Hospital Lund, Lund, Sweden,Skane Univ Hosp Lund, Dept Clin Sci, Ophthalmol, Lund, Sweden.

Saric, M. (författare): Umeå University,Umeå universitet,Oftalmiatrik,Umeå Univ, Med Fak, Dept Clin Sci, Ophthalmol, Umeå, Sweden.

Sunnqvist, B. (författare): Department of Ophthalmology, Länssjukhuset Ryhov, Jonkoping, Sweden,Lanssjukhuset Ryhov, Dept Ophthalmol, Jönköping, Sweden.

Smith, L. (författare): The Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, MA, Boston, United States,Harvard Med Sch, Boston Childrens Hosp, Dept Ophthalmol, Boston, MA 02115 USA.

Hård, Anna-Lena, 1949 (författare): Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,The Sahlgrenska Centre for Pediatric Ophthalmology Research, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Sahlgrenska Ctr Pediat Ophthalmol Res,Dept Clin N, Gothenburg, Sweden.

Morsing, Eva (författare): Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neonatalogi,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Neonatology,Lund University Research Groups,Skåne University Hospital

Lundgren, Pia, 1967 (författare): Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,The Sahlgrenska Centre for Pediatric Ophthalmology Research, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Sahlgrenska Ctr Pediat Ophthalmol Res,Dept Clin N, Gothenburg, Sweden.

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2022-08-03
2022
Engelska.
Ingår i: Bmj Open. - : BMJ. - 2044-6055. ; 12:8

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Objectives To retrospectively evaluate ophthalmological and neurological outcomes in a Swedish cohort of infants born before 24 weeks gestational age (GA) and explore risk factors for visual impairment. Setting Eye and paediatric clinics in Sweden. Participants Infants screened for retinopathy of prematurity (ROP) (n=399), born before 24 weeks GA, 2007-2018. Cases were excluded if ophthalmological follow-up records could not be traced. Primary and secondary outcome measures Primary outcomes were ophthalmological, including visual acuity (VA), refractive error, strabismus, nystagmus and cerebral visual impairment (CVI). Secondary outcomes comprised neonatal and neurological morbidities. Data were retrospectively retrieved from medical records. Results The 355 assessed children had a median GA of 23 weeks and 2 days and a median birth weight of 565 g. At the last available ophthalmological examination, the median age was 4.8 years (range 0.5-13.2 years). Nystagmus was recorded in 21.1%, strabismus in 34.8%, and 51.0% wore spectacles. Seventy-three of 333 (21.9%) were visually impaired, defined as being referred to a low vision clinic and/or having a VA less than 20/60 at 3.5 years of age or older. ROP treatment was a significant risk factor for visual impairment (OR 2.244, p=0.003). Visually impaired children, compared with children without visual impairment, more often had neurological deficits such as intellectual disability 63.8% versus 33.3% (p<0.001), epilepsy 21.1% versus 7.5% (p=0.001) and autism spectrum disorders 32.8% versus 20.9% (p=0.043). Nine of the 355 children had been diagnosed with CVI. Conclusions Children born before 24 weeks GA frequently had visual impairment in association with neurological deficits. CVI was rarely diagnosed. A multidisciplinary approach for the evaluation and habilitation of these vulnerable infants is warranted. National follow-up guidelines need to be developed and implemented.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oftalmologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Ophthalmology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)

Nyckelord

paediatric ophthalmology
paediatrics

neurodisability
cerebral visual impairment
extremely preterm infants
severe
retinopathy
prematurity
children
association
acuity
birth
eye
General & Internal Medicine
developmental neurology & neurodisability
developmental neurology & neurodisability

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Av författaren/redakt...: Hellström, Ann, ...; Jacobson, L.; Al-Hawasi, Abbas; Hellström-Westas ...; Rakow, A.; Johnson, Mats, 1 ...; visa fler...; Sävman, Karin, 1 ...; Holmström, Gerd, ...; Larsson, Eva, 19 ...; Gränse, Lotta; Saric, M.; Sunnqvist, B.; Smith, L.; Hård, Anna-Lena, ...; Morsing, Eva; Lundgren, Pia, 1 ...; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Oftalmologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Pediatrik

Artiklar i publikationen: Bmj Open

Av lärosätet: Göteborgs universitet; Umeå universitet; Karolinska Institutet; Uppsala universitet; Linköpings universitet; Lunds universitet

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