Risk factors for early-onset high myopia after treatment for retinopathy of prematurity

Purpose To investigate the prevalence of myopia and high myopia and the risk factors for high myopia in infants at 3 years of age with retinopathy of prematurity (ROP). Study design Retrospective, observational. Methods We retrospectively analyzed all 89 preterm infants (178 eyes) with medical recor...

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Veröffentlicht in:Japanese journal of ophthalmology 2022-07, Vol.66 (4), p.386-393
Hauptverfasser: Matsumura, Saiko, Matsumoto, Tadashi, Katayama, Yuji, Tomita, Masahiko, Morikawa, Hazuki, Itokawa, Takashi, Kawakami, Momoko, Hori, Yuichi
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container_issue 4
container_start_page 386
container_title Japanese journal of ophthalmology
container_volume 66
creator Matsumura, Saiko
Matsumoto, Tadashi
Katayama, Yuji
Tomita, Masahiko
Morikawa, Hazuki
Itokawa, Takashi
Kawakami, Momoko
Hori, Yuichi
description Purpose To investigate the prevalence of myopia and high myopia and the risk factors for high myopia in infants at 3 years of age with retinopathy of prematurity (ROP). Study design Retrospective, observational. Methods We retrospectively analyzed all 89 preterm infants (178 eyes) with medical records of ROP between October 2008 and March 2018 at Toho University Medical Center Omori Hospital; these infants had a birth weight of less than 1,500 g and were followed up at least until 3 years of age. Cycloplegic autorefraction was performed to measure refractive outcomes. Multivariate analysis was performed to determine the risk factors for early-onset high myopia at 3 years of age. Results The prevalence of myopia and high myopia was significantly higher in the treated group (59.7% and 17.9%, respectively) than in the untreated group (19.7% and 0%, respectively) ( p
doi_str_mv 10.1007/s10384-022-00921-4
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Study design Retrospective, observational. Methods We retrospectively analyzed all 89 preterm infants (178 eyes) with medical records of ROP between October 2008 and March 2018 at Toho University Medical Center Omori Hospital; these infants had a birth weight of less than 1,500 g and were followed up at least until 3 years of age. Cycloplegic autorefraction was performed to measure refractive outcomes. Multivariate analysis was performed to determine the risk factors for early-onset high myopia at 3 years of age. Results The prevalence of myopia and high myopia was significantly higher in the treated group (59.7% and 17.9%, respectively) than in the untreated group (19.7% and 0%, respectively) ( p &lt;0.001). Spherical equivalent (SE) at age 3 was more myopic in the treatment group (−1.72 ± 3.53 D) than in the untreated group (0.54 ± 1.08 D) ( p &lt;0.001). In the sub-analysis of the treatment group, there was a significant correlation between SE at age 3 and the number of laser shots (R 2 = 0.36, p &lt;0.001). Multivariate logistic analysis showed that the number of laser shots was an independent risk factor for early onset high myopia ( p &lt;0.05). Conclusion The number of laser shots is an independent risk factor for early onset high myopia, and preterm infants who have undergone laser treatment for severe ROP should be considered for early optical correction with cycloplegic refractive examination.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-022-00921-4</identifier><identifier>PMID: 35488107</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Age ; Birth weight ; Clinical Investigation ; Health care facilities ; Infants ; Lasers ; Medical records ; Medicine ; Medicine &amp; Public Health ; Multivariate analysis ; Myopia ; Neonates ; Newborn babies ; Ophthalmology ; Premature babies ; Retinopathy ; Risk analysis ; Risk factors</subject><ispartof>Japanese journal of ophthalmology, 2022-07, Vol.66 (4), p.386-393</ispartof><rights>Japanese Ophthalmological Society 2022</rights><rights>2022. Japanese Ophthalmological Society.</rights><rights>Japanese Ophthalmological Society 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-aaea702d3f1fe7f9c7ae24b4b15ac27f5388d9ad1274f17dbf8214efb5f1a37c3</citedby><cites>FETCH-LOGICAL-c492t-aaea702d3f1fe7f9c7ae24b4b15ac27f5388d9ad1274f17dbf8214efb5f1a37c3</cites><orcidid>0000-0002-6157-9058</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-022-00921-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-022-00921-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35488107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsumura, Saiko</creatorcontrib><creatorcontrib>Matsumoto, Tadashi</creatorcontrib><creatorcontrib>Katayama, Yuji</creatorcontrib><creatorcontrib>Tomita, Masahiko</creatorcontrib><creatorcontrib>Morikawa, Hazuki</creatorcontrib><creatorcontrib>Itokawa, Takashi</creatorcontrib><creatorcontrib>Kawakami, Momoko</creatorcontrib><creatorcontrib>Hori, Yuichi</creatorcontrib><title>Risk factors for early-onset high myopia after treatment for retinopathy of prematurity</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose To investigate the prevalence of myopia and high myopia and the risk factors for high myopia in infants at 3 years of age with retinopathy of prematurity (ROP). Study design Retrospective, observational. Methods We retrospectively analyzed all 89 preterm infants (178 eyes) with medical records of ROP between October 2008 and March 2018 at Toho University Medical Center Omori Hospital; these infants had a birth weight of less than 1,500 g and were followed up at least until 3 years of age. Cycloplegic autorefraction was performed to measure refractive outcomes. Multivariate analysis was performed to determine the risk factors for early-onset high myopia at 3 years of age. Results The prevalence of myopia and high myopia was significantly higher in the treated group (59.7% and 17.9%, respectively) than in the untreated group (19.7% and 0%, respectively) ( p &lt;0.001). Spherical equivalent (SE) at age 3 was more myopic in the treatment group (−1.72 ± 3.53 D) than in the untreated group (0.54 ± 1.08 D) ( p &lt;0.001). In the sub-analysis of the treatment group, there was a significant correlation between SE at age 3 and the number of laser shots (R 2 = 0.36, p &lt;0.001). Multivariate logistic analysis showed that the number of laser shots was an independent risk factor for early onset high myopia ( p &lt;0.05). Conclusion The number of laser shots is an independent risk factor for early onset high myopia, and preterm infants who have undergone laser treatment for severe ROP should be considered for early optical correction with cycloplegic refractive examination.</description><subject>Age</subject><subject>Birth weight</subject><subject>Clinical Investigation</subject><subject>Health care facilities</subject><subject>Infants</subject><subject>Lasers</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Multivariate analysis</subject><subject>Myopia</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Ophthalmology</subject><subject>Premature babies</subject><subject>Retinopathy</subject><subject>Risk analysis</subject><subject>Risk factors</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kEGL1TAQx4Mo7tvVL-BBAl68VCeTtOk7yrLqwoIgiscwbSf7ur42NUkP_fbGfauCB08DM7_5z_AT4oWCNwrAvk0KdGsqQKwA9qgq80jsVKN0hWiax2IHUJq1quszcZ7SHQAY1PhUnOnatK0CuxPfPo_pu_TU5xCT9CFKpnjcqjAnzvIw3h7ktIVlJEk-c5Q5MuWJ53zPRs7jHBbKh00GL5fIE-U1jnl7Jp54OiZ-_lAvxNf3V18uP1Y3nz5cX767qXqzx1wRMVnAQXvl2fp9b4nRdKZTNfVofa3bdtjToNAar-zQ-RaVYd_VXpG2vb4Qr0-5Sww_Vk7ZTWPq-XikmcOaHDZ1i9g0Ggr66h_0LqxxLt8VyrZg0aIuFJ6oPoaUInu3xHGiuDkF7pd2d9LuinZ3r92ZsvTyIXrtJh7-rPz2XAB9AlIZzbcc_97-T-xPdpGOdA</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Matsumura, Saiko</creator><creator>Matsumoto, Tadashi</creator><creator>Katayama, Yuji</creator><creator>Tomita, Masahiko</creator><creator>Morikawa, Hazuki</creator><creator>Itokawa, Takashi</creator><creator>Kawakami, Momoko</creator><creator>Hori, Yuichi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6157-9058</orcidid></search><sort><creationdate>20220701</creationdate><title>Risk factors for early-onset high myopia after treatment for retinopathy of prematurity</title><author>Matsumura, Saiko ; 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Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsumura, Saiko</au><au>Matsumoto, Tadashi</au><au>Katayama, Yuji</au><au>Tomita, Masahiko</au><au>Morikawa, Hazuki</au><au>Itokawa, Takashi</au><au>Kawakami, Momoko</au><au>Hori, Yuichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for early-onset high myopia after treatment for retinopathy of prematurity</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>66</volume><issue>4</issue><spage>386</spage><epage>393</epage><pages>386-393</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose To investigate the prevalence of myopia and high myopia and the risk factors for high myopia in infants at 3 years of age with retinopathy of prematurity (ROP). Study design Retrospective, observational. Methods We retrospectively analyzed all 89 preterm infants (178 eyes) with medical records of ROP between October 2008 and March 2018 at Toho University Medical Center Omori Hospital; these infants had a birth weight of less than 1,500 g and were followed up at least until 3 years of age. Cycloplegic autorefraction was performed to measure refractive outcomes. Multivariate analysis was performed to determine the risk factors for early-onset high myopia at 3 years of age. Results The prevalence of myopia and high myopia was significantly higher in the treated group (59.7% and 17.9%, respectively) than in the untreated group (19.7% and 0%, respectively) ( p &lt;0.001). Spherical equivalent (SE) at age 3 was more myopic in the treatment group (−1.72 ± 3.53 D) than in the untreated group (0.54 ± 1.08 D) ( p &lt;0.001). In the sub-analysis of the treatment group, there was a significant correlation between SE at age 3 and the number of laser shots (R 2 = 0.36, p &lt;0.001). Multivariate logistic analysis showed that the number of laser shots was an independent risk factor for early onset high myopia ( p &lt;0.05). Conclusion The number of laser shots is an independent risk factor for early onset high myopia, and preterm infants who have undergone laser treatment for severe ROP should be considered for early optical correction with cycloplegic refractive examination.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>35488107</pmid><doi>10.1007/s10384-022-00921-4</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6157-9058</orcidid></addata></record>
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source Springer Nature - Complete Springer Journals
subjects Age
Birth weight
Clinical Investigation
Health care facilities
Infants
Lasers
Medical records
Medicine
Medicine & Public Health
Multivariate analysis
Myopia
Neonates
Newborn babies
Ophthalmology
Premature babies
Retinopathy
Risk analysis
Risk factors
title Risk factors for early-onset high myopia after treatment for retinopathy of prematurity
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