Risk factors for myopia at 1-year corrected age following laser photocoagulation for retinopathy of prematurity

Background/ObjectivesThe prevalence of myopia is higher in preterm infants who underwent laser photocoagulation (LPC) for retinopathy of prematurity (ROP). The aim of this study was to investigate factors associated with myopia in preterm infants who undergo LPC for ROP.Subjects/MethodsWe retrospect...

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Published in:Eye (London) 2021-10, Vol.35 (10), p.2820-2825
Main Authors: Mori, Yujiro, Arima, Mitsuru, Ueda, Emi, Fujiwara, Kohta, Seki, Eiko, Nakama, Takahito, Tsukamoto, Shoko, Akiyama, Masato, Sonoda, Koh-Hei
Format: Article
Language:English
Subjects:
Age
Bevacizumab
Birth weight
Gestational age
Infants
Lasers
Medical records
Myopia
Neonates
Newborn babies
Regression analysis
Retinopathy
Risk factors
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Summary:Background/ObjectivesThe prevalence of myopia is higher in preterm infants who underwent laser photocoagulation (LPC) for retinopathy of prematurity (ROP). The aim of this study was to investigate factors associated with myopia in preterm infants who undergo LPC for ROP.Subjects/MethodsWe retrospectively analysed the medical records of preterm infants born at Kyushu University Hospital (October 2008–March 2018) at ≤32 weeks of gestational age or with birth weight ≤1500 g. We evaluated the associations between nine clinical factors and the spherical equivalent at 1-year corrected age by performing multivariable linear regression in LPC-treated ROP patients.ResultsAmong the 485 infants enroled, 76 developed ROP requiring treatment. Of these, 71 underwent LPC, which was provided to 63 infants as the primary treatment (LPC alone or the combination therapy of LPC and intravitreal injection of bevacizumab [IVB]) and to eight infants as additional LPC after IVB monotherapy. The results of a refractive examination at 1-year corrected age were available for 110 eyes of 56 infants (78.9%). The mean ± standard deviation of the SE value was −0.5 ± 3.0 dioptres (D). Multivariable linear regression analysis revealed a significant association between laser spot count and SE value (ß = −0.081 ± 0.040 D per 100 spots [mean ± standard error], p = 0.045).ConclusionsOur results suggest that an increased laser spot count observed during ROP treatment associates with myopia.
ISSN:0950-222X
1476-5454
DOI:10.1038/s41433-020-01321-z