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Refractive Screening of Turkish Term Infants with a Handheld Autorefractometer

Year 2020, Volume: 14 Issue: 2, 143 - 146, 18.03.2020
https://doi.org/10.12956/tchd.631370

Abstract

Background: In order to improve the quality of life of newborns, it is
important to detect the earliest visual problems. This study aimed to determine
the refractive status in healthy term babies and to investigate whether there
is a correlation between refractive status and birth weight

Materials and Methods: Two hundred and three healthy full-term babies
at an age of postnatal 8 weeks were included in the study. In order to evaluate
refractive status handheld autorefractometer device was used in all subjects.
The types of refractive errors were analyzed both in right and left eyes
separately. Measurements taken under cycloplegic condition were analyzed for
spherical equivalent, astigmatism and anisometropia.

Results: Hypermetropia was found as the most common refractive error
among the participants (65% in right eyes, 62% in left eyes). With the rule
astigmatism is found to be the most common astigmatic pattern in both eyes (75%
in right eyes, 70% in left eyes). Anisometropia incidence was found to be 8%. No
correlation between refractive status and birth weight (p=0.105 r=-0.280)







Conclusion: Hypermetropia and with the rule astigmatism is the most
common refractive error in term babies and there is no relationship between
refractive status and birth weight in healthy infants born in term.

References

  • Mehra Ks, Khare Bb, Vaithilingam E. Refraction in Full-Term Babies. Br J Ophthalmol. 1965; 49:276-277.
  • Saunders KJ, McCulloch DL, Shepherd AJ, Wilkinson AG. Emmetropisation Following Preterm Birth. Br J Ophthalmol. 2002; 86:1035-1040.
  • Büchner TF1, Schnorbus U, Grenzebach UH, Busse H. Examination of Preschool Children for Ametropia: first experiences using a new hand-held autorefractor. Strabismus. 2004; 12:111-117.
  • Harvey EM, Miller JM, Dobson V, Tyszko R, Davis AL. Measurement of Refractive Error in Native American Preschoolers: Validity and Reproducibility of Autorefraction. Optom Vis Sci. 2000; 77:140-149.
  • Adams RJ, Dalton SM, Murphy AM, Hall HL, Courage ML. Testing Young Infants with The Welch Allyn Suresight Non-cycloplegic Autorefractor. Ophthalmic Physiol Opt. 2002; 22:546-551.
  • Kuo A, Sinatra RB, Donahue SP. Distribution of Refractive Error in Healthy Infants. J AAPOS. 2003; 7:174-177.
  • Varghese RM, Sreenivas V, Puliyel JM, Varughese S. Refractive Status at Birth: Its Relation to Newborn Physical Parameters at Birth and Gestational Age. PLoS One. 2009;4: e4469
  • Cook A, White S, Batterbury M, Clark D. Ocular Growth and Refractive Error Development in Premature Infants Without Retinopathy of Prematurity. Invest Ophthalmol Vis Sci. 2003; 44:953-960.
  • Patel AR, Natarajan TS, Abreu R. Refractive Errors in Full-term Newborn Babies. J All India Ophthalmol Soc. 1970; 18:59-63.

Miadında Doğan Türk Bebeklerde Refraktif Kusurların Taşınabilir Otorefraktometre ile Taranması

Year 2020, Volume: 14 Issue: 2, 143 - 146, 18.03.2020
https://doi.org/10.12956/tchd.631370

Abstract

Amaç: Yenidoğanların yaşam kalitesini arttırmak için en erken
görsel problemleri tespit etmek önemlidir. Bu çalışmada sağlıklı term
bebeklerde refraktif durumun belirlenmesi ve refraktif durum ile doğum ağırlığı
arasında bir korelasyon olup olmadığı araştırıldı.



Gereç ve Yöntem: Çalışmaya doğum sonrası 8
haftalık term doğan iki yüz üç sağlıklı bebek alındı. Kırılma durumunu
değerlendirmek için tüm olgularda el otorefraktometre cihazı kullanıldı.
Kırılma kusurları hem sağ hem de sol gözde ayrı ayrı analiz edildi. Sikloplejik
koşullar altında yapılan ölçümler, sferik eşdeğer, astigmatizma ve anizometropi
açısından analiz edildi.



Bulgular: Hipermetropi, katılımcılar
arasında en sık kırılma kusuru olarak saptadı(sağ gözlerde % 65, sol gözlerde %
62). Kurala uygun astigmatizma her iki gözde de en sık rastlanan astigmatik
patern tespit edildi (sağ gözlerde % 75, sol gözlerde % 70). Anizometri
insidansı% 8 olarak bulundu. Kırılma durumu ile doğum ağırlığı arasında
korelasyon bulunmadı (p = 0.105 r = -0.280).



Sonuç: Hipermetropi ve kurala uygun astigmatizma
term doğan sağlıklı türk bebeklerde en sık görülen kırma kusuru olup, bu
bebeklerde kırılma kusuru ile doğum ağırlığı arasında bir ilişki yoktur.

References

  • Mehra Ks, Khare Bb, Vaithilingam E. Refraction in Full-Term Babies. Br J Ophthalmol. 1965; 49:276-277.
  • Saunders KJ, McCulloch DL, Shepherd AJ, Wilkinson AG. Emmetropisation Following Preterm Birth. Br J Ophthalmol. 2002; 86:1035-1040.
  • Büchner TF1, Schnorbus U, Grenzebach UH, Busse H. Examination of Preschool Children for Ametropia: first experiences using a new hand-held autorefractor. Strabismus. 2004; 12:111-117.
  • Harvey EM, Miller JM, Dobson V, Tyszko R, Davis AL. Measurement of Refractive Error in Native American Preschoolers: Validity and Reproducibility of Autorefraction. Optom Vis Sci. 2000; 77:140-149.
  • Adams RJ, Dalton SM, Murphy AM, Hall HL, Courage ML. Testing Young Infants with The Welch Allyn Suresight Non-cycloplegic Autorefractor. Ophthalmic Physiol Opt. 2002; 22:546-551.
  • Kuo A, Sinatra RB, Donahue SP. Distribution of Refractive Error in Healthy Infants. J AAPOS. 2003; 7:174-177.
  • Varghese RM, Sreenivas V, Puliyel JM, Varughese S. Refractive Status at Birth: Its Relation to Newborn Physical Parameters at Birth and Gestational Age. PLoS One. 2009;4: e4469
  • Cook A, White S, Batterbury M, Clark D. Ocular Growth and Refractive Error Development in Premature Infants Without Retinopathy of Prematurity. Invest Ophthalmol Vis Sci. 2003; 44:953-960.
  • Patel AR, Natarajan TS, Abreu R. Refractive Errors in Full-term Newborn Babies. J All India Ophthalmol Soc. 1970; 18:59-63.
There are 9 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section ORIGINAL ARTICLES
Authors

Kemal Özülken 0000-0003-2604-2981

Sabite Emine Gokce This is me 0000-0002-2834-6703

Publication Date March 18, 2020
Submission Date October 9, 2019
Published in Issue Year 2020 Volume: 14 Issue: 2

Cite

Vancouver Özülken K, Gokce SE. Miadında Doğan Türk Bebeklerde Refraktif Kusurların Taşınabilir Otorefraktometre ile Taranması. Türkiye Çocuk Hast Derg. 2020;14(2):143-6.


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