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As-indicated vs routine vision screening of preterm children: A 17-year retrospective regional study

Acta Ophthalmologica Nov 07, 2019

Welinder L, et al. - In a Danish region from 1997 to 2014, researchers examined outcomes of routine vision screening compared with as-indicated ophthalmological investigation of all children born preterm. All preterm born children (gestation age < 32 weeks or birthweight < 1,500 g) screened for retinopathy of prematurity (ROP) were classified into two groups. In total, 560 children were involved in the as-indicated period, 41 and 87 were referred for ophthalmological investigation at 6 months and 3 years, respectively. Cerebral palsy and epilepsy were significantly associated with vision impairment, although ROP was not treated. Refractive error was common at 3 years, particularly astigmatism. Findings suggested no association of gestational age, birth weight, and ROP with vision impairment or refractive error. Compared with examination when indicated, screening preterm children at 6 months and 3 years did not show more visually impaired children.
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