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Poorer neurodevelopmental outcomes associated with cystoid macular edema identified in preterm infants in the intensive care nursery.

Publication ,  Journal Article
Rothman, AL; Tran-Viet, D; Gustafson, KE; Goldstein, RF; Maguire, MG; Tai, V; Sarin, N; Tong, AY; Huang, J; Kupper, L; Cotten, CM; Toth, CA ...
Published in: Ophthalmology
March 2015

PURPOSE: To evaluate the association between cystoid macular edema (CME) observed in very preterm infants and developmental outcomes at 18 to 24 months corrected age. DESIGN: Cohort study. PARTICIPANTS: Infants born at or less than 1500 g or at or less than 30 weeks postmenstrual age who underwent screening for retinopathy of prematurity (ROP) in an intensive care nursery. METHODS: Bedside handheld spectral-domain optical coherence tomography (SD OCT; Envisu, Bioptigen, Inc, Research Triangle Park, NC) imaging was obtained from preterm infants who were being screened for ROP and graded for presence of CME, central foveal thickness (CFT), inner nuclear layer thickness, and foveal-to-parafoveal thickness ratio. At 18 to 24 months corrected age, the children were assessed with the Bayley Scales of Infant and Toddler Development, Third Edition. MAIN OUTCOME MEASURES: Scores on the Bayley cognitive, language, and motor subscales. RESULTS: Among 77 children with SD OCT imaging, 53 were evaluated with the Bayley Scales. Compared with children who did not have CME as infants (n=22), the mean score for children who had CME (n=31) was 7.3 points (95% confidence interval [CI], -15.5 to 0.9; P=0.08) lower on the cognitive subscale, 14.1 points (95% CI, -22.7 to -5.5; P=0.002) lower for the language subscale, and 11.5 points (95% CI, -21.6 to -1.3; P=0.03) lower for the motor subscale. Differences were maintained after adjusting for gestational age and birth weight. Severity of CME, as assessed by foveal-to-parafoveal thickness ratio, within the CME group correlated with poorer cognitive (R2=0.16, P=0.03) and motor (R2=0.15, P=0.03) development. CONCLUSIONS: Cystoid macular edema observed on SD OCT in very preterm infants screened for ROP is associated with poorer language and motor skills at 18 to 24 months corrected age. Evaluation of the retina with SD-OCT may serve as an indicator of neurodevelopmental health for very preterm infants in the intensive care nursery.

Duke Scholars

Published In

Ophthalmology

DOI

EISSN

1549-4713

Publication Date

March 2015

Volume

122

Issue

3

Start / End Page

610 / 619

Location

United States

Related Subject Headings

  • Tomography, Optical Coherence
  • Retinopathy of Prematurity
  • Psychomotor Disorders
  • Psychological Tests
  • Prospective Studies
  • Ophthalmology & Optometry
  • Neonatal Screening
  • Male
  • Macular Edema
  • Intensive Care Units, Neonatal
 

Citation

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Rothman, A. L., Tran-Viet, D., Gustafson, K. E., Goldstein, R. F., Maguire, M. G., Tai, V., … Toth, C. A. (2015). Poorer neurodevelopmental outcomes associated with cystoid macular edema identified in preterm infants in the intensive care nursery. Ophthalmology, 122(3), 610–619. https://doi.org/10.1016/j.ophtha.2014.09.022
Rothman, Adam L., Du Tran-Viet, Kathryn E. Gustafson, Ricki F. Goldstein, Maureen G. Maguire, Vincent Tai, Neeru Sarin, et al. “Poorer neurodevelopmental outcomes associated with cystoid macular edema identified in preterm infants in the intensive care nursery.Ophthalmology 122, no. 3 (March 2015): 610–19. https://doi.org/10.1016/j.ophtha.2014.09.022.
Rothman AL, Tran-Viet D, Gustafson KE, Goldstein RF, Maguire MG, Tai V, et al. Poorer neurodevelopmental outcomes associated with cystoid macular edema identified in preterm infants in the intensive care nursery. Ophthalmology. 2015 Mar;122(3):610–9.
Rothman, Adam L., et al. “Poorer neurodevelopmental outcomes associated with cystoid macular edema identified in preterm infants in the intensive care nursery.Ophthalmology, vol. 122, no. 3, Mar. 2015, pp. 610–19. Pubmed, doi:10.1016/j.ophtha.2014.09.022.
Rothman AL, Tran-Viet D, Gustafson KE, Goldstein RF, Maguire MG, Tai V, Sarin N, Tong AY, Huang J, Kupper L, Cotten CM, Freedman SF, Toth CA. Poorer neurodevelopmental outcomes associated with cystoid macular edema identified in preterm infants in the intensive care nursery. Ophthalmology. 2015 Mar;122(3):610–619.
Journal cover image

Published In

Ophthalmology

DOI

EISSN

1549-4713

Publication Date

March 2015

Volume

122

Issue

3

Start / End Page

610 / 619

Location

United States

Related Subject Headings

  • Tomography, Optical Coherence
  • Retinopathy of Prematurity
  • Psychomotor Disorders
  • Psychological Tests
  • Prospective Studies
  • Ophthalmology & Optometry
  • Neonatal Screening
  • Male
  • Macular Edema
  • Intensive Care Units, Neonatal