Abstract:
BACKGROUND:The purpose of this investigation was to analyse the ophthalmic follow-up care of former pre-term and full-term 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-term born 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-term infants 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. HINTERGRUND:Ziele der vorliegenden Untersuchung waren die Evaluation ophthalmologischer Nachsorgeuntersuchungen ehemaliger früh- und reifgeborener Kinder im Alter von 4 bis 10 Jahren und der Vergleich mit den deutschen Leitlinien. METHODIK:In der prospektiven Wiesbaden Prematurity Study (WPS) wurden 503 Kinder, davon 239 Frühgeborene (FG) mit Gestationsalter (GA) ≤ 32 Wochen und 264 Reifgeborene (RG) mit GA ≥ 37 Wochen (Kontrollgruppe) im Alter von 4 bis 10 Jahren inklusive Refraktionsmessung und orthoptischem Status untersucht. Anisometropie war definiert als Refraktionsunterschied von ≥ 1 dpt sphärischem Äquivalent. Die Eltern wurden zusätzlich gefragt, ob nach der Entlassung aus dem Krankenhaus eine augenärztliche Untersuchung stattgefunden habe und wie oft eine solche innerhalb der letzten 12 Monate durchgeführt wurde. ERGEBNIS:Insgesamt zeigten sich ein Strabismus bzw. eine Anisometropie bei 18 bzw. 10% aller FG- und 2 bzw. 5% aller RG-Kinder. Von den 4 bis 6 Jahre alten FG waren 65% und von den 4 bis 6 Jahre alten RG 42% innerhalb der letzten 12 Monate bei einer augenärztlichen Untersuchung (p = 0,002). Bei 15% aller Kinder mit Strabismus war innerhalb der letzten 12 Monate keine augenärztliche Untersuchung erfolgt. Die Eltern von 3 frühgeborenen Kindern berichteten nach der Entlassung aus dem Krankenhaus, nie bei einer augenärztlichen Kontrolluntersuchung gewesen zu sein. SCHLUSSFOLGERUNG:Zwei Drittel der ehemaligen FG nahmen nach Aussage der Eltern im Alter von 4 bis 6 Jahren innerhalb der letzten 12 Monate an einer augenärztlichen Kontrolluntersuchung teil, was in den Leitlinien für die Versorgung ehemaliger frühgeborener Kinder empfohlen wird. Hier zeigt sich noch Verbesserungspotenzial, um diese Risikopopulation, insbesondere für Strabismus und Amblyopie, bestmöglich zu versorgen.
journal_name
Klin Monbl Augenheilkdjournal_title
Klinische Monatsblatter fur Augenheilkundeauthors
Fieß A,Kölb-Keerl R,Elflein HM,Schuster AK,Knuf M,Kirchhof B,Oberacher-Velten I,Muether PS,Bauer Jdoi
10.1055/s-0043-118852subject
Has Abstractpub_date
2019-10-01 00:00:00pages
1174-1181issue
10eissn
0023-2165issn
1439-3999journal_volume
236pub_type
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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doi:10.1055/s-2008-1054984
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abstract::The generally accepted classification of pituitary adenomas into eosinophilic, basophilic, mixed, and chromophobe types has not been very useful since no clear correlation exists between the staining character of the tumor cells and the clinical syndrome produced. The ultrastructural examination of different adenoma t...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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abstract::This review summarizes the knowledge and highlights recent advances in clinical research of retinopathy of prematurity (ROP). This disease is still important, because improvements in neonatal intensive care during the last years have increased the survival of the most immature newborns, but did not diminish the ROP fr...
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abstract::No difference in the retinal acetylserotonin-methyltransferase was found in two groups of quail which were exposed to irradiation of 0.1 W/m2 with green and blue light respectively for 1 hour. Decreased retinal enzyme activities (isoelectric point pH 5.0) were observed in response to exposure to green and UVA light co...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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abstract:BACKGROUND:Little is known about how the expression of Ephrin type-A receptor 2 (EphA2) influences cell-cell adhesion, migration, angiogenesis, and the formation of vasculogenic mimicry (VM) channels in uveal melanomas or how this may be related to the rate of metastasis. MATERIAL AND METHODS:Paraffin embedded section...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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abstract::1. The cells of the hyaloid canal originate from the primitive meningeal cells; 2. The lumen of the hyaloid canal can be observed through the optic nerve up to the subarachnoid space around the optic nerve; 3. Injections of tracer substances into the subarachnoid space of the optic nerve have shown that a communicatio...
journal_title:Klinische Monatsblatter fur Augenheilkunde
pub_type: 杂志文章
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abstract::Malignant diseases of the orbit are multifaceted and require in the majority of the cases an interdisciplinary treatment. Advances in radiotherapy, surgery and chemotherapy make a high cure rate possible, especially in children's tumors. In adults these tumors reach a tumor control rate of nearly 90 %, even with prese...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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abstract::In the presence of leukokoria the diagnosis of retinoblastoma is usually easy when the mediae are transparent. If they are not, however, one is frequently obliged to enucleate a painful or useless eye in order to rule out this diagnosis. In a series of eight cases having undergone enucleation for this reason at the La...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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abstract::The results of 57 cases with retrocorneal membrane following penetrating keratoplasty are reported and discussed with regard to their clinical and histopathological pictures and pathogenesis. ...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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journal_title:Klinische Monatsblatter fur Augenheilkunde
pub_type: 历史文章,杂志文章
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更新日期:1976-11-01 00:00:00
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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abstract:BACKGROUND:Recently, a method of objective Vernier acuity testing using a modified Catford drum was presented. A tight correlation between the objective Vernier acuity and the Snellen acuity was reported (Hopkisson et al. 1991). PATIENTS AND METHODS:In 41 cooperative patients with strabismic amblyopia and 20 normal su...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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更新日期:1994-02-01 00:00:00
abstract::Clinical and morphological studies were undertaken to characterize a case of congenital glaucoma combined with an ocular-dental-digital dysplasia in a two year old patient. Light and electromicroscopic investigations of a surgically removed trabecular specimen were carried out. A trabeculotomy had been performed at th...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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更新日期:1976-01-01 00:00:00
abstract::Description of one case of an intraocular Toxocara-canis infection. It deals with a so-called solitary granuloma at the posterior pole of the eye. An infection with this parasit of world-wide distribution is probably more frequently than commonly supposed. The prognosis of the disease is unfavourable in most cases. Th...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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更新日期:1975-07-01 00:00:00
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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abstract::Light phenomena evoked by a Kratz elliptical posterior chamber lens, a Mark Choyce IX anterior chamber lens, and a four-loop Binkhorst anterior chamber lens were investigated in a model with pupils of various sizes. Besides monocular diplopia, the edge of the lens produces scattered light phenomena which vary accordin...
journal_title:Klinische Monatsblatter fur Augenheilkunde
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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更新日期:1975-07-01 00:00:00
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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abstract::This paper reports on two cases of bilateral blockage of the carotid vessels many years after X-ray treatment of the neck lymph nodes in childhood. The X-ray overdoses resulted in the damage and shrinkage of the skin and upper connective tissue of the neck. The time of delay from X-ray treatment to the first signs of ...
journal_title:Klinische Monatsblatter fur Augenheilkunde
pub_type: 杂志文章
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journal_title:Klinische Monatsblatter fur Augenheilkunde
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