Abstract
The purpose of the study was to present spectral-domain optical coherence tomography (OCT) findings in premature infants with or without mild-to-severe retinopathy of prematurity (ROP). Seventy-two infants born <37 weeks of gestation were analyzed, prospectively. Group 1 (n = 18) included infants without ROP. Infants with stage 1, 2, or 3 ROP without indication for treatment formed the second group (n = 15). Group 3 (n = 21) included threshold cases, who would receive laser photocoagulation (LPC) after OCT examinations. Group 4 (n = 18) had already received LPC. The mean central foveal thickness (CFT) (μm) in right eyes was 194.27 ± 19.93, 207.67 ± 25.44, 224.29 ± 21.42, and 222.00 ± 37.80, for groups 1, 2, 3, and 4, respectively (p = 0.01). The presence of a well-formed foveal pit was documented in 60 % of right and 67 % of left eyes in group 1, while a well-formed foveal pit was observed in 14 % of right and 16 % of left eyes in group 3 (p < 0.05). Cystoid macular edema (CME) was shown in 29 % of right and 21 % of left eyes in group 3 (p < 0.05 for right eyes). CME was observed in two of right and left eyes in group 4. Epiretinal membrane (ERM) was shown in one right eye in group 3, two right and four left eyes in group 4 (p < 0.05 for left eyes). Thicker CFT, CME, and failure of a well-formed foveal pit could be related to the severity of ROP. The development of ERM could be the consequence of LPC.
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References
Isenberg SJ (1986) Macular development in the premature infant. Am J Ophthalmol 101:74–80
Ecsedy M, Szamosi A, Karkó C, Zubovics L, Varsányi B, Németh J, Récsán Z (2007) A comparison of macular structure imaged by optical coherence tomography in preterm and full-term children. Invest Ophthalmol Vis Sci 48:5207–5211
Yanni SE, Wang J, Chan M, Carroll J, Farsiu S, Leffler JN, Spencer R, Birch EE (2012) Foveal avascular zone and foveal pit formation after preterm birth. Br J Ophthalmol 96:961–966
Saldir M, Sarici SU, Mutlu FM, Mocan C, Altinsoy HI, Ozcan O (2010) An analysis of neonatal risk factors associated with the development of ophthalmologic problems at infancy and early childhood: a study of premature infants born at or before 32 weeks of gestation. J Pediatr Ophthalmol Strabismus 47:331–337
O’Connor AR, Wilson CM, Fielder AR (2007) Ophthalmological problems associated with preterm birth. Eye (Lond) 21:1254–1260
Tariq YM, Burlutsky G, Mitchell P (2012) Macular parameters and prematurity: a spectral domain coherence tomography study. J AAPOS 16:382–385
Villegas VM, Capó H, Cavuoto K, McKeown CA, Berrocal AM (2014) Foveal structure-function correlation in children with history of retinopathy of prematurity. Am J Ophthalmol 158:508–512
Lee AC, Maldonado RS, Sarin N, O’Connell RV, Wallace DK, Freedman SF, Cotten M, Toth CA (2011) Macular features from spectral-domain optical coherence tomography as an adjunct to indirect ophthalmoscopy in retinopathy of prematurity. Retina 31:1470–1482
Dubis AM, Costakos DM, Subramaniam CD, Godara P, Wirostko WJ, Carroll J, Provis JM (2012) Evaluation of normal human foveal development using optical coherence tomography and histologic examination. Arch Ophthalmol 130:1291–1300
Dubis AM, Subramaniam CD, Godara P, Carroll J, Costakos DM (2013) Subclinical macular findings in infants screened for retinopathy of prematurity with spectral-domain optical coherence tomography. Ophthalmology 120:1665–1671
Maldonado RS, O’Connell R, Ascher SB, Sarin N, Freedman SF, Wallace DK, Chiu SJ, Farsiu S, Cotten M, Toth CA (2012) Spectral-domain optical coherence tomographic assessment of severity of cystoid macular edema in retinopathy of prematurity. Arch Ophthalmol 130:569–578
Maldonado RS, O’Connell RV, Sarin N, Freedman SF, Wallace DK, Cotten CM, Winter KP, Stinnett S, Chiu SJ, Izatt JA, Farsiu S, Toth CA (2011) Dynamics of human foveal development after premature birth. Ophthalmology 118:2315–2325
Vinekar A, Avadhani K, Sivakumar M, Mahendradas P, Kurian M, Braganza S, Shetty R, Shetty BK (2011) Understanding clinically undetected macular changes in early retinopathy of prematurity on spectral domain optical coherence tomography. Invest Ophthalmol Vis Sci 52:5183–5188
Wang J, Spencer R, Leffler JN, Birch EE (2012) Critical period for foveal fine structure in children with regressed retinopathy of prematurity. Retina 32:330–339
Basmak H, Niyaz L, Sahin A, Erol N, Gursoy HH (2010) Retinopathy of prematurity: screening guidelines need to be reevaluated for developing countries. Eur J Ophthalmol 20:752–755
International Committee for the Classification of Retinopathy of Prematurity (2005) The international classification of retinopathy of prematurity revisited. Arch Ophthalmol 123:991–999
Lepore D, Molle F, Pagliara MM, Baldascino A, Angora C, Sammartino M, Quinn GE (2011) Atlas of fluorescein angiographic findings in eyes undergoing laser for retinopathy of prematurity. Ophthalmology 118:168–175
Hammer DX, Iftimia NV, Ferguson RD, Bigelow CE, Ustun TE, Barnaby AM, Fulton AB (2008) Foveal fine structure in retinopathy of prematurity: an adaptive optics Fourier domain optical coherence tomography study. Invest Ophthalmol Vis Sci 49:2061–2070
Vajzovic L, Hendrickson AE, O’Connell RV, Clark LA, Tran-Viet D, Possin D, Chiu SJ, Farsiu S, Toth CA (2012) Maturation of the human fovea: correlation of spectral-domain optical coherence tomography findings with histology. Am J Ophthalmol 154:779–789
Erol MK, Ozdemir O, Turgut Coban D, Coban D, Bilgin AB, Dogan B, Sogutlu Sari E, Toslak D (2014) Macular findings obtained by spectral domain optical coherence tomography in retinopathy of prematurity. J Ophthalmol 2014:468653
Hendrickson A (1992) A morphological comparison of foveal development in man and monkey. Eye (Lond) 6:136–144
Maldonado RS, Toth CA (2013) Optical coherence tomography in retinopathy of prematurity: looking beyond the vessels. Clin Perinatol 40:271–296
Mester U, Volker B, Kroll P, Berg P (1988) Complications of prophylactic argon laser treatment of retinal breaks and degenerations in 2000 eyes. Ophthalmic Surg 19:482–484
Lee KM, Kim JH, Yu YS (2010) Idiopathic maculopathy in eyes with regressed retinopathy of prematurity. Graefes Arch Clin Exp Ophthalmol 248:1097–1103
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This study was supported by the Eskişehir Osmangazi University Scientific Research Project (Project number: 2013-99) Commission. The supporting source had no involvement in the study design; the collection, analysis, and interpretation of the data; the writing of the report; or the decision to submit the report for publication.
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Gursoy, H., Bilgec, M.D., Erol, N. et al. The macular findings on spectral-domain optical coherence tomography in premature infants with or without retinopathy of prematurity. Int Ophthalmol 36, 591–600 (2016). https://doi.org/10.1007/s10792-016-0176-9
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DOI: https://doi.org/10.1007/s10792-016-0176-9