Fiess, Achim, Koelb-Keerl, Ruth, Elflein, Heike Maria, Schuster, Alexander K., Knuf, Markus, Kirchhof, Bernd, Oberacher-Velten, Isabel, Muether, Philipp S. and Bauer, Jacqueline (2019). Evaluation of Ophthalmic Follow-up Care of Former Pre-term and Full-term Infants Aged from 4 to 10 Years in Germany - Results of the Wiesbaden Prematurity Study (WPS). Klinische Monatsblat. Augenheilkunde, 236 (10). S. 1174 - 1182. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3999

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Abstract

Background The purpose of this investigation was to analyse the ophthalmic follow-up care of former pre-term and fullterm born infants aged 4 to 10 years in the clinical practice and the comparison to the recommendations of the national ophthalmic guidelines. Methods For the prospective Wiesbaden Prematurity Study (WPS), 503 infants were examined: 239 former pre-term infants (PT) with gestational age (GA) <= 32 weeks and 264 former full-termborn infants (FT) with a GA >= 37 weeks aged 4 to 10 years. Ophthalmic examination was performed including refractive measurements and orthoptic examination. Anisometropia was defined as a difference of >= 1 D spherical equivalent. Data was assessed if an ophthalmological examination was performed after hospital discharge, and how many times the ophthalmologist was contacted within the last 12 months. Results Overall, strabismus and anisometropia were present in 18 and 10% of all PT, and in 2 and 5% of all FT infants, respectively. In infants aged 4 to 6 years, 65% of all former PT and 42% of all former FT had ophthalmological contacts within the last year ( p = 0.002). 15% of the pre-term infants with strabismus did not have an ophthalmological examination within the last year. The parents of three former pre-term infants reported that they never had an ophthalmologic examination after hospital discharge. Conclusion Two-thirds of the former pre-terminfants participated in a screening examination at the age of 4 to 6 years in the last year according to their parents, which is recommended by the guidelines for the care of former pre-term infants. There is still room for improvement to provide best ophthalmological care for this vulnerable population that have high risk for strabismus and amblyopia.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Fiess, AchimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koelb-Keerl, RuthUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Elflein, Heike MariaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuster, Alexander K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Knuf, MarkusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kirchhof, BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Oberacher-Velten, IsabelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Muether, Philipp S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bauer, JacquelineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-132552
DOI: 10.1055/s-0043-118852
Journal or Publication Title: Klinische Monatsblat. Augenheilkunde
Volume: 236
Number: 10
Page Range: S. 1174 - 1182
Date: 2019
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-3999
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CHILDREN; STRABISMUS; AMBLYOPIA; RETINOPATHY; PREVALENCEMultiple languages
OphthalmologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/13255

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