Ocular Biometry in Preterm Newborns in the Neonatal Intensive Care Unit Environment of a Referral Hospital

Purpose: The purpose is to document ocular growth using ultrasound biometry measurements in conditions of prematurity with or without retinopathy. Design: An observational prospective study. Subjects: One hundred twenty eyes of preterm infants in the neonatal intensive care unit. Methods: Follow-up...

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Main Authors: Ricardo Salles Cauduro, MD, PhD, Nilva Simeren Bueno de Moraes, MD, PhD, Ana Lucia Goulart, MD, PhD, Norma Allemann, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-11-01
Series:Ophthalmology Science
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666914525001277
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author Ricardo Salles Cauduro, MD, PhD
Nilva Simeren Bueno de Moraes, MD, PhD
Ana Lucia Goulart, MD, PhD
Norma Allemann, MD, PhD
author_facet Ricardo Salles Cauduro, MD, PhD
Nilva Simeren Bueno de Moraes, MD, PhD
Ana Lucia Goulart, MD, PhD
Norma Allemann, MD, PhD
author_sort Ricardo Salles Cauduro, MD, PhD
collection DOAJ
description Purpose: The purpose is to document ocular growth using ultrasound biometry measurements in conditions of prematurity with or without retinopathy. Design: An observational prospective study. Subjects: One hundred twenty eyes of preterm infants in the neonatal intensive care unit. Methods: Follow-up every 2 weeks until 6 weeks postnatally. Inclusion criteria <1500 g or 32 gestational weeks/exclusion criteria >1500 g or 32 gestational weeks. Main Outcome Measures: Ocular biometric parameters were evaluated using B-scan ultrasound (7.5–15 MHz, Mylab Esaote). These included anterior chamber depth, anterior-posterior lens diameter (lens thickness), vitreous chamber depth, and axial length. Additional evaluation parameters included refraction using retinoscopy to determine the refractive error, indirect ophthalmoscopy with 28 diopter lenses, and pediatric biometric parameters recorded in the medical record. Results: Total number: 120 eyes, 60 patients (29 females; 31 males); retinopathy of prematurity (ROP) number: 48 eyes, 24 patients (13 females; 11 males) were included, and the right eye was analyzed. Through repeated analysis of variance, a statistically significant effect on ROP did not differ significantly from any of the measures evaluated by the rest of the group. The biometric parameter showed a positive correlation relationship with gestational age. However, the refractive spherical was observed in the opposite behavior. The lens thickness and spherical equivalent were not shown. There was a significant correlation with gestational age; only the spherical equivalent significantly correlated with the Z-weight score for gestational age. Conclusions: In this study, it was possible to document the pattern of ocular growth in preterm infants with the progression of gestational age without differentiation between the groups of preterm infants (with and without ROP). Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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spelling doaj-art-1cb9bbee1d6341a8b8c1bb4a95d2249f2025-08-20T03:40:41ZengElsevierOphthalmology Science2666-91452025-11-015610082910.1016/j.xops.2025.100829Ocular Biometry in Preterm Newborns in the Neonatal Intensive Care Unit Environment of a Referral HospitalRicardo Salles Cauduro, MD, PhD0Nilva Simeren Bueno de Moraes, MD, PhD1Ana Lucia Goulart, MD, PhD2Norma Allemann, MD, PhD3Department of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil; Correspondence: Ricardo Salles Cauduro, MD, PhD, Federal University of Sao Paulo Paulista Medical School, Av. Tiradentes 101/74, Taubate 12030-180, Sao Paulo, Brazil.Department of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, BrazilDivision of Neonatal Pediatrics, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, BrazilDepartment of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil; Fleury Medicina e Saúde, Ophthalmology Diagnostic Center, São Paulo, Brazil; Department of Ophthalmology &amp; Visual Sciences, University of Illinois at Chicago, Chicago, IllinoisPurpose: The purpose is to document ocular growth using ultrasound biometry measurements in conditions of prematurity with or without retinopathy. Design: An observational prospective study. Subjects: One hundred twenty eyes of preterm infants in the neonatal intensive care unit. Methods: Follow-up every 2 weeks until 6 weeks postnatally. Inclusion criteria <1500 g or 32 gestational weeks/exclusion criteria >1500 g or 32 gestational weeks. Main Outcome Measures: Ocular biometric parameters were evaluated using B-scan ultrasound (7.5–15 MHz, Mylab Esaote). These included anterior chamber depth, anterior-posterior lens diameter (lens thickness), vitreous chamber depth, and axial length. Additional evaluation parameters included refraction using retinoscopy to determine the refractive error, indirect ophthalmoscopy with 28 diopter lenses, and pediatric biometric parameters recorded in the medical record. Results: Total number: 120 eyes, 60 patients (29 females; 31 males); retinopathy of prematurity (ROP) number: 48 eyes, 24 patients (13 females; 11 males) were included, and the right eye was analyzed. Through repeated analysis of variance, a statistically significant effect on ROP did not differ significantly from any of the measures evaluated by the rest of the group. The biometric parameter showed a positive correlation relationship with gestational age. However, the refractive spherical was observed in the opposite behavior. The lens thickness and spherical equivalent were not shown. There was a significant correlation with gestational age; only the spherical equivalent significantly correlated with the Z-weight score for gestational age. Conclusions: In this study, it was possible to document the pattern of ocular growth in preterm infants with the progression of gestational age without differentiation between the groups of preterm infants (with and without ROP). Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article.http://www.sciencedirect.com/science/article/pii/S2666914525001277Anterior chamber/anatomy &amp; histologyBiometryBirth weightEye/grow &amp; developmentEye/physiopathology
spellingShingle Ricardo Salles Cauduro, MD, PhD
Nilva Simeren Bueno de Moraes, MD, PhD
Ana Lucia Goulart, MD, PhD
Norma Allemann, MD, PhD
Ocular Biometry in Preterm Newborns in the Neonatal Intensive Care Unit Environment of a Referral Hospital
Ophthalmology Science
Anterior chamber/anatomy &amp; histology
Biometry
Birth weight
Eye/grow &amp; development
Eye/physiopathology
title Ocular Biometry in Preterm Newborns in the Neonatal Intensive Care Unit Environment of a Referral Hospital
title_full Ocular Biometry in Preterm Newborns in the Neonatal Intensive Care Unit Environment of a Referral Hospital
title_fullStr Ocular Biometry in Preterm Newborns in the Neonatal Intensive Care Unit Environment of a Referral Hospital
title_full_unstemmed Ocular Biometry in Preterm Newborns in the Neonatal Intensive Care Unit Environment of a Referral Hospital
title_short Ocular Biometry in Preterm Newborns in the Neonatal Intensive Care Unit Environment of a Referral Hospital
title_sort ocular biometry in preterm newborns in the neonatal intensive care unit environment of a referral hospital
topic Anterior chamber/anatomy &amp; histology
Biometry
Birth weight
Eye/grow &amp; development
Eye/physiopathology
url http://www.sciencedirect.com/science/article/pii/S2666914525001277
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