ABSTRACT
BACKGROUND: Evaluation of babies with gestational age (GA) over 32 weeks and with a birth weight (BW) over 1500 g, who underwent treatment for retinopathy of prematurity (ROP). MATERIALS AND METHODS: The data of babies with ROP between June 2015â-â2020 were analyzed retrospectively and cross-sectionally. All infants treated for ROP were evaluated. Big babies who were older than 32 weeks GA with a BW higher than 1500 g were determined. Other treated premature infants formed the control group. RESULTS: We retrospectively scanned 6581 patients who underwent ROP examination. Of these babies, 109 were treated for ROP. Thirteen babies (12%) who were treated for ROP were born over 32 weeks of GA and above the weight of 1500 g. One big infant was excluded because of missing file data. Eleven of these infants had type 1 ROP and 1 had aggressive posterior ROP. The mean GA and BW of big babies was 33.58 ± 0.88 weeks and 1860.83 ± 257.73 g, respectively. The mean GA and BW of the control group was 27.85 ± 2.02 weeks and 1068.28 ± 313.78 g, respectively. Both the big babies and the control group received oxygen treatment for 15.25 ± 11.44 and 19.17 ± 12.11 days (p = 0.29), respectively. Sepsis was seen in one big infant but 18 infants were observed to have sepsis in the control group. Similarly, one big infant had necrotizing enterocolitis (NEC), while in the control group, 12 infants had NEC. CONCLUSIONS: Total oxygen intake days, NEC, and sepsis rates were found to be relatively lower in big babies with severe ROP. This could suggest that other factors may have a greater effect on the development of severe ROP in big babies.
Subject(s)
Retinopathy of Prematurity , Infant , Infant, Newborn , Humans , Birth Weight , Retinopathy of Prematurity/diagnosis , Retinopathy of Prematurity/epidemiology , Retinopathy of Prematurity/therapy , Infant, Very Low Birth Weight , Retrospective Studies , Risk Factors , Infant, Premature , Gestational Age , Oxygen , IncidenceABSTRACT
INTRODUCTION: Retinal arterial macroaneurysm (RAM) is an acquired vascular dilatation usually seen at the site of arterial bifurcation or arterial-vein crossing. It's often seen in the first three branches of the central retinal artery. CASE DESCRIPTION: A 15-year-old male patient was admitted to the outpatient clinic with complaints of weakness, headache, and bruising on the body for a few weeks. During the physical examination, a hepatomegaly and a common patchy ecchymosis in the body were detected at the abdominal examination. Hemoglobin was 6.6 g/dl, white blood cells were 40,000/mm3, platelet was 24,000/mm3 at the whole blood count done. The 70% blast was detected in peripheral spread. Bone marrow aspiration evaluation was consistent with pre-B cell acute lymphoblastic leukemia. There was two macroaneurysms in the inferior arcuate of the left eye. The patient was examined on a weekly basis. During control examinations, retinal macroaneurysms in left eye and the hemorrhages significantly regressed. CONCLUSION AND IMPORTANCE: The fact that RAM is not often seen in the pediatric age group, indicates the importance of this phenomenon. It should be remembered that a complete ophthalmic examination should be performed on leukemia patients.
Subject(s)
Aneurysm , Leukemia , Retinal Arterial Macroaneurysm , Retinal Artery , Adolescent , Aneurysm/diagnosis , Aneurysm/etiology , Child , Fluorescein Angiography , Humans , Male , Retinal Hemorrhage/diagnosis , Retinal Hemorrhage/etiologyABSTRACT
OBJECTIVES: This study aimed to evaluate the anxiety status of children with low vision due to refractive errors using a questionnaire survey. METHODS: Between July and November 2019, the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire was administered to children with refractive errors (≥3D) and amblyopia who presented to the ophthalmology clinic. Children with low vision were evaluated based on their answers to the SCARED questionnaire. RESULTS: This study included 38 children (22 girls, 16 boys) with low vision. The average age of the participants was 9.74±2.65 (7-12) years. The average binocular vision was 0.28±0.21 LogMAR. The mean total anxiety score was 21.68±10.55. At least one type of anxiety was detected in 18 (47.4%) children. A positive correlation and statistical significance were found between binocular low vision and anxiety (r=0.63, p<0.001). Boys were more susceptible to anxiety than girls, and a positive moderate correlation and statistical significance were found (r=0.50, p=0.002). CONCLUSION: Anxiety may develop in children with low vision, and this anxiety more commonly occur in boys than in girls (p=0.002). In addition, psychological disorders can be seen in children with low vision. To better evaluate this connection, large case series studies including visual impairment due to different reasons are needed.
