| Abstract | Prikazati refrakcijski status prijevremeno rođene djece i djece rođene na termin s konvergentnim strabizmom. Utvrditi razlike i specifičnosti u refrakcijskom statusu prijevremeno rođene djece u odnosu na djecu rođenu na termin s konvergentnim strabizmom.MATERIJAL I METODE:Podatci su prikupljeni u registru Klinike za očne bolesti KBC-a Split. Napravljen je kompletan klinički oftalmološki pregled 62 djece sa esotropijom po standardnoj proceduri u cilju isključenja ili dijagnoze refrakcijskih grešaka. U ispitivanje nisu uključena djeca koja su imala obiteljskih refrakcijskih anomalija,ROP ili neki drugi organski poremećaj oka. U skupini prijevremeno rođene djece bez retinopatije kod nedonščadi (ROP – engl. Retinopathy of prematurity) bilo je uključeno 31 dijete sa esotropijom, a u skupini na termin rođne djece također 31 dijete sa esotropijom. Temeljni kriterij određivanja refrakcijskog statusa djece bila je skijaskopija te su podaci dobiveni tom objektivnom metodom uzeti za daljnu statističku obradu podataka.
Atropinska sferosferična skijaskopija je objektivna metoda ispitivanja refrakcije. U našem ispitivanju korišten je Atropin sol.0.50% 3x dnevno 3 dana prije pregleda.REZULTATI: Unutar skupine prijevremeno rođene djece metodom skijaskopije određene su vrijednosti: Prema vrsti i veličini sferne dioptrije obzirom na termin poroda u skupini prijevremeno rođene djece određene su vrijednosti: 18 (29%) djece je imalo vrijednosti sferne dioptrije (Dsph) od -1,0 do 0 , 25 (40,3%) od 0 do +1,0 Dsph, 19 (30,6%) od +1,0 do +2,0 Dsph, 0 (0%) od +2,0 do +3,5 Dsph. Unutar skupine djece rođene na termin metodom skijaskopije određene su vrijednosti: 0 (0%) djece je imalo vrijednosti sferne dioptrije (Dsph) od -1,0 do 0, 0 (0%) od 0 do +1,0 Dsph, 36 (58,1%) od +1,0 do +2,0 Dsph, 26 (51,9%) od +2,0 do +3,5 Dsph.
ZAKLJUČCI: Postoji statistički značajna razlika u veličini sferne dioptrije petogodišnje djece u odnosu na termin poroda ( Z=8,8;r=0,79; p< 0,001). Medijan sferne dioptrije za 1 je veći kod djece rođene na termin u odnosu na prijevremeno rođenu djecu ( 95% CI: 0,71-1,29 ). |
| Abstract (english) | The objectives of this research are to demonstrate the refractory status of the children born prematurely compared with the children born at term in preschool age with convergent strabismus, determine the differences and specifics of the refractory status of the children born prematurely compared to the children born at term in preschool age.OBJECTIVES: The objectives of this research are to demonstrate the refractory status of the children born prematurely compared with the children born at term in preschool age with convergent strabismus, determine the differences and specifics of the refractory status of the children born prematurely compared to the children born at term in preschool age.
MATERIAL AND METHODS: The data were collected in the register of Department of Ophthalmology, University Hospital of Split. 62 children (124 eyes) were treated at the age of 5 with esotropia. A complete clinical ophthalmic examination was performed according to the standard procedure in order to exclude or diagnose refractive errors. The basic criterion for determining the refractory status of children was retinoscopy, and the data obtained by this objective method were taken for statistical data processing. The study did not include children who had family refractive anomalies, ROP or some other organic eye disorder. Atropine spherospherical retinoscopy is an objective method of examination.
RESULTS: Within the group of children born prematurely, the method of retinoscopy was used to determine the following values: 18 (29%) children had values from -1.0 to 0.0 dioptres in the sphere (Dsph), 25 (40.3%) from 0.0 to +1.0 Dsph , 19 (30.6%) from +1.0 to +2.0 Dsph, 0 (0%) from +2.0 to +3.5 Dsph. Within the group of children born at term the method of retinoscopy was used to determine the following values: 0 (0%) children had values from -1.0 to 0.0 Dsph, 0 (0%) from 0.0 to +1.0 Dsph, 36 (58.1%) from +1 , 0 to +2.0 Dsph, 26 (51.9%) from +2.0 to +3.0 Dsph.
CONCLUSIONS: The children born prematurely were most commonly diagnosed with myopia in preschool age. There is a statistically significant difference in the refractory status of the children born prematurely and children born at term in preschool age( Z=8,8;r=0,79; p< 0.001). |
