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5至10岁儿童的退行性早产儿视网膜病变

Regressed retinopathy of prematurity in children aged 5-10 years.

作者信息

Gallo J E, Holmström G, Kugelberg U, Hedquist B, Lennerstrand G

机构信息

Department of Ophthalmology, Karolinska Institute, Huddinge University Hospital, Sweden.

出版信息

Acta Ophthalmol Suppl (1985). 1993(210):41-3. doi: 10.1111/j.1755-3768.1993.tb04150.x.

Abstract

Regressed retinopathy of prematurity (ROP) and its sequelae has been analysed in pre-term born children with a birth weight < 1500 g and/or < 33 weeks of gestational age, born in Stockholm during 1976-81. At the age of 5-10 years, we found that 134 of 528 preterm born children (25.4%) had been at departments of ophthalmology in Stockholm for various reasons. These children were re-examined and a good eye fundus information could be obtained in 105. Moderate and severe regressed ROP was found in 48 and 13 children, respectively. In the Stockholm area the frequency of children with severe ROP (earlier called cicatricial ROP) was 2.5% out of the above risk group of 528. Two children were blind from ROP (0.4%). Ten children had a visual acuity < or = 0.3 in the worse eye (1.9%) and 7 of them had ROP changes. Children with a birth weight < 1000 g had the highest frequency of ROP (severe 11.6% and moderate 18.6%) and ocular complications. The results show that preterm born children often present ocular complications, and therefore they need a close follow-up.

摘要

对1976 - 1981年在斯德哥尔摩出生的出生体重<1500克和/或胎龄<33周的早产儿的退行性早产儿视网膜病变(ROP)及其后遗症进行了分析。在5至10岁时,我们发现528名早产儿中有134名(25.4%)因各种原因曾在斯德哥尔摩的眼科就诊。对这些儿童进行了复查,105名儿童获得了良好的眼底信息。分别在48名和13名儿童中发现了中度和重度退行性ROP。在斯德哥尔摩地区,上述528名高危组儿童中重度ROP(以前称为瘢痕性ROP)的发生率为2.5%。两名儿童因ROP失明(0.4%)。10名儿童较差眼的视力≤0.3(1.9%),其中7名有ROP改变。出生体重<1000克的儿童ROP发生率最高(重度为11.6%,中度为18.6%)且眼部并发症发生率最高。结果表明,早产儿常出现眼部并发症,因此需要密切随访。

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